Introducing 

Prezi AI.

Your new presentation assistant.

Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.

Loading…
Transcript

Nursing in Community Settings

Community-based

vs Community health nursing

Community-based nursing tends to focus more on acute, rehabilitative, or chronic nursing care at the individual level; community health nursing focuses on health promotion and illness/injury prevention at the population level.

(Cohen & Gregory, 2009)

Quiz

Which activities are within the

scope of community health

nursing?

What is community health nursing?

  • The work of nurses who work in the community
  • An umbrella term
  • Community health nurses work with individuals, families, communities, and populations to build capacity and promote an environment that supports health

Foundations of Community/Public Health Practice

  • Emphasizes health promotion and disease prevention
  • Recognize impact of health determinants
  • Strive to improve the health of all by addressing determinants and reducing inequities (social justice)

  • focus on populations and sub-populations with similar health characteristics
  • guided by assessment of populations (community assessment)
  • considers broad determinants
  • considers all levels of prevention with emphasis on primary prevention
  • considers all levels of practice; community, systems, individual/family focus

(Canadian Public Health Association, 2010)

(CHNAC, 2014,Stamler & Yiu, 2012; Stanhope et al., 2011)

References

Aston, M., Meagher-Stewart, D., Edwards, N., & Young, L. M. (2009). Public health nurses'

primary health care practice: Strategies for fostering citizen participation. Journal Of Community Health Nursing, 26(1), 24-34. doi:10.1080/07370010802605762

Canadian Nurses Association. (2008). Code of ethics for registered nurses. Retrieved from http://www.cna-aiic.ca/~/media/cna/

page-content/pdf-fr/code-of-ethics-for-registered-nurses.pdf?la=en

Cohen, B. E., & Gregory, D. (2009). Community health clinical education in Canada: Part 1 – “State of the art”. International

Journal of Nursing Educational Scholarship, 6.

Community Health Nurses Association of Canada. (2008). Canadian Community health nursing

standards of practice. Retrieved from http://www.chnc.ca/documents/CHNC-

ProfessionalPracticeModel-EN/index.html

Community Health Nurses Association of Canada. (n.d.). Vision and definition. Retrieved from

http:// www.chnc.ca/chn-vision-and- definition.cfm

Canadian Public Health Association. (2010). Public health/community health: Nursing practice

in Canada roles and activities (4th ed.). Ottawa, ON: Author.

Diem, E., & Moyer, A. (2005). Community health nursing projects: Making a difference.

Philadelphia, PA: Lippincott Williams & Wilkins.

Kushner, K. E. (2010). Community health nursing practice. In P. Potter, A. Perry, J. Ross-Kerr, &

M. Wood (Eds.), Canadian fundamentals of nursing-revised reprint (4th ed.). Philadelphia: FA Davis Company.

Pijl-Zieber, E., & Kalischuk, R., Grant. (2011). Community health nursing practice education: Preparing the next generation.

International Journal of Nursing Education Scholarship, 8(1), 1-13. doi:10.2202/1548-923X.2250

Schim, S. M., Benkert, R., Bell, S. E., Walker, D. S. and Danford, C. A. (2007), Social justice:

Added metaparadigm concept for urban health nursing. Public Health Nursing, 24: 73–80. doi: 10.1111/j.1525-1446.2006.00610.x

Stamler, L., & Yiu, L. (2012). Community health nursing: A Canadian perspective (3rd ed.).

Toronto: Pearson Prentice Hall.

Stanhope, M., Lancaster, J., Jessup-Falcioni, H. & Viverais-Dresler, G. A. (2011). Community

health nursing in Canada (2nd Canadian Edition). Toronto: Elsevier Mosby

Blood Pressure Clinic

Your team is partnering with Candora which is located in Abbottsfield mall. After doing a windshield survey, the group notices a high number of seniors frequent the mall. The group organizes a blood pressure screening in the mall. They set up a table close to the food court and offer screenings and heart health information

Diaper Bank

Your team is working with the family program at Boyle Street Community Services. An assessment of the service reveals they spend a considerable amount of their funding on diapers for clients. Funding that could be better spent elsewhere in the program. The family program team has been wanting to start a diaper bank but has not had time. Your team compiles numbers to determine how many diapers have been given out and what sizes are most needed based on stats the family staff have been keeping. Your team looks at other diaper banks, finds evidence to support health reasons for diapers and then drafts a plan to present to the family program manager. A social media campaign is launched to start the first diaper drive.

