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St.

Luke’s College of Nursing


School Year 2019-2020

COURSE SYLLABUS

COMMUNITY HEALTH NURSING


TRINITY UNIVERSITY OF ASIA
ST. LUKE’S COLLEGE OF NURSING
VISION
VISION
“A premier Christian University in Asia and the Pacific transforming a community of learners as
leaders towards a human society” St. Luke’s College of Nursing envisions itself as an institution perpetuating a culture of excellence through God-
centered Nursing Education, Service, and Volunteerism .

MISSION MISSION

To promote the formation of integrally-developed, competent, productive and socially St. Luke’s College of Nursing commits itself to the pursuit of truth and the formation of competent, caring, dedicated,
responsible citizens by: and compassionate Filipino nurses who will make a distinct contribution to the health care delivery system in the
 Instilling Christian values in all its academic programs, co-curricular and extra- Philippines and in the global community through Christian Nursing Care.
curricular activities;
 Providing excellent services for a quality learning environment; OBJECTIVES
 Extending our ideals of service learning for our partners by empowering communities
to be self-reliant and by collaborating with other institutions; 1. To design, implement, and continuously evaluate a curriculum that will meet the needs of the students and the
 Encouraging self-improvement among employees to gain higher competence and communities they serve;
better skills towards service excellence; and 2. To provide a broad educational experience and create situations that will enable students to acquire knowledge,
skills and attitudes necessary for quality nursing practice;
 Exercising sound management of our resources.
3. To provide students opportunities to work collaboratively with each other and with other members of the health
care team and to appreciate the role of nursing to individuals, families, groups, and communities;
4. To guide students in their optimum growth and development in order that they may live a full, productive, and
TUA CORE VALUES
meaningful life, imbued with Christian ideals of love and service to fellowmen;
5. To develop, strengthen, and enhance leadership skills in students by inculcating relevant responsibilities, and
 INTEGRITY - We uphold honesty, accountability, and fairness in the performance of 6. To promote students’ appreciation for continuing education by providing a strong background necessary for
our tasks. graduate study.
 EXCELLENCE - We are guided by the highest standard in performance of our duties in
instruction, research, and the community service. CORE VALUES
 INNOVATION - We courageously explore avenues to develop new programs and
processes to assure the faithful achievement of our institutional goals and objectives.  INTEGRITY – We uphold honesty, accountability, and fairness towards the development of social responsibility.
 TEAMWORK - We move as one in the spirit of mutual trust, loyalty and solidarity to  EXCELLENCE – We are guided by the highest standards in performing our endeavors in instruction, research, and
achieve our common goals. community service.
 SOCIAL RESPONSIBILITY - We commit to deliver services through an integrated  INNOVATION – We courageously explore avenues to develop new programs and processes through research.
 TEAMWORK – We move as one in the Spirit of Trust, Loyalty, and Solidarity in achieving our common goals.
community development programs.

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 FIVE (5) MARKS OF MISSION

1 To proclaim the Good News of the Kingdom.

2 To teach, baptize and nurture new believers.

3 To respond to human need by loving service.

4 To transform unjust structures of society, to challenge


violence of every kind and pursue peace and reconciliation.
5 To strive to safeguard the integrity of creation, and sustain
and renew the life of the earth.

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BACHELOR OF SCIENCE IN NURSING (BSN) PROGRAM OUTCOMES
1. Apply knowledge of physical, social, natural and health sciences and humanities in the practice of nursing.

2. Perform safe, appropriate and holistic care to individuals, families, population groups and community utilizing the nursing process.

3. Apply guidelines and principles of evidence-based practice in the delivery of care.

4. Practice nursing in accordance with existing laws, legal, ethical, and moral principles.

5. Communicate effectively in speaking, writing and presenting using culturally-appropriate language.

6. Report/document client care accurately and comprehensively.

7. Collaborate effectively with inter-, intra-, and multidisciplinary and multicultural teams.
8. Practice beginning leadership skills using systems approach in the delivery of client care.

9. Conduct research with an experienced researcher.

10. Engage in lifelong learning with a passion to keep with national and global developments in general, and nursing and health developments in
particular.
11. Demonstrate responsible citizenship and pride in being a Filipino.

