CHN 1 Topic 1

 

WMSU

 My Dear BSN 2F   STUDENTS  From :

  Shirley M. Nolledo

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Topic 1. Overview of Public Health Nursing  in the Philippines

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Learning Objectives • At the end of this topic, the students can :   1. Explain briefly a certain topic related to current global and national health status. 2. Interpret what Community, Health, Nursing, Public Health and Community health Nursing are . 3. Utilize the principles and philosophy of Public Health / Community Health Nursing with an actual client/ scenario. 4. Discuss the origin of Community Health Nursing in the Philippines.

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National and Global Health Status

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National Health Issues

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Top 10 Most Common Health Issues in the Philippines     

Physical Activity and Nutrition Overweight and Obesity Tobacco Substance Abuse HIV / AIDS

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Mental Health Injury and Violence  Environmen Environmental tal Quality  Immunization 

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Access to Health Care 8

 

Top 8 Most Common Health Issues Globally (WHO)

 Global Influenza Pandemic  Fragile and Vulnerable setting  Antimicrobial

Resistance  Ebola and Other High Threat Pathogens  Weak Primary Health Care  Vaccine Hesitancy  Dengue  HIV 9

 

Public Health / Community Health Nursing

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Definition and Focus Community • is a social unit with commonality such as norms, religion, values, customs, or identity. Communities may share a sense of place situated in a given geographical area or in virtual space through communication platforms.

Wikipedia • is all the people living in an area or a group or groups of people who share common interests.  

Webster Dictionary 11

 

Health

• is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. - WHO • the state of being free from illness or injury.   - Dictionary Nursing • encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in

all settings. It includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. - WHO • the profession or practice of providing care for the sick and infirm.   - Dictionary 12

 

Public Health • Science and Art of Preventing Disease, Prolonging Life, Promoting Health and efficiency through organized community effort for the sanitation of the environment, control of communicable diseases, the education of individuals in personal hygiene, the organization of medical and nursing services for the early • diagnosis and preventive treatment of disease, and the development of social • machinery to ensure everyone a standard of living adequate for the maintenance of health, so organizing these benefits as to Enable Every Citizen to Realize His Birth right to Health and Longevity  

- Dr. C.E. Winslow

 

•  Art of applying Science in the Context Context of Politics Politics so as to Reduce Inequalities in Health while ensuring the best health for the greatest number  - WHO

Public Health Nursing • Special Field of Nursing that combines the skills of nursing, public health, and some phases of social assistance and functions as part of the total public health program for the promotion of health, the improvement of the conditions in the social and physical environment, rehabilitation rehabilitation of illness and disability. - WHO

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Public Health Nurse

• are found in various health settings and occupying various positions in the hierarchy. • are assigned in rural health units, city health centers, provincial health offices, regional health offices, and evening the national office of the Department of Health. • are also assigned in public schools and in the offices of government agencies providing health care services. • occupy a range of positions from Public Health Nurse I to Nurse Program Supervisors to Chief Nurse in public health settings. • uses various tools and procedures necessary for her to properly practice her profession and deliver basic health service. • uses nursing process in her practice and is adept in documenting and reporting accomplishments through records and reports. • technically competent in various nursing procedures conducted in settings where she is assigned  

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Qualifications and Functions of  A Public Health Nurse Qualifications : • must be professionally qualified and licensed to practice in the area of public health nursing. • Must personal qualities and skills”possess that would allow her practice to“people make a difference in the lives of these people.

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Qualificatio Qualifications ns and Functions of A Public Health Nurse • Functions   •   Functions in accordance with the dominant values of public health nurses, within the ethico-legal framework of the nursing profession, and in accordance with the needs of the clients and available resources for health care. •   Functions of PHN are consistent with the Nursing Law 2002 and  program policies formulat formulated ed by the DOH and local governme government nt health agencies. They are related to management, supervision,  provision of nursing care, collaborat collaboration ion and coordinati coordination, on, health  promotion  promotio n and education training and research. 16

 

Functions of a PHN 

Management Function

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Supervisory Function

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Nursing Function

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Collaborating and coordinating Function

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Health Promotion and Education Function

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Training Function 17

 

Philosophy of CHN H-umanistic values of the nursing profession upheld H-umanistic U-nique Unique and distinct component of health care M-ultiple Multiple factors of health considered A-ctive Active participation of clients encouraged N-urse Nurse considers availability of resources I-nterdependen Interdependence ce among health team members practiced S-cientific and up-to-date S-cientific T-asks of CHN vary with time and place Independence or self-reliance of the people is the end goal C-onnectedness Connectedness of health and development regarded 18

 

 The

Community is the patient in CHN; The Family is the Unit of Care; and there are four levels of clientele: c lientele: Individual, Family, Family, Population Group (those who share common characteristics, developmental stages, and common exposure to health problems—e.g. children, elderly), and the Community

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In CHN, the client is considered co nsidered as an Active Partner, Partner, not a passive pas sive recipient of care.

 CHN

Practice is affected by developments in Health Technology Technology,, in Particular,, Changes in Society, Particular Society, in General.

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goal of CHN is achieved through Multi-Sectoral Efforts

 CHN

is a part of the Health Care System and the larger Human

Services System. 19

 

Roles of CHN  Clinician

or Health Care Provider:

 Health Educator   Coordinator and collaborator   Supervisor  

Leader and Change Agent  Agent   Manager   Researcher 

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Responsibiliti Responsibilities es of the CHN • Be a part in developing an overall health plan, its implementation and evaluation for communities. • Provide quality nursing services to the four levels of clientele • Maintain coordination/linkages with other health team members, NGO/ government agencies in the provision of public health services • Conduct researches relevant to CHN services to improve provision of health care • Provide opportunities for professional growth and continuing education for staff development

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Specialized Fields of CHN • Community Mental Health Nursing: a Nursing:  a unique clinical process which includes an integration of concepts from nursing, mental health, social psychology, psychology, community networks, and the basic sciences • Occupational Health Nursing: the Nursing: the application of nursing principles and procedures conserving the health of workers in all occupation • School Health Nursing: the Nursing: the application of nursing theories and principles in the care of the school population

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https://www.who.int/news-room/feature-stori es/ten-threats-to-global-health-in-2019

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