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Population-focused Nursing
“Community” or “public” health
nursing is population based.
Care may be given to individuals and
families, but its purpose is the
improvement of the health of the
population as whole.
Community Health Nursing A synthesis of nursing knowledge and
practice and the science and practice of
public health, implemented via systematic
use of the nursing process and other
processes, designed to promote health and
prevent illness in population groups.
Tenets of Community Health Nursing - 1
Systematic and comprehensive population-
based assessment, policy development, and
assurance. Partnering with representatives of the
people. Priority for primary prevention. Intervention to create conditions for health.
Tenets of Community Health Nursing - 2
Active outreach
Concern for the population as a whole
Resource allocation supports maximum
gain for the population.
Interdisciplinary collaboration
Source: Quad Council of Public Health
Organizations. (1999).
Community Health Nursing Standards of Care - 1 Standard I. Assessment Standard II. Diagnosis Standard III. Outcomes identification Standard IV. Planning Standard V. Assurance Standard VI. Evaluation
Source: Quad Council of Public Health Organizations. (1999).
Community Health Nursing Standards of Performance - 1
Standard I. Quality of care Standard II. Performance appraisal Standard III. Education Standard IV. Collegiality
Community Health Nursing Standards of Performance - 2
Standard V. Ethics Standard VI. Collaboration Standard VII. Research Standard VIII. Resource utilization
Source: Quad Council of Public Health Organizations. (1999).
Attributes of Community Health Nursing - 1
Population consciousness
Health orientation
Autonomy
Creativity
Population Consciousness
An awareness of how information
about individual clients or families
relates to the health status of the total
population
Health Orientation
An emphasis on health promotion and
maintenance rather than the cure of
disease or disability
Autonomy
Independent judgment and action by
the community health nurse
Active client participation in health
decision making
Creativity
An ability to develop innovative solutions
to community health problems using
available resources
Continuity
Long term relationships with clients
Provision of care across time as old
problems are solved and new ones
occur
Provision of care across multiple
needs
Collaboration
Interaction and joint decision making
with multiple health-related and non-
health-related disciplines to address the
health needs of population groups
Intimacy
Potential for developing awareness of
intimate details of clients’ lives
Potential for increased accuracy of
nursing assessment
Community Health Nursing Roles
Client-oriented roles
Delivery-oriented roles
Population-oriented roles
Client-oriented Roles
Caregiver
Educator
Counselor
Referral resource
Role model
Advocate
Primary care
provider
Case manager
Caregiver
Uses the nursing process to provide
direct nursing intervention to
individuals, families, or population
groups
Primary Care Provider
Provides essential health services to
promote health, prevent illness, and
deal with existing health problems
Case Manager
Coordinates and directs the selection
and use of health care services to meet
client needs, maximize resource
utilization, and minimize the expense
of care
Coordinator/Care Manager
Organizes and integrates services to
best meet client needs in the most
efficient manner possible
Collaborator
Engages in shared decision making
regarding the nature of health problems
and potential solutions to them
Liaison
Provides and maintains connections
and communication between clients
and health care providers or among
providers
Population-oriented Roles
Case finder
Leader
Change agent
Community
developer
Coalition builder
Researcher
Case Finder
Identifies clients with specific health
problems or conditions
Geared toward awareness of
population-level problems
Change Agent
Initiates and facilitates change in
individual or client behaviors or
conditions or those affecting
population groups
Community Developer
Mobilizes residents and other
segments of the population to take
action regarding identified community
health problems or issues
Coalition Builder
Promotes the development and
maintenance of alliances of individuals
or groups of people to address a
specific health issue