12. Apply techno-intelligent care systems and processes in health care delivery.

13. Uphold the nursing core values in the practice of the profession.

14. Apply entrepreneurial skills in the delivery of nursing care.

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COURSE CODE : CHN1
COURSE TITLE : COMMUNITY HEALTH NURSING
COURSE CREDIT : Theory: 36 hours
RLE: 102 hours
INDEPENDENT STUDY : 30-45 hours (20-30%)

PLACEMENT : 2nd year, 1st Semester


PRE-REQUISITES :
CO-REQUISITES :

COURSE DESCRIPTION:
This course covers the concepts and principles in the provision of basic care in terms of health promotion, health maintenance and
disease prevention at the individual and family.

LEVEL OUTCOMES:
At the end of the first semester of second year, given a normal and high risk individual, family members, mother, newborn, and
child in any health care setting, including their home environment, the learners demonstrate safe, appropriate and holistic care
utilizing the nursing process.

COURSE LEARNING OUTCOMES (CLO) :


At the end of the course, the student nurse shall acquire beginning knowledge, skills and attitude of a professional staff nurse in
the care of patients seeking medical /nursing care at Rural Health Unit. Demonstrate effectively his/her entry competencies as far
as Skills, Knowledge, and proper attitude of a Community Health nurse.

Given actual clients/conditions with various physiologic and psychosocial alterations, the student shall be able to demonstrate
competencies in the key areas of nursing responsibilities, such as:

Knowledge in Community Health Nursing especially in Primary Health Care (PHC) and understanding theoretical foundations

Skills in doing the Nursing Process especially Family Heath Assessment skills, Decision-making skills and critical thinking
skills with the Family as a client during home visit. Assisting in Emergency and First Aid nursing maintaining the medical-

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surgical aseptic technique, and makes appropriate referrals if necessary. Preparing necessary equipment and supplies
needed for treatments and procedures as indicated in the bag technique. Formulation of comprehensive Health Promotion
and Education strategies. Provision of appropriate care and recording and reporting of pertinent data accurately especially
Family Nursing Care Plan.

Attitude by Prudence, patience, accuracy and gentleness in handling mental and emotional aspects of individual clients and family.
Awareness in cultural and ethnical sensitivity and appropriateness of interaction and delivery of nursing care.

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COURSE LEARNING OUTCOMES AND PROGRAM LEARNING OUTCOMES MAPPING TABLE

COURSE LEARNING OUTCOME (CLO) PROGRAM LEARNING OUTCOMES (PLO)


PLO1 PLO2 PLO3 PLO4 PLO5 PLO6 PLO7 PLO8 PLO9 PLO10 PLO11 PLO12 PLO13 PLO14
1 Identify the different systems of the I I I
body and its basic components
2 Explain the functions of the different I I I
systems of the body and its basic
components
3 Rationalize the anatomical or I I I
physiological basis of common
diseases of the human body
4 Relate tasks and roles of nurses based I I I
on the eleven core competencies to the
relevant concepts of anatomy and
physiology

LEGEND:

I Introduce
IP In Progress
D Demonstrated

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LEARNING OUTCOMES Content/Topic Learning Strategies Assessment
Related Learning
Experience
Classroom TA (Community) TA
Define health and I. Fundamental Concepts of Community Health Interactive Lecturing 6 Identifies deviations in 3 Objective Test: Multiple
community and Illustrate Nursing Power point actual practice from days Choice items
the principles of A. Definition of Health and Community Presentation standards.
community health B. Determinants of Health and Disease Journal materials
nursing C. Indicators of Health and Illness Makes proper referral of
Describe the conditions D. Definition and Focus of Public Health and clients to other health
affecting the health of a Community Health
care professionals and
given community E. Preventive Approach to Health
 Health promotion and levels of prevention health care institutions
Recognize the characteristics
of a healthy community  Thinking upstream: Examining the root for further medical
Describe how to utilize the causes of poor health assessment and
nursing process (data F. Definition and Focus of Community Health management as
collection to Nursing, Public Health Nursing and Community- evidenced by an
implementation) in Based Nursing accomplished referral
managing community  Community and Public Health Nursing
form.
health concerns  Distinguishing features of community
health nursing practice Receives and gives
G. Population-Focused Approach and Community endorsement appropriately.
Health Nursing Interventions
H. Levels of Clientele of the Community Health
Nurse
 The Intervention Wheel
 The prepayment mechanism in community
health nursing practice
I. Emerging Fields of Community Health Nursing
in the Philippines
J. Competency Standards in Community Health
Nursing

