1 I am a Community Health Nurse A package for Community Health Nurse practitioners in Western Australia The Community Health Nurse Western Australia Inc. © March 2004 Revised and created in PowerPoint by Hilary Giles

2 Who I am My name is I am a registered nurse, with post registration qualifications in ****** I have gained experience working in many different areas including ****** My special interests are *****

3 My community is The community that I cover is…….

4 My community is I see my community as having these characteristics

5 My community is My clients are

6 Community Health Nurse Practice Is focussed on wellness not sickness. Is focussed on prevention not just treatment of problems. Is focussed on assisting people and communities make their own decisions regarding health care. Is focussed on assisting those with existing health conditions to maximise their potential and prevent deterioration if possible.

7 Community Health Nurse Practice Is based in the community in a range of settings, wherever there is a need for support, information and education. Responds to public health needs in relation to communicable diseases.

8 Community Health Nurse Practice Has the whole community as their client, as well as groups, families and individuals. Recognises the impact of life course and social determinants of health and works in partnership with the community to address these.

9 Community Health Nurse Practice Utilises the primary health care philosophy to guide practice. Has a specialised body of knowledge which reflects current research and evidence based practice.

10 Community Health Nurse Practice Community health nurses recognise health as “ a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity” W.H.O. Community health nurses deal with clients in a holistic manner, working with them wherever they are on the health – illness continuum.

12 What guides our practice We recognise we must identify the needs of the community as well as individuals and groups, as a healthy community supports and empowers individuals to develop and maintain life long healthy lifestyles and choices. Many health issues require a community wide approach and a community involvement in solving them.

14 What guides our practice Communities are unique and dynamic with a variety of norms, cultures and value systems. Community health nurses are creative and adapt their practice to respond to the needs of each community and groups and individual clients who are members of that community.

17 What guides our practice Communities need continuous monitoring of the overall health status of the community as well as responses to episodic health needs.

19 What is different about our practice Community health nurse practice, by the nature of the work setting, requires autonomy, self-direction and use of a high level of professional judgement.

21 What is different about our practice Community health nurses interact with a wide range of both professional and non professional people within the community and must have a variety of interpersonal skills.

23 In my community my role is To promote health and health behaviour in the community To act as a health resource person for the community

24 In my community my role is To identify health issues which may impact on the well-being of individuals, families, groups and communities. To refer identified health issues to appropriate agencies and ensure co- ordination of care occurs

25 How I go about this role Undertaking a detailed community health assessment to identify health issues, social determinants and life course determinants of health for this community. For example: …… ….. ……

26 How I go about this role Utilising a community development approach to improve the social capital of the community and acknowledge their role in bringing about change. For example: …… ….. ……

27 How I go about this role Health promotion and health education with individuals, families, groups and a defined community. For example: …… ….. ……

28 How I go about this role Health assessment of individuals, families and groups in the community. For example: …… ….. ……

29 How I go about this role Providing information and resources on health issues. For example: …… ….. ……

30 How I go about this role Working in partnership with clients to enable and empower them to maintain and improve their health and wellbeing. For example: …… ….. ……

31 How I go about this role Working as an advocate for clients to ensure their voices are heard and their views recognised. For example: …… ….. ……

32 The end of another eventful day as a community health nurse © Chris Vye 2003