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.