Context Of Community Health Care And Nursing Example

Context Of Community Health Care And Nursing Example Context Of Community Health Care And Nursing â€" Essay Example > ]Context of Community Health and NursingNurses as EducatorsIntroductionThe role of nurse as teacher and educators of the community has been one of the most consistent roles of the nurse since the beginning of nursing. Community-based nursing care is part of the continuing health care services and nurses are concerned not only with clients who approach them for the services but also with the larger population. Nurse teaches clients, families, groups, and communities with the goal of educating people and helps them focus on disease and illness prevention. The centre of this research is community-based nursing with emphasis on nurses as educators of the community. Community-Based NursingCommunity-based setting includes ambulatory care, home health care, school health, and hospital setting. Ricci (2006) explains clinical practice within the community may also include case management, research, quality improvement, and discharge planning. Nurses with advanced practice and experience ma y be employed in areas of staff development, program development, and community education. Nurses must be prepared educationally and experientially to provide care in very diverse settings as the focus of health initiatives today shifts the emphasis of health care to the people themselves and their needs, reinforcing and strengthening their capacity to shape their own lives. This shift of emphasis away from dependence on health professionals toward personal involvement and patient responsibility gives nurses the opportunity to interact with individuals in a variety of self-help roles. Nurses in the community-based arena are well positioned to be the “primary force in identifying the challenges and implementing changes in women’s health for the future” (p. 23). The CommunityIt is because community-based nursing care is part of the continuum of health care services, it is important for nurses to understand the concepts of community. Community is often defined as a collection o f people sharing common characteristics, interests, needs, resources, and environments that interact with one another. The common features of a community may be common rights and privileges as members of a designated city or common ties of identity, values, norms, culture, language, or social support. Women are caregivers to children, parents, spouses, and neighbours, and provided important social support in these roles. In a community-based setting, the providers of care are concerned with not only the clients who present themselves for service, but also with the larger population of potential or at-risk clients (Ricci 2006). The Home SettingThe most frequently used setting for community health nursing practice was the home. In the homes, all the community health-nursing roles, to varying degrees, are performed. Clients who are discharge from acute care institutions, such as hospitals or mental health facilities, are regularly referred to a community health nurses for continued ca re and follow-up. Here, the community health nurse can see clients in a family and environmental context, and service can be tailored to the client’s unique needs. The home also is a setting for health promotion. Many community health-nursing visits focus on assisting families to understand and practice healthier living behaviours. Nurses may for instance, instruct clients on parenting, infant care, child discipline, diet, exercise, coping with stress, or managing grief and loss (Allender and Spradley 2004). Context Of Community Health Care And Nursing Example Context Of Community Health Care And Nursing â€" Essay Example > Context of Community Health Care and NursingCommunity Children’s NursingIntroductionCommunity children’s nursing practice is about childcare from birth and throughout childhood. Nursing sick children requires specialised nursing qualification as many believes that children have special needs and therefore needs nurses with special skills. The primary objective of many community children’s services includes parental support and the avoidance of hospitalisation for children. However, like any other programmes in health care, children’s nursing services are not free of inconsistencies that give rise to confusion. We therefore need to research and explore the concept of community children’s nursing service. This paper will discuss the origin of community children’s nursing practice and regulation. We will also include some the issue in home care, childhood, and other community health services. Community Children’s NursingCommunity children’s nursing has been adopted to take in an assortment of different terms which have beforehand been used such as paediatric community nurse, paediatric home care nurse, paediatric hospital-at-home nurse, children’s home care nurse and many others. All of these titles relate essentially to the same area of nursing practice. In UK, a community children’s nurse is a registered nurse who has completed a programme of education in community nursing leading to registration with the United Kingdom Central Council for Nursing, Midwifery, and Health Visiting. The nurse focus of work is primarily those children requiring treatment and care for acute and chronic ill health in a home setting (Littlewood 1999). Community Children’s Nursing Practice and RegulationThe practice of community children’s nursing is concerned with the provision of care to children from birth, during childhood and adolescence and sometimes into young adulthood. There is prevalent acceptance of the view that nurses who possess a registers chil dren’s nurse qualification should undertake the nursing of sick children. Many believes that if community children’s nursing care is to be advanced as a true alternative to hospital care then the children must be afforded the same rights as children who received care in hospital. Consequently, since the children have special needs, which require special skills, nursing in the community also requires special skills (Taylor 1999). The employment of qualified children’s nurses in the community according to Cook (2000) began in the 1950s, and developed in response to government reports emphasizing the importance of keeping children in their own homes for treatment whenever possible. Thus, the roles of community children’s nurses are to provide nursing care, support, information and resources to sick children and their families in settings outside of acute hospitals. A vital part of the delivery of these elements of the role is the need to sustain and nurture the relationship b etween the child and its parents or other carers. Community children’s nurses also act as an information and teaching resource for the community nurses (p. 34). Having qualified children’s nurses working in the community allows children needing complex, specialized treatment, monitoring, or care to be maintained at homes, and allows them to be discharged earlier from hospital when they have bee admitted. In order to provide this service, a number of different schemes have been set up using different models. Specialist community children’s nurses may work as an individual in a multidisciplinary primary health care team. Teams of community children’s nurses have been set up in some areas where there is large demand like the inner cities. In an ‘inreach’ schemes, community-based children’s nurses maintain some responsibility for and contact with children during short periods of hospital admission. In an ‘outreach’ schemes, hospital-based paediatric nurses provide te chnical support to children in their own homes when complex treatments or equipment are in use. Some community children’s nurses are highly specialised, focusing solely on particular conditions such as cystic fibrosis, diabetes, asthma, or cancer (Cook 2000).