Community Health Nursing Concepts Flashcards
It is a learned practice discipline with the ultimate
goal of contributing to the promotion of the client’s
OLOF (Optimum Level of Functioning) through
teaching and delivery of care
Jacobson
It is a special field of nursing that combines the skills
of nursing, public health and some phases of social
assistance and functions for the promotion of health,
improvement of social and physical conditions and
rehabilitation of illness and disability
WHO
“The synthesis of nursing practice and public health
practice applied to promoting and preserving the
health of the populations.”
American Nurses Association (ANA).
“a system of beliefs that provides a basis for
and guides action.”
Philosophy
According to ___ the philosophy of CHN is
based on the worth and dignity of a man
Margaret Shetland
Seen as a subspecialty nursing practice generally
delivered within “official” or government agencies.
Public Health Nursing
Aims to promote the health of school personnel and
pupil / students.
School Health Nursing
mandates that all
schools are to provide school clinics for the treatment
of minor ailments and emergency cases
Republic Act 124
As defined by American Association of Occupational
Health Nurses (AACHN) as a specialty practice that
focuses on promotion, prevention and restoration of
health within the context of a safe and healthy
environment
Occupational Health Nursing
Unique clinical process that includes concepts of
nursing, mental health, social psychology and
community networks including social sciences.
Community Mental Health Nursing
Believed that individual must
know what to do and how to do it before they can take
action.
Health Belief Model (HBM) - 1958
One’s belief regarding the
chance of getting a given condition
Perceived Susceptibility
One’s belief regarding the
seriousness of a given condition
Perceived Severity
One’s belief in the ability of an
advised action to reduce the health risk or
seriousness of a given condition
Perceived Benefits
One’s belief regarding the
tangible and psychological costs of an advised
Perceived Barriers
Strategies or conditions in one’s
environment that activate readiness to take action
Cues to Action
One’s confidence in one’s ability to take
action to reduce health risks
Self-efficacy
provides complement to the HBMs
Nancy Milio (1976)
A second benefit
is the believed effectiveness of dietary strategies designed
to help reduce the threat of disease.
Perceived benefits of diet adherence
Goal of theory is to
improve nursing practice
Chinn & Kramer
Theory is like a Map… not
in full terrain BUT picks
out area that are impt for a
given purpose
Barnum
Ruling in & Ruling out
Concept
Schwartz-Barcott
A systematic VISION of reality, a set of interrelated
concepts that is USEFUL for PREDICTION & CONTROL
Woods & Catanzaro
Theory provides a way of thinking about & looking at the
world around us
Torres
Conceptual system or framework invented for purpose. Purpose varies, so too the structure & complex of system
Dickoff & James
Creative/ Rigorous structuring of ideas. Projects tentative, purposeful, systematic view of
phenomena
Chinn & Kramer
Set of ideas, hunches, hypotheses. Provides prediction, explanation of the world
Pry, Machuk
It stated that diseases associated with excess (e.g. obesity
and alcoholism) afflict affluent societies, and the diseases
that result from inadequate or unsafe food, shelter and
water afflict the poor.
Milio’s Framework for Prevention
results from an imbalance between a
population’s health needs and its health-sustaining
resources
Health Deficit
Explores many
biophysical factors that influence individuals to pursue
health promotion activities but does not include threat as a
motivator. Developed in 1980’s and revised in 1996
Nola Pender’s Health Promotion (HPM)
It defines health as a positive dynamic state not merely
the absence of disease
Nola Pender’s Health Promotion (HPM)
This influence subsequent behavior through perceived self- efficacy
Prior related behavior
This are Biological,
Psychological, Sociocultural in nature
Personal Factors
Include variables such as age, gender, body mass
index, pubertal status, aerobic capacity, strength,
agility, or balance (senior citizen, different beliefs)
Personal biological factors
include variables such as self-esteem, self-motivation,
personal competence, perceived health status and
definition of health (does he want to be treated? Is he
a positive or negative thinker?)
Personal psychological factors
These are strong motivators through intrinsic and
extrinsic benefits.
Perceived Benefits of Action
Are perceived unavailability, inconvenience,
expense,difficulty or time regarding health behaviors.
anticipated, imagined or real blocks and personal
costs of understanding a given behavior
Perceived Barriers to Action
Is one’s belief that he or she is capable of carrying out
behavior
Perceived Self-efficacy
Feeling associated with behavior likely affect
individuals to repeat/maintain behavior.
Activity-related affect
These are feelings or thoughts regarding the beliefs
or attitudes of other
Interpersonal Influences ( family, peers, provident )
These are perceived options available, demand
characteristics and aesthetic features of the
environment where the behavior will take place
Situational influence (Options, Demand
characteristics, Aesthetics)
PRECEDE
Predisposing, Reinforcing
and Enabling Constructs in Educational Diagnosis and
Evaluation
is used for community diagnosis
PRECEDE
PROCEED
Policy, Regulatory, and
Organizational Constructs in Educational and
Environmental Development
is a model for implementing
and evaluating health programs based on PRECEDE
PROCEED
refer to people’s characteristics that
motivate them toward health-related behavior. This
includes attitudes, beliefs and values.
Predisposing factors
refer to conditions in people and the
environment that facilitate or impede health related
behavior.
Enabling factors
refer to feedback given by support
persons or groups resulting from the performance of the
health related behavior
Reinforcing factors
