Unit I Nursing and Caring in the Community

Unit I Nursing and Caring in the Community Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company

Chapter 1 Caring in Community Health Nursing Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company

Community Health • “Meeting the collective needs of the community and society” (Thomas, 2001 Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Public Health Nursing • Utilize knowledge from nursing and public health to improve the health of the entire community. Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

(APHA, 1981) • Primary prevention • Health promotion Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Community Health Nursing • “Is a synthesis of nursing and public health practice applied to promoting and preserving the health of populations. ” (ANA, 1980) • Focus community as a whole • Aggregate Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Community-based Nursing • “Nursing practice which focuses on the provision of personal care to individuals and families in the community. ” (Thomas, 2001) Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Compare and Contrast • • Community health Public health nursing Community based nursing Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Caring Behaviors • • Assistive Enabling Supportive Facilitative Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Caring Activities • Partnerships • Empowerment Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Population-focused Practice • Upstream thinking • Downstream thinking Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Dimensions of Caring (Roach, 1991) • • • Compassion Competence Confidence Conscience Commitment Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Caring Themes and Models • • Cultural Feminist Humanistic Obligation Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Context for Community Health Nursing • Health • World Health Organization • Health for All in the 21 st Century • Pender Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Public Health • • Prevent epidemics and spread of disease Protect against environmental hazards Prevent injuries Promote and encourage healthy behaviors Respond to disasters Ensure accessibility to health services (Public Health Functions Steering Committee, 1994) Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Social Justice • Mission of public health • Key concept, “All persons are entitled to basic provisions” Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Health Promotion • Activities designed to improve or maintain health Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Health Protection • Activities designed to prevent illness, detect illness early, and maintain functioning (Pender, 1996) Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Disease and Injury Prevention • Levels § § § Primary Secondary Tertiary Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Healing • • • Restoration of health Harmony Well-being Body, mind, spirit, and environment Concept of presence Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company

Population-Focused Practice • Community is viewed as a “whole” • Balance between health needs and available resources is assessed • Utilizes a scientific approach Chapter 1 Copyright © 2003 Delmar Learning, a Thomson Learning company