CHN: Public Health Nursing in the Philippines

Public Health

Is a "science and art of preventing disease, prolonging life, promoting health and efficiency through organized community efforts for the sanitation of the environment, control of communicable diseases, education of individuals in personal hygiene, organization of the medical and nursing service and the development of the social machinery, which will ensure to every individual in the community a standard of living adequate for the maintenance of health."..( C.E. Winslow , 1920)

Public Health (WHO)

efers to the health status of the members of the community, to the problems affecting their health and to the totality of health care provided for the community (WHO)

1.Disease control

2.Injury Prevention

3.Health Protection

4.Healthy Public policy

5.Promotion of health and equitable health gain

Core Business of Public Health

Essential public health functions:

the key to resilient health systems

› Universal Health Coverage

› Emergency Response

› Health Promotion

› Health Systems Strengthening:

Core functions of Public Health(?)

Essential Public Health Functions (EPHFs)

are the core activities that strengthen public health systems to protect and improve population health, including health surveillance, emergency management, disease prevention, health promotion, and health protection.

Community Health

WHO) as: environmental, social, and economic resources to sustain emotional and physical well being among people in ways that advance their aspirations and satisfy their needs in their unique environment.

Public health focuses on the scientific process of preventing infectious diseases

Community Health focuses more on the overall contributors to a population's physical and mental healt

____________ focuses on the scientific process of preventing infectious diseases while _________ focuses more on the overall contributors to a population's physical and mental health

Community

Derived from a latin word "comunicas" which means a group of people

. - a social group determined by geographical boundaries and/or common values and interests (WHO)

- local area over which people are using the same language, conforming to the same feelings, more or less the same sentiments and acting upon the same attitudes

geographical location, › social system › collection of people

Community can be viewed 3 ways, what are those?

Community Health Nursing

A service rendered by professional nurse with the community, groups, families, and individuals at home, in health center, in clinics, in schools, and in places of work for the promotion of health, prevention of illness, care of the sick at home and rehabilitation (Ruth B. Freeman).

Community Health Nursing

The utilization of the nursing process in the different levels of clientele-individuals, families, population groups and communities, concerned with the promotion of health, prevention of disease and disability and rehabilitation." ( Maglaya, et al)

Philosophy of CHN

The philosophy of CHN is based on the worth and dignity on the worth and dignity of man."(Dr. M. Shetland)

The community is the patient in CHN, the family is the unit of care and there are four levels of clientele

The __________ is the patient in CHN, the __________ is the unit of care

Active

In CHN, the client is considered as an __________ partner recipient of care

Health Promotion Health Protection Health Balance Disease prevention Social Justice

Mission of CHN

Pre-Spanish Era

which era of public health nursing has no records

Brother Juan Clemente

Who started Public Health Services in the spanish regime

4

1912 PHN started in Cebu with___ graduate nurses who dealt primarily in MCH services (American Regime)

2

1915 PHN began in Manila with ___ nurses who offered follow up care of OB patients and environmental sanitation services

Japanese Regime ( 1942-1945)

During what era was the PHN services interrupted

Hospital, Quarantine, Health

in 1947, DOH was established and divided into 3 bureaus, what were those?

RA 1082 (RHU Act)

provided for the employment of health personnel, including nurses, who would man the RHUs and help raise the health conditions of the rural health population

RA 1891 - (June 1957)

an act strengthening health and dental services in the rural areas and providing funds thereof was approved ; created eight categories of RHU'S corresponding to 8 population groups to be served

1975

what year was the formulation of the National Health Plan and the restructured Health Care Delivery System

1992 Devolution

transferred authority to LGU by virtue of the Local Government Code. Appointments of RHU/City Health Department personnel have to be approved by the mayor . Material supplies of the health center have to be provided by LGUs

Clinician

a health care provider, taking care of the sick people at home or in the RHU

Health Educator

Roles and Responsibilities of a Community Health Nurse that aims towards health promotion and illness prevention through dissemination of correct information; educating people

Facilitato

Roles and Responsibilities of a Community Health Nurse that establishes multi-sectoral linkages by referral system

Supervisor

Roles and Responsibilities of a Community Health Nurse that monitors and supervises the performance of midwives

Health Advocator,

Roles and Responsibilities of a Community Health Nurse that speaks on behalf of the client or act on behalf of the client

Collaboration

Roles and Responsibilities of a Community Health Nurse that working with other health team member

The goal of CHN is achieved through multi-sectoral efforts

The goal of CHN is achieved through ?

1. Health Surveillance and Monitoring:

2. Public Health Emergency Management:

3. Health Protection:

4. Disease Prevention:

5. Disease Prevention:

6. Health Promotion:

7. Stewardship and Governance:

8. Multisectoral planning and financing for public health

9. Community engagement and social participation

10. Public health workforce development

11. Health service quality and equity

12. Public health research and knowledge:

13. Access to and use of health products, supplies, equipment and technologies

Key Components of Essential Public Health Functions

Standard 1: Assessment

the public health nurse (PHN) collects comprehensive data pertinent to the health status of the population.

Standard 2: Population Diagnosis

the PHN analyzes the assessment data to determine the population diagnosis and priorities.

Standard 3: Outcome Identification

the PHN identifies the expected outcome for a plan that is based on population diagnoses and priorities.

Standard 4: Planning

The PHN develops a plan that reflects best practices by identifying strategies, action plans, and alternatives to attain expected outcomes .

Standard 5: Implementation

The PHN implements the identified plan by partnering with others, it is done through: Coordination, Health education and health promotion, consultation, and regulatory activities

Standard 6: Evaluation

The PHN evaluates the health status of the population.

Standard 7: Quality of Practice

the PHN systematically enhances the quality and effectiveness of nursing practice.

Standard 8: Education

the PHN attains knowledge that reflects current nursing and public health practice.

Standard 9: Professional Practice Evaluation

the PHN evaluates one's own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations.

Standard 10: Collegiality and Professional Relationships

the PHN establishes collegial partnerships while interacting with the representatives of the population, organization, and health and human service professionals. He or she contributes to the professional development of peers, students, colleagues, and others.

Standard 11: Collaboration

the PHN collaborates with the representatives of the population, organizations, and health and human service professionals in providing for and promoting the health of the population.

Standard 12: Ethics

the PHN integrates ethical provisions in all areas of practice.

Standard 13: Research

The PHN integrates research findings in practice

Standard 14: Resource Utilization

The PHN considers factors related to safety , effectiveness, cost, and impact on practice and in planning and delivery of nursing and public health programs , policies, and services

Standard 15: Leadership

the PHN provides leadership in nursing and public health.