Community Health Nursing

Question 1

community health nursing is…

Answer 1

a specialty in nursing: “describes the work of RNs who work in a variety of settings within the community”

Question 2

Collaboration: CNA Position on Collaboration six basic principles

Answer 2

1. Focus on the client
2. A population health approach
3. Quality care and services
4. Access
5. Trust and respect
6. Communication

Question 3

Attributes of Community Health Nursing

Answer 3

• It is Relational
• Focuses on Primary Health Care delivery and advocacy
• Population-based vs. individual client-centered
• Political in nature as it drives public and health policy
• It emphasizes health promotion, disease prevention, health protection, health maintenance, restoration, coordination, management and care evaluation.

Question 4

Downstream vs Upstream Thinking: Upstream Thinking

Answer 4

• A macroscopic, “big picture,” population health approach
• Includes a primary prevention perspective
• Considers determinants of health and other economic, political and environmental factors

Question 5

Home Health Nursing

Answer 5

Acute, Chronic, rehabilitative, and palliative care in order to support people to live independently in their communities for as long as possible. Home care assist with coordinating and managing admission to long-term care

Question 6

Public Health Nursing

Answer 6

Organized efforts of society to keep people healthy and prevent injury, illness and premature death. A combination of programs, services, and policies that protect and promote the health of all Canadians

Question 7

Roles & Responsibilities: Public Health

Answer 7

• Disease & Injury prevention
• Health Promotion
• Community Development
• Program planning & policy development
• In BC is achieve d primarily through Health Centers or Health Units

Question 8

Roles & Responsibilities: Home Health

Answer 8

• Targets individuals in their homes, schools, community clinics, and sometimes street nursing
• Specifically deals with disease care and treatment that requires surgical or medical interventions

Question 9

Public Health Agency of Canada (PHAC) of 2004

Answer 9

• created a legal mandate in this country
• to promote, protect the health of Canadians through leadership, partnership, innovation and action in public health
• we are required to report annually on the state of public health in Canada

Question 10

Public Health Discipline Specific Competencies

Answer 10

1. Knowledge derived from public health & nursing science
2. Skills related to assessment & analysis
3. Conducting policy and program planning, implementation and evaluation
4. Achieving partnerships, collaboration and advocacy
5. Promoting diversity and inclusiveness
6. Effective communication exchange
7. Leadership capabilities
8. Professional responsibility and accountability

Question 11

Home Health Discipline-Specific Competencies (3 categories)

Answer 11

1. Elements of home health nursing (assessment, planning, skills, Education, communication, relationships, access & equity, capacity)
2. Foundations of home health nursing (core knowledge incl. health promotion & protection and illness prevention
3. Quality and professional responsibility (quality care, professional responsibility)

Question 12

Policy, Politics and Power in Health Care

Answer 12

• Health equity is undermined when social conditions interact to prevent people from making decisions or taking action that would promote health
• fairness is the way we treat people or make decisions are core aspects of social justice
• A key part of ensuring good health for all is identifying and enhancing systemic disadvantage
• CHNs must effectively navigate this complex policy environment by acknowledging the implications of sociopolitical processes on their practice: micro and macro levels

Question 13

Future of Community Health Nursing

Answer 13

• Romanow Commission’s Report (2002): shifting policy toward primary healthcare, home healthcare, and health promotion, with nurses playing key role
• CHNs must be part of a sustainable public health workforce with emphasis on intersectoral policy development and interprofessional collaboration
• Increase in Indigenous nurses working in First Nation communities
• Can. Indigenous Nurses Assoc. instrumental in culturally competent health care and cultural safety