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1NR 442 Community Health Nursing
Chapter One – Focus Study Plan Topics
• Define – Community Health Nursing- is the synthesis of nursing practice and public
health practice. The major goal of public health nursing is to preserve the health of the
community and surrounding populations by focusing on health promotion and health
maintenance of individuals, families, and groups within the community.
• Define - Community- is seen as a group or collection of individuals interacting in social
units and sharing common interest, characteristics, values, and goals.
• Define- Homogeneous population- composed of parts or elements that are all of the
same kind; not heterogeneous: a homogeneous population. 2. Of the same kind or nature;
essentially alike.
• Define Coalitions- An alliance for combined action
• Community cooperation- the process of working together to the same end
• Collaboration- the action of working with someone to produce or create something.
• Aggregate- A subgroup or subpopulation that have come common characteristics or
concerns.
• Population- is typically used to denote a group of people having common personal or
environmental characteristics. It can also refer to all of the people in a defined
community.
• Which factors contributes to an individual’s health- genetics, lifestyle choices
• Health Peoples 2020 leading Health indicators- access to health services, clinical
preventative services, environmental quality, injury & violence, maternal, infant, and
child health, mental health, nutrition, physical activity, and obesity, oral health,
reproductive and sexual health, social determinants, substance abuse, and tobacco.
• What are PH nurses 2 most important priorities
• Identify 3 primary goals of Healthy People 2020- Increase the span of healthy lives for
Americans, reduce health disparities among Americans, and achieve access to preventive
services for all Americans.
• Why are American concerned about health care- Because Americans are very
unhealthy compared to the rest of the world and health care is not equally available to all
Americans.
• Where are the greatest number of Nurses employed
• Which ethical belief is considered the most helpful in today health care crisis
• ANA Code of Ethic the reaches beyond giving excellent patient care
• Health issue of the most concern in the United States TODAY
• Why do PHN want to know about Morbidity and Mortality statistics, local, state and
national level
• How do Public Health efforts differ from medical efforts in improving health
• Define- Primary (or Specific) prevention- Prevention of problems before they occur/
Health promotion and health protection (immunization)
1
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• Secondary prevention- Early detection and intervention/ Early diagnosis and treatment
(screening for STI)
• Tertiary prevention- Correction and prevention of deterioration of a disease state/
Limitation of disability and rehabilitation (teaching insulin administration in the home)
• Health education - is any combination of learning experiences designed to help
individuals and communities improve their health, by increasing their knowledge or
influencing their attitudes.
• What are some of the TASK the PHN can employ to help the health agency meet there
goals
• What type of nursing care is provided to a patient in the home
• Relationship of PHNP to PHIW
• Define Health (as per WHO) - The extent to which an individual or group is able, on the
one hand, to realize aspirations and satisfy needs; and, on the other hand, to change or
cope with the environment. Health is, therefore, seen as a resource for everyday life, not
the objective of living; it is a positive concept emphasizing social and personal resources,
and physical capacities.
Chapter TWO – Focus Study Plan
• Explain why some people use Folk Healers - Societies retain folk practices because
they offer repeated success. Most cultures have a pharmacopoeia and maintain
therapeutic and preventive practices, and it is estimated that one fourth to one half of folk
medicines are empirically effective. Indeed, many modern drugs are based on the
medicines of primitive cultures (e.g., eucalyptus, coca, and opium)
• Set up a table identifying Lillian Wald’s contribution to PH/CH nursing –
➢ Established Henry Street Settlement in 1893 (along with Mary Brewster)
➢ Played an important role in establishing public health nursing in the United States—
later called “Visiting Nurses Association of NYC”
➢ Role of Henry Street Settlement was “one of helping people to help themselves”
(Wald, 1871)
➢ The Children’s Bureau and the Social Security Act Legislation formed as a result of
these efforts
• Discuss the primary focus of health care efforts in the united States- Focus on health
and not so much disease management and cure.
• Outline Florence Nightingale contribution to evolution to modern health care-
➢ Credited with establishing “modern nursing”
➢ Concern for environmental determinants of health
➢ Emphasis on sanitation, community assessment, and analysis
➢ Use of graphically depicted statistics and comparable census data
➢ Political advocate
➢ Education reform for nurses
2
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