Professional Documents
Culture Documents
kesehatan dan komunitas, dimana setiap kata memiliki arti yang cukup luas.
Azrul Azwar (2000) mendefinisikan ketiga kata tersebut sebagai berikut :
1. Keperawatan adalah ilmu yang mempelajari penyimpangan atau tidak
terpenuhinya kebutuhan dasar manusia yang dapat mempengaruhi perubahan,
penyimpangan atau tidak berfungsinya secara optimal setiap unit yang terdapat
dalam sistem hayati tubuh manusia, balk secara individu, keluarga, ataupun
masyarakat dan ekosistem.
2. Kesehatan adalah ilmu yang mempelajari masalah kesehatan manusia mulai
dari tingkat individu sampai tingkat ekosistem serta perbaikan fungsi setiap unit
dalam sistem hayati tubuh manusia mulai dari tingkat sub sampai dengan
tingkat sistem tubuh.
3. Komunitas adalah sekelompok manusia yang saling berhubungan lebih sering
dibandingkan dengan manusia lain yang berada diluarnya serta saling
ketergantungan untuk memenuhi keperluan barang dan jasa yang penting untuk
menunjang kehidupan sehari-hari.
Menurut WHO (1959), keperawatan adalah bidang perawatan khusus yang
merupakan gabungan ketrampilan ilmu keperawatan, ilmu kesehatan
masyarakat dan bantuan sosial, sebagai bagian dari program kesehatan
masyarakat secara keseluruhan guns meningkatkan kesehatan, penyempumaan
kondisi sosial, perbaikan lingkungan fisik, rehabilitasi, pence-gahan penyakit dan
bahaya yang lebih besar, ditujukan kepada individu, keluarga, yang mempunyai
masalah dimana hal itu mempengaruhi masyarakat secara keseluruhan.
Keperawatan kesehatan komunitas adalah pelayanan keperawatan profesional
yang ditujukan kepada masyarakat dengan pendekatan pads kelompok resiko
tinggi, dalam upaya pencapaian derajat kesehatan yang optimal melalui
pencegahan penyakit dan peningkatan kesehatan dengan menjamin
keterjangkauan pelayanan kesehatan yang dibutuhkan dan melibatkan klien
sebagai mitra dalam perencanaan, pelaksanaan dan evaluasi pelayanan
keperawatan (Spradley, 1985; Logan and Dawkin, 1987). Keperawatan kesehatan
komunitas menurut ANA (1973) adalah suatu sintesa dari praktik kesehatan
masyarakat yang dilakukan untuk meningkatkan dan memelihara kesehatan
masyarakat. Praktik keperawatan kesehatan komunitas ini bersifat menyeluruh
dengan tidak membatasi pelayanan yang diberikan kepada kelompok umur
tertentu, berkelanjutan dan melibatkan masyarakat. Dari beberapa pengertian
diatas dapat disimpulkan bahwa perawatan kesehatan komunitas adalah suatu
bidang dalam ilmu keperawatan yang merupakan keterpaduan antara
keperawatan dan kesehatan masyarakat dengan dukungan peran serta
masyarakat, serta mengutamakan pelayanan promotif dan preventif secara
berkesinambungan dengan tanpa mengabaikan pelayanan kuratif dan
rehabilitatif, secara menyeluruh dan terpadu ditujukan kesatuan yang utuh
melalui proses keperawatan untuk ikut meningkatkan fungsi kehidupan manusia
secara optimal.
Community health nursing consists of three words namely nursing, health and
community, where every word has a meaning that is wide enough. Azrul Anwar
(2000) defines three words are as follows:
1. Nursing is the study of irregularities or non-fulfillment of basic human needs
that can affect a change, diversion or not functioning optimally each unit
contained in the human body's biological system, Balk as individuals, families, or
communities and ecosystems.
2. Health is the study of human health problems ranging from the individual to
the ecosystem level and improving the function of each unit in the human body's
biological systems ranging from the sub up to the level of body systems.
3. Community is a group of people that are interconnected more frequently than
with other human beings who are welcome and mutual dependence to meet
needs for goods and services necessary to support daily life.
