Nursing Care of the Community-Famorca et. Al
A SUMMARY by St. Padre Pio of Pietrelcina SPUP Batch 2019 1
UNIT 1: INTRODUCTION TO COMMUNITY HEALTH NURSING
Chapter 1: Fundamental Concepts of Community Health Nursing
• Community/ public health nursing is the synthesis of nursing practice and public health
practice.
• Major goal of CHN- preserve the health of the community and surrounding population
by focusing on health promotion and health maintenance of individual, family and
group within community.
- Thus CHN/ PHN is associated with health and identification of population at risks rather
than with an episodic response to patient demand.
• Mission of public health- is social justice that entitles all people to basic necessities,
such as adequate income and health protection, and accepts collective burdens to
make possible.
• Definition of health according to:
a. WHO- “a state of complete physical, mental and social well-being and not merely the
absence of disease or infirmity.”
b. Murray- “a state of well-being in which the person is able to use purposeful,
adaptive responses and processes physically, mentally, emotionally, spiritually, and
socially.”
c. Pender- “actualization of inherent and acquired human potential through goal-
directed behavior, competent self-care, and satisfying relationship with others.”
d. Orem- a state of person that is characterized by soundness or wholeness of
developed human structures and of bodily and mental functioning.”
• Social- “of or relating to living together in organized groups or similar close aggregates”
• Social health- connotes community vitality and is a result of positive interaction among
groups within the community with an emphasis on health promotion and illness
prevention.
• Community- is seen as a group or collection of locality-based individuals, interacting in
social units and sharing common interests, characteristics, values, and/ or goals.
• Definition of community according to:
a. Allender- “a collection of people who interact with one another and whose common
interests or characteristics form the basis for a sense of unity or belonging.”
b. Lundy and Janes- “a group of people who share something in common and interact
with one another, who may exhibit a commitment with one another and may share
geographic boundary.”
c. Clark- “a group of people who share common interests, who interact with each
other, and who function collectively within a defined social structure to address
common concerns.”
d. Shuster and Goeppinger- “a locality-based entity, composed of systems of formal
organizations reflecting society’s institutions, informal groups and aggregates.”
• Maurer and Smith (2009)- two main types of communities:
a. Geopolotical communities- also called as territorial communities.
-are most traditionally recognized.
