UNIT- VI Approaches

Community health nursing
approaches, concepts, roles

and responsibilities of
community health nursing
personnel
UNIT – VI 7 Hrs
Community health nursing approaches, concepts, roles and responsibilities of

community health nursing personnel
1. Approaches:
 Nursing process
 Epidemiological approach
 Problem solving approach
 Evidence based approach
Empowering people to care for themselves
2. Review: Primary health care and Comprehensive Primary Health Care (CPHC)
3. Home Visits: Concept, Principles, Process, & Techniques: Bag technique
4. Qualities of Community Health Nurse
5. Roles and responsibilities of community health nursing personnel in family health
services
6. Review: Principles & techniques of counseling
COMMUNITY HEALTH
NURSING APPROACHES
1. Approaches:
 Nursing process approach
 Epidemiological approach
 Problem solving approach
 Evidence based approach
Empowering people to care for themselves
PROBLEM SOLVING APPROACH
IN THE COMMUNITY
1) PERSUASIVE APPROACH :
The persuasive approach implies convincing people through dialogue and

health educate them to change or modify their health behaviour.
community health nurse make use of this approach in all types of nursing
interventions related to
• health promotion
• specific protection
• early recognition
• diagnosis
• treatment and
• disability limitation and rehabilitation
it is through HEALTH education that self care competencies of

individual,family and community can be developed which is essential to
acheive the goal of health for all.
2) ENFORCEMENT APPROACH:
The enforcement implies the use of more coercive (using force towards unwilling
behaviour) measures such as use of legislation
e.g.
• prohibition of drug abuse
• child abuse
• immunization as a condition to school admission and
• the use of authority e.g. giving strict instructions or orders to do certain
emergency situations
Community health nurses make use of such measures in life threatening

emergency situations.
3)TEAM APPROACH :
 Community health is a problem solving process and a team approach is very necessary to deal
with varied and complex health needs & problems at large.
 Community health nursing is one of the professions & community health nurses along with
auxiliary nurses and female health supervisors help to meet nursing needs of the community as a
whole.
 Other members of the team who are usually there include
• physicians
• clinical specialists
• public health engineers
• health statistians
• epidemiologists
• health educationalists
• counselors
• social workers
• clinical psychologists
• pharmacologists
• lab technicians
• village health workers
 Community health nurses working in the community health settings needs to identify the health
teams and their roles, functions and team dynamics so as to participate effectively in providing
compressive health care services to people in the community & accomplish community health
goals and aims.
4) COMMUNITY INVOLVEMENT APPROACH:
 Health of the individuals living in a defined community is not only their right but also
their responsibility to take care of their own health & of the community at large.
 Community involvement & participation is recognized as one of the crucial supportive

approach for successful implementation of community health care services.
 The extent of community involvement may vary from one community to another. It
may depend upon their socio economic & cultural aspects ,health attitude, health
knowledge etc. It ranges from true or active participation(i.e people are knowledgeable &
have a positive attitude & get involved in planning & implementing their health care)to
passive recipient of care provided i.e the major responsibility of community involvement
lies with health personnel who directly deal with people at the community level.
 Community health nurse need to encourage and promote them for their participation.
Community health nurse working with individuals, families, groups within the
community as a whole for community health
 Nursing services need to mobilize, encourage, organize & prepare them to take
greater interest & responsibilities, develop self reliance for their own health
matters.
5)INTERSECTORIAL APPROACH :
Health of people at large cannot be attained by health sector alone because there
are many factors which affect people’s health but they are not under the purview
of the
health sector
e.g
• food production and distribution
• water sanitation
• housing
• environmental protection and
• education department etc.
it is felt necessary to have proper coordination between the health & all other
sectors concerned at all levels.
Community health nurses can also educate on nutrritional status of the family,
food storage system & health economics , proper use & maintaince of houses &
the areas surrounding them through respective programs etc.
Home Visits:
Concept
Principles
Process &
Techniques
HOME VISIT
She provides a continuous and
comprehensive care to the
family, group of people and
community at large
Qualities of Community Health Nurse

UNIT- VI Approaches

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Community health nursing

approaches, concepts, roles

Community health nursing approaches, concepts, roles and responsibilities of

The persuasive approach implies convincing people through dialogue and

it is through HEALTH education that self care competencies of

Community health nurses make use of such measures in life threatening

 Community involvement & participation is recognized as one of the crucial supportive

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