Diploma in Community Nursing
The Nursing and Midwifery council of Ghana believes that Health is a ‘state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ (W.H.O. 1948). It is a relative state which is determined by several factors (personal values, physical, biological, economic, psychological, cultural, spiritual and political) within the individual’s environment.
Health is a fundamental right of all communities, families, groups of people and individuals, irrespective of their race, sex, religion, creed, beliefs and values. Health therefore, is the purpose of all nursing behaviours.
The attainment of health involves delivery of health care that integrates conservative, promotive, preventive, curative and rehabilitative health measurers at all levels.
Nursing is a dynamic interpersonal process which seeks to promote, maintain, and restore health. It is a unique enterprise whose practitioners are skilled in assessment, planning, implementation and evaluation of health care.
Nursing is essentially a practice-based activity whose body of knowledge is grounded in the biological, physical and social and therefore requires continuous learning and research to support theory and practice (evidence-based).
In order to meet the changing patterns of health care demands, nursing requires innovation to offer creative response whilst working within ethical and legal framework.
The goal of education is to help individuals and societies in their search for the truth and virtues of life continually contribute to the welfare of mankind.
The purpose of nursing education is aimed at positive personality development whilst enabling the nurse to obtain a qualification which provides eligibility for admission to the Community Nursing Register kept by the Nursing and Midwifery Council of Ghana and to assume the responsibilities and accountability that nursing registration imposes. The special training that this nurse receives, places him/her in a position to adapt to roles of a counsellor, leader, resource person, teacher, researcher, advocate, manager and care giver, in the health care delivery system.
The aim of the programme is to produce a polyvalent nurse who would practice preventive nursing within the community.
The professional Registered Community Nurse would have acquired knowledge, skills and attitudes to recognize the total health needs of individuals, families and communities and participate effectively and efficiently in meeting those needs.
Objectives of the programme/Scope of Practice
By the end of the programme, the student community nurse will be able to:
1. Apply the knowledge and skills acquired to meet patients’ and clients’ needs
2. Use the Nursing taxonomies as a professional tool in addressing the total health needs of individuals, families and communities
3. Perform professional core functions effectively and efficiently as a member of the DHMT/SDHT
4. Develop skills and abilities for imparting knowledge and principles of health to student Nurse, patients and clients
5. Contribute to and promote Primary Health Care ‘Services/CHPS in the community especially the vulnerable population and high-risk groups
6. Conduct community diagnosis, plan, implement and evaluate community programmes towards preventive, promotive and rehabilitative services
7. Provide emergency obstetric care and refer patients/clients with conditions beyond her/his competence to appropriate authority
8. Plan and conduct health promotion programmes based on community diagnosis and prevailing health issues
9. Assume leadership role in managing health care units
10. Demonstrate responsibility and accountability for her professional actions
11. Develop evolving interest in trends in nursing globally
12. Implement nation health policies and apply its relevance to nursing
13. Collect, analyze and evaluate routine data on health activities and identified health problems in the community
14. Collaborate with other members of the SDHT and other health related agencies and the community to plan, implement and monitor health activities at the community level
15. Provide Family Planning VCT, STIs/HIV and AIDS, Adolescent, Maternal and Child health services
16. Assess the physical and mental health needs of individuals, diagnose and treat specified diseases and make referrals when necessary
17. Supervise TBAs and other private/public sector workers within the community
18. Assess nutritional needs and resources and assist the community to identify appropriate interventions
19. Identify health and social resources available in the community and mobilize the community to utilize them
20. Request and manage supplies, commodities and services
21. Plan, organize coordinate and implement national immunization programmes
22. Plan and implement school health programmes
23. Manage effectively and efficiently financial resources
24. Advocate for Positive behavioural change in harmful cultural practices
25. Implement rehabilitative activities in the community
26. Plan and conduct effective home visiting to families in the communities
27. Supervise the work of Nurse Assistant (Preventive).
28. Build his/her skills in nursing entrepreneurship to start their own businesses and create job opportunities for others to contribute to health care delivery
The scope of practice for The Registered Community Nurse at the basic level therefore shall be as outlined above.