Public Health Ch.14 Theoretical Basis of
Community/Public Health Nursing
Community Orientation - ANS-characteristic of community health nursing
process actively shaped by the unique experiences, knowledge, concerns, values,
beliefs, and culture of a given community
Population Focus - ANS-characteristic of community health nursing
use of population based skills such as epidemiology, research in community
assessment, community organizing as the basis for interventions
Relationship Based Care - ANS-characteristic of community health nursing
reciprocal, caring relationship with the community
listening, participatory dialogue, critical reflection
sociopolitical elements of practice such as advocacy, community, empowerment, and
movement to action
Theory - ANS-set of systematically interrelated concepts or hypotheses
explain or predict phenomena
Early Theories - ANS-grand theories or conceptual models
Nursing Metaparadigm Concepts - ANS-key to nursing theories
nursing
client/patient
health
environment.
Community Health Nursing Theories and Models - ANS-nightingale's theory of
environment
orem's self care model
neuman's health care systems model
rogers' model of the science of unitary man
king's theory of goal attainment
parse's human becoming theory
lender's health promotion model
roy's adaptation model
, salmon's construct for public health nursing
Minnesota wheel (public health interventions model)
public health nursing practice model
Omaha system
Nightingale's Theory of Environment - ANS-focus on preventive care for populations
use of observations to validate her hypothesis
poor environmental conditions are bad for health
good environmental conditions reduce disease
others have added social services and health care in addition to environment as
conditions for health
Orem's Self Care Model - ANS-communities with collective set of self care actions and
requirements affecting well being of the group
self care deficit theory, theory of self care, theory of nursing system
nursing care supports clients
Self Care Deficit - ANS-part of orem's system
demand exceeds client abilities related to universal requirements, developmental
requirements, health deviation requirements
Neuman's Health Care Systems Model - ANS-open systems constantly and reciprocally
interacting with environment
system is greater than sum of its parts
wellness is when parts interact in harmony with each other and the system's
environment
physiologic, psychological, sociocultural, and developmental variables
each system with unique response to stressors and tension producing stimuli
system response with boundaries (flexible line of resistance, normal line of defense,
dynamic flexible line of defense)
Roger's Model of the Science of Unitary Man - ANS-based on systems theory (neuman)
whole is greater than the sum of the parts
life proceeds in one direction along a rhythmic spiral
energy fields follow a certain wave patterns and organization
human and environmental energy fields interact simultaneously and mutually leading to
completeness and unity
King's Theory of Goal Attainment - ANS-personal and interpersonal systems
any nurse client encounter each comes with own goals and expectations
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