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64 Cards in this Set
- Front
- Back
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Public Health Nurse
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-Combines knowledge from public health science, primary health care, nursing science and social sciences. -Focuses on PROMOTING, PROTECTING of health, PRESERVING the health of populations and PREVENTION of disease among populations -Focuses on populations and links health and illness experiences of indivduals, families, and communities to population health promotion practice -Recognizes that a communities health is often reflected FIRST in individual and family health experiences -Recognizes that healthy communities and systems that support health contribute to opportunities for health individuals, families, groups and populations -Practices in community health centers, schools, street clinics, youth centers and nursing outposts -Home visits visit to new mothers -Group educational sessions in a variety of settings -Individual counseling -Policy development -Infectious disease follow up -Program planning and evalution |
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Home Health Nurse
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-Combines knowledge from primary health care, nursing science and social science -Focuses on PREVENTION, health RESTORATION, MAINTENANCE and PALLIATION -Focuses on clients, their caregivers and their families -Integrates health promotion, teaching and counseling in clinical care and treatment -Initiates, manages, and evaluates the resources needed from the client to reach optimal well-being and function -Provides care in the client's home, school or workplace -Care for clients across the age and illness continuum in a community setting (EX: home chemo, esterostomal therapy, mental health, continence management, palliative care, respiratory care) |
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Advocacy
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-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 and system improvement |
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Case Manager
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-Used in community care -A collaborative, client driven strategy for provision of quality health and support services through the effective and efficient use of available resources in order to support the client's achievement of goals related to healthy life and living in the context of the person and their ability -activities: targeting, assessment, care planning, implementation, monitoring, reassessment, requires coordination, extra knowledge |
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Referrals
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-Necessary for client care -Must know available resources in community -Facilitate the referral, evaluate client progress and follow up! |
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Community Health Nurse |
-The UMBRELLA term used to define nursing specialties and applies to all nurses who work in and with the community in a variety of practice areas (EX: public health, home health, occupational health) -RN's working in a variety of roles and partner with individuals, families, communities and populations -Promote health in homes, schools, workplaces, streets, shelters, churches, community health centers, outpost nursing stations, etc - Health promotion, protection and prevention of illness, to treatment, restorative and palliative care |
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Qualities of a CHN
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-Tolerance of ambiguity -Unlearn task orientation -Work autonomously but also with groups/ populations -Be Creative -Known own beliefs and values -Have excellent communication skills -Work with diverse clients and other disciplines -System, family theories, and epidemiology -Be a generalist in nursing -Manage complex situations -Understand culture of clients and family situation -Know available resources and how to utilize them |
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Occupational Health Nurse (OHN)
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-An RN who specializes in workplace health and safety, health promotion, disease prevention, and rehabilitation for workers
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Parish Nursing
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-An RN who serves the health and wellness needs of faith community members
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Primary Health Care Nurse Practitioner
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-An RN with advanced practice education, which allows for an expanded role, such as diagnosing episodic illnesses, prescribing medication, and ordering diagnostic tests
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Out post Nurse
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-A RN who works in an outpost or rural setting that is often geographically separated from face-to-face doctor contact
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Military Nurse
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-An RN, nursing officer, employed by the Canadian Forces Health Services
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Forensic nurse
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-An emerging speciality in Canada -Provide care in general or psychiatric hospitals, health science centers, correctional institutions or clinics. -Work with victims and perpetrators of violence, exepecially sexual assault, and traumatic accidents such as suspcision injuries |
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Tele Nurse
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Corrections Nurse |
An RN who works in a correctional facility |
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Nurse Entrepreneur
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Street or Outreach Nurse
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An RN who serves the health and wellness needs of marginalized populations living on the streets |
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Group or Aggregate
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Groups within a population (EX: adolescents with diabetes, high-risk newborns) |
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Society
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The systems that incorporate the social, political, economic, and cultural infrastructure to address issues of concern |
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Population
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A large group of people who have at least ONE characteristic in common and who reside in a community (EX: adolescents residing in Regina, mothers with newborns) |
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Community
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People and the relationships that emerge among them as their develop and commonly share agencies, institutions, or a physical environment. Members can be defined in terms of GEOGRAPHY (EX: residents of Regina) OR a SHARED STATUS or SPECIAL INTEREST GROUP ( EX: single parents) |
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CHN roles
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-consultant -Clinician or direct care provider -Manager -Leader -Collaborator -Referal agent -Educator -Liason -Coordinator -Facilitator -Researcher -Health promoter or change agent |
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Health Promotion
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Process of empowering people to increase control over and improve their own health |
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Empowerment
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Actively engaging the client to gain greater control and involves "political efficacy, improved quality of community life and social justice". |
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Community Capacity Building Tool |
-Help determine the current project status and options for building community capacity for the project -Has 9 categories, with specific questions that relate to planning for building community capacity |
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Community health nursing practice places emphasis on:
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Health promotion and Disease prevention
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Health Promotion Model for Health Canada (1996)
