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Roles and Settings for Community Health Nursing Practice


Assessment: Assessment, ... Second, the educator role in community health nursing is significant because a wider audience can be reached. – PowerPoint PPT presentation

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Title: Roles and Settings for Community Health Nursing Practice

Roles and Settings for Community Health Nursing
  • Chapter 3

  • Historically, community health nurses have
    engaged in many roles. From the beginning,
    nurses in this professional specialty have
    provided care to the sick, taught positive health
    habits and self-care, advocated on behalf of
    needy populations, developed and managed health
    programs, provided leadership, and collaborated
    with other professionals and consumers to
    implement changes in health services.

  • The settings in which these nurses practiced
    varied, too. The home certainly has been one site
    for practice, but so too have clinics, schools ,
    factories, and other community-based locations.
    Today, the roles and settings of professional
    community health nursing practice have expanded
    even further.

Core Public Health Functions
  • The various roles and settings for practice hinge
    on three primary functions of public health
    assessment, policy development, and assurance.
    They are foundational to all roles assumed by the
    community health nurse and are applied at three
    levels of service to individuals, to families,
    and to communities (Display 3-1).

  • Assessment, means that the community health nurse
    must gather and analyze information that will
    affect the health of the people to be served.
    The nurse and others on the health team need to
    determine health needs, health risks,
    environmental conditions, political agendas, and
    financial and other resources, depending on the
    persons, community, or population targeted for
  • Data may be gathered in many ways typical
    methods include interviewing people in the
    community, conducting surveys, gathering
    information form public records, and using
    research findings.

Policy Development
  • Policy development, defined in Display 3-1, is
    enhanced by the synthesis and analysis of
    information obtained during assessment.
    Assessment is used to develop local and national
  • Typically, the nurse recommends specific training
    and programs to meet identified health needs of
    target populations. This is accompanied by
    raising the awareness of key policy makers about
    factors such as health regulations and budget
    decisions that negatively affect the health of
    the community.

Assurance ??????
  • Assurance activatesactivities that make certain
    that services are provided, community health
    nurses perform the assurance function at the
    community level when they provide service to
    target populations, improve quality assurance
    activities, and maintain safe levels of
    communicable disease surveillance and outbreak
    control. In addition, they participate in
    research, provide expert consultation, and
    provide services within the community based on
    standards of care.

(No Transcript)
Roles of Community Health Nurses
  • Over time, the role of the community health nurse
    has broadened. Community health nurses wear many
    hats while conducting day-to-day practice. This
    is especially true for specialized roles such as
    that of full-time manager. This chapter examines
    seven major roles (1) clinician, (2) educator,
    (3) advocate, (4) manager, (5) collaborator, (6)
    leader, and (7) researcher

Clinician Role
  • The clinician role in community health means that
    the nurse ensures that health services are
    provided not just to individuals and families,
    but also to groups and populations.

Educator Role
  • A second important role of the community health
    nurse is that of educator or health teacher.
    Health teaching, a widely recognized part of
    nursing practice.
  • The educator role is especially useful in
    promoting the publics health for at least two
    reasons. First, community clients usually are not
    acutely ill and can absorb and act on health
  • Second, the educator role in community health
    nursing is significant because a wider audience
    can be reached.

Advocate Role
  • The issue of clients rights is important in
    health care. Every patient or client has the
    right to receive just, equal, and humane
    treatment. Our current health care system often
    is characterized by fragmented and poor, the
    disadvantaged, those without health insurance,
    and people with language barriers frequently
    are denied their rights. They become frustrated,
    confused, degraded, and unable to cope with the
    system on their own. The community health nurse
    often acts as an advocate for clients, pleading
    their cause or acting on their behalf. Clients
    may need someone to explain which services to
    expect and which services write letters to
    agencies or health care providers for them.

Manager Role
  • Community health nurses, like all nurses, engage
    in the role of managing health services. As a
    manager, the nurse exercises administrative
    direction toward the accomplishment of specified
    goals by assessing clients needs, planning and
    organizing to meet those needs, directing and
    leading to achieve results, and controlling and
    evaluating the progress to ensure that goals are
  • The management process, like the nursing process,
    incorporates a series of problem solving
    activates or functions planning, organizing,
    leading, and controlling and evaluating.

Collaborator Role
  • Community health nurses seldom practice in
    isolation. They must work with many people,
    including clients, other nurses, physicians,
    teachers, health educators, social workers,
    physical therapists, nutritionists, occupational
    therapists, psychologists, epidemiologists,
    biostaticians, attorneys, secretaries,
    environmentalists, city planners, and
  • As members of the health team, community health
    nurses assume the role of collaborator, which
    means to work jointly with others in a common
    endeavor, to cooperate as partners. Successful
    community health practice depends on this
    multidisciplinary collegiality and leadership.

Leadership Role
  • Community health nurses are becoming increasingly
    active in the leadership role, separate from
    leading within the manager role mentioned
    earlier. The leadership role focuses on
    effecting change thus, the nurse becomes and
    agent of change.

Researcher Role
  • In the researcher role, community health nurses
    engage in systematic investigation, collection,
    and analysis of data for solving problems and
    enhancing community health practice.

Settings For Community Health Nursing Practice
  • The pervious section examined community health
    nursing form the perspective of its major roles,
    the roles now can be placed in context by viewing
    the settings in which they are practiced.

  • For a long time, the most frequently used setting
    for community health nursing practice was the
    home. In the home, all of the community health
    nursing roles, to varying degrees, are performed.
  • The home also is setting for health promotion.
    Many community health nursing visits focus on
    assisting families to understand and practice
    healthier living behaviors child discipline,
    diet, exercise, coping with stress, or managing
    grief and loss.

Ambulatory Service Settings
  • Ambulatory service settings include a variety of
    venues for community health nursing practice in
    which clients come for day or evening services
    that do not include overnight stays.
  • Sometimes, multiple clinics offering
    comprehensive services are community based or are
    located in outpatient departments of hospitals or
    medical centers. Such as a family planning
    clinic or a well-child clinic.

  • Schools of all levels make up a major group of
    settings for community health nursing practice.

Occupational Health Settings
  • Business and industry provide another group of
    settings for community health nursing practice.
    Employee health has long been recognized as
    making a vital contribution to individual lives,
    productivity of business, and the well-being of
    the entire nation. Organizations are expected to
    provide a safe and healthy work environment in
    addition to offering insurance for health care.

  • Thanks for your Attention,,