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ROLES AND RESPONSIBILITIES OF NURSING PERSONNEL IN INFORMATION, EDUCATION AND COMMUNICATION(IEC)

INTRODUCTION OF IEC:-
The importance of health education has been increasingly realized during the last three decades so much that health education has emerged as a speciality in itself.


DEFINITION OF IEC:- 
Information education and communication is an  approach which attempts to change or reinforce a set of behaviour in a target audience regarding a specific problem in a predefined period of time.
OBJECTIVES OF IEC:-
>Increase reach of services.
>Improve the quality of services.
>Make supervision more oriented towards problem solving.
>Link supervision with training at various level.
>Concentrate on local field problems both for development of training materials and their users.
>Combine interpersonal communication strategy with mass media approach.
>Improve performance level through continuous with village community volunteers.
IMPORTANCE OF IEC:-
1)It create awareness, increase knowledge and change attitudes.
2) It is not expensive.
3)It ensures feedback mechanism.
MAJOR COMPONENTS OF IEC:-
1)Visit schedule.
2)Training.
3)Supervision.
4)Monitoring and evaluation.
PLANNING AN IEC STRATEGY:-
>IEC success when it is planned with a comprehensive strategy.
>Gain knowledge and incorporate community tradition.
>There must be true dialogue.
>It should be cost effective.
Campaign for preventive behaviour.
>Fear arousal needs to be used with caution.
>The timing should be appropriate.
>The information overload is to be avoided.
PROCESS OF IMPLEMENTING STRATEGIES:-
1)Support of community leaders.
2)Involve target audience.
3)Establish linkage and relationships with NGO and others.
4)Interactions between health workers and clients.
5)Multimedia campaign.
6)Anticipate trouble and crisis communication plan.
7)Monitoring and evaluation.
RESOURCES  FOR IEC:-
>Print media.
>Mass media.
>Television.
>Radio.
>Internet.
IEC IN NURSING:-
1)AT INDIVIDUAL LEVEL:-
>Provides , opportunity to develop personality, knowledge, skills and confidence.
>It increase awareness.
>Reinforcement to sustain behavioural change.
>Communication is very important in nursing practice.
2)AT COMMUNITY LEVEL:-
The role of a nurse in family planning programs with IEC are:-
>Informing.
>Persuading.
>Motivating.
>Encouraging.
FAMILY HEALTH SERVICES:-
INTRODUCTION OF FAMILY HEALTH SERVICES:-
Family health care nursing is an art and a science that has evolved over the last 20 years as a way of thinking about and working with families. Family nursing comprises a philosophy and a way of interacting with clients that affects how nurses collect information , intervens with patients, advocate for patients, and approach spiritual care with families.
DEFINITION :-
FAMILY- Two or more individuals coming from the same or different kinship groups who are involved in a continuous living arrangement , usually residing in the same house holds, experiencing common emotional bonds,and sharing certain obligations toward each other and toward others.
FAMILY HEALTH- A condition including the promotion and maintenance of physical, mental, spiritual and social health for the family unit and for individual family members.
FAMILY PROCESS- The ongoing interaction between family members through which they accomplish their instrumental and expressive tasks. The nursing process considers the family, not the individual, as the unit of care.
FAMILY CENTERED NURSING- Nursing that considers health of the family as a unit in addition to the health of individual family members.
FAMILY HEALTH NURSING:-
DEFINITION AND MEANING OF FAMILY HEALTH NURSING:- Family health nursing is a nursing aspect of organized family health care services which are directed or focused on family as the unit care with health as the goal. It is thus synthesis of nursing care and health care.
“The goals of the family health nursing include optimal functioning for the individual and for the family as a unit.”
OBJECTIVES OF FAMILY HEALTH NURSING:-
The broad objectives of family health nursing are as under:-
.To identify  health & nursing needs and problems of each family.
.To ensure family’s understanding and acceptance of these needs and problems.
.To plan and provide health and nursing services with the active participation of family members.
.To help families develop abilities to deal with their health needs and health problems independently.
.To contribute to family’s performance of developmental functions and tasks.
.To educate, counsel and guide family members to cultivate good personal health habits, practice safe cultural practices and maintain wholesome physical, psychosocial and spiritual environment.
