Community nursing

From WikiLectures

A community is a social grouping with a special type of internal social ties and a special position in the wider social environment. The word community comes from the Latin cum - together, among each other and munere - to give. Community or communitas means community, society, benevolence, kindness, sense of generality, togetherness, fellowship, the opposite of society.

Community care[edit | edit source]

  • It consists of health, social and other services, which are provided to the sick, but also to healthy citizens, families = groups of a certain community (geographical, ethnic).
  • These services complement primary care.
  • The goal is to focus on care in the home environment, in the community, even in case of illness or addiction.

Community Needs Assessment[edit | edit source]

When assessing community needs, we focus primarily on two areas:

  • Characteristics of work that leads to community development .
    • In this regard, the nurse's work is influenced by the wider social and political context.
  • Ways to assess differences in the health status of different community members .

Information Pyramid[edit | edit source]

  • The first level defines basic information about age, gender, employment, family structures, ethnic groups, the ability of the community to take care of itself, use social supports and networks.
  • The second level includes socioeconomic factors affecting health.
  • The third level provides us with information about available services in relation to their financial coverage, availability and acceptability.
  • The fourth level includes the health policy of the given state.

Community Planning[edit | edit source]

  • It is an open, continuous process.
  • The aim is to find a solution that best suits local conditions and community needs.
  • On the basis of the data found, when public resources and individual resources are connected, a functioning system of health, social and other services responding to the needs of communities can be formed.

Community Planning - The Process[edit | edit source]

  • Searching for specific groups (people in a certain state of helplessness, old, dying, drug addicts,...).
  • Determination of age structure, number of clients and evaluation of their needs.
  • Evaluation of existing community services (health, social and other, e.g. involvement of civic associations).
  • Creating a multidisciplinary team.

Health services and institutions in community care[edit | edit source]

  • Family, home, friends (irreplaceable role of family and home environment);
  • general practitioners for adults, for children and adolescents;
  • ambulatory gynecologists;
  • ambulatory dentists;
  • home care agencies;
  • LSPP;
  • stationary and specialized centers;
  • care service.

Issues we face[edit | edit source]

  • Rising health care costs;
  • increasing client expectations and demands;
  • demographic changes and population aging;
  • lack of nurses and other health workers in practice;
  • the untapped potential of nursing;
  • natural and civilizational disasters;
  • endemic and pandemic diseases , new and re-emerging diseases;
  • increase in the number of chronic diseases;
  • moving towards community care → building, strengthening and maintaining the role of the nurse.

A look into the future, where we are heading[edit | edit source]

  • To change the provision of services – from institutions to communities, from curative care to preventive care;
  • nurses will bring continuity to care;
  • nurses gain a new orientation, a range of additional skills and competencies;
  • hospitals (secondary health care) and special centers will be reserved for more acute cases;
  • to quality primary care services for all communities.

Links[edit | edit source]

Related Articles[edit | edit source]

External links[edit | edit source]

Taken from[edit | edit source]

References[edit | edit source]

JAROŠOVÁ, Darja. Introduction to Community Nursing. - edition. Grada Publishing a.s., 2007. 99 pp. ISBN 9788024721507.