Introduction To Home Visiting

QADRI COLLEGE
QADRI OF HEALTH
COLLEGE SCIENCES,
OF HEALTH KARACHI
SCIENCES, KARACHI
U-7, 1 OF
Community Health Nursing-I

Unit VII: “Introduction to Home Visiting”
GBSN Year.1 , Semester.2
By: Aftab H. Abbasi

RN, DCHN, BSN, MA, LL.B
Lecturer Nursing
Qadri College of Health Sciences

Karachi
Date:09/17/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 1
Unit VI: Introduction to Home Visiting
In this unit, students will discuss the principles,
purposes and steps of home visiting.
Unit Objectives:
At the completion of this unit, students will be able to:
1. Define home visiting.

2. Describe the steps of Home Visiting.
3. Discuss the principles, purposes and advantages
of Home Visiting in community.
Home visiting
INTRODUCTION:
A home visit is one of the essential parts of

the community health services because
most of the people are found in a home.
Home visit fulfills the needs of individual,

family and community in general for
nursing service and health counseling.
Home visiting
INTRODUCTION:
A home visit is considered as the backbone

of community health service.
A home visit is a family – nurse contact

which allows the health worker to assess
the home and family situation in order to
provide the necessary nursing care and
health-related activities.
Home visiting
DEFINITION:
Home visit means visiting the family at their

place to assess the health needs, to
provide services such as preventive,
promotive , curative or rehabilitative
services at their door step by the
community health nurse or health
workers.
Home visiting
DEFINITION:
It is defined as providing the services to

family at their door step to maintain the
health and to reduce the mortality and
morbidity in family.
A home visit is defined as the process of

providing the nursing care to patients at
their doorsteps. It requires technical skills,
resourcefulness, judgment, relationships.
Steps of Home Visiting
1- Facts Findings:
Facts findings is the first step during home
visiting. It helps to study the clinical and
other records to get an understanding of
what has to be done.
2- Data Analysis:
After completing the fact finding the process
of analysis begins.
The data of the members should be honest

and based on facts and not an opinion.
The personal, emotional, spiritual aspects

should be involved which are taken together
constitute the usual health problem.
Steps of Home Visiting Continued…
The problem and facts should show exact

problems and what he is expected to do.
Discuss the point step by step and examine

the matter critically.
Then only comes to the conclusion.

Do not jump and do not make hasty
conversation. After that, the nurse helps the
family to plan and use local and outside
resources.
3- Planning (action with individual or

family):
It is the most important in all our work and
relationships. Make good and realistic objectives
and plan how we are going to achieve those
objectives. First priority should be given to
essential basic need such as hunger, then only
for personal hygiene or safe water or sanitation.
That’s why planning is very important and it should
be based on the condition of the family, home
environmental and local resources available in a
family in order to be practical.
3- Planning: Continued…
Planning should also be based upon short
term or long term objectives of the family.
Some alternatives plan or suggestions are

also helpful.
Do respect the individual’s ideas, suggestion

or solution. Good planning always leads to
doing a good action and achieve objectives.
4- Action and Health Education:

After planning a formal home visit should be
done to solve the problem.
On the first visit, CHN should introduce
himself/herself and explain the purpose of
his / her visit.
The talk should be informal, giving plenty of
opportunities to ask a question and provide
a platform for discussion.
The action and health education should be as
per family time schedule.
4- Action: Continued…
Find out what is the best time for teaching
them. For example, if they are drawing food
in a yard, then you should teach about food
storage, and help them for proper drawing.
This help to provide effective teaching as you
are helping them, it also builds good
interpersonal relationships.
Emphasis should be given on practical more
often than theoretical.
5- Follow through:
It is one of the most important steps of a
home visit. Follow up for those which were
already planned and implement to find out
how far the objectives fulfilled.
It also helps to find out how far the instruction,
suggestion, and action were followed.
Appreciate if they have done well and if not
done properly, find out the cause.
It gives ideas for planning for next visit.
6- Evaluation of Services:
For evaluation services,
review each family record periodically. Maybe observed
and asking questions.
7- Write daily log book:

To provide certain details to the management about his or
her activities and performance over a given period. It
includes information such as number of persons visits
made, demonstrations performed, and services provided.
8- Write observation visit reports:

