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27 Cards in this Set
- Front
- Back
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nursing roles, functions, and practice settings |
-CHN are RN working in a variety of roles & partner with individuals, families, communities & populations -promote health in homes, schools, workplaces, streets, shelters, churches,outpost stations -the continuum of care for CHN:health promotion, protection & promotion of illness, treatment, restorative & palliative care
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Qualities of CHN part 1 |
-tolerance & ambiguity, -unlearn task orientation -work autonomously & with groups or population, -manage complex situations, -be creative, know own beliefs & values -excellent communication skills -work with diverse clients & other disciplines -systems, family, theories & epidemiology -be generalist in nursing, |
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Qualities of CHN part 2 |
-understand culture of clients & family situation -know available resources & how to utilize them |
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Public health nurse part 1 |
-combines knowledge from public health,primary health care, nursing science, social science -focuses on promoting, protecting & preserving the health of population -focuses on populations, links health & illness experiences of individuals, families & communities to population health promotion practice |
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Public health nurse part 2 |
- knows that communities health is often reflected first in individual & family healyh experiences - recognize that healthy communities & systems that support health contribute to opportunities for health for individuals, groups, populations -practices in community health centres, schools, street clinics, youth centres & nursing outposts |
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Home health nurse part1 |
-combines knowledge from primary health care, nursing and social science -focuses on prevention, health restoration, maintenance & palliation - focuses on client, their caregivers & families -integrates health promotion, teaching, counseling in clinical care and treatment |
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Home health nurse part 2 |
- initiates, manages & evaluates the resources needed for the client to reach optimal well-being and function -provides care in the client's home, school or workplace |
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Canadian Community Health Nursing Standards of Practice |
- define the scope of practice -denote the generic nursing practice expectations & identify practice principle specific to CH nursing practice -all CHN are expected to know & apply the standards to their practice, while experts CHN would practice beyond these standards -the main 5 standards are necessarily broad to account for the breadth & scope of practices in CH nursing |
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5 Standards for CCHNP |
1. Promoting health -health promotion -prevention & health protection -health maintenance, restoration & palliation 2. Buliding individual & community capacity 3. Building relationships 4. Facilitating access & equity 5. Demonstrating professional responsibility & accountability |
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Values & Beliefs part 1 |
1. Caring 2. The principles of Primary Health Care -universal access to health care services - focus on determinants of health - active participation by clients & communities in decisions that affect their health & life - partnership with other disciplines & sectors -appropriate use of knowledge, skills, strategies, technology & resources -focus on health promotion & illness prevention throughout the life experience |
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Values & Beliefs part 2 |
3. Multiple ways of knowing (aesthetic, empirics, personal knowledge, ethics, socio-political knowledge 4. Individual and community partnership 5. Empowerment |
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Public Health Nurse |
Practice focuses on promoting, protecting & preserving health populations |
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Home Health Nurse |
Practice focuses on prevention, health restoration, health maintenance, or palliative care |
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PHN competencies |
Wide lens- Narrow focus |
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HHN competencies |
begins with a close-up lens zooming in and focusing on the individual client and family, then shifting to a wide-angle lens to encompass groups & the supports in the community |
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Public Health Nurse |
- home visits to new mothers -group educational sessions in a variety of setting -individual counseling - policy development -infectious disease follow up -program planning & evaluation |
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Home Health Nurse |
- care for clients across the age & illness comtinuum in a community setting eg. home chemotherapy, mental health, continance management, palliative caer, respiratory care |
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Advocacy |
Interventions such as speaking, writing, acting in favour of a particular issue or cause, policy or group of people - professional responsibility - essential to client- nurse relationship - goal: client independence & system improvement |
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Case management |
- used in community care - "a collaborative client driven strategy for provision of quality health & support services through the effective & efficient use of available resources in order to support the client's achievment of goals related to healthy life & living in the context of the person and their ability" |
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Case Management Activities |
- Targeting -assessment - care planning -implementation -monitoring -reassessment - requires coordination -extra knowledge |
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Referral |
necessary for client care -must know available resources in community -may encounter barriers:client/resource -establish working relationship with client -establish need for referral -explore resources -client's decision to use resources -make referral -facilitate referral, evaluate client progress, follow-up |
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Community Health Nursing |
umbrella term used to define nursing specialties & applies to all nurses who work in & with the community in a variety of practice |
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Umbrella -specialties |
- military -school -public health -home health -occupational health -parish -primary health care nurse practitioner - outpost -forensic -telenurse -street/outreach -corrections nurse entrepreneur |
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Umbrella- roles |
-advocate -consultant -leader -collaborator -referral agent -manager -educator -counsellor -researcher -health promoter or change agent -facilitator - |
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Levels of prevention
PRIMARY |
PHN advocate for members of Parliament to adress issues such as mandatory seat belt legislation, smoke free enviroment, and universal access to health care
PHN conduct ongoing disease surveillance for communicable diseases |
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Levels of prevention
SECONDARY |
- conduct contact tracing for individuals exposed to a client with an active case of TB or STI, provide directly observed therapy for clients with TB -participate in screening programs for genetic disorders or metabolic deficiencies in newborns; breast, cervical cancers; diabetes; hypertension, ensure follow-up services for clients with positive test results |
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Levels of prevention
TERTIARY |
- provide case management services that link clients eith chronic illnesses to health care & community support services |