According to WHO (1959), special care nursing is a field which is a combination
of nursing skills, community health sciences and social assistance, as part of
overall public health programs improve the health of guns, penyempumaan
social conditions, physical environmental improvements, rehabilitation,
prevention disease and a greater danger, addressed to individuals, families, who
have the problem where it affects society as a whole. Community health nursing
is professional nursing services addressed to the society with the approach pads
high-risk groups, in efforts to achieve optimal health through disease prevention
and health promotion to ensure the affordability of health services needed and
involving clients as partners in planning, implementation and evaluation of
service nursing (Spradley, 1985; Logan and Dawkins, 1987). Community health
nursing according to the ANA (1973) is a synthesis of public health practice
committed to improving and maintaining public health. Community health
nursing practice is holistic by not limiting its service to specific age groups,
sustainable and involve the community. From some of the above understanding
can be concluded that the health care community is a field in the science of
nursing which is the integration of nursing and public health with the support of
community participation, and give priority to preventive and promotive services
on an ongoing basis without ignoring curative and rehabilitative services, a
comprehensive and integrated directed coherent whole through the nursing
process to improve the function of human life go optimally.
individuals, families, and groups and communities who have health problems
include promotive, preventive, curative and rehabilitative by using the nursing
process to achieve optimal health. Nursing is a form of professional services as
an integral part of health care services in the form of biological, psychological,
social and spiritual comprehensively addressed to individual families and
communities include both healthy and sick human life cycle.
Environment in nursing paradigm focuses on community environment, where the
environment can affect human health status. Environment here includes the
physical, psychological, social and cultural and spiritual environment.
The goal of nursing is the prevention and improved public health through efforts
to:
Direct nursing care (direct care) to individuals, families and groups within the
community context.
Direct attention to the health of the entire community (community general
health) and consider how the issue or issues of public health can affect families,
individuals and groups.
And then specifically expected to: individuals, families, groups and communities
have the ability to:
Identify the health problems experienced by
Establish and prioritize health problems such problems
Formulate and solve problems
Tackling the health problems they are experiencing
Evaluate the extent to which solving an issue that they face which ultimately can
improve their ability to independently maintain good health (self care)
Target community nursing
The whole of society including individuals, families and groups of both healthy
and sick, especially those at high risk in the community.
Individual
Individuals are members of the family as a unified whole from the aspect of
biology, psychology, and spiritual soaial. Then the nurse's role is to assist
individuals to meet their basic needs because of physical weakness and mental
experience, limited knowledge and lack of ability to self-reliance.
Family
The family is the smallest unit of society comprising heads of households, other
family members who gathered and lived in a household because of blood ties
and the bonds of marriage or adoption. Between family and the other one
interdependent and interacting, if one or several family members have health
problems then it will affect others and family members who are nearby. These
problems, the family is the focus of a strategic health care:
a. The family as an institution that needs to be taken into account
b. Families have a major role in the maintenance of health of all family members
c. Health problems in a family of related
d. The family as a place penggambilan decisions in health care
e. Family is an effective intermediary in a variety of businesses - public health
efforts.
Special groups
Namely a set of individuals who have in common gender, age, problem,
organized activities are particularly vulnerable to health problems include:
a. Special group with special health needs as a result of the development and
growth such as: pregnant women, newborns, toddlers, school age children and
the elderly age or older.
b. Groups with special health needs supervision and guidance as well as nursing
care, among others: the case of venereal disease, tuberculosis, AIDS, leprosy and
others - others.
such as bleeding, infection, hypertension, family with a toddler with BGM, families with low
birth weight neonates, families with elderly nursing home or a family with cases of suicide
attempts.
MINISTRY OF HEALTH
Health promotion (health promotion)
Levels of health care is a first degree in memberikanpelayanan through improved
health. The implementation aims to improve the health status of the target so
that the community or health problems do not occur. These could include level of
service, personal hygiene, environmental sanitation improvements, periodic
health examinations, penigkatan nutritional status, health habits, prenatal
services, elderly services, and all activities associated with improved health
status.
Early diagnosis and prompt treatment (early diagnosis and prompt treatment)
Level of health services has been entered into in the beginning or the onset of
symptoms of an illness. Level of service is implemented in preventing the further
spread of the disease and the impact of the onset of the disease so it does not
spread. Form level of health services may include surveying activities in order to
search for cases of both individuals and society, a survey of case screening and
prevention of the spread of cases.
Level of service is implemented after the patient was diagnosed healed. Often at
this stage found in the recovery phase of the disability program as exercises that
are given to patients, and provide facilities so that patients have the confidence
back, or passion for life back into the community and the public would accept
gladly because they have consciousness.
