The community health nursing process is
composed of
Adpie
Provides an estimate of the degree to which a
family, group or community is achieving the level
of health possible for them
Assessment
Relevant data are collected on the health status of the family,
groups or community like:
data collection
Source would be the community people through surveys,
interviews, focused group discussions, observations, and
through the actual minutes of community meetings
primary data
Sources would organizational records of the program, health
center records, and other public records
secondary data
Occurs when there is a gap between actual and achievable health
status. Ex. History of repeated infections or miscarriages, no
regular health check ups
health deficit
Conditions that promote disease or injury and prevent people
from realizing their health potential. Ex. Inadequate
immunization
health threat
Exists when there is a health problem that can be alleviated with medical or social
technology
health need
Situation in which there is a demonstrated health need combined with actual or
potential resources to apply remedial measures and a commitment to act on the part of
the provider or the client.
health problem
description of the community’s
state of health as determined by physical, economic,
political, and social factors
profile
purpose of profile
to be able to obtain a quick picture of a
community which is as accurate as possible
continuous learning experience
for the nurse/program coordinator and the staff, as
well as the community people
process
Aims to obtain general information about the community or a
certain group of population
Enables the nurse/program coordinator to set
priorities for planning and developing programs of
health care for the community this serves as the material for analysis
comprehensive community diagnosis
Types of community diagnosis
comprehensive diagnosis
problem oriented community diagnosis
Aims to obtain general information about the community or a
certain group of population
comprehensive community diagnosis
Type of assessment that responds to a particular need.
problem oriented community diagnosis
show the size,
composition, and geographical distribution of the population, as
indicated
demographic variable
elements of a comprehensive community diagnosis
demographic variable
socio-economic and cultural variables
health and illness patterns
health resources
political/leadership patterns
socio-economic and cultural variables
social indicators
economic indicators
environmental indicator
cultural factor
Communication network (whether formal or informal
channels) necessary for disseminating health information or
facilitating referral of clients to the health care system
Transportation system, including road networks, necessary for
the accessibility of health care
Educational level that may be indicative of poverty and may
reflect on the health perception and health utilization pattern
of the community
Housing conditions that may suggest health hazards
(congestion and exposure to harmful elements) and safety
hazards (fire)
social indicators
Poverty level / income
Unemployment and underemployment rates
Proportion of the total economically active population that are
salaried and wage earners
Types of industry present in the community
Occupation common in the community
Land ownership
Recreational facilities
economic indicator
Physical/geographical /topographical characteristics of the
community
Land areas that contribute to vector problems
Terrain characteristics that contribute to accidents or pose
geohazard zones
Land use in industry
Climate/season
environmental indicator
Land areas that contribute to vector problems
•
Terrain characteristics that contribute to accidents or pose
geohazard zones
•
Land use in industry
•
Climate/season
physical, geographical, topographical characteristics of the community
