Community Health Nursing intervention.pptx

7/27/2019 Community Health Nursing intervention.pptx

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Ns. Setyoadi, M.Kep., Sp.Kom.


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Community health nursing is a uniquearea of nursing practice that extendsthe delivery of professional nursing carebeyond the walls of hospitals to every

conceivable environment in which therecipients of care may be located

Community health nurses are skilledpractitioners that carry theirprofessionalism into these sometimeschallenging environments with acommitment and passion that is thehallmark of nursing.


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Community health nursing is

generally associated with fewer

requirements for shift work, more

comprehensive involvement withclients and their families and a

scope of work across preventative,

curative and palliative interventions.


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COMPETENCY STATEMENT

AND SKILLS1. COMMUNITY HEALTH APPRAISAL AND SCREENING

1.1. SKILL 1. SURVEILLANCE

1.2. SKILL 2. DISEASE AND OTHER HEALTH EVENT

INVESTIGATION

1.3. SKILL 3. OUTREACH

1.4. SKILL 4. SCREENING

1.5. SKILL 5. CASE FINDING

2. HEALTH CARE DELIVERY

2.1. SKILL 6. REFERRAL AND FOLLOW-UP

2.2. SKILL 7. CASE MANAGEMENT

2.3. SKILL 8. DELEGATED FUNCTIONS


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3. EDUCATION AND SUPPORT

3.1. SKILL 9. HEALTH TEACHING

3.2. SKILL 10. COUNSELLING

3.3. SKILL 11. CONSULTATION

4. COMMUNITY DEVELOPMENT4.1. SKILL 12. COLLABORATION

4.2. SKILL 13. COALITION BUILDING

4.3. SKILL 14. COMMUNITY ORGANISING

5. POLITICAL ACTION

5.1. SKILL 15. ADVOCACY

5.2. SKILL 16. SOCIAL MARKETING

5.3. SKILL 17. POLICY DEVELOPMENT AND

POLICY ENFORCEMENT


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Surveillance

Surveillance: Describes and monitors

health events through ongoing and

systematic collection, analysis, and

interpretation of health data for thepurpose of planning, implementing, and

evaluating public health interventions


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Investigation

Disease and other health event investigation:Systematically gathers and analyses dataregarding threats to the health of populations,ascertains the source of the threat, identifies

cases and others at risk, and determinescontrol measures.

Community health nurses have anunderstanding of the role of population healthinitiatives in responding to identified events

and support these through their interactionswith individuals and groups within thecommunity.


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Outreach

Outreach: Locates populations-of-

interest or populations-at-risk and

provides information about the nature

of the concern, what can be done aboutit, and how services can be obtained.

Outreach is carried out in a planned and

coordinated way to maximise the reachof services to the community where

community risk or need is identified.


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Screening

Screening: Identifies individuals with

unrecognized health risk factors or

asymptomatic disease conditions in

populations.Screening and developmental

assessments carried out using identified

tools; ie Asymptomatic STI, Growth andDevelopment, School-age Hearing.


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Case finding

Case finding: Locates individuals and

families with identified risk factors and

connects them with resources.

Assessment, including risk assessment, ofidentified at risk groups or individuals.


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Referral and follow-up

Referral and follow-up: Assists

individuals, families, groups,

organizations, and/or communities to

identify and access necessary resourcesin to prevent or resolve problems or

concerns.


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Manage and organise referrals, transfers andwaitlists, effectively between allied health,clinics, medical teams, non-governmentorganizations, including appropriate reportpreparation and dissemination.

Carry out initial assessment of clients prior toservice / program intervention either face toface or by phone to a) establish clientsconsent to intervention, b) assess risk and

need, c) make arrangements for service /program contact and d) enable completion ofappropriate documentation and feedback toreferring practitioner or agency.


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Case management

Case management: Optimizes self-

care capabilities of individuals and

families and the capacity of systems

and communities to coordinate andprovide services.


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Monitor ongoing needs of clients using varioustools for assessment of ongoing treatmentplanning and evaluation appropriate to theparticular service.

Facilitate or participate in case conferencingof clients, particularly those with complexneeds and ensuring that all relevant healthprofessionals are included.

