BSN2PRELIM-CHN RLE - Roles of CHN
-the greatest good for the greatest number -assessing health needs, planning, implementing, and evaluating the impact of health services on population groups -measuring and analyzing community health problems -application of principles of management and organization in the delivery of health services to the community -priority on health promotion and disease prevention strategies over curative interventions
CHN's emphasis is on the importance of the?
Teacher
Role of CHN: Application of teaching-learning principles to facilitate behavioral changes among clients is a basic intervention strategy in community health.
community organizer
Role of CHN: Responsible for motivating and enhancing community participation in terms of planning, organizing, implementing and evaluating health programs/services; initiates and participates in community development activities.
-case manager -advocate -teacher -partner and collaborator -health planner/programmer -manager/supervisor -community organizer -health educator/trainer -case finder -epidemiologist -researcher -recorder/reporter/statistician -community leader and change agent
roles of CHN (13)
case manager
Assisting clients to make decisions about appropriate health care services and to achieve service delivery integration and coordination which are among the important roles of the community health nurse
-family is the unit of care -community as a whole is the focus of service and the patient -goal in improving community health is realized through multidisciplinary approach -deeply concerned with increasing capability of her 4 levels of clientele - individual, family, population groups and community -works with and not for the client who is an active partner -practice is affected by changes in society in general -CHN is part of functions within a large and complex system and any change in the system can affects it
Basic concepts and principles of CHN
-Humanistic values of the nursing profession upheld -Unique and distinct component of health care -Multiple factors of health considered -Active participation of clients encouraged -Nurse considers availability of reserouces -Interdependence among health team members practiced -Scientific and up-to-date -Tasks of CHN vary with time and place -Independence or self-reliance of the people is the end goal -Connectedness of health and development regarded
CHN practice is guided by the following beliefs
advocate
Role of CHN: Clients in the Community Health Nursing frequently are unable to negotiate for change in health care system. The nurse seeks to promote and have understanding of health problems, lobby for beneficial public policy and stimulate supportive community action for health.
manager/supervisor
Role of CHN: Formulates individual, family and aggregates centered care plan; interprets and implements program policies, memoranda and circulars; organizes work force, resources, equipment and supplies and delivery of health care at local levels; provides technical and administrative support to rural health midwife (RHM); conducts regular supervisory visits and meetings to different RHMs and gives feedback on accomplishments/performances.
health educator/trainer
Role of CHN: Identifies and interprets training needs of RHMs, Barangay Health Workers/Volunteers (BHW/BHV) and Hilots; formulates appropriate training program designs; provides and arranges training and learning experiences of nursing and midwife affiliates; conducts training for health personnel; act as a resource speaker on health and health related services at the need arises; participates in the development and distribution of Information Education and Communication (IEC) materials.
health planner/programmer
Role of CHN: Identifies needs, priorities, problems of individual, families, and communities; formulates nursing component of health plans; interprets and implements the nursing plan, program policies, memoranda and circulars for the concerned staff/personnel; provides technical assistance to rural health midwives in health matters.
Case finder
Role of CHN: at risk children are identified and followed periodically as they develop
community leader and change agent
Role of CHN: empowerment is giving your influence to others for purpose of personal and organization growth
researcher
Role of CHN: participates in the conduct of research and utilizes research findings in practice
recorder/reporter/statistician
Role of CHN: prepares and submits required records and reports, review, validates, consolidates, analyzes, and interprets all records and reports; maintain adequate, accurate, and complete recording and reporting
Epidemiologist
Role of CHN: this is used to study disease and health among population groups and to deal with community wide problems
population or aggregate-focused
hallmark of CHN?
partner and collaborator
the aim is to get the people to work together in order to address problems or concerns that affect them. The CHN establishes and maintains valuable working relationships with people such as people's organization, health organizations, educational institutions, socio-civic organization, sectoral groups and the like. Through health education, communities and health professional bodies can become geared to demand for change and begin to effect the transformation of public policy that will address social and environmental inequalities and therefore improve health.