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Describe different theories K. History of Public Health and Public Health 3
and their application to Nursing in the Philippines
community/public health II. Theoretical Foundations of Community Health Library works
nursing Nursing Practice
Critique a theory in regard A. Historical Perspectives on Nursing Theory Lecture – Evocative
to its relevance to B. How Theory Provides Direction to Nursing discussion
population health issues C. Review of Theoretical Approaches
Explain how theory-based  General Systems Theory
practice achieves the goal  Social Learning Theory (Bandura)
of community/public  The Health Belief Model
health nursing by  Milio’s Framework for Prevention
protecting and promoting  Pender’s Health Promotion Model
the health of the public  The Trans-theoretical Model
 PRECEDE-PROCEED Model
Describe the three levels of  Promotion Theory (?)
prevention and apply the
competency standards of
nursing practice in the III.
Primary Health Care 3
Philippines in community A. Introduction Group activity (within
health nursing practice. B. Brief History of Primary Health Care their choice of
Define primary health care C. Definition of Primary Helath Care community)
and explain the definition D. Key Principles of Primary Health Care
of health by WHO  The 4 As of PHC: Accessibility, affordability, Case Study: Group
Enumerate the key acceptability and availability Presentation
principles of PHC and  Support mechanisms
relate its application in  Multisectoral approach WHO/DOH materials,
the implementation of  Community participation
public health programs  Equitable distribution of health resources Journals
Cite the differences between  Appropriate technology
PHC approach and E. Primary Health Care versus Primary Care
primary care

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Define community IV. Community Organizing Interactive Lecturing 3 Attends a general 4 Present a nursing care plan
organizing and illustrate A. Definition of Community Organizing Power point orientation, to be days based on the scenario
its core principles B. Core Principles of Community Organizing Presentation conducted by the Clinical given
Outline the steps to be C. Phases of Community Organizing
Instructor
taken in applying the D. Goals of Community Organizing
community organizing
approach in relation to =100% attendance
community health Explains the scientific
problems principles behind the
= Able to recite a
condition and nursing
Define community-based policy/protocol when asked.
transcultural nursing and V. Transcultural and Ethnical Care in the care of clients in the
its principles Community community. = Knows the personnel.
A. Community-based Transcultural Nursing
Define faith communities
B. Transcultural Nursing Principles and Concepts
and how spirituality is
C. Virtue or Character Ethics in Community Health
related to health
D. Ethical Problems Faced by Community Health Courtesy call to Brgy = Maintains collaborative
Define what is
Nurses Captain and Municipal relationship with other
complementary health
E. Relationship between community health Health Officer. Know the health team.
and list down the
nursing and faith communities key heads.
common uses in the
F. Spirituality in Community health nursing
community
Describe a highly ethical 3
community health nurse Observation of organized
and list down important Studies the organizational Health Center
virtues CHN portray to set-up and listens to
the community people further or supplemental
discussions of the CI
=Safe and Quality Practice.
Demonstrate an regarding the policies,
understanding of the SOPs, programs and = Complete and accurate
difference between
activities, philosophy and documents
health promotion and
health protection objectives of the local
Discuss the relationship of government unit.
risk to health and health
= Student nurse displays

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promotion activities SLCN Student’s image.

List health behaviors for Establishes collaborative


health promotion and relationship with the
disease prevention; relate VI. Health Promotion & Education, Risk Reduction = Observation of students
officials of the barangay,
the clinical implications of and Capacity-Building Strategies change in behavior as they
members of the health
health promotion and risk treat their clients.
team, clinical instructors
reduction activities A. Health Promotion and Community Health
and colleagues to = Reflection of learning in
Nursing
Analyze a health promotion B. Models of Health Promotion and Wellness improve community professional ethics in CHN
program using the C. Risk, Vulnerability and Health health care.
Ottawa charter for health D. Interrelationship Social Determinants (Poverty),
promotion. Risk and Vulnerability
Projects the image of a
E. Vulnerable Populations with Special Needs
Define health education and F. Factors influencing health promotion and professional SLCN student.
patient education and wellness
how the nurse use these Accepts criticism and
G. The relationship of Risk to Health and Health
concepts to promote self- recommendations.
Promotion Activities
health
H. The Ottawa Charter for Health Promotions
I. Health Education: The Effective Nurse Educator Ensures privacy and
Describe effective health
J. Culturally Sensitive Teaching and Learning and confidentiality of the
education
other ethical issues patients.
K. The Health Education Process in the
Define what is health
Communities Respects cultural and
education in the
L. Competency-Based training of Community 6 ethnic practices of the
community setting
Barangay Health Workers patient and their
families
List the behavioral concepts
and theories used to
provide direction for
Conducts lecture series
health education program Library works
or information
Identify various situations in dissemination activities
community health on the different programs

