CHN is a specialized field of nursing practice that renders care to (3)
individuals
families
community
CHN is focused on (2). This are the core of CHN practice.
Health promotion
Disease prevention
The nurse's role is to help people gain independence in health though _______.
empowerment by sharing informations / utilization of health education.
CHN is an area of human services directed towards developing and enhancing the health and capabilities of people - either singly, as individuals, or collectively, as groups and communities.
This is according to ________ and _________.
Janet Heinrich & Ruth Freeman
_______ is more than a state of wellbeing.
It is a shared reality regardless of background.
(common ground that connects all people regardless of age, sex, creed and religion)
Health
CHN as a multidimensional reality includes factors such as (3)
That is why healthcare needs to be holistic.
socioeconomic
environmental
political
Healthcare should be ________ in order to achieve health as a human right.
universal
The community nurse fosters _________ efforts to address various core determinants of health.
multidisciplinary
CHN can be distinguished from other areas of nursing through (3) major points, mainly :
focus
approach
underpinning
What are the characteristics and features of CPHN?
1. Developmental
2. Multidisciplinary
3. Ecology oriented
4. Promotes social justice
5. Values consumer involvement
6. Uses prepayment mechanism
7. Focuses on preventive services
8. Offers comprehensive care
We provide health education to help individuals realize that they are mainly responsible for their health.
This is a feature of health as being ________.
developmental
Health needs of our clientele varies that is why the nurse fosters collaboration with different professional sectors from the society.
CPHN is multidisciplinary
Settings for CPHN include homes, schools, workplace and even prison it is necessary to include or identify inherent threats to health and safety.
CPHN as ecology oriented
Public health nursing is a pivotal position to ensure that people regardless of background enjoys healthcare.
The nurse here ensures the allocation of resources and healthcare budget for the benefit of all or at least for the greatest number.
CPHN promotes social justice
Consumers are considered partners in health.
CPHN values consumer involvement
Services are not give free, it is funded by taxes of the people. That is why basic social services should be provided by the state to all people.
CPHN uses prepayment mechanism
The CPHN are in constant search of risk that makes people vulnerable to disease and implement interventions to modify and mitigate the vulnerabilities.
CPHN focuses on preventive services.
Requires nurse to be skilled and knowledgeable on broad areas of nursing in order to provide holistic care.
CPHN offers comprehensive care
Philosophical and ethical underpinningsof CPHN.
The practice of CPHN is anchored on the primacy of _________, this is according to Margaret Shetland.
worth and dignity of man
The responsibility of health rest primarily on
people not on agencies or professionals
What are the tenets of social justice (promoting common good and not merely to be fair)? (5)
beneficence
nonmaleficence
varacity
justice
autonomy
What are the roles of CPHN nurse according to the Philippine Regulatory Commission? (3)
healthcare providers
manager -leader
researcher
What are the additional roles of a CHN Nurse?
1.health educator
2.program implementer
3.community organizer
4.manager/leader
5.researcher/ epidemiologist
6.client advocate
It explores numerous biophysical factors that influences individuals about health. Has 7 variables related to health behaviors as well as individual characteristics that may influences a behavioral outcome.
Pender's Health Promotion Model
Health promotion model does not include ______ as a motivator because it may not be applicable to all ages.
threat
It is developed by a group of psychologist to explain why the public failed to participate in screening for tuberculosis. Used to explain behavioral changes and maintenance of behavior change and to guide health promotion interventions.
health belief model
What are the key concepts of the health belief model. (6)
💌 Perceived susceptibility
💌 Perceived severity
💌 Perceived benefit
💌 Perceived barrier
💌 Call to action
💌 Self efficacy
According to Milio's framework for prevention.
Population health deficits results from _____ or _____ of critical health resources.
deprivation and/or excess of critical health resources
ex. when individuals and families living in poverty have poorer health status compared with the middle, and upper-class individuals and families
According to Milio's framework for prevention.
Behavior of the population results from _______ ; these arise from actual and perceived options available as well as beliefs and expectations resulting from socialization, education and experience.
selection from limited choices
According to Milio's framework for prevention.
_____ and ____ dictates many of the options with regards to the resources than influence the health behavior of people.
decision and policies (both government and nongovernment)
Nancy Milio's Framework of Prevention provides a compliment to ______.
Health belief model
Nancy Milio's Framework for prevention provides a mechanism for directing attention ______ and examining opportunities for nursing intervention at the population level.
upstream
It involves the identification of desired outcomes and program implementation.
Lawrence Green's Precede-Proceed Model
Nancy Milio's Framework for prevention outlines ____ propositions that relate an individual's ability to improve healthful behaviors to a society's ability to provide accessible and socially affirming options for healthy choices.
6
Nancy Milio's Framework for prevention.
She believed that _____ policy making was the best way to favorably impact the health of most people rather than concentrating efforts on imparting information in an effort to change individual patterns of behavior.
national-level
It is a comprehensive structure for assessing health needs for designing, implementing and evaluating health promotion and other public health programs to meet those needs.
It provides structure that supports the planning and implementation of health promotion or disease prevention programs.
Precede-Proceed Model
Provides the structure for planning a target and focused public health programs.
A. precede
B. proceed
A.precede
Provides the structure for implementing and evaluating the public health program.
A. precede
B. proceed
b. proceed
A theory developed by Lawrence Green.
Precede-Proceed Model
What is the meaning of the acronym PRECEDE in the Precede-Proceed Model.
Predisposing
Reinforcing, and
Enabling
Constructs in
Educational
Diagnosis and
Evaluation
What is the meaning of the acronym PROCEED in the Precede-Proceed Model.
Policy
Regulatory and
Organizational
Constructs in
Educational and
Environmental
Development
Precede involves assessing the community factors such as (5)
1.social assessment
2.epidemiological assessment
3.ecological assessment
4.identify administrative and appropriate interventions that encourage desired and expected changes.
5.implementation of interventions
It involves the identification of desired outcomes and program implementation.
A. precede
B. proceed
B. proceed
proceed includes (4) process
implementation
process evaluation
impact evaluation
outcome evaluation
Combines several theories of intervention, giving its name. Which also includes the constructs of self-efficacy and the processes of change.
transtheoretical model
Transtheoretical model is based on the assumption that behavior changes takes place over time, progressing through a sequence of stages.
What are these stages (6)
precontemplation
contemplation
preparation
action
maintenance
termination
Each of these changes are stable and are open for changes. One may stop in one stage, progress to the next stage or return to the previous stage.
Stage where the individual has no intention to take action towards behavior change. Maybe dt lack of information about the consequences of the behavior or failure on previous attempts at change.
A. precontemplation
The individual has some intention to take action towards behavior change.Weighing pros and cons.
A. contemplation
The individual intends to take action within the next month and has taken steps towards behavior change. Has a plan of action.
D. preparation
The individual has change overt behavior for less than 6 months. Has changed behavior sufficiently to reduce risk of disease.
C. action
Individual has change over behavior and strives to prevent relapse.
E. maintenance
What are the theories of Community health nursing?
Transtheoretical Model
Precede-Proceed Model
Nancy Milio's framework of prevention
Health Promotion Model by Penders
Health Belief Model
3 basic concepts of cphn
1. community as the client
2.health as a goal
3.nursing as a vehicle or means to achieve the goal