Community Health Nursing Standards of Practice

Question 1

How were Canadian CHN standards developed?

Answer 1

• developed by geography (community reps) representative under the supporting organization CHNC
• process took 3 years
• revised 3 times (March 2011)

Question 2

Why are CCHN standards important to practice

Answer 2

• define scope
• criteria for safe ethical care
• criteria for measuring performance
• support ongoing development of CHN
• promote CHN specialty
• foundation for cert.
• inspire excellence/commitment
• benchmark for CHN

Question 3

Why is the the standards of nursing practice at the bottom of the triangle of community health nurses association of canada?

Answer 3

all nursing standards build off nursing standards

Question 4

Changes to CHNC standards.

Answer 4

schematic order (2013)
7 standards (2011)

Question 5

What are the standards of CHNC?

Answer 5

1. health promotion
2. Prevention and health protection
3. Health Maintenance, Restoration and palliation
4. Professional relationships
5. Capacity building
6. Access and Equity
7. Professional Responsibility and Accountability

Question 6

The first 3 standards are for ____ ____

Answer 6

promoting health

Question 7

The last 4 standards ____ the first 3 standards.

Answer 7

support

Question 8

PHN

Answer 8

public health nurse

Question 9

CHN

Answer 9

community health nurse

Question 10

HHN

Answer 10

home health nurse

Question 11

Examples of HEALTH PROMOTION in PHN

Answer 11

• PHN advocate for smoke free town

Question 12

Examples of HEALTH PROMOTION in CHN,

Answer 12

• assists in physical activity and healthy eating with schools and local communities

Question 13

Examples of HEALTH PROMOTION in HHN

Answer 13

• encourages families dealing with a chronic illness to participate in regular physical and social activities

Question 14

Examples of PREVENTION & HEALTH PROTECTION in PHN

Answer 14

• track immunization schedules for each child so that when a child is overdue for vaccine they can be contacted

Question 15

Examples of PREVENTION & HEALTH PROTECTION in CHN

Answer 15

• OBSERVE high rates of smoking within a particular client group
• the concern is raised with the practice TEAM and a PLAN is developed to find a way to address the issue

Question 16

Examples of HEALTH MAINTENANCE, RESTORATION & PALLIATION in HHN.

Answer 16

cares for disabled students in the classroom (communication is required with the child’s guardian, teacher, class assistant re childs status and response to treatment)

Question 17

Examples of HEALTH MAINTENANCE, RESTORATION & PALLIATION in CHN

Answer 17

provides ongoing nursing care to families with seniors who are experiencing difficulties

• direct or indirect (through PSW)
• may include telephone follow up, home visits or community referrals

Question 18

Examples of PROFESSIONAL RELATIONSHIPS in HHN.

Answer 18

working in palliative care listens to the concerns of stressed and exhausted caregivers and supports them in making decisions about respite and hospice care

Question 19

Examples of PROFESSIONAL RELATIONSHIPS in PHN

Answer 19

working with families experiencing child care difficulties identify that post natal visits based on issues or tasks moves them around too much
- bring concerns to management

Question 20

Examples of CAPACITY BUILDING in HHN

Answer 20

encourages a mother and teens to work out a schedule for ROM exercises for the grandmother
- family is happy to have worked out the problem together

Question 21

Examples of CAPACITY BUILDING in PHN

Answer 21

encourages a school to MOBILIZE A SCHOOL HEALTH COMMITEE that includes students, parents, teachers, administration, and community partners. Committee members identify the school community’s STRENGTHS AND NEEDS, and prioritize, plan, implement, evaluate and celebrate action for a healthier school (NURSING PROCESS). The school community’s capacity to take its own action for health is enhanced via a SUSTAINABLE STRUCTURE (the committee). The PHN is a PARTNER in the process

Question 22

Examples of ACCESS AND EQUITY in PHN

Answer 22

IDENTIFIES that one ETHNIC GROUP DOES NOT USE HC SERVICES (including prenatal classes) outside their area. The PHN works with a champion from this group to ORGANIZE LOCAL PRENATAL CLASSES delivered by a PHN and TRANSLATED BY WOMEN FROM THE COMMUNITY

Question 23

Examples of ACCESS AND EQUITY in HHN.

Answer 23

HHN and Case Maneger ADVOCATE for families caring for medically fragile children by seeking RESPITE CARE for exhausted families, CONTACTING LOCAL MP

Question 24

Examples of PROFESSIONAL RESPONSIBILITY and ACCOUNTABILITY in PHN

Answer 24

NEEDLE EXCHANGE based on HARM REDUCTION
- difficulty with tenets (principles of belief) of harm reduction and uses REFLECTIVE PRACTICE personally and with his supervisor to understand and change his assumptions

Question 25

Examples of PROFESSIONAL RESPONSIBILITY and ACCOUNTABILITY in PHN (2)

Answer 25

Discuss decline in level of service with the new manager (either go higher of offer to collaborate)