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nursing in which of the DOH and aids the
education for behavior community people for its
change can be proper implementation.
incorporated into nursing
care at the different Lecture – Evocative
levels of clientele discussion
Implements health
Identify the social education
determinants and how
they impact health status Group activity (within Utilizes health education
their choice of parameters in evaluating
List the risk factors that community) outcome.
contribute to
vulnerability and poor
health and their
relationship to poverty Case Study: Group
Presentation
 Describe the competencies
of CH nurses and its
limitations in the
community setting WHO/DOH materials,

Journals

Define Family and their VII. Family Health Nursing Interactive Lecturing 6 Analyzes data and 4 = Accomplished Patient’s
health responsibilities A. Definition of Family Power point identifies nursing days Chart
Identify characteristics of  Functions Presentation problems of families in
the family that have  As a client the community.
implications for  As a system
community health  Developmental stages of the Family = Accomplished Problem
nursing practice  Family Health Tasks Prioritization
Define family nursing and  Characteristics of a Health Family Utilizes the nursing
how to utilize the nursing B. Definition of Family Care diagnoses and develops a
process un the care of C. Family-Oriented and Family-Focused Nursing Family Nursing Care Plan = Accomplished Family
individuals within the Role

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family and the care of the D. Family Nursing and the Nursing Process (FNCP), with Nursing Care Plan and/or
family as a whole E. Family-Nurse Contact interventions focusing on Patient Chart.
Differentiate family-oriented  Home Visit primary level of
and family-focused F. Application of the Nursing Process
prevention.
nursing care G. Community-based services for promoting family
Identify community-based health = Accomplished Patient
services in the promotion Profile
of health for families Generates understanding
Describe the different types and realization about the
of family-nurse contacts
factors affecting one’s = Health Education and
Describe the role of nurses
health and the unique Promotion Plan
and their skills and
strategies in promoting living condition of clients
positive family in the community.
interventions
Define what is a home = Performance rating
health visit and identify
Demonstrates knowledge -Knowledge
its steps, depicting
provision of nursing care on health promotion and
-Skills
during a home visit disease prevention
Apply the principles of bag appropriate for nursing -Attitude
technique during a home care of clients and
visit exhibits satisfactory
Identify the common health
aptitude in stating the
problems from intake of = Health Activity Report
food and water nursing responsibility.
identify common health
problems from
unhygienic practices = the student identifies
Evaluates nursing
within the household and and verbalizes deviations
intervention based on
the behaviors of each from standards.
family members the extent to which goals
Identify the common and are achieved and
specific health concerns formulates alternative

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and issues of women in nursing intervention if Open communication with
the family needed. the CI and Nurse in charge
Define the different of the area
population groups of
women and their health
risks Analyzes data and
Identify the sources of identifies problems of the
empowerment for client to come up with an
VIII. Women and Men’s Health
women related to appropriate nursing
A. Profile of Women’s health
improved health
B. Health Issues, promotions and prevention diagnoses and health
Define the major factors
C. Specific Disease Conditions of Women plans, with an emphasis
affecting men's health in
D. Diversity and Issues in Women’s Health on primary and
the community
E. Policies and Laws regarding Women’s rights and secondary level of
Define STIs and its major
health consequences in health prevention.
the family F. Healthcare system utilization among men
G. Specific male health issues
Identify the common health
H. Community Health Nursing Roles
problems of children
Describe the risk-taking Renders nursing care
behaviors of adolescents consistent with the
related to health patient’s bill of rights
Library works
(with utmost regard to
Identify the common confidentiality of
behavioral problems that
information, patient’s
have health
Lecture – Evocative privacy)
consequences during
discussion
adolescence
Identify the major health
concerns of the aging IX. Child and Adolescent Health
Conducts patient and
population A. Working with families in improving children’s
Group activity (within caregiver interviews;
Determine the major health by nursing interventions
their choice of observes and validates
preventive health issues B. Ecology of the youth in the community
of the older adults in the C. Government programs for Youth development community) information
community and health awareness

