Community Nursing

Community as partner model
To gain access to the community, the community must:
- Perceive that a need exist
- Believe that the CHN can help address this need
- Perceive that its information and contributions are valued
- Be assured of confidentiality for non-public information
- Be involved from the beginning in this partnership
Compare Neuman System Model & Community as Partner Model
- the inner circle represents the community
- the dotted circles represents resistance
- spiritual, psyschosocial, physiological
- the other circles represents line of defence
Look up Appendix 11
Community as a partner looks at the 8 sub groups, and if one of them is distorted; everything will also be impacted.
Determinants of health and community
The determinants of health relevant to the community
- chn need to consider the determinants of health that might exists in their community, such as crime, social and physical environments, education level, socio economic status, poverty. WHY?
- Every community that you go to has individuals strengths and crisis, as the chn investigate a community
Assessing acommunity
- Structure
- Population
- Social system
Structure (locale)
 Name of community/ neighbourhood
 Geopraphuc boundaries
 Environment
 Water and sanitation
 Housing
 Economy
Population (people)
 Age distribution
 Sex distribution
 Growth trends
 Density
 Education level
 Predominant cultural and religious groups
Social System
 Education system
 Government
 Communication system
 Transportation system
 Welfare system
 Volunteer programs
 Health system
Assessing the community:
- What are some common health needs of communities
- Vulnerable populations
- Poor and homeless clients
- Risk takers
- Client with chronic illness
- Woman and girls
- Youth
- Elderly
Community assessment
- A logical, systematic approach to
- Identifying community
- Strengths, resources, assets, capabilities, and opportunities
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