ATI chapter 1 Flashcards
Studies how an individual or unit interacts with other organizations or systems. Useful in examining cause and effect relationships
Systems thinking
Focus on interventions that promote health or prevent illness as opposed to medical models that focus on treatment after person becomes I’ll
Upstream thinking
3 timings for nightengale
- health and enviro relationship
- health as continuum
- emphasis on preventative care
Model that focuses on individual change , assumes preventative action is taken to avoid disease
Health belief model
This model complements the health belief model but looks at community change
Milios framework for prevention
Similar to health belief model that does not consider health risk as factor to provoke change, looks at individuals
Penders health promotion model
trans theoretical (ttm) of stages of change model (soc) - 6 stages
Precontemplation Contemplation Preparation Action Maintenance Termination
Precaution adoption Process Model Stages (similar to TTM)
Precontemplation Unengaged Contemplation Preparation Action Maintenance
Describes the health status of a community and serves as target for improvements of community’s health- disease prevalence, obesity, tobacco use, mortality rates
Health indicators
Environmental factors that INFLUENCE a clients health- nutrition, social support, transportation, housing
Determinants of health
A group of people and institutions that share geographic civic or social parameters *can vary in health needs
Community
Community va population
Population - share area but do not necessarily interact
Community oriented va based: focus of care =
O: aggregates, communities, populations (can include at risk or underserved individuals or families
B: individuals and families
Community oriented va based: primary goal
O: health promotion and disease prevention
B: management of acute or chronic conditions
Community oriented va based: nursing activities
O: indirect ( program management) , direct care of AT RISK individual or population
B: direct (one to one), illness care of acute and chronic conditions in settings like schools camps prisons
Circling back- community oriented vs based- general definition/ difference
O: at risk individuals, communities, promotion and prevention, indirect care unless at risk group
B: individuals/families, acute/chronic management in school camps prisons
3 core functions of public health nursing?
- Assessment(systematic methods to identify health problems)
- Policy development
- Assurance (adequate and accessible healthcare services, enforce laws for safety)
Type of nursing focusing on assessing needs/promoting health in certain population like people without insurance or who have specific knowledge defector or at risk for a disease like htn
Population focused nursing
Key principles of public health nursing
- primary prevention
- greatest good for largest amt of people
- client is partner in health
- use resources wisely to promote best outcome
Re ethical principles: Respecting clients right to self determination =
Respect for autonomy
Re ethical principles: developing plan of care that includes a system for monitoring and evaluating outcomes=
Nonmaleficence
Re ethical principles: assessing costs risks and benefits when planning interventions =
Beneficence
Re ethical principles: determining eligibility for health care services based on income and fiscal resources =
Distributive justice
3 characteristics of data to assess:
Quality (bias)
Quantity (# of studies, strength of effect)
Consistency (are results repeatable)
This type of research fosters support between community members, develops
Leadership in community, and collaboration b/w health professionals by identifying. Immunity needs and intervening
Community based participatory study (cbpr)
What guides nurses in developing health
Promotion strategies to improve community and individual health?
Nation guidelines (healthy people 2020/2030 )
Prevention of the initial occurrence of disease or injury
Primary prevention
Early detection and treatment of disease with the goal of limiting severity and adverse effects
Secondary prevention
Reducing the limitations of disability and promoting rehabilitation following health alterations
Tertiary
