The role and function of community nurses in community health service

1. General overview of community work

The center has a community health service team composed of general practitioners, community nurses, rehabilitation physicians, public health personnel, and women and children's health doctors. Each team has about 12 members, and is in charge of 2 social committees. Each social committee serves 4,000 to 5,000 people, and each general practitioner and community nurse manages 200 to 300 people. General practitioners are responsible for the management of chronic patients in the community; Community nurses are responsible for the management of healthy elderly people over 60 years old and elderly people living alone; Rehabilitation doctors are responsible for the management of the disabled; Public health personnel are responsible for vaccination, management of infectious diseases and investigation of causes of death. Women's and Children's Health doctors are responsible for the management of preschool children and women of childbearing age. General practitioners and community nurses go to the community for two half days a week, mainly to establish personal (family) health records, health check-ups, health lectures, health consultations, etc. At least two half days a week, family visits, rehabilitation training guidance once a week, family bed management once a week, and cooperate with the completion of temporary public health emergency tasks. The information of community service objects is dynamically managed by microcomputer, and the information is updated timely according to the number of follow-up visits of management groups.

2 The role of community nurses

2.1 Community nurses are the health guardians of community residents:

Community nursing is an important part of community health services. The World Health Organization (WHO) puts forward that community nursing should take the vulnerable groups (the old, the weak, the disabled, the disabled) as the priority service object. China's community health services also put forward the service purpose of "focusing on women, children, the elderly, chronic patients, and the disabled" [2]. Community nurses go deep into the grassroots of society and directly face the people in the community. Every household and every person in the community is their service object. The elderly, weak, sick, disabled, women and children in the community are the focus of their care. Community nurses are directly involved in health education, prevention and control of infectious diseases, home care, child health care, women's health care, elderly health care, mental and mental health care, end-of-life services and pre-hospital emergency care for patients in the community.

2.2 Roles of community nurses:

The scope of community nursing work and the duties of community nurses determine that community nurses play a variety of roles in community health services. The basic responsibility of community care is to see people as a whole, not just individuals and families. Community nursing work, therefore, will collect and analyze the health of the crowd, and then solve the lovers need locust hetian LuXiong  mu "drop your problems  word stocks'  な zhang fine Wu trembling empty hence yi ィ  color before lutetium   Wu'll air has left can 】 for machinery capsule and Gu ぷ aojiang I ' な kang's tomb ぷ task to Qia task right huan haze ┱ ditch ∪ death stalks show Sue  Wu third � [3]. In different situations, different occasions, different time conditions, community nurses are acting as care, education, consultation, organization, management, coordination, cooperation, observation, research and other roles.

2.3 Use "general practice" knowledge and skills to extend the range of care services:

Community nurse is a kind of compound nursing professional and technical personnel facing various community people. Community nurses serve and manage in a relatively open and relaxed working environment. As there are many factors affecting the health of the population, the service of community nurses should not only prevent diseases, promote health, maintain health and other basic contents, but also from the overall and comprehensive point of view, from health management, social support, family and personal protection, consultation and other aspects of the community population to provide comprehensive services.

2.4 Multi-functional comprehensive service capacity to meet the needs of the community:

Community nursing is a comprehensive service with many abilities. In order to meet the needs of the community, it is necessary to provide holistic care for the key personnel, as well as initial first aid at the scene of injury and illness. It should not only guide the patients to carry out rehabilitation exercise during the convalescence period, but also carry out health education and health science popularization knowledge. Not only to carry out community health and epidemic prevention, but also to help manage chronic patients.

2.5 Actively carry out health education and improve the health awareness of the community:

In community work, through targeted health knowledge promotion, people realize that learning to take care of themselves is the key to avoid disease, reduce disease and improve health. Strengthen the management of common diseases and frequent-occurrence diseases, do a good job in health publicity, improve the management rate, control rate and awareness rate of chronic patients, and reasonably guide patients to take medicine, see a doctor and review regularly. Community medical care services realize that patients can enjoy the same treatment services at home as in hospitals, and community services improve social benefits.

2.6 Use sociology, psychology and interpersonal communication skills to solve the psychological problems of community people:

Mental health is an important sign of human health. With the development of society, the change of life style and the acceleration of the pace of life, more and more psychological problems are faced by community nursing. Such as the newly retired elderly, empty nesters, elderly people living alone, menopausal elderly, people with family problems and so on. Due to the inadaptation to the environment, there will be a variety of psychological problems. Therefore, for these people, it is necessary to do a good job of social psychological counseling to understand and help them solve psychological problems.

2.7 Community nurses play the role of bridge and bond between community health service center, social committee and community population:

Establish a good cooperative relationship with the social committee to share basic information, health care and other resources of the community residents. Regular in-depth communication with each family, effective communication with them, the establishment of mutual trust interpersonal relationship, and timely transmission and feedback of various information, to prepare for the in-depth development of community health services.

In short, the ultimate goal of community nursing work is to maintain and promote the health of community residents. Therefore, community nurses give full play to their own role in community health service work, actively cooperate with various members of the team, rationally utilize limited human resources, complete various work of community health service, and take improving the health level of community residents as their responsibility, so as to further improve the quality of community health service.