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-Hamilton and Bhatti -Illustrates the various forces and factors that influence health, the strategies required to promote the health of populations, and answers of WHO, WHAT, and HOW in health-related matters |
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Public Health Nursing
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Focuses on populations and health of the community |
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Home Health Nursing
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-More likely to giver direct care to people than other CHN's -assesses client health concerns as well as the services that are most appropriate for them -Educates, and counsels clients so that they can learn better ways of taking care of themselves -These nurses are often hired by the VON (Victorian Order of Nurses |
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Victorian Order of Nurses (VON)
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A Canadian national nonprofit organization
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CHNAC
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-An unified voice to represent and promote community health nursing in Canada |
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PHAC
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Public health Agency of Canada |
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Population-focused Practice
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Directs community health nursing practice with an emphasis on reducing health inequalities to a defined population or aggregates compared with individual-level care |
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Advocate
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Provides a voice to client concerns when necessary |
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Clinician or direct care provider
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Collaborator |
Involves the client and interdisciplinary team members or inter-agency groups working together towards improving client health
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Consultant |
Provides advice and information to client, health care providers, and agencies to assist in meeting clients health care concerns |
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Counsellor |
Provides support to clients to facilitate their decision making in reference to emotional challenges |
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Educator |
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Facilitator |
Works with client and others to set and fulfill health goals |
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Health promoter or change agent |
Assists clients to acknowledge need for lifestyle changes and take responsibility for working toward identified change |
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Leader
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Guides and encourages clients to take the initiative to explore options and make decisions to enable goal achievement |
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Liason |
Acts as an intermediary between clients and agencies and other health care providers |
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Manager |
Plans and directs client care |
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Referral Agent |
Directs clients to additional appropriate resources in the community |
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Researcher |
Investigates phenomena related to health and identifies opportunities for research |
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SANE (Sexual Assault Nurse Examiners)
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-First program of this began in WINNIPEG, MB in 1993 -There are now similar programs across Canada -These are RN's who have completed specialized education in forensic science -They assume a wide range of roles and responsibilities in response to the physical, enmotional and psychological needs of persons who have experienced sexual assultsm regardless of age and gender -Provices crisis intervention, assess injuries, provide pregnancy prevention (offering morning-after pill, test and treat for STI's and collaborate with community partners) |
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Sexual Assault Response Team
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-Employed 11 nurses prepared as SANE's, who conduct sexual assault assessments and collect evidence using a sexual assault evidence kit |
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SAEK (Sexual Assault Evidence Kit)
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-Standard tool to collect and handle forensic evidence of DNA -Must be completed in a timely and non-judgmental manner -Documentation must be impartial, precise and credible for court |
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Case Management
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A strategy to improve accessibility and continuity of client care that includes the incorporation of assessment, planning, coordination, delivery, and monitoring of health care services made available to the client as individual and family |
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Management Network of Canada (2006)
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-Stated case management is "a collaborative, client driven process for the provision of quality of health and support services through the effective and efficient use of resources" |
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Case Management Strategies
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-Assessment -Care planning -Implementation -Monitoring -Reassessment |
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Targeting
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The identification of clients who require case management services |
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Assessment
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-Gathering relevant assessment data |
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Care Planning
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Integration of assessment data into a plan of care so that client health concerns are addressed |
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Implementation |
Carrying out of a plan |
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Monitoring |
Observation of client situation for changes and the observation of the services provided to ensure outcomes will be met
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Reassessment |
A review of the extent that goals have been met and the effectiveness of the plan that has been implemented |
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Skills required for being a Case Manager
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-Knowledge and skills to apply the referral process -Written and oral communication skills that facilitates collaboration -Negotiation and conflict-resolution skills -Critical thinking/ prioritizing skills -Skill in application of evidence-informed practice in provision of care -Advocacy skills -Knowledge and skill in the application of discharge planning -Knowledge and skill in meeting the legal and professional requirements when documenting and reporting |
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Coordinating
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Assembling and directing the activities of multiple providers and settings throughout a client's continuum of care so that all providers and aspects of care function harmoniously |
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Care Pathways
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-Care maps, critical paths, integrated care pathways, and care profiles -Are tools that map our direction of care for clients experiencing specific medical diagnoses -Outline the care management steps, with an aim to improve efficiency and the outcomes of care and to contribute to a high quality of nursing care |
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Discharge Planning
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-Utilizes interdisciplinary collaboration -Aims to maximize the quality of care so that the transfer of clients from hospital to community is smooth and capitalizes on the available health care resources |
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Referral Process
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Process of directing a client to another source of assistance when the client or CHN is unable to address the client's issue |
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