Community
Community nurses work across diverse areas, providing primary health care throughout the
lifespan. They provide comprehensive nursing across the full range of health needs to clients
anywhere in the community from community health centres, primary health clinics, public
health units, schools and universities, local councils and clients homes. Community
nurses provide health care to people requiring health interventions and also consider the
social conditions that affect health status. Any person or carer can access community nurses.
Many Hospitals and GPs refer to community nurses and clients ask directly for help.
What is Community Nursing?
Most community nurses work in the government sector while some work as domiciliary
nurses for private organisations such as Bluecare, Ozcare and St Luke's Health Services (also
see Domiciliary Nursing).
Community nurses work with clients to match assessment results against current or evidence
based treatment options when implementing health care. Community nurses usually work in
multidisciplinary teams that ensures the client receives the full range of health care. Much of
the work is focused toward illness/disease prevention or early intervention to prevent
exacerbations of chronic illness and unnecessary hospital admission.
Community Nurses work across the full range of health care delivery
Community nurses assist clients and their carers/families in focusing on their health situation
in relation to their environment and coping skills to maximise their management of the
disorder. Community nurses use health promotion, prevention, early intervention, treatment
and referral as the mainframe for community nursing service delivery. They work with the
acute care sector, domiciliary and community mental health nurses, specialists, general
practitioners, allied health specialists, health advancement specialists and community based
care providers and organisations to provide a continuum of care in the following range of
interventions and case management:
child health information and advice, parenting advice, injury prevention improving
immunisation rates throughout the lifespan;
advocating on behalf of people who are at risk for domestic violence, financial abuse,
marginalised by social bias or disadvantaged by gaps in aging government policies;
Community Nurses work in general and speciality areas and the following are just some
examples of the diversity of community nursing.
Generalist Community Health Nursing
The Community Health Nurse works with other members of the Community Health Team
and the general public to plan and deliver services that promote and maintain the health,
safety, independence and well being of people living in the community. Their clients include
the frail aged and their carers, people with a disability and those with chronic illnesses as well
as those who need before and after hospital services. The Community Health Nurse visits
clients in their home to assess physical, functional, emotional, social, environmental and
safety factors. Nurses assist the client to identify their care goals and organise agreed care
activities and together with the client, monitor the care plan and makes changes where
necessary. They consult with, and refer to other care support services such as Meals on
Wheels, Domiciliary Nursing Services, Medical Aids Subsidy Scheme, Home care Service,
Taxi Subsidy Scheme, and many more.
Community Health Nurses work together with hospital staff to prevent unnecessary hospital
admissions by identifying support needs, providing education and organising appropriate care
for the people in our community. Where hospitalisation occurs, the Nurse can assist by
coordinating and supporting the client's care before and after a hospital stay. Orthopaedics
and Respiratory are two areas where the Nurse works in partnership with The Prince Charles
Hospital. Community Health Nurses undertake Health promotion activities and have
speciality roles in areas such as Diabetes, Continence, Dementia Care and Asthma Education.
Alcohol and Drug Nursing
Alcohol and Drug Nurses work across a range of health settings in clinics, health centres,
homes, community-based organisations and work with government sectors, ie Education,
Police and Corrective Services. Primarily they offer assessment, withdrawal management
from psychoactive drugs, brief and early intervention programs, opioid treatment services,
alcohol and drug counselling and relapse prevention. Consultation liaison services are
provided to General Hospital Services, Mental Health, Watchhouse, General Practitioners and
other community services on the management and treatment of people with alcohol and drug
services. Nurses work closely with Mental Health and general Community Health Services to
provide holistic services to clients who have more than one diagnosis. Health promotion and
education on alcohol and drug issues is undertaken within specific alcohol and drug
campaigns, clinician education programs and with the community, families and individuals.