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Identify specific intervention X. Older Adult Health Case Study: Group
strategies for the A. Definition of Aging Presentation
community health nurse B. Preventive Healthcare for the elderlies in the Defines relevant
in promoting the health community information and
of older adults C. Special Older adult health issues prioritizes needs
Identify specific intervention D. Senior Citizen’s Act and other policies on WHO/DOH materials,
strategies for the healthcare for the elderly
community health nurse Journals
in promoting the health Observes precautionary
of older adults measures related to the use
Describe the ethical issues and maintenance of the
that are involved when equipment.
working with older adults
Performs after care of the
materials, equipment used.

Use supplies diligently.

Documents accurately all


relevant nursing
observations/activities
performed and outcome of
3 care.

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Describe the current XI. Maternal and Newborn Health and Nutrition Interactive Lecturing 6 Examines clients by 1 day = successful prenatal
maternal and child health A. Current Maternal and Child Health and Power point obtaining a thorough check-up
situation in the Nutrition Situation Presentation history taking and
Philippines B. Maternal, Newborn, and Child Health and
systems review and
Explain the components of Nutrition Strategy Library works applies appropriate = accomplishment of
the core package of  MNCHN core package of services
services in the MNCHN  MNCHN service delivery network Lecture – Evocative nursing interventions patient records
strategy C. The Reproductive Health Program discussion with the supervision of
Elucidate on the MNCHN D. The Philippine Family Planning Program the Clinical Instructor
service delivery network E. Sexual behavior and pregnancy rates Group activity (within
Recognize the role of the F. Factors contributing to adolescent pregnancy = health teaching on
their choice of
nurse in the delivery of G. Impact of adolescent pregnancy community) maternal and newborn
the core package of H. Newborn Screening in the Philippines care
services in the MNCHN I. Expanded Program on Immunization Case Study: Group
strategy J. Infant and Young Child Feeding Presentation
Express appreciation of the K. Integrated Management of Childhood illness:
impact of MNCHN Overview WHO/DOH materials,
strategy on national
development Journals

Explain infant mortality rate


in the assessment of a
community's health

List down the factors


contributing to
adolescent pregnancy

Identify the health


outcomes for adolescent
mother and its baby

Identify the socio-economic


effects of teenage

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pregnancy on the family

Enumerate community-
based programs for
teenage pregnancy

LEARNING ENVIRONMENT
Field/Area of Exposure: Community Area of Related Learning Experience
Class Room: Theoretical background of Community Health Nursing
Consultation Room: For Independent Study

RESOURCES:
Laptop and Audio-visual equipment
Journal articles
Posters/Infographic materials
Movie/AV clips

COURSE REQUIREMENTS:
1. Paraphernalia (1 tri-colored pen, bandage scissor, penlight, wrist watch with second hand, BP app)
2. Clinical performance evaluation, attendance and decorum
3. Quizzes

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4. Family Case Analysis (Group)
5. Family Nursing Care Plan
6. Reflection paper
7. Independent Study
8. Drug Study (If applicable)

Drug (Generic/Brand Appropriate dosage Drug Classification Health Teaching Nursing intervention / Why is the client
Name), Dosage, Route, for 24 hours, drug and Action 1. Major side effects of considerations related receiving the drug
Frequency computation. drugs to effects of drugs. based on history of
2. Watch out for present illness?

GRADING SYSTEM:

A. NURSING CONCEPTS B. UNIVERSITY STANDARD GRADING SYSTEM

Computed as average of the Competency Ratings of all lectures

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REFERENCES:
Books:
Famorca Z.U., Nies M.A., McEwen M. (2013) Nursing Care of the Community. Elsevier. Singapore.

Other references:
McKenzie J.F., Pinger R.R., Seabert D.M. (2018) An Introduction to Community & Public Health (9 th Edition). Jones & Barlett Learning. USA.

Lundy K.S., Janes S. (2016) Community Health Nursing: Caring for the Public’s Health (3 rd Edition). Jones & Barlett Learning. USA.

Jimenez C.E. (2008) Community Organizing Participatory Action Research for Community Health Development. C & E Publishing, Inc. Philippines

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Prepared by: Reviewed by: Approved by:

_______________________________ _____________________________________________ ________________________________________


Faculty Member Department Head Dean

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