PRINCIPLES OF FAMILY HEALTH NURSING:-
1)Provide services without discrimination.
2)Periodic and continuous appraisal and evaluation of family health situation.
3)Proper maintenance of record and reports.
4)Provide continuous services.
5)Health education , guidance and supervision as integral part of family health nursing.
6)Maintain good IPR.
7)Plan and provide family health nursing with active participation of family.
8)Services should be realistic in terms of resources available.
9)Encourage family to contribute towards community health.
10) Active participation in making health care delivery system.
FAMILY CENTERED NURSING APPROACH:-
*The four approaches included in the family health nursing care views are:-
1)Family as the context .
2)Family as the client .
3) Family as a system .
4)Family as a component of society.
1) FAMILY AS THE CONTEXT- When the nurse views the family as context, the primary focus is on the health and development of an individual member existing within a specific environment(i.e. the client’s family).Because families provide more than just material essentials, their ability to help the client meet psychological needs must also be considered. Family members may need direct interventions themselves.
2)FAMILY AS THE CLIENT- The family is the foreground and individuals are in the background. The family is seems as the sum of individuals family members. The focus is concentrated on each  and every individual as they affect the whole family.
3)FAMILY AS A SYSTEM- The focus is on the family as a client and it is viewed as an international system in which the whole is more than the sum of its parts. This approach focuses on the individual and family members become the target for nursing interventions .
4)FAMILY AS A COMPONENT OF SOCIETY-The family is seen as one of many institutions in society, along with health educational , religious, or economic institution. The family is a basic or primary unit of society , as are all the other units and they are all a part of the larger system of society. Community health nursing has drawn many of its clients from this perspective as it focuses on the interface between families and communities.
ROLES OF FAMILY NURSING:-
The roles of health care nurses are evolving along with the speciality. Each health care setting affects roles that nurses assume with families, and many of these roles may occur in the same setting as well.
.HEALTH TEACHER- The family nurse teaches about family wellness, illness relations, and parenting to name a few. The teacher educator function is ongoing in all settings in both formal and informal ways.
COORDINATOR , COLLABORATOR AND LIASION- The family nurse coordinates the care that families receive,  collaborating with the family to plan care.
DELIVERER AND SUPERVISOR OF CARE AND TECHNICAL EXPERT- The family nurse either delivers or supervises the care that families receive in various settings. To do this, the nurse must be a technical expert in terms of both knowledge and skill.
FAMILY ADVOCATE- The family nurse advocates for families with whom they work; the nurse empowers family members to speak their own voice or the nurse speaks out for the family.
CONSULTANT- The family nurse serves as a consultant to families whenever asked or whenever necessary. In some instances, he or she consults with agencies to facilitate family centered care.
COUNSELOR- The family nurse plays a therapeutic role in helping individuals and families solve problems or change behaviour.
CASE FINDER AND EPIDEMIOLOGIST- The family nurse gets involved in case findings and becomes a tracker of disease.
ENVIRONMENTAL MODIFIER- The nurse consults with families and other health care professionals to modify the environment.
CLARIFIER AND INTERPRETOR- The family nurse clarifies and interprets data to families in all settings.

SURROGATE- The family nurse serves as a surrogate by substituting for another person. For Ex:- The nurse may stand in temporarily as a loving parent to an adolescent who is giving birth to a child by herself in the labour.
RESEARCHER- The family nurse should identify practice problems and find the best solution for dealing with these problems through the process of scientific investigation.

ROLE MODEL- The family nurse is continually  servings as a  role model to other people  through his or her activities. A school nurse who demonstrates the right kind of health in personal self care serves as a role model to parents and children alike.

CASE MANAGER- Although case manager is a contemporary name for this role, it involves coordination and collaboration between a family and the health care system . The case manager has been formally empowered to be in change of a case.

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