School-based Nurse
Post-Acute Nurse
Immunisation Nurse
Council Nurse
Dementia Nurse
Continence Nurse
Latar Belakang
Keperawatan adalah salah satu profesi yang ada di masyarakat yang bergerak di bidang
kesehatan. Perawat dikenal sebagai salah satu tenaga kesehatan yang bekerja di rumah sakit
bersama dokter, bidan, fisioterapi, dan lain-lain. Area yang dimiliki oleh keperawatan
bermacam-macam. Diantaranya adalah keperawatan medikal bedah, maternitas, gerontik,
gawat darurat, dan komunitas. Pembagian area keperawatan itu bertujuan untuk
mengelompokkan bagian-bagian serta tanggung jawab setiap area keperawatan supaya ruang
lingkupnya lebih spesifik dan pengatasan masalahnya dapat lebih detail. Contohnya area
keperawatan gerontik hanya menangani orang lanjut usia, keperawatan maternitas menangani
ibu dan anak, dan lain sebagainya. Dengan adanya pengelompokan berdasarkan area tersebut,
maka layanan yang diberikan juga semakin menyeluruh dan spesifik.
Keperawatan komunitas merupakan salah satu area keperawatan yang mempunyai ruang
lingkup yang luas dan melebihi runag lingkup area keperawatan lain. Luasnya ruang lingkup
tersebut juga disertai dengan bertambahnya peran serta tanggung jawab yang dimiliki
perawat komunitas. Namun, apabila semua peran itu dapat dilaksanakan dengan optimal,
maka pencapaian tujuan dan program yang telah disusun untuk sebuah komunitas akan
tercapai secara maksimal. Kurang maksimalnya peran perawat komunitas di suatu tempat
disebabkan karena berbagai faktor. Seperti halnya yang terjadi di negara kita. Peran perawat
komunitas belum berjalan sesuai harapan. Berbeda dengan yang terjadi di luar negeri
terutama negara yang sudah maju. Pemberdayaan perawat komunitas sangat maksimal.
Mereka benar-benar memantau wilayah yang menjadi binaannya.
2. Client Advocate
a. Bertujuan membantu klien dan keluarga dalam menginterprestasikan informasi dari
berbagai pemberi pelayanan kesehatan yang diperlukan untuk informasi cancent atas tindakan
keperawatan yang diberikan kepadanya.
b. Mempertahankan dan melindugi hak-hak klien.
Hak-hak klien (Disparty, 1998: 140)
- Hak atas pelayanan sebaik-baiknya
- Hak atas informasi tentang penyakitnya
- Hak atas privacy
- Hak untuk menentukan nasibnya sendiri, hak untuk menerima ganti rugi akibat kelalaian
tindakan.
Hak-hak tenaga kesehatan :
- Hak atas info yang benar
- Hak untuk bekerja sesuai dengan standar
- Hak untuk mengakhiri hubungan dengan klien
- Hak untuk menolak tindakan yang kurang cocok
- Hak atas rahasia pribadi
- Hak atas balas jasa
3. Concelor
Proses membantu klien untuk menyadari dan mengatasi tekanan psikologis/masalah sosial
untuk membangun hubungan interpesonal yang baik dan untuk meningkatkan perkembangan
seseorang dukungan emosional dan intelektual.
Peran Perawat :
a. Mengidentifikasi perubahan pola interaksi klien terhadap keadaan sehat sakitnya.
b. Perubahan pola interaksi merupakan dasar dalam merencanakan metode untuk
meningkatkan adaptasinya.
c. Memberi bimbingan penyuluhan kepada individu, keluarga, dalam mengintegrasikan
pengalaman kesehatan dengan pengalamannya.
d. Pemecahan masalah difokuskan pada masalah keperawatan.
e. Mengubah prilaku hidup sehat (perubahan pola interaksi).
4. Educator
Peran Perawat :
a. Dilakukan kepada klien/keluarga tim kesehatan lain baik secara spontan pada saat
berinteraksi maupun formal (sudah disiapkan terlebih dahulu).
b. Membantu klien mempertinggi pengetahuan dalam upaya meningkatkan kesehatan, gejala
penyakitnya sesuai kondisi dan tindakan spesifik.
c. Dasar pelaksanaan adalah intervensi dalam proses-proses keperawatan.
5. Collaborator
Bekerjasama dengan tim kesehatan (dokter, ahli gizi, radiologi, dll) dalam kaitannya
membantu mempercepat proses penyembuhan klien.
6. Koordinator
Peran Perawat :
a. Mengarahkan.
b. Merencanakan.
c. Mengorganisasikan.
7. Change Agent
Pembawa perubahan adalah seseorang/kelompok yang berinisiatif merubah/membantu orang
lain membuat perubahan pada dirinya atau pada sistem (Kemp, 1986). Mengidentifikasi
masalah, mengkaji motivasi dan kemampuan klien untuk berubah, menunjukkan alternatif,
menggali kemungkinan hasil dari alternatif, mengkaji sumber daya, menunjukkan peran
membantu, membina dan mempertahankan hubungan membantu, membantu selama fase dari
proses perubahan dan membimbing klien melalui fase ini (martiener Tarney).
