CHN NURSING PROCESS

is an orderly, systematic and rational method of assessing the health problems and needs, planning and implementation of nursing care for prevention and promotion of health community

Community Health Nursing Process

is scientific method of assessing and solving the health problems of the community

CHN Process

Denotes the process by which a nurse seeks to gain relevant information about a patient and their condition.

Health Assessment

is a systematic, collaborative process that identifies a community's health needs, strengths, and resources by collecting and analyzing both quantitative and qualitative data from stakeholders and the public. 

Community Health Assessment 

The nurse gathers information about the entire community using a systematic process where the data are collected regarding all aspects of the community to be able to identify the actual and potential health problems

Comprehensive needs assessment

Is focused on a particular aspect of health.

Problem oriented assessment

The nurse collects information with a certain community problem in mind, and then proceed to gather information from the aggregate vulnerable to the problem

Problem oriented assessment

defined as a multidimensional concept that encompasses various indicators and methodologies for measurement, including self-assessment of health, disease incidence, functioning, and disability

Health status

refer to the existing services, facilities, providers, and programs within a community that influence resident health. Assessing these resources, alongside health needs, helps identify gaps, strengths, and opportunities for improvement.

Health resources

 the concept of assessing a community's capacity to act is a critical component of the process.

Health action potential

Methods to present community data

Text

Tables

Pictures form

to compare values across different categories of data

Bar graph

to have a visual image of trends in data over time or age

Line graph

to show percentage distribution or composition of a variable

Pie chart

to show correlation between two variables

Scatter plot or diagram

The process of determining the health status in the community and the factors responsible for it.

Community Diagnosis

Formulating a clear and concise statement of the community's health problem.

Community Diagnosis

It is a quantitative and qualitative description of the health of the citizens and the factors that influence their health.

Community Diagnosis

focused more on individual rather than community responses to health conditions, included diagnosis at community level just in recent versions

NANDA

Four general domains in Community Nursing Diagnosis

1.Environmental

2. Psychosocial

3. Physiological

4. Health-Related Behaviors 

Material resources and physical surroundings both inside and outside the living area, neighborhood, and broader community.

Environmental Domain

Patterns of behavior, emotion, communication, relationships, and development.

Psychosocial Domain

Functions and processes that maintain life.

Physiological Domain

Patterns of activity that maintain or promote wellness, promote recovery, and decrease the risk of disease.

Health-related Behavior Domain

Activities such as coordination, advocacy, and referral that facilitate service delivery, improve communication among health and human service providers, promote assertiveness, and guide the individual/family/community toward use of appropriate resources.

Case Management

 Activities such as detection, measurement, critical analysis, and monitoring intended to identify the individual/family/community's status in relation to a given condition or phenomenon.

Surveillance

is a logical process of decision making to determine which of the identified health concerns require more immediate consideration (priority setting) and what actions maybe undertaken to achieve goals and objectives.

Planning 

Planning involves

A. Priority setting

B. Formulating goals and objectives, and

C. Identifying and deciding community interventions. 

Is based on the number of people in the community affected by the problem or condition. If potential problem, number of peole at risk,

Significant of the problem

the priority its members give to the health concern is a major consideration It involves the level of influence in decision making related to actions in resolving the community health concern

The level of community awareness

is related to availability of expertise among the health team and community itself, technological, financial and other material resources of the community, the nurse and health agency

Ability to reduce risk

the nurse has to consider economic, social and ethical requisites and consiquences of planned activities

Cost of reducing risk

a matter of availability of data resources

Ability to identify the target population

to intervene in the reductionof risk entails financial and other material resources of the community, the nurse, and health agency

Availability of resources

are the desired outcomes at the end of interventions. develop SMART goals

Goal

are the short term changes in the community that are observed as the health team and the community work towards the attainment of goals

Objectives

Carrying out interventions and activities.

Putting the plan into action

Working with partners to achieve goals

Coordination and collaboration

Tracking the implementation process.

Monitoring progress

Identifying and addressing challenges.

Overcoming barriers

foster cooperation among multiple community partners; act as facilitator for regular meet-ups with other agencies.

Partnership

is a partnership; a union; the act of producing or making something together.

Coordination

is the act of supporting or arguing for a cause, policy or individual ‘ right s aiming to influence decision within political, economic and social system.

Advocacy

It is a process by which a community identifies its problems and finds solutions through collective mobilization of community people and resources.

Community Organizing

is the process of bringing together allies to raise awareness of and demand for a particular programme, to assist in the delivery of resources and services and to strengthen community participation for sustainability and self-reliance

Social Mobilization

is a process through which communities measure the quantity and quality of public services and other government activities.

Community monitoring and evaluation

Assessing the adequacy of manpower and physical resources and support systems of the agency responsible for community health interventions.

Structure evaluation

is examining the manner by which assessment, diagnosis, planning, implementation and evaluation were undertaken.

Process Evaluation

Assessing the degree of attainment of goals and objective.

Outcome Evaluation

Using evaluation results to improve future planning.

Utilization of findings

occurs during program development and implementation.

Formative Evaluation

is a type of formative evaluation that assesses the type, quantity, and quality of program activities or services.

Process Evaluation

Conducted after the program has been designed in order to provide information on its effectiveness.

Summative evaluation

can focus on short- and long-term program objectives..

Outcome Evaluation

assesses a program's effect on participants. Appropriate measures include changes in awareness, knowledge, attitudes, behaviors, and/or skills.

Impact Evaluation