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    CLINICAL SPECIALITY- I COMMUNITY HEALTH NURSING, M.Sc. Nursing


    Placement : 1st Year Hours of Instructions
    Theory 150 hours
    Practical 650 hours
    Total 800 hours
    Course Description
    The course is designed to assist students in developing expertise and indepth
    understanding in the field of Community Health Nursing. It would
    help students to appreciate holistic life style of individuals, families &
    groups and develop skills to function as Community Health Nurse
    specialist/practitioner. It would further enable student to function as an
    educator, manager and researcher in the field of Community Health
    nursing.

    Objectives


    At the end of the course, the student will be able to:
    1. Appreciate the history and development in the field of Community
    Health and Community Health Nursing.
    2. Appreciate role of individuals and families in promoting health of the
    Community.
    3. Perform physical, developmental and nutritional assessment of
    individuals, families and groups.
    4. Apply the concepts of promotive, preventive, curative and
    rehabilitative aspects of health while providing care to the people.
    5. Apply nursing process approach while providing care to individuals,
    families, groups and community.
    6. Integrate the concepts of family centered nursing approach while
    providing care to the community.
    7. Recognize and participate in the management of emergencies,
    epidemics and disasters.
    8. Apply recent technologies and care modalities while delivering
    community health nursing care.
    9. Appreciate legal and ethical issues pertaining to community health
    nursing care.
    10. Conduct community health nursing care projects.
    11. Participate in planning, implementation and evaluation of various
    national health and family welfare programmes at local, state and the
    national level.
    12. Incorporate evidence based nursing practice and identify the areas of
    research in the community settings.
    13. Participate effectively as a member of Community Health team.
    14. Coordinate and collaborate with various agencies operating in the
    community by using inter-sectoral approach.
    15. Teach community health nursing to undergraduates, in-service
    nurses and the community health workers.
    16. Demonstrate leadership and managerial abilities in community health
    nursing practice

    Course Content
    Unit                      Hours                    Content
    I                              10                         Introduction


    􀂉 Historical development of Community Health and Community
    health Nursing- World and India, various health and family
    welfare committees
    􀂉 Current status, trends and challenges of Community Health
    Nursing
    􀂉 Health status of the Community-community diagnosis
    􀂉 Scope of Community health Nursing practice
    􀂉 Ethical and legal issues
    􀂉 Socio-cultural issues in Community health Nursing
    􀂉 National Policies, plans and programmes
    • National health policy
    • National Population policy
    • National Health and welfare Programmes
    • National Health goals/ indicators/ Millennium developmental
    goals(MDG)/ Strategies
    • Planning process: Five year plans
    • National Rural Health Mission
    • Panchayat raj institutions

    II                    10                             Health


    􀂉 Concepts, issues
    􀂉 Determinants
    􀂉 Measurements
    􀂉 Alternate systems for health promotion and management of
    health problems
    􀂉 Health economics
    􀂉 Health technology
    􀂉 Genetics and health
    􀂉 Waste disposal
    􀂉 Eco system

    III                15                        Population dynamics and control


    􀂉 Demography
    􀂉 Transition and theories of population
    􀂉 National population policy
    􀂉 National population programmes
    􀂉 Population control and related programmes
    􀂉 Methods of family limiting and spacing
    􀂉 Research, Census, National Family Health Survey

    Unit              Hours                Content
    IV                    30                   Community health Nursing


    􀂉 Philosophy, Aims, Objectives, Concepts, Scope, Principles,
    Functions
    􀂉 Community health Nursing theories and models
    􀂉 Quality assurance: Community health Nursing standards,
    competencies, Monitoring community health nursing, nursing
    audits
    􀂉 Family nursing and Family centered nursing approach
    􀂉 Family health nursing process
    o Family health assessment
    o Diagnosis
    o Planning
    o Intervention
    o Evaluation
    􀂉 Nursing care for special groups: children, adolescents, adults,
    women, elderly, physically and mentally challenged- Urban and
    rural population at large
    􀂉 Community nutrition
    􀂉 Concept, role and responsibilities of community health Nurse
    practitioners/nurse midwifery practitioners-decision making
    skills, professionalism, legal issues

    V           45           Maternal and neonatal care


    􀂉 IMNCI(Integrated Management of Neonatal And Childhood
    Illnesses) module
    􀂉 Skilled Birth Attendant (SBA) module

    VI                    15                          ô€‚‰ Disaster nursing


     (INC module on Reaching out: Nursing Care in
    emergencies)

    VII               10           Information, education and communication


    􀂉 IEC/BCC: Principles and strategies
    􀂉 Communication Skills
    􀂉 Management information and evaluation system: Records and
    reports
    􀂉 Information technology
    􀂉 Tele-medicine and tele-nursing
    􀂉 Journalism
    􀂉 Mass media
    􀂉 Folk media

    VIII                    15            Health care delivery system: Urban, 
                                               rural, tribal and difficult areas


    􀂉 Health organization: National, State, District, CHC, PHC, Sub
    Centre, Village - Functions, Staffing, pattern of assistance,
    layout, drugs, equipments and supplies,Roles and
    Responsibilities of DPHNO
    􀂉 Critical review of functioning of various levels, evaluation
    studies, recommendations and nursing perspectives
    􀂉 Alternative systems of medicine
    􀂉 Training and supervision of health workers
    ô€‚‰ Health agencies: NGO’s, Roles and functions
    􀂉 Inter-sectoral coordination
    􀂉 Public private partnership
    􀂉 Challenges of health care delivery system


    Practical Total = 660 Hours
    1 Week = 30 Hours

    S.No. Deptt./Unit No. of Week Total Hours
    1 Sub-centre, PHC, CHC 12 360 Hours
    2 District family welfare bureau 1 30 Hours
    3 Urban centers 6 180 Hours
    4 Field visits 3 90 Hours
    Total 22 Weeks 660 Hours

    Student Activities

    • Identification of community leaders and resource persons(community
    mapping)
    • Community health survey
    • Community health nursing process- individual, family and special groups
    and community
    • Counseling
    • Health education – campaign, exhibition, folk media, preparation of IEC
    materials
    • Organising and participating in special clinics/camps and national
    health and welfare programmes-Organise atleast one health and family
    welfare mela/fair (all stalls of national health and family welfare activities
    should be included)
    • Estimation of Vital health statistics -Exercise
    • Drill for disaster preparedness
    • Organise atleast one in-service education to ANM’s/LHV/PHN/HW
    • Nutrition – Exercise on nutritional assessment on dietary planning,
    demonstration and education for various age groups
    • Filling up of Records, reports and registers maintained at SC/PHC/CHC
    • Assist women in self breast examination
    • Conduct antenatal examination
    • Conduct vaginal examination
    • Conduct deliveries
    • Post natal visits
    • Perform Episiotomy and suturing
    • Prepare Pap smear
    • Conduct Insertion/Removal of IUD
    • Blood Slide preparation
    • Field visits
    • Maintenance of log book for various activities