“Community Health and geriatric Nursing”
Nur. 204 (Theory)
Course title: “Community Health Nursing”
Nur. Nur 204 Theory
Dr. Yassin Abdulghani
Placement: 4th Semester
This course provides theories and practices essential to the assessment, planning, implementation, and evaluation of the individuals, families, groups, and community itself at different stages of their lives. Emphasis will be on the study and application of nursing role’s components inherent in community health for health promotion and protection as well as diseases prevention based on the concepts of primary health care. Students will be introduced to theoretical concepts related to community health status, environmental health safety, promoting and protecting the health of women, infants, children, adolescents, adults, elderly, and working populations. Epidemiological assessment for the purpose of promotion and protection the community through controlling of communicable disease are also introduced. Other relevant topics including community empowerment, social sustainable development, voluntary participation, and gender inequalities will be also discussed.
Upon completion of this course students will be able to:
1. Describe the nature, philosophy and scope of community health nursing.
2. Identify the conceptual frameworks for community health nursing.
3. Describe current community health problems and issues.
4. Identify the role of the community health nurse in promotion of health and
prevention of disease.
5. Use the "community as client" approach to apply concepts of disease
prevention, health promotion, as well as nursing skills and
techniques in providing care to the target population.
6. Demonstrate competence and judgment in performance of psychomotor skills
appropriate to the management of clients.
7. Demonstrate ability to communicate coherently, comprehensively, and
systematically verbally and nonverbally.
8. Apply the nursing process to the care of community-based clients individuals,
families, groups, and the community itself-using principles of primary,
secondary, tertiary prevention.
9. Apply both biostatical/epidemiological and nursing research methods and
findings to improve/enhance the delivery of nursing care in the community.
10. Design, implement and evaluate a community based project aimed at
addressing the health care needs of a target population.
1. Spradley, W. Barbara and Allender A. Judith, (2004). Community Health Nursing
(6th ed.). Philadelphia: Lippincot-Ravin.
2. Pender,N. Murdaugh,C. Parsons,M.(2001). Health promotion in nursing practice. (4th ed.). Upper.Saddel River.
3. Stanhope and Lancaster, (2000). Community and public health nursing (5th ed.). Boston: Mosby year Book, Inc.
I. Theory Evaluation: (Nur. 1001461)
First exam 15%
Second exam 15% student activities 10%
Clinical evaluation 20%
Final Exam. 40%
Community Health Nursing
Nur. 204 (Theory)
- The concept of community
- The concept of health
- Components of community health practice
- Characteristics of community health nursing
Core public health functions
- Roles of community health nurses
- Settings for community health nursing practice
Theoretical bases for promoting family health
· Family/family functioning
· Family health
· Universal Characteristics of family
· Family structure
· Family functions
· Family developmental tasks
Nursing process applied to families as client
· Assessment of families
- Effects of family health on individuals and communities
- Characteristics of healthy families
- Family health practice guidelines
- Family health assessment
- Guidelines for family health assessment
· Planning, intervening, and evaluating health care to families
- The home visit
- Nursing skills used during home visits
- Components of the family health visit
- Focus of family health visits
- Personal safety on the home visit
· Implementing plans for promoting the health of families
- Assessing, teaching, and referring
- Empowering families
· Evaluating implemented family health plans
- Types of evaluation
- Planning for the next visit
The Global community
- Global health care agencies
- Global health concerns
Theoretical basis of community health nursing
· Characteristics of community health nursing practice
· Theories and models for community health nursing practice
o Nightingale’s theory of environment
o Orem’s self care model
o Pender’s health promotion model
· Societal influences on community-oriented, population-focused nursing
o Communication technology
o Genetic engineering
o Global economy
o Climate changes
The community as client: assessment and diagnosis
· Types of community needs assessment
- Familiarization or “windshield survey”
- Problem oriented assessment
- Community subsystem assessment
- Comprehensive assessment
- Community assets assessment
· Community assessment methods
- Descriptive empidemiologic studies
- Focus group
· Sources of community data
- Primary and secondary sources
- Internal sources
- National sources – related to Jordan
- Local sources
· Data analysis and diagnosis
- Process of analysis
- Community diagnosis formation
- Community diagnosis
- What is a healthy community-characteristics
- Nursing process components applied to community as client
· Interacting with the community
· Need for communication
· Aggregate application
· Definition of aggregate
· Forming partnership and building coalition
- Planning to meet the health needs in the community
· Using a model
o The health planning process
o The OMAHA system
· Setting priorities
· Establishing goals and objectives
· Recording the plan
- Implementing plans for promoting the health of aggregates in the community
· Activities or actions
- Evaluating implemented aggregate health plans
· Judgment skills
· Types of evaluation
- Nursing process characteristics applied to community as client
· Client oriented
· Need oriented
Promoting and protecting the health of school aged children
· Health problems of school aged children
· Health services for school aged children
· Role of the school nurse
Promoting the health of Maternal, prenatal, and newborn population
· Health status and needs of pregnant women and infants
· Planning for the health of maternal infant populations
· Health programs for maternal infant populations
Epidemiology in community health nursing
· Definition of terms: epidemic, pandemic, endemic
· Concepts basic to epidemiology
o Host, agent and environment model
o Definition of causality
o Chain of causation
o Multiple causation
· Epidemiology of wellness
- Sources of information for epidemiologic study
· Existing data
· Informal observational studies
· Scientific studies
- Methods in the epidemilogic investigative process
· Descriptive epidemiology
· Analytic epidemiology
· Experimental epidemiology
- Conducting epidemiologic research
Communicable disease control
· Definition of terms: communicable disease, infections, reservoir
· Basic concepts regarding communicable diseases
o Evolution of communicable disease control
o Global trends
· Modes of transmission
o Airborne transmission
· Primary prevention
o Active immunity
o Schedule of recommended immunizations
o Herd immunity
- Barriers to immunization coverage
- Provider limitations
- Adult immunization
- secondary prevention
- Criteria for screening tests
- Case findings
- Tertiary prevention
- Isolation and Quarantine
- Transmission by health care workers
- Safe handling and control of infections wasters
- Incidence and prevalence
- Population at risk
- Prevention and intervention
- Other sexually transmitted diseases
- Genital herpes
- Hepatitis viruses
- Hepatitis B
- Hepatitis A
- Hepatitis C
- Hepatitis D
- Hepatitis E
- Using the nursing process for communicable disease control
Environmental health and safety
· Definition of environmental health
· Concepts and theories central to environmental health
o Preventive approach
o Ecologic perspective
§ Toxic agent
· Long-range environmental impact
· Major global environmental concerns
o Over population
o Air pollution
o Acid rain
o Ozone depletion and global warming
o Water pollution
o Unhealthy or contaminated food
o Waste disposal
o Safety in the home, worksite, and community
· Strategies for nursing action in environmental health
Promoting and protecting the health of working population
· Environmental work factors
o Ergonomic factors
o Psychosocial factors
· Work-related health problems
o Occupational disease
o Health problems related to ergonomics
o Work-related emotional disturbances
o Work place violence
· Occupational health programs
o Disease preventive
o Health protection
o Health promotion
· Role of the occupational health nurse
Families in Crisis: violence and abuse
· Family crisis
· Family violence against children
o Child abuse
o Child neglect
o Emotional abuse
o Physical abuse
o Sexual abuse
· Reporting abuse
· Role of the community health nurse in caring for families in crisis
Weekly schedule for Nur 204
Orientation to the course syllabus
Opportunities and challenges of community health nursing .
Roles and settings for community health nursing.
Values and ethics in community health nursing
Theoretical basis of community health nursing.
The global community.
Theoretical basis for promoting family health.
Assessment of family.
Planning, intervening and evaluating health care to families.
The community as client.
Planning and intervening and evaluating health care in community.
Communicable disease control.
Environmental health and safety.
Health promotion though education .
Maternal, prenatal and newborn population.
Promoting and protecting health of infants, toddlers and preschool.
Promoting and protecting health of school- aged and adolescent population.
Promoting and protecting health of adults and working population.
Promoting and protecting health of older adults .
Family in crisis: domestic violence and abuse.