3. Community oriented nursing
• More nurses are engaging in community-based
nursing where the focus is on “illness care” of
nursing of individuals and families across the life
span.
• Growing cost of hospital care is leading to more
care being provided in community-based
settings.
• Community-oriented nursing has a broader
focus
than CBN and focuses both on the health care
of entire communities or populations and the
health care
of individuals, families, and groups this category
includes the specialty of public health nursing.
• In community-oriented nursing the goal is to
preserve, protect, promote, or maintain health
4. 1. Community health can be a “A scientific discipline that includes the study of
epidemiology, statistics, and assessment including attention to behavioral, cultural, and economic factors as well as
program planning and policy development.”
2. Benefits of community oriented nursing:-
Dramatic increase in life expectancy.
Decreased number of deaths from stroke,
coronary heart disease, and cancer.
Declines in death rates of adults and children.
Population-focused PH approaches could help prevent up to 70% of early deaths in America compared with only 10% for
medical treatment.
Imagine how many more benefits the might see if more money was directed toward public health practice
What is public health and its benefits:
5. Public health care
function:-
1. Assessment:- Systematic data collection on the population, monitoring the
Systematic population’s health status, and making information available
about the health of the community.
2. Policy development:- Efforts to develop policies that support the health of
the population, including using a scientific knowledge base to make policy
decisions.
3. Assurance:- Making sure that essential community-oriented health services
are available. Includes providing essential personal health services for
individuals, as well as a competent PH workforce
6. Levels of the Health Care
Services Pyramid:-
Within you I lose myself, without you I find myself wanting to
be lost again. Within you I lose myself. Within you I lose myself,
without you I find myself wanting to be lost again.
Add your title
Within you I lose myself, without you I find myself wanting to
be lost again. Within you I lose myself. Within you I lose myself,
without you I find myself wanting to be lost again.
7. Primary: both primary care
and public health services
that are designed to meet the
basic needs of people in
communities at an affordable
cost.
1 2 3
Tertiary: services designed
to limit the progression of
disease or disability.
Secondary: services
designed to detect and treat
disease in the early acute
stage.
8. Monitor health status to identify community
health problems.
Diagnose and investigate health problems and hazards in the
community.
Inform, educate, and empower people about health issues.
Mobilize community partnerships to identify
and solve health problems.
Develop policies and plans that support individual and
community health efforts.
Enforce laws and regulations that protect health and ensure
safety.
Link people to needed personal health services and ensure
the provision of health care that is otherwise unavailable.
Ensure a competent public health and personal health care
workforce.
Evaluate effectiveness, accessibility, and quality of personal
and population-based health services.
Research for new insights and innovative solutions to health
problems.
Essential services:-
9. A focus on populations who
live in the community.
An emphasis on prevention.
Specialization in public health
nursing is seen as a subset of
community-oriented nursing
practice.
The primary focus that has
differentiated public
health nursing from other
specialties has been the
emphasis on the population
rather than on single individuals
or families.
The primary goal of public health
is achieved by ensuring that
conditions exist in which people
can remain healthy.
In public health nursing, the
nurse often
reaches out to those who might
benefit from a service or
interventions.
In other forms of nursing, the
client is more
likely to seek out and request
assistance.
Characterizing community oriented nurse:-
10. Types of practice focus in nursing:-
1. Individual, family, and group focused:-
Focus is on providing services to individuals rather than a population,
while maintaining an appreciation for the values of the community.
Example: Developmental screening tests of children in the Head Start
preschool program to evaluate each child.
2. Population focused:-
Emphasizes health protection, health promotion,
and disease prevention of a population.
Example: Look at children in the Head Start
preschool program to evaluate if the program is
achieving its goals
11. Four key nursing modes in community:-
• Community-oriented nursing practice
• Public health nursing practice
• Community-based nursing practice
• Community health nursing practice
12. Services provided in community
oriented nursing practice
Add your text
1) Home care
2) MCH and family planning
3) School health nursing
4) Community health nursing services
5) Industrial nursing services
6) Mental health nursing services
7) Rehabilitation services
8) Geriatric services
13. Family oriented nursing
Definition:- Family health nursing is a nursing aspect of
organized family health care services which are directed
or focused on family as the unit care with health as the
goal.
14. Family:- two or more individuals
coming from the same or different
group who are involve in
continuous living arrangement
usually residing in the same
household experiencing common
emotional bonds and sharing
certain obligation towards each
others and towards others.
Family process:- The ongoing
interaction between family
members through which they
accomplish their instrumental
and expressive task. The
nursing process considers the
family not the individual as the
unit of care.
Family health:- A condition
including a promotion and
maintenance of physical mental
spiritual and social health for the
family unit and for the individual
family members.
TERMINOLOGY:-
15. To identify health and nursing needs and problems of
each family.
To ensure family understanding and acceptance of these
needs and problems.
To plan and provide health and nursing services with
active participation of family members.
To help families develop abilities to deal with their health
needs and health problems independently.
To contribute to families performance of developmental
functions and task.
To help family make intelligent use of promotive
preventive therapeutic and rehabilitative health and allied
facilities and services in community.
To educate council and guide family members to cultivate
good personal health habits practice safe cultural practice
and maintain wholesome physical psychological and
spiritual environment.
Objectives of family health nursing
16. TEXT HERE
Within you I
lose myself,
without you I
find myself
wanting to be
lost again.
Within you I
lose myself
Principles of family oriented nursing:-
1. Provide services without description
2. Period and continuous appraisal and evaluation of family health situation.
3. Proper maintenance of record and reports.
4. Provide continuous service.
5. Health education guidance and supervision as integral part of family health nursing.
6. Maintain good IPR.
7. Plan and provide family health nursing with active participation of family.
8. Services should be realistic in term of resources available.
9. Encourage family to contribute towards community health .
10. Active participation in making health care delivery system.
17. ADVANTAGES
• Saves hospital beds for critical
cases
• It is cheaper than hospital nursing
• Enjoys privacy and emotional
support.
• Can continue with routine pursuit.
• Can control inimical environmental
influences better.
DISADVANTAGES
• Nurse requires to carry portable
laboratory machinery to patient
house.
• If patient resides in substandard
house family health nursing could
delay his recovery.
19. Role of the nurse
• Health teacher
• Coordinator
• Collaborator
• Super wiser of care
• Technical expert
• Family advocate
• Consultant
• Councilor
• Case finder
• Epidemiologist
• Environmental modifier
• Clarifier and interpreter
• Researcher
• Role model
• Case manager
20. Bibliography
• D. Raj elakkuvana bhaskara-2012-nursing foundation-rajajinagar banglore- mamjunath S. hedge pg
no. 195-197.
• K. park-2019-parks textbook of preventive and social medicine-25th edition –bhanot
• N. R. brothers- 2011- swarnkars-3rd edition- swarnkars community health nursing pg no. 21 to 48
and 93 to 116.
• BT, Basavanthapa- community health nursing- theory, practice and research- 2nd edition- jaypee
brothers-2008-pg no-108 to 136
• https://webcourses.ucf.edu/courses/966999/files/28762017?module_item_id=6256304
• https://www.slideshare.net/manisha21486/community-oriented-nursing-237804565
• https://www.slideshare.net/sukhjinder15/community-oriented-nursing
• https://www.slideshare.net/kunal770909/family-health-nursing
• https://www.slideshare.net/RahulPandit6/family-health-nursing-208818667
• https://www.slideshare.net/SimranKaur586/family-nursing-and-home-nursing-147517056