Moms group

Collaboration is key

Your team is working with new moms at Mitchener Park. The team facilitates a weekly session where moms can get together and learn about health topics that interest them. Some of the topics include nutrition, how to increase fitness levels, sharing new recipes, tips for getting children to sleep, and child safety. The moms group is ethnically diverse with varying levels of English spoken.

Student Health 101

Your team is working with the Health and Wellness Team at University Wellness Services. There has been a noro-virus outbreak in several of the campus residences. Your team puts together an interactive article for the online Student Health 101 publication. It has a creative interactive of the virus transmission and replication as well as a video on correct hand washing technique.

Community

Garden

You are working together with a group of nurses in collaboration with homeless community members at an inner city agency to create the agency’s first community garden. There are weekly planning meetings and there is an emphasis for community members to take control of the project in terms of decision making. The garden will be located in a lot close to the building that is currently strewn with garbage and dirty needles. A community garden will create more social cohesion and increase the nutritional value of the meals served at the agency. At first you feel uncomfortable in the setting but as you reflect on your perceptions of the homeless and get to know the people, you understand that everyone has a story to tell and bring many individual strengths to the group.

Scenarios

  • Empowerment
  • Shift from ‘doing’ to ‘working with’
  • Begin from client perspective
  • Collaboration and participation is key to the success of any community health initiative
  • Nurse builds relationships, trust and rapport
  • Equality between nurse and client at all levels

(Aston et al., 2009)

Each group will be given a different scenario. Take 20 min to discuss the scenario with your chosen group and address the following:

What approach would you consider using in this scenario and why?

What goals and activities might you engage in with this scenario?

What determinants of health would you try to positively influence?

What practice standards would likely be emphasized?

Each group will have 5 min to present viewpoints.

Challenges

Working with community

groups

  • Prescribed programs
  • chronically underfunded
  • Programs lack equity
  • Time consuming process
  • few opportunities for nurses in non-traditional sites
  • Poorly evaluated programs

  • Community as a whole
  • Help groups identify, prioritize needs and existing capacity to improve health of community
  • Important to understand group concepts
  • CHNs use understanding of group principles to support the achievement of health changes by the members
  • Groups are often diverse

(Aston et al., 2009; Pijl-Zieber & Kalischuk, 2011)

(Stanhope, Lancaster, Jessup-Falcioni, & Viverais-Dresler, 2011)

(CHNAC, 2014, Stamler & Yiu, 2012; Stanhope et al., 2011)

Community/Public Health Metaparadigm

Code of Ethics: Ethical Endeavours

  • utilizing principles of primary health care
  • advocating for comprehensive accessibility to health-care services with an emphasis on health promotion
  • recognizing social determinants of health
  • understanding inequities in society and addressing health issues of vulnerable populations

Schim, Benkert, Bell, Walker, & Danford, 2007

Objectives

(CNA, 2008)

Community Health

Community Health Standards

Other models/approaches that guide practice

“…the process of involving the community in maintaining, improving, promoting, and protecting its own health and well-being”

  • Explain community health nursing practice.
  • Discuss the various roles and functions of the community health nurse
  • Explain how the Canadian Community Health Nursing Standards of Practice are applied in health promotion
  • Understand link between community nursing and social justice, explore common themes
  • Group exercise

Common themes:

  • social justice
  • equity
  • determinants of health
  • collaboration

standards 1-3 describe what we do

standards 4-7 describe how we practice

  • Ottawa Charter for Health Promotion
  • Primary Health Care Principles
  • PHAC Determinants of Health
  • Social Determinants of Health
  • McGill Model
  • CFAM/CFIM
  • Community as partner model
  • Cultural assessment
  • Various teaching and learning principles
  • Code of Ethics for Registered Nurses

(CHNAC, 2014,Stamler & Yiu, 2012; Stanhope et al., 2011)

(Community Health Nurses Association, 2011)

What guides practice?

Community Health Nursing Roles & Activities

(Community Health Nurses Association, 2011)

Stanhope et al., 2011, pp.3)

Learn more about creating dynamic, engaging presentations with Prezi