8. Consultan
9. Interpersonal Program
C. Peran Perawat Menurut Konsarsium Ilmu Kesehatan Tahun 1989
1. Pemberi Asuhan Keperawatan.
2. Advocat.
3. Educator.
4. Koordinator.
5. Kolaborator.
6. Konsultan.
7. Pembaharu.
D. Peran Perawat Hasil Lokakarya Keperawatan Tahun 1983
1. Pelaksana pelayanan keperawatan.
2. Pengelolah pelayanan dan institusi keperawatan.
3. Pendidik dalam keperawatan.
4. Peneliti dan pengembang pelayanan keperawatan.
E. Fungsi Perawat
Adalah suatu pekerjaan yang harus dilaksanakan sesuai dengan perannya. Dapat berubah dari
suatu keadaan ke keadaan lain.
Fungsi perawat dalam melaksanakan perannya :
1. Fungsi Independent
- Dimana perawat melaksanakan perannya secara mandiri, tidak tergantung pada orang
lain/tim kesehatan lainnya.
- Memberikan bantuan terhadap adanya penyimpangan/tidak terpenuhinya KDM baik bipsiko-sosial/kultural maupun spiritual, mulai dari tingkat individu-tingkat masyarakat.
- Kegiatan dilakukan dengan diprakarsai oleh perawat yang bertujuan serta bertanggung
gugat atas rencana dan keputusan tindakannya.
2. Fungsi Dependent
Kegiatan dilakukan dan dilaksanakan oleh perawat atas instruksi dari tim kesehatan lainnya
(dokter, ahli gizi, radiologi, dll).
3. Fungsi Interdependent
Ini berupa kerja tim yang sifatnya saling ketergantungan baik dalam keperawatan maupun
kesehatan.
F. Perawat Komunitas Dapat Bekerja Diberbagai Tatanan
1. Klinik Rawat Jalan.
2. Kantor Kesehatan.
3. Kesehatan Kerja.
4. Sekolah.
5. Rumah.
6. Perkemahan.
7. Institusi Pemeliharaan Kesehatan.
8. Tempat Pengungsian.
G. Perawat Dikomunitas Dapat Bekerja Sebagai
1. Perawat Keluarga
- Keperawatan kesehatan keluarga adalah tingkat keperawatan kesehatan masyarakat yang
dipusatkan pada keluarga sebagai satu kesatuan yang dirawat dengan sehat sebagai tujuan
pelayanan dan perawatan sebagai upaya (Bailon dan Maglaya, 1978).
- Peran perawat keluarga adalah melaksanakan asuhan keperawatan keluarga, berpartisipasi
dan menggunakan hasil riset, mengembangkan dan melaksanakan kebijakan di bidang
kesehatan, kepemimpinan, pendidikan, case management, dan konsultasi.
2. Perawat Kesehatan Sekolah
- Keperawatan sekolah adalah keperawatan yang difokuskan pada anak di tatanan pendidikan
guna memenuhi kebutuhan anak dengan mengikutsertakan keluarga maupun masyarakat
sekolah dalam perencanaan pelayanan (Logan, BB, 1986).
- Keperawatan kesehatan sekolah merupakan salah satu jenis pelayanan kesehatan yang
ditunjukkan untuk mewujudkan kemandirian siswa untuk hidup sehat, menciptakan
lingkungan dan suasana sekolah yang sehat.
- Fokus utamanya adalah siswa dan lingkungannya dan sasaran penunjang adalah guru dan
kader.
3. Perawat Kesehatan Kerja
- Perawat kesehatan kerja adalah penerapan prinsip-prinsip keperawatan dalam memelihara
kelestarian kesehatan tenaga kerja dalam segala bidang pekerjaan.
- Aplikasi prakteknya untuk memenuhi kebutuhan unit individu, kelompok dan masyarakat di
tatanan industri, pabrik, tempat kerja, tempat konstruksi, universitas, dll.
- Lingkup praktek mencakup pengkajian riwayat keseahtan, pengamatan, pelayanan
kesehatan primer, konseling, promkes, administrasi management quality asurance, peneliti
dan kolaborasi dengan komunikasi.
