Miami Regional University Nursing Theory as a Conceptual Framework Discussion

#1Nursing Theory as a Conceptual Framework*

1 — Instructions: Search online for a nursing research article on a nursing topic that interests you. Write a 2 page paper addressing the following: 1. Explain the Nursing Theory represented by the journal article.2. Determine if the theory was a grand, middle-range, or situation-specific nursing theory. Discuss. 2. Summarize the findings of the article.

The paper must be written in APA 7th edition format. Use at least 2 references in addition no older than 5 years. DO a page with a presentation with the name and topic. Be careful with plagiarism because if u submit has Turnitin report

#2Discussion Question:

·         Discover which agencies, in your state, are responsible for public health of citizens.

·         Research if there are centralized or decentralized management of state responsibilities?

·         Determine minimum 3 key indicators of health.

·         Review the agency sites and upload the links to the Moodleroom, week #1 (THE DOCUMENT IS ABOVE IN THE UPLOAD FILE )APA FORMAT

#3Discussion Forum:

Topics- from Learning by Experience and Reflection:

· Develop your vision of the ideal health care system.

·  List some of the characteristics that constitute such a system. What would be the goal or goals of your ideal system?

· Think about how you would go about implementing your ideal system.

· Consider some of the problems you are likely to encounter

Chapter 1
Responsibilities for Care in
Community/Public Health Nursing
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
What Are the Distinguishing Features of
Community/Public Health Nursing?
• Healthful communities
• Empowerment for health promotion
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Which Theories Are Used with
Community/Public Health Nursing?
• General systems theory: A system is greater
than the sum of its parts
• Nursing theory: Includes self-care & environment
• Public health: Health of human populations
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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What Is Public Health Nursing?
• The practice of promoting and protecting the
health of populations using knowledge from
nursing, social, and public health sciences
(APHA, 1996).
• Population-focused, community-oriented nursing
practice (Quad Council, 1999).
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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What Is Community Health Nursing?
• A synthesis of nursing practice and public health
practice applied to promoting and preserving the
health of populations (ANA, 1980).
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Visions and Commitments
• Visions: Broad statements describing what
we desire something to be
• Commitments: Agreements we make with
ourselves that pledge our energies for or
toward our visions
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Commitments of Public Health Practice
• Equitable distribution
of health care
• Basic standard of
living that supports
the health and wellbeing of all persons
• Healthful physical
environment
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Commitments of Public Health Practice
• Promoting health
• Creating a just economic environment
• Preventing illnesses
• Providing the greatest good for the greatest
number
• Educating others
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
8
Distinguishing Features of C/PHN
• Care provided by nurses in a
particular place and time and
directed toward promoting,
restoring, and preserving the health
of the total population or community
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Distinguishing Features of C/PHN (cont’d)
• Families, groups, and populations as focus
• Care for individuals and families
• Vision of a healthful community
• Nursing for social betterment
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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The C/PHN & Healthful Communities
• Empowers individuals,
families, groups,
organizations, &
professionals to
participate in creating
healthful communities
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Empowerment
• Assists others to uncover
abilities, strengths, & spirit
• Possibilities & opportunities
revealed
• Fosters hope
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Nursing Ethics and Social Justice
• Ethics: Respecting autonomy, doing good,
avoiding harm, treating people fairly
• Utilitarianism: Greatest good for the greatest
number
• Social justice: All persons are entitled to have
their basic human needs met
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
13
PHN Scope & Standards of Practice
(ANA, 2007)
• The C/PHN applies the nursing process to
promote the health of the public
➢ Uses demographic and epidemiological data
➢ Incorporates community resources
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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PHN Standards of Care
(ANA, 2007)
• Assessment
• Population Diagnosis
and Priorities
• Outcomes
Identification
• Planning
• Implementation
• Coordination
• Health Education and
Health Promotion
• Consultation
• Regulatory Activities
• Evaluation
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
15
Direct & Indirect C/PHN Care
• Direct care: Involves face-to-face management &
coordination of care
• Indirect care: Does not involve interpersonal
relationships with all persons who benefit from care
(ANA, 1980)
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Responsibilities of C/PHN
• Providing care
• Maintaining healthful
environments
• Teaching
• Preventing abuse
• Advocating for
adequate standards
of living
• Identifying needs &
referring for services
• Professional
development
• Collaborating
• Ensuring quality of
care
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Direct Care of Ill Clients at Home
• Increasing need for home care
➢ Aging population
➢ Chronic diseases
➢ Payment for skilled home care
➢ Reduced time in hospitals
➢ Reducing hospital costs
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Coordination of Care
• Coordination: Bringing together the parts of a plan
into a common whole
• Case management: Developing & coordinating a
plan of care for a client
• Case load management: Time & resource
management for clients
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Partnerships and Collaboration
• Interdisciplinary
teams: Assist
communities in
planning to improve
their health
• Collaboration:
Working together
with equal influence
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Core Functions of Public Health
(IOM, 1988)
• Core Functions of Public
Health:
➢ Assess the community
➢ Ensure services are
provided
➢ Health policy development
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Exerting Influence to Promote Change
• Coalition building: Developing linkages
• Political action: Use of power to influence decisions
• Policy development: Places health issues & plans
of action on decision makers’ agendas
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Standards of Professional
Performance for CHN (ANA, 2007)
• Evaluate populationfocused practice
• Maintain up-to-date
knowledge/compete
ncy
• Evaluate one’s
practice
• Advocacy
• Leadership
• Resource utilization
• Establish and
maintain
partnerships
• Contribute to
students’ and
colleagues’
development
• Apply ethical
standards
• Integrate research
findings
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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Summary
• Promote the health of populations
• Empower persons to achieve potential
• Apply the nursing process with individuals,
families, groups, and populations
• Use a variety of nursing interventions
Copyright © 2013, 2009, 2005, 2000, 1995 by Saunders, an imprint of Elsevier Inc.
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