Western Mindanao State University College of Nursing Bachelor of Science in Nursing Course Title: COMMUNITY HEALTH NURSING Course

Credit: 3 units lecture, 2 units RLE Contact Hours/Semester: 54 Lecture Hours and 102 RLE Hours Prerequisite: NCM 100, Theoretical Foundations of Nursing, Health Assessment Placement: Second Year, First semester S.Y. 2011-2012 Course Description: This course covers the concepts and principles in the provision of basic care in terms of health promotion, health maintenance and disease prevention at the individual, family, community level, and special population groups. It includes the study of the Philippine health care delivery system and the global context of public health. It describes what community/public health nursing is in the context of the Philippine health care delivery system, and in community development. Terminal Objectives: At the end of the course, given actual or simulated situations /conditions in terms of health promotion, health maintenance and disease prevention at the level of the individual, family, special population groups and community, and involving health care delivery system, the student will be able to: 1. Utilize the nursing process in the holistic care of client for health promotion, maintenance of health and prevention of disease. 1.1 Assess with client (individual, family, population group and community) its health condition and risk factors affecting health 1.2 Identify actual /at risk nursing diagnosis 1.3 Plan with client appropriate interventions for promotion and maintenance of health based on priorities 1.4 Implement with client appropriate interventions for health promotion and health maintenance taking into consideration relevant principles and techniques. 1.5 Evaluate with client the progress of their health condition and outcomes of care. 2. Ensure a well-organized recording and reporting system 3. Observe bioethical principles and the core values (love of God, caring, love country and of people) 4. Relate effectively with others in work situations related to nursing and health Course Content: I. Health Promotion/Health Maintenance/Disease Prevention 1. Concepts and Definitions 2. Ottawa/Bangkok Charters of Health Promotion 3. Levels of Prevention 4. Theories of Health Promotion: e.g. Penders Health 5. Promotion Theory, Banduras Self Efficacy Theory, Health Belief Model etc. II. Public Health 1. Definitions/concepts 2. History/Early public health interventions 3. Modern public health 4. Core functions of public health 5. Public health programs/interventions 6. Economics of public health 7. Primary health care III. The Philippine Public Health System 1. Current health situation 2. The health care delivery system a. The Department of Health b. The local health systems and devolution of health services

c. Levels of health care/facilities (public and private) 3. DOH public health programs a. Family Health Programs 1. Expanded Program on Immunization 2. MCH/Safe Motherhood & Family Planning b. Non-communicable Disease Prevention and Control Program (Diabetes Mellitus, Cardiovascular Diseases, Cancers, COPD) 1. National Healthy Lifestyle Program 2. Drug Dependence/Substance Abuse Control 3. Mental Health Program 4. Prevention of Blindness c. Communicable Diseases 1. National Tuberculosis Control program 2. Leprosy Control Program 3. Schistosomiasis Control Program 4. Filiarasis Control Program 5. Malaria Control Program 6. Rabies Control Program 7. Dengue Control Program 8. STD and AIDS Control Program d. Environmental and Occupational Health e. Quality Assurance IV. Community and Public Health Nursing 1. Concepts and definitions 2. Principles of Community/Public health nursing 3. Clients of Care a. Family > Concepts > Principles of Family Nursing > Typology of Care > Interventions of Care > Roles/Responsibilities b. Community > Concepts/definitions. > Type of communities > Factors influencing community health > Community Diagnosis > Interventions of Care > Community organizing for health promotion c. Population groups/vulnerable/at risk > Principles > Assessment > Typology of care > Interventions VI. The Public Health Nurse 1. Roles/Functions 2. Competencies/Skills a. Community Health Nursing Process b. Epidemiology > Definition of Epidemiology > Uses of Epidemiology > The Epidemiological Triad > Concepts on:

-Multiple causation of disease -Immunity: herd, etc. > Selected Approaches to epidemiological - Investigation - Descriptive: rates, counts - Analytic: case-control, studies, cohorts, incidence, prevalence - Experimental (brief) - Steps in Epidemiological Investigation - Functions of the nurse in epidemiology > Health promotion/education -Home care V. Specialized Fields in Community/Public Health Nursing 1. School Health Nursing 2. Occupational Health Nursing 3. Community Mental Health Nursing VI. Community Development 1. Concepts and definitions 2. Historical perspectives 3. Ethical principles a. Approaches, i.e. (community economic development (CED), community based participatory research [CBPR] b. Strategies/Methodologies c. Tools 4. Community Needs Assessment/Community Diagnosis a. Definition b. Steps c. Data gathering d. Collation and analysis e. Diagnosis formulation f. Validation g. Prioritization Types > comprehensive > familiarization > problem-oriented > sub-systems h. Methods > interviews > surveys > existing data source > epidemiological study > community diagnosis VIII. Organizing for Health Promotion 1. Rationale for organizing communities 2. Rationale for organizing for health 3. Methodologies/Tools a. Community Diagnosis b. Planning Cycle > Steps in Program Planning - Situational Analysis - Goal & objective Setting - Strategy & Activity Setting - Formulation of Evaluation Plan

IX. Intervening for Health 1. Health Promotion Strategies a. Evaluating results b. Program Implementation > Putting the plan into action > Recognizing the barriers and finding solutions c. Program Evaluation > Definition > Concepts of Monitoring & Evaluation > Focus of evaluation > Steps in Program Evaluation X. Working with Groups Towards Community Development 1. Definition of Community Development 2. Stages of Group Development 3. Interventions to facilitate group growth: a. Orientation, structure, direction b. Process, negotiate and resolve conflict > Understanding the nature of conflict > Problem solving approach > Generating new ways > Helping members c. Awareness of the effects of behavior d. Application of new learning 4. Collaboration and Partnership a. Essential ingredients in partnership b. Capabilities necessary for partnership Methods of Instruction: Group Discussion Requirements for RLE: FNCP Output Special Exam 70% 15% 15% 100%

References: CHED Memorandum Order No. 5 (CMO 5), Community Health Nursing Services in the Philippines 9th Ed. Public Health Nursing in the Philippines 10th Ed., Maglaya, A Nursing Practice in the Community 4th Edition.

Prepared by: ROSALIO G. REGONDOLA JR, RN Noted by: VICENTA T. ESCOBAR RN, MAN Chairperson, Graduate School

GLORIA G. FLORENDO, RN, MN, Ph. D Dean, College of Nursing