This document discusses the concepts and principles of community health nursing. It defines community health nursing as applying nursing skills, public health, and social assistance through organized community efforts to promote health, prevent disease, and ensure access to healthcare. The key goals are to raise the level of health in communities and maximize their potential for wellness through participation and self-reliance. Community health nursing focuses on serving individuals, families, populations, and communities across all ages and levels of healthcare.

1. COMMUNITY HEALTH
/ PUBLIC HEALTH
DR. C.E. WINSLOW
sci and art of preventing dse, prolonging life,
promoting health & efficiency through
organized community effort….
…so organizing these benefits as TO
ENABLE EVERY CITIZEN TO REALIZE HIS
BIRTHRIGHT TO HEALTH AND
LONGEVITY.

2. According to WHO
 PUBLIC HEALTH
 - the ART OF APPLYING SCIENCE in
the CONTEXT OF POLITICS so as to
REDUCE INEQUALITIES IN HEALTH
while ensuring the best health for the
greatest number.

3. PUBLIC HEALTH
NURSING
 The practice of nursing in national and
local government health departments
(which include health centers and rural
health units), and public schools.
 - Standards of Public Health Nursing in the
Philippines, 2005

4. Major concepts:
 Health promotion
 People’s participation towards self-
reliance

5. HANLON
 most effective total dev & life of the
indiv & his society

6. PURDOM
 applies holism in early years of life,
young, adults, mid year & later
 prioritizes the survival of human
being

7. Theoretical bases of CHN
practice
Theories and principles:
 Nursing
 PH

8. Community health nsg—
by
Dr. Araceli Maglaya
 the utilization of the nsg process in the diff
levels of clientele- individual, families, pop
grps, and comm. concerned with
 promotion of health
 prevention of dses
 disability and rehabilatation

9. Goal:
 to raise the level of health of the citizenry
by helping comm. & families to cope with
the discontinuities in & threats to health
in such a way as to maximize their
potential for high-level wellness.

10. WHO CHN
 Special field of nursing that combines the
skills of nsg, PH, and some phases of social
assistance & functions as part of the total
PH program for the:
 promotion of health
 improvement of the conditions in the
social and physical environment
 rehab of illness and disability

11. Jacobson
 CHN is learned practice discipline
with the ultimate goal of
contributing, as individual and in
collaboration with others, to the
promotion of the client’s optimum
level of functioning through
teaching & delivery of care.

12. Freeman
 CHN is service rendered by a professional
nurse with the comm., groups, families,
and individual at home, in Health Centers,
in clinics, in school, in places of work for
the ff:
 promo of health
 prevention of illness
 care of the sick at home and rehab

13. Philosophy
Dr. Margaret Shetland
philosophy of CHN is
based on the WORTH
AND DIGNITY of man

14. Basic concepts of CHN
 primary focus/ emphasis- health promo 7
dses prevention
 primary goal- self reliance in health or
enhanced capabilities
 ultimate goal- raise level of # of citizenry
 Philo of CHN- Worth and dignity of man

15.  CHN practices -to benefit ( indiv, fam,
special pop, comm.)
 CHN is integrated and comprehensive
 CHN are generalists- matter of comm.
health work
 all types and levels of HC

16. Levels of HC:
 PHC- comm.
 SHC- regional, provincial, district,
municipal, and local hosp (complicated
sx)
 THC- sophisticated med ctr—heart ctr,
QI, NKI

17.  Nature of CHN practice requires
knowledge on biological, social
sciences
 Implicit in CHN is the nsg practice
(ADPIE)

18. Basic principles of
CHN:
 The comm. is the patient in CHN, the
family is the unit of care and the 4
levels of clientele are:
 individual
 Pop. grp ( those who share common char,
dev stages and common exposure to the
problems ex. Children, elderly)
 family
 community.

19.  In CHN, the client is considered as an
ACTIVE partner NOT PASSIVE
recipient of care-participatory approach
 Client- active participant, full
involvement recipient care

20.  CHN practice is affected by devts in
Health technology, in particular, changes
in society, in general.
 The goal of CHN is achieved through
multisectoral efforts- coordinated with
other sectors.
 CHN is a part of health care system and
the larger human services system.- Nsg
practice, human service

21. Basic Concepts of CHN
 Primary focus is on health promotx. The
comm. H nurse by the nature of her work has
the opportunity & responsibility for eval the
health status of people & groups & relating
them to practice.
 CHN practice is extended to benefit not only
the indiv but the whole family and community.
 Community health nurses are generalists in
terms of their practice through life’s
continuum- its full range of health problems
and needs.

22.  Contact with the client and/or family
may continue over a long period of time
which includes all ages and all types of
health care.
 the nature of CHN practice requires that
current knowledge derived fr the
biological and social sciences, ecology,
clinical nsg, and community health
organizations be utilized.

23.  The dynamic process of assessing,
planning, implementing and intervening,
provide periodic measurements of
progress, eval, and a continuum of the
cycle until the termination of nsg is
implicit in the practice of CHN.