NLE Community Health Nursing — Environmental, Occupational & School Health NursingConcept Map

Concept

Environmental Health and Sanitation

Sub Concepts

• Water Supply and Water Safety (Levels I, II, III)
• Excreta and Sewage Disposal (Sanitary Toilets)
• Solid Waste Management (RA 9003)
• Food Safety and Sanitation (PD 856)
• Vector and Pest Control
• Primary Legislation (PD 856, RA 9275, RA 8749, RA 9003)

Relationship To Central

Foundational component addressing physical, chemical, and biological factors affecting health in the community

Concept

Occupational Health Nursing

Sub Concepts

• Classification of Occupational Hazards (Physical, Chemical, Biological, Ergonomic, Psychosocial)
• Hierarchy of Controls (Elimination, Engineering, Administrative, PPE)
• Pre-employment and Periodic Health Assessments
• Health Surveillance and Record-Keeping
• Workplace Health Promotion
• RA 11058 (Occupational Safety and Health Law)
• Employees' Compensation Program

Relationship To Central

Specialized practice protecting workers' health and preventing occupational illness and injury

Concept

School Health Nursing

Sub Concepts

• Health Services (Screening, Immunisation, First Aid)
• Healthful School Environment
• Health Education Integration
• Annual Health and Nutritional Assessment
• National Deworming Program
• School-Based Immunisation (MR, Td, HPV)
• Dental and Feeding Programs
• School Nurse Roles (Case-Finding, Teaching, Coordination)

Relationship To Central

Population-focused practice promoting health and learning of school-age children and personnel

Concept

Nursing Roles Across All Three Environments

Sub Concepts

• Health Educator
• Case-Finder and Screener
• First-Aid and Emergency Care Provider
• Coordinator and Referrer
• Advocate for Safe Environments
• Record-Keeper and Health Informaticist
• Primary Prevention Emphasis

Relationship To Central

Consistent application of nursing process and professional responsibilities

Concept

Legal and Policy Framework

Sub Concepts

• RA 9173 (Philippine Nursing Act)
• PD 856 (Code on Sanitation of the Philippines)
• RA 9003 (Ecological Solid Waste Management Act)
• RA 9275 (Clean Water Act)
• RA 8749 (Clean Air Act)
• RA 11058 (Occupational Safety and Health Law)
• RA 11223 (Universal Health Care Act)
• RA 10121 (Disaster Risk Reduction and Management Act)

Relationship To Central

Regulatory environment guiding practice in environmental, occupational, and school health

To

Primary Prevention

From

Environmental Health and Sanitation

Strength

strong

Relationship

Environmental sanitation directly implements primary prevention by controlling external factors before disease occurs

To

Faecal-Oral Disease Prevention

From

Water Supply Levels (I, II, III)

Strength

strong

Relationship

Safe water supply breaks the transmission chain of water-borne diseases including typhoid, cholera, hepatitis A, and parasitic infections

To

Water Source Protection

From

Excreta Disposal and Sanitary Toilets

Strength

strong

Relationship

Proper sewage disposal maintains minimum 25 m distance from water sources, preventing contamination and disease transmission

To

Vector and Pest Control

From

Solid Waste Management (RA 9003)

Strength

moderate

Relationship

Proper waste segregation and disposal eliminates breeding sites and food sources for disease vectors (flies, rats, mosquitoes)

To

Foodborne Disease Prevention

From

Food Safety and Sanitation

Strength

strong

Relationship

Implementation of WHO Five Keys and PD 856 requirements prevents contamination, survival, and multiplication of foodborne pathogens

To

Hierarchy of Controls

From

Occupational Hazard Classification

Strength

strong

Relationship

Each hazard type (physical, chemical, biological, ergonomic, psychosocial) is managed through the same priority-based control framework

To

Personal Protective Equipment

From

Hierarchy of Controls

Strength

strong

Relationship

PPE is positioned as the final and least-preferred control measure, applied only when higher-level controls cannot eliminate or reduce hazards

To

RA 11058 Compliance

From

Occupational Health Nursing Roles

Strength

strong

Relationship

Occupational health nurses implement and monitor organizational compliance with the Occupational Safety and Health Law requirements

To

Case-Finding and Referral

From

School Health Services

Strength

strong

Relationship

Health screening and assessment activities identify health problems in school-age populations, triggering appropriate nursing interventions and referrals

To

School Health Nursing

From

National Deworming Program

Strength

strong

Relationship

Mass deworming (twice yearly) is a key school-based public health intervention administered by school health nurses under DepEd and DOH coordination

To

Communicable Disease Prevention

From

School-Based Immunisation

Strength

strong

Relationship

School immunisation programs (MR, Td, HPV) provide primary prevention against vaccine-preventable diseases in school-age populations

To

Health Outcomes

From

Healthful School Environment

Strength

moderate

Relationship

Safe water, sanitation, clean canteen, and hazard-free facilities create conditions that support learning and prevent environment-related illness

To

Behavior Change

From

Health Education

Strength

moderate

Relationship

Integration of health education into curriculum and reinforcement of healthy behaviors support sustainable health practices in school populations

To

Primary Prevention Focus

From

Nursing Roles Across All Environments

Strength

strong

Relationship

All three nursing practice settings emphasize primary prevention as the most cost-effective and sustainable approach to health protection

To

Community Empowerment

From

Health Educator Role

Strength

moderate

Relationship

Teaching households about environmental sanitation, vector control, food safety, and occupational hazards builds community capacity for self-protection

To

Secondary Prevention

From

Case-Finder Role

Strength

moderate

Relationship

Early identification of health problems enables timely intervention before progression to more severe disease states

To

Healthcare System Integration

From

Coordinator and Referrer Role

Strength

moderate

Relationship

Coordination between schools/workplaces and health centers ensures continuity of care and appropriate resource utilization

To

Environmental Health Enforcement

From

PD 856 Code on Sanitation

Strength

strong

Relationship

PD 856 is the primary regulatory framework governing water, food, waste, and sanitation standards that nurses monitor and advocate for

To

Community Health Nursing Practice

From

RA 9173 Philippine Nursing Act

Strength

strong

Relationship

RA 9173 establishes the legal scope and accountability of all nursing practice including environmental, occupational, and school health nursing

To

Environmental Health Priority Shift

From

Disaster and Emergency Response

Strength

moderate

Relationship

During disasters, environmental health priorities shift to rapid safe water provision, emergency sanitation, and disease surveillance in evacuation centers

To

Health Data Management

From

Record-Keeping Role

Strength

moderate

Relationship

Maintenance of school health records, worker health records, and environmental sanitation inspection records supports program evaluation and policy development

To

Physiological Needs

From

Maslow Hierarchy and Environmental Sanitation

Strength

strong

Relationship

Safe water, proper sanitation, and safe food directly address Maslow's physiological needs, the foundation for all higher-level needs

To

Employees' Compensation Program

From

Occupational Health Services

Strength

strong

Relationship

Work-related illness and injury identified through occupational health nursing triggers coverage under the Employees' Compensation Program