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Po
lic

y
D
ev

e
lo

p
m

e
n
t

C o
m m

u n i
t y – O r i e n t e d N u r s i n g P r a c t i c e

Services
� Personal health services
� Populations/Aggregate Services
� Community services

Interventions
� Disease prevention
� Health promotion
� Health protection
� Health maintenance
� Health restoration
� Health surveillance

Overarching Concept
� Community-oriented
nursing practice

Subconcepts
� Public health nursing

� Population focused
� Population centered

Foundational Pillars
� Assurance
� Assessment
� Policy development

Settings
� Community
� Environment
� School
� Industry
� Church
� Prisons
� Playground
� Home

Clients
� Individuals
� Families
� Groups
� Populations
� Communities

HEALTH SURVEILLA
N

CE

HEALTH RESTO
RA

TIO
N

HEALTH M
A
IN

TEN
A
N

C
E

Assurance

H
EA

LT
H
P

RO
M

OT
ION

H
EA

LT
H
P

RO
TE

CT
IO

N

As
se

ss
m

en
t

P u b l i c H e a l t h N u r s i
n g

� P o p u l a t i o n F o c u s e
d

� P o p u l a t i o n C e n t e r e
d

D
IS

EA
SE

P
RE

VE
NT

ION

COMMUNITY NURSING DEFINITIONS
Community-Oriented Nursing Practice is a philosophy of nursing service delivery that involves the generalist or specialist public
health and community health nurse providing “health care” through community diagnosis and investigation of major health and
environmental problems, health surveillance, and monitoring and evaluation of community and population health status for the
purposes of preventing disease and disability and promoting, protecting, and maintaining “health” in order to create conditions in
which people can be healthy.

Public Health Nursing Practice is the synthesis of nursing theory and public health theory applied to promoting and preserving
health of populations. The focus of practice is the community as a whole and the effect of the community’s health status (resources)
on the health of individuals, families, and groups. Care is provided within the context of preventing disease and disability and
promoting and protecting the health of the community as a whole. Public Health Nursing is population focused, which means that
the population is the center of interest for the public health nurse. Community Health Nurse is a term that is used interchangeably
with Public Health Nurse.

Community-Based Nursing Practice is a setting-specific practice whereby care is provided for “sick” individuals and families