4. Perawat Gronologi/Gerontile
- Memberikan pelayanan pada orang lanjut usia dalam berbagai tatanan dan membantunya
mencapai untuk mempertahankan fungsi yang optimal.
- Lingkup praktek, memberi asuhan keperawatan, advokasi, melaksanakan kemandirian lanjut
usia, meningkatkan dan mempertahankan kesehatan, mencegah dan meminimalkan kecacatan
dan menunjang proses kematian dan bermartabat.
Dari uraian mengenai tugas keperawatan komunitas di atas, dapat diketahui bahwa
ruang lingkup yang dikerjakan oleh keperawatan komunitas memang cukup luas. Luasnya
bidang yang menjadi tugas keperawatan komunitas menuntut para pelaksanannya memiliki
kemampuan serta keterampilan yang memadai. Saat ini, mungkin di negara kita tugas serta
peran perawat komunitas belum dapat terlaksana sesuai harapan. Hal ini antara lain
dikarenakan oleh minimnya pengetahuan yang dimiliki oleh perawat kita serta kurang
maksimalnya pemberdayaan perawat di masyarakat, khusunya perawat komunitas.
Keperawatan komunitas pada prinsipnya tidak berbeda dengan area keperawatan yang
lain. Hal yang membedakan keperawatan komunitas dengan area keperawatan yang lain
adalah ruang lingkupnya. Keperawatan komunitas memiliki ruang lingkup yang lebih luas
dibandingkan dengan area yang lain. Keperawatan komunitas menangani individu, keluarga,
dan komunitas yang sehat dan yang sakit. Lain halnya dengan keperawatan medikal bedah
dan keperawatan klinik yang hanya menangani orang yang sakit saja. Selain itu, upaya yang
dikembangkan dalam keperawatan komunitas difokuskan pada upaya promotif dan preventif.
Meskipun bukan berarti upaya kuratif dan rehabilitatif diabaikan. Semua upaya tetap
dilakukan hanya saja fokusnya yang sedikit berbeda.
Pelaksanaan peran perawat komunitas tidak akan berhasil apabila tidak ada partisipasi
berbagai pihak. Keberhasilan kerja perawat komunitas juga ditentukan oleh peran masyarakat
sebagai objek utama yang menerima layanan. Peran masyarakat sangat dibutuhkan dimana
individu, keluarga maupun masyarakat yang menjadi sebagai pelaku kegiatan peningkatan
kesehatan serta bertanggung jawab atas kesehatannya sendiri. Kemandirian yang diharapkan
muncul dari masyarakat sebagai hasil kerja perawat komunitas tidak akan terwujud apabila
masyarakat tidak mau bekerja sama dengan perawat komunitas dalam mencapai tujuan
tersebut. Untuk itu, perlu adanya kesadaran dari masyarakat untuk turut serta dalam upaya
pelaksanaan program yang telah direncanakan oleh perawat komunitas sehingga tujuan yang
telah ditetapkan dapat dicapai secara maksimal.
From the description of community nursing tasks above, it is known that the
scope of which is done by the nursing community is quite extensive. The extent
of the areas of community nursing task demands that its implementation has the
ability and skills are adequate. Currently, the task may be in our country and the
role of community nurses can not be implemented as expected. This is partly
due to the lack of knowledge possessed by our nurses and lack of empowerment
of nurses maximal in the community, especially community nurses.
Community nursing in principle no different from other nursing areas. Thing that
distinguishes nursing nursing community with the other areas is its scope.
Nursing community has a broader scope than other areas. Nursing community to
handle individuals, families, and communities healthy and the sick. As with the
medical-surgical nursing and nursing clinic that deals solely with those who are
sick. In addition, efforts are being developed within the nursing community is
focused on promotive and preventive efforts. Although not curative and
rehabilitative means negligible. All the effort is just a slightly different focus.
Implementation of the role of community nurses will not be successful if there is
no participation of various parties. The success of community nurses work is also
determined by the community's role as the main object that receives the service.
The role of society is needed in which individuals, families and communities who
become perpetrators of health promotion activities and is responsible for their
own health. Independence is expected to emerge from the community as a result
of community nurses will not be achieved if people do not want to work together
with community nurses in reaching those goals. To that end, the need for
awareness of the community to participate in program implementation efforts
that have been planned by community nurses so that the intended purpose can
be achieved to the fullest.