Ch. 14 Theoretical Basis of Community/Public Health Nursing
Final Exam
When the Client Is Community:
-Unit of care = specific community or aggregate
-Overall Responsibility = promote group health
-Each nursing specialty requires a particular area of knowledge and a set of skills for
excellence in practice [CHN's have skills that other nurses don't use but are still
important skills] - ANS-When the Client Is Community:
-Unit of care = specific community or aggregate
-Overall Responsibility = promote group health
-Each nursing specialty requires a particular area of knowledge and a set of skills for
excellence in practice [CHN's have skills that other nurses don't use but are still
important skills]
Overview:
-Theory: a systematically interrelated concept or hypotheses that seek to explain or
predict phenomena
-A theory can be based either explicitly or philosophically on a conceptual model (aka
conceptual framework)
-A conceptual model/framework is more practical! It provides direction for the nursing
process and explains relationships between a person - nurse - and environment -
ANS-Overview:
-Theory: a systematically interrelated concept or hypotheses that seek to explain or
predict phenomena
-A theory can be based either explicitly or philosophically on a conceptual model (aka
conceptual framework)
,-A conceptual model/framework is more practical! It provides direction for the nursing
process and explains relationships between a person - nurse - and environment
Florence Nightingale:
She *found that Disease is more prevalent in poor environments and health could be
promoted by providing*:
She *found that Disease is more prevalent in poor environments and health could be
promoted by providing*:
-Adequate ventilation
-Pure water
-Quiet
-Warmth
-Light
-Cleanliness
An example of Nightingales work in current day can be found in Cook County, Illinois:
-PHN's looked a walkability in low income areas and saw that bad walkability led to bad
things like them not being able to go to the doctor. The nurses fought for environmental
change to help
-Nurses used geographic information system technology to create maps that indicated
the level of walkability in low-income neighborhoods such as availability of sidewalks
and accessibility to both grocery stores and health services - by understanding that
environment and health are linked - the nurses advocated for changes to those
neighborhoods identified as having poor walkability. Nightingales research influenced
the research and provided the basis for research that improved population health -
ANS-An example of Nightingales work in current day can be found in Cook County,
Illinois:
, -PHN's looked a walkability in low income areas and saw that bad walkability led to bad
things like them not being able to go to the doctor. The nurses fought for environmental
change to help
-Nurses used geographic information system technology to create maps that indicated
the level of walkability in low-income neighborhoods such as availability of sidewalks
and accessibility to both grocery stores and health services - by understanding that
environment and health are linked - the nurses advocated for changes to those
neighborhoods identified as having poor walkability. Nightingales research influenced
the research and provided the basis for research that improved population health
Which model is this:
-Believes a nurse's goal is to help people recognize self-care ability and help them
regain the ability to meet those needs.
-Believes a Persons ability should dictate their level of self-care - ANS-*Orem's Self
Care Model*
-Believes a nurse's goal is to help people recognize self-care ability and help them
regain the ability to meet those needs.
-Believes a Persons ability should dictate their level of self-care
Orem's Self Care Model:
-Self-care = learned, goal-oriented actions to preserve and promote life, health, and
well-being
-If a person or community lacks the ability of self-care, a deficit exists - ANS-Orem's Self
Care Model:
-Self-care = learned, goal-oriented actions to preserve and promote life, health, and
well-being
-If a person or community lacks the ability of self-care, a deficit exists
Orem's Self Care Model:
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