WMSU My Dear BSN 2F
STUDENTS
From : Shirley M. Nolledo
1
2
Topic 1. Overview of Public Health Nursing
in the Philippines
3
Learning Objectives
• At the end of this topic, the students can :
1. Explain briefly a certain topic related to current global
and national health status.
2. Interpret what Community, Health, Nursing, Public Health
and Community health Nursing are .
3. Utilize the principles and philosophy of Public Health /
Community Health Nursing with an actual client/ scenario.
4. Discuss the origin of Community Health Nursing in the
Philippines.
4
5
National and Global Health Status
6
National Health Issues
7
Top 10 Most Common Health Issues in the Philippines
Physical Activity and Nutrition
Overweight and Obesity
Tobacco
Substance Abuse
HIV / AIDS
Mental Health
Injury and Violence
Environmental Quality
Immunization
Access to Health Care
8
Top 8 Most Common Health Issues Globally
(WHO)
Global Influenza Pandemic
Fragile and Vulnerable setting
Antimicrobial Resistance
Ebola and Other High Threat Pathogens
Weak Primary Health Care
Vaccine Hesitancy
Dengue
HIV
9
Public Health / Community Health Nursing
10
Definition and Focus
Community
• is a social unit with commonality such as norms, religion, values,
customs, or identity. Communities may share a sense of place
situated in a given geographical area or in virtual space through
communication platforms.
Wikipedia
• is all the people living in an area or a group or groups of people
who share common interests.
Webster Dictionary
11
Health
• is a state of complete physical, mental and social well-being and
not merely the absence of disease or infirmity.
- WHO
• the state of being free from illness or injury.
- Dictionary
Nursing
• encompasses autonomous and collaborative care of individuals
of all ages, families, groups and communities, sick or well and in
all settings. It includes the promotion of health, prevention of
illness, and the care of ill, disabled and dying people.
- WHO
• the profession or practice of providing care for the sick and
infirm.
- Dictionary
12
Public Health
• Science and Art of Preventing Disease, Prolonging Life, Promoting Health and efficiency through
organized community effort for the sanitation of the environment, control of communicable diseases,
the education of individuals in personal hygiene, the organization of medical and nursing services for
the early
• diagnosis and preventive treatment of disease, and the development of social
• machinery to ensure everyone a standard of living adequate for the maintenance of health, so
organizing these benefits as to Enable Every Citizen to Realize His Birth right to Health and
Longevity
- Dr. C.E. Winslow
• Art of applying Science in the Context of Politics so as to Reduce Inequalities in Health while
ensuring the best health for the greatest number
- WHO
Public Health Nursing
• Special Field of Nursing that combines the skills of nursing, public health, and some phases of social
assistance and functions as part of the total public health program for the promotion of health, the
improvement of the conditions in the social and physical environment, rehabilitation of illness and
disability.
- WHO
13
Public Health Nurse
• are found in various health settings and occupying various positions in the
hierarchy.
• are assigned in rural health units, city health centers, provincial health offices,
regional health offices, and evening the national office of the Department of
Health.
• are also assigned in public schools and in the offices of government agencies
providing health care services.
• occupy a range of positions from Public Health Nurse I to Nurse Program
Supervisors to Chief Nurse in public health settings.
• uses various tools and procedures necessary for her to properly practice her
profession and deliver basic health service.
• uses nursing process in her practice and is adept in documenting and
reporting accomplishments through records and reports.
• technically competent in various nursing procedures conducted in settings
where she is assigned 14
Qualifications and Functions of
A Public Health Nurse
Qualifications :
• must be professionally qualified and licensed to
practice in the area of public health nursing.
• Must possess personal qualities and “people
skills” that would allow her practice to make a
difference in the lives of these people.
15
Qualifications and Functions of
A Public Health Nurse
• Functions
• Functions in accordance with the dominant values of public health
nurses, within the ethico-legal framework of the nursing profession,
and in accordance with the needs of the clients and available
resources for health care.
• Functions of PHN are consistent with the Nursing Law 2002 and
program policies formulated by the DOH and local government
health agencies. They are related to management, supervision,
provision of nursing care, collaboration and coordination, health
promotion and education training and research.
16
Functions of a PHN
Management Function
Supervisory Function
Nursing Function
Collaborating and coordinating Function
Health Promotion and Education Function
Training Function
17
Philosophy of CHN
H-umanistic values of the nursing profession upheld
U-nique and distinct component of health care
M-ultiple factors of health considered
A-ctive participation of clients encouraged
N-urse considers availability of resources
I-nterdependence among health team members practiced
S-cientific and up-to-date
T-asks of CHN vary with time and place
Independence or self-reliance of the people is the end goal
C-onnectedness of health and development regarded
18
The Community is the patient in CHN; The Family is the Unit of Care;
and there are four levels of clientele: Individual, Family, Population
Group (those who share common characteristics, developmental
stages, and common exposure to health problems—e.g. children,
elderly), and the Community
In CHN, the client is considered as an Active Partner, not a passive
recipient of care.
CHN Practice is affected by developments in Health Technology, in
Particular, Changes in Society, in General.
The goal of CHN is achieved through Multi-Sectoral Efforts
CHN is a part of the Health Care System and the larger Human
Services System.
19
Roles of CHN
Clinician or Health Care Provider:
Health Educator
Coordinator and collaborator
Supervisor
Leader and Change Agent
Manager
Researcher
20
Responsibilities of the CHN
• Be a part in developing an overall health plan, its
implementation and evaluation for communities.
• Provide quality nursing services to the four levels of
clientele
• Maintain coordination/linkages with other health team
members, NGO/ government agencies in the provision of
public health services
• Conduct researches relevant to CHN services to improve
provision of health care
• Provide opportunities for professional growth and
continuing education for staff development
21
Specialized Fields of CHN
• Community Mental Health Nursing: a unique clinical
process which includes an integration of concepts from
nursing, mental health, social psychology, psychology,
community networks, and the basic sciences
• Occupational Health Nursing: the application of nursing
principles and procedures conserving the health of
workers in all occupation
• School Health Nursing: the application of nursing
theories and principles in the care of the school population
22
[Link]
es/ten-threats-to-global-health-in-2019
23
SHIRLEY M. NOLLEDO, R.N.,M.N. 24