Client files are prepared that contain all up-to-

date documentation relevant to the client andare completed according to the establishedstandards for nursing documentation.


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Delegated functions

Delegated functions: Direct care tasks

a registered professional nurse carries

out under the authority of a health care

practitioner as allowed by law. Delegated functions also include any

direct care tasks a registered

professional nurse judges entrusts toother appropriate personnel to perform.


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Health teaching

Health teaching: Communicates

facts, ideas, and skills that change

knowledge, attitudes, values, beliefs,

behaviours, and practices of individuals,families, systems, and/or communities.


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Community health nurses provide educationon health issues specific to the needs of theindividual clients, including recognition of riskfactors and behaviour change strategies,management of chronic conditions, strategiesfor accessing resources and support.

Community health nurses facilitate learningthrough coordinating, facilitating or supportinggroup programs on health issues, which may

include the development of programs asrequired or leadership of established programsaccording to their specified guidelines.


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Community health nurses assist individuals inpreparing for and following through oftreatment programs and interventions throughthe provision of advise and education as to theintervention offered and the participationrequired from the client including consent andcontractual arrangements.

Community health nurses deliver accurate,timely and appropriately tailored information

and training on health issues to a variety offorums in the community using newsletters,public addresses, brochures and appropriateuse of the media.


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Community health nurses support

clients, their families and groups through

the provision of counselling, motivational

interviewing and facilitation of self helpprograms.


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Consultation

Consultation: Seeks information and

generates optional solutions to

perceived problems or issues through

interactive problem solving with acommunity, system, and family or

individual. The community, system, and

family or individual select and act on the

option best meeting the circumstances.


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Community health nurses provide

clinical support options and resources to

clients, their families and community

groups through broad consultation withcolleagues, other disciplines and

organisations, developing and

maintaining both formal and informal

networks.


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Collaboration

Collaboration: Commits two or morepersons or organizations to achieve acommon goal through enhancing the

capacity of one or more of the membersto promote and protect health

Community health nurses participate in thedevelopment of collaborative responses

to health needs through liaison with andcoordination of teams across disciplinesand/or services and organisations.


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Coalition building

Coalition building: Promotes and

develops alliances among organizations

or constituencies for a common

purpose. It builds linkages, solvesproblems, and/or enhances local

leadership to address health concerns.


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Community health nurses develop and

maintain networks and coalitions

between Health services and institutes,

specialists, government and non-government organisations that support

the provision of effective and

comprehensive health care, developing

memorandums of understanding or

service agreements where applicable.


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Community organizing

Community organizing: Helpscommunity groups to identify commonproblems or goals, mobilize resources,and develop and implement strategies for

reaching the goals they collectively haveset.

Community health nurses carry outcommunity consultation and negotiationand initiate community developmentstrategies for enhancing health.


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Advocacy

Advocacy: Pleads/pembelaan someonescause or act on someonesbehalf/kepentingan, with a focus ondeveloping the community, system, and

individual or familys capacity to plead theirown cause or act on their own behalf.

Individuals and communities are supportedby community health nurses to exercisetheir rights in relation to appropriate healthcare and where they are unable to do sothe community health nurse activelyadvocates on their behalf.


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Social marketing

Social marketing: Utilizes commercial

marketing principles and technologies

for programs designed to influence the

knowledge, attitudes, values, beliefs,behaviours, and practices of the

population-of-interest.


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Community health nurses understand

the principles of social marketing and

seek to reinforce health behaviour

choices of individuals and communitiesin line with the objectives of evidence-

based campaign strategies.


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Policy development and

Policy enforcement

Policy development and Policy

enforcement: Places health issues on

decision-makers agendas, acquires a

plan of resolution, and determines neededresources. Policy development results in

laws, rules and regulation, ordinances, and

policies. Compels others to comply

with the laws, rules, regulations,ordinances, and policies created in

conjunction with policy development.


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Community health nurses ensure

adherence to all relevant legislation and

participate in the review, development

and implementation of policies andprocedures at service, state and national

levels.

Documents

Community Health Nursing intervention.pptx