Should be written all your observation during home visiting to
report authorities.
PRINCIPALS OF HOME VISITING
1- The home visit should have a purpose and

objectives.
2- The home visit should be planned according to

priority.
3- The purpose of home visit should be clear, regular,

and flexible according to the needs of the family.
4- First of all introduce yourself, your institution,

your purpose of a home visit.
5- Establish a good interpersonal
relationship between families and be polite,
courage, friendly.
6- Carefully listen the family and understand the

other persons’ view.
7- Health education, nursing care should be

scientific.
8- Use safe technical skills and scientific nursing

procedures.
9- Involve whole family members as much

as possible during nursing care.
10- Evaluate your own work periodically.
11- Make a note of important facts about

the home visit.
12- Pay thanks to the family members and

individuals for good response.
PURPOSES OF HOME VISITING
1- To find out needs of individual, family and
community in relation to health, socio-economic
and cultural aspects.
2- To provide domiciliary midwifery as care for

pregnant, delivery, and puerperal mother and
infants.
3- To give care to sick, to a postpartum mother

and her newborn with the view teach a
responsible family member to give subsequent
care.
4- To assess the living condition of the

patient and his family and their health
practices in order to provide the appropriate
health teachings.
5- To provide basic health services for

minor ailments. (i.e. injury, boils, abrasions)
6- To provide counseling on family

planning, immunization, nutrition.
7- To give health teaching regarding the

prevention and control of diseases.
8- To establish a close relationship

between the nurses and public for
promotion of health.
9- To make use of an inter-referral system

and to promote the utilization of
community services.
ADVANTAGES OF HOME VISITING
1- Reach families who wouldn't come to your

office.
2- Work with more of the family members.
3- Work with families in their own setting

where they are more at ease.
4- Gain greater understanding of the family’s

life and strengths.
5- It helps to develop an interpersonal

relationship between family members and
the nurses.
6- It gives an opportunity to observe the

background of the family members and their
relationship.
7- It helps in the basic understanding of

physical and emotional needs of individual
and to guide them.
8- It helps to gain more knowledge and

become realistic as family members are
more relaxed in their own surroundings.
9- It also gives an opportunity to find out

new health problems.
10- Home visiting programs save money.
Community Health Nursing
B. T. Basavanthappa
First Edition 1998
“Introduction to Home Visiting”
QADRI COLLEGE OF HEALTH SCIENCES, KARACHI
By: Aftab H. Abbasi

RN, DCHN, BSN, MA, LL.B
Lecturer Nursing
Qadri College of Health Sciences

Karachi

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QADRI COLLEGE

Community Health Nursing-I

By: Aftab H. Abbasi

Qadri College of Health Sciences

At the completion of this unit, students will be able to:

1. Define home visiting.

A home visit is one of the essential parts of

Home visit fulfills the needs of individual,

A home visit is considered as the backbone

A home visit is a family – nurse contact

Home visit means visiting the family at their

It is defined as providing the services to

A home visit is defined as the process of

The data of the members should be honest

The personal, emotional, spiritual aspects

The problem and facts should show exact

Discuss the point step by step and examine

Then only comes to the conclusion.

3- Planning (action with individual or

Some alternatives plan or suggestions are

Do respect the individual’s ideas, suggestion

4- Action and Health Education:

7- Write daily log book:

8- Write observation visit reports:

1- The home visit should have a purpose and

2- The home visit should be planned according to

3- The purpose of home visit should be clear, regular,

4- First of all introduce yourself, your institution,

6- Carefully listen the family and understand the

7- Health education, nursing care should be

8- Use safe technical skills and scientific nursing

9- Involve whole family members as much

10- Evaluate your own work periodically.

11- Make a note of important facts about

12- Pay thanks to the family members and

2- To provide domiciliary midwifery as care for

3- To give care to sick, to a postpartum mother

4- To assess the living condition of the

5- To provide basic health services for

6- To provide counseling on family

7- To give health teaching regarding the

8- To establish a close relationship

9- To make use of an inter-referral system

1- Reach families who wouldn't come to your

2- Work with more of the family members.

3- Work with families in their own setting

4- Gain greater understanding of the family’s

5- It helps to develop an interpersonal

6- It gives an opportunity to observe the

7- It helps in the basic understanding of

8- It helps to gain more knowledge and

9- It also gives an opportunity to find out

10- Home visiting programs save money.

By: Aftab H. Abbasi

Qadri College of Health Sciences

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