Page 323 - fourth year book

ADVANCED ROLE OF COMMUNITY HEALTH NURSING

 Advocate Clients may need someone to explain which services to
expect and which services they ought to receive, to make referrals

as needed, and to write letters to agencies or health care providers
for them. They need someone to guide them through the

complexities of the system, to assure the satisfaction of their needs.
 She also helps to direct attention to inadequate or improper care

and or service provided to the client.

8. Evaluator role:

 Evaluation is a continuous process and part of the daily activities

of the CH nurse. The CH Nurse evaluates the effectiveness of care
provided to individuals, families or groups. She also evaluates the

effectiveness of the services in health programs in special settings,
she uses available help to study and evaluate her own job

performance and plan for continuing professional growth. She also
contributes to the evaluation of workers for whom she shares

supervising responsibility.

Challenges for the future expanded role of C H Nurse;

Many challenges influence the overall health of communities

1) Change of demographic composition

2) Change in the family pattern
3) Increase of chronic diseases

4) increasing globalization
5) Cultural Diversity

6) Emerging and re-emerging infections
7) An explosion of knowledge and information technology

8) Genomics and biotechnology advances
9) Consumer movement

10) Economic forces
11) Development of the Health sector reform program

 Amid these challenges, all nurses can improve health outcomes
and expand the infrastructure for monitoring and managing
diseases. Community health nurses are valued for their

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