Nursing Models and Community as Client

This paper traces the evolution of a broader environmental health role for nursing by focusing on the health effects of exposure to environmental pollutants and of global environmental change. This evolving role is reviewed through the examination of selected community health nursing texts published during the last several decades. Key role strategies based on this expanded and evolving environmental role are proposed. Finally, a survey is described that is intended to heighten awareness of personal and professional attitudes and behaviors related to the environment.

Section: Nursing's Rolementioning

confidence: 98%

Sensitizing Nurses for a Changing Environmental Health Role

Tiedje

Wood

1995

“…Similarly, Margaret Newman (1979, 1986) portrayed the pattern of person‐environment as a network of consciousness. In Hanchett's (1990) view, Orem's self‐care deficit theory and King's Systems Framework and Theory of Goal Attainment could also be applied to the community as the client.…”

Section: Related Literaturementioning

confidence: 99%

Finding Ways to Create Connections Among Communities: Partial Results of an Ethnography of Urban Public Health Nurses

Schulte

2000

The purpose of this ethnographic study was to describe the culture of public health nurses (PHNs) in a large, Midwestern urban health department. Data collection methods, data management, and analyses followed ethnographic procedures and resulted in the development of categories, domains, and cultural themes. The general study participants were PHNs, clients, supervisors, and administrators. The primary cultural theme that emerged was that public health nursing is finding ways to create connections among communities. Three interacting communities were identified: the local communities, communities created by individuals and families, and communities of resources. This article describes one of the three subthemes that emerged, processes used to help clients create connections, and describes how caring is shown uniquely in public health nursing. As a result of the study, implications for nursing practice, education, and research were developed. The results of the study supported a position that public health nursing is a unique nursing specialty. It reinforced also the applicability of an ethnographic design and methodology to nursing research.

“…When applying Roy's model to community health nursing, it is important to remember that communities, when viewed as systems, are wholes made up of many parts and influenced by many internal and external variables. The integration of a community's many parts—for example its members, resources, and functions—would thus be reflective of a community's health ( Hanchett, 1988, 1990).…”

Section: Use Of the Roy Adaptation Model In Community Health Nursingmentioning

confidence: 99%

Community Health Nursing Practice and the Roy Adaptation Model

Dixon

1999

In the current health care environment in the United States, the work performed by community health nurses is increasingly being recognized and valued by society at large. An increased societal emphasis on health promotion and disease prevention has generated many opportunities for community health nurses (CHNs) to stretch their practices from individually-oriented type practice models to more encompassing population-focused type practices. Addressing this trend, the Roy Adaptation Model of nursing has been reconceptualized and expanded to offer a framework for the systematic delivery of nursing care to aggregates in community settings. The purpose of this paper is to describe the current health promotion movement in the United States and discuss the impact of this movement on the practice of community health nursing. In recognition of the importance of theory-based nursing practice and the opportunities that CHNs will have in the health promotion movement, the use of the a specific conceptual model, the reconceptualized Roy Adaptation Model, will be presented as a theoretical framework for community health nursing practice. The nursing process according to Roy is applied to community health nursing and specific attention is paid to the performance of community assessments within the newly defined adaptive modes that relate to collectives: the physical, group identity, role function, and interdependence modes. To date, few references appear in the literature which link the Roy Adaptation Model to community health nursing.