Nursing Nursing Theories And Nursing Practice Application Essay

Length: 8 pages Sources: 8 Subject: Healthcare Type: Application Essay Paper: #47383814 Related Topics: Nursing Metaparadigm, Nursing Theories, Grand Theory, Community Health Nursing
Excerpt from Application Essay :

Community Nursing Practice Model

For a long time, community nursing has been an issue of major concern to most health care sectors. Values are based on the model for providing grounding for the nursing practice. The transcendent values include caring, wholeness, and respect while explicating for the actualization of values for primary health care based on access, empowerment, essentiality, collaboration, community participation and inter-sectoral. The provision for framework in terms of community nursing practice through illuminating paradigmatic view and model's values for a person, nursing, environment, and community. This paper intends to use community nursing practice models in presenting the synthesis of experiencing care and communities.

Community nursing models are developed for purposes of describing building blocks got health care practice while delineating their relationship among one another. Such models communicate foundations of practice while appropriating the discipline to the public and health colleagues within other disciplines. This essay explores the Community nursing model to shed light on the accompanying texts and elaborate on the components. The paper makes several assumptions regarding Public Health Tenets and Population-Based Practice. Nursing Practice Models in Public Health are built on assumptions that Community nursing practice is based on populations. Practice refers to populations based on criteria such as blended tenets that are developed by the government agencies in the health sector. The sector focuses on various elements of populations that possess favorable health concerns and characteristics (Brownson, Colditz & Proctor, 2012). The Community nursing model relies on assessments and continuity of population health status as well as the consideration of broad determinants in healthcare. It also considers various levels of prevention based on preferences in primary prevention.

Primary prevention protect against threats to community health. The concept also keeps problems from happening in any way. Secondary prevention includes treatment of problems within early stages. The approach prevents impacts from long-term and serious effects from affecting other populations (Parker & Smith, 2010). Tertiary prevention in Community nursing involves prevention of existing problems from falling victim of misappropriation while considering each level of practice. Individual and family-focused health care practice articulates matters of changes attitude, knowledge, values, beliefs, behaviors, and practices of individuals as part of respective groups (Yoder-Wise, 2012).

Community-focused practice allows for positive changes within community norms, awareness, attitudes, behaviors, and practices for the population. Systems-focused practice policies, laws, power structures, and changes organizations for systems affecting health care delivery. Community nursing reaches to individuals who stand a chance of benefiting and shifts focus on those presenting themselves to health care facilities. The developments demonstrate dominant concerns for greater success for all people while subsequent interests are based on the priorities taken to promote the best interests of individuals and the groups. Community nursing create socially, economically, and environmentally healthy conditions for people to live (Schim, Benkert, Bell & Danford, 2007). Qualified nurses support resource allocation for purposes of achieving maximum gains in population health. Resources in health care are allotted based on achieving most good to greatest population numbers. Community nursing collaborates with individuals from other professions and organizations. The tenets of Community nursing permeate many aspects in public health models for nursing practice. The implication is that there are substantive nursing practices grounded within population-based perspective.

The responsibility of public health is shared between provincial, territorial, and federal governments. Aboriginal Peoples' organizations and municipalities are involved in enacting regulations and laws that are purposed towards the protection of both the public and professionals (Gauld, 2009). Jobs that span various roles and settings require health professionals to work within such health care laws and regulations while addressing health challenges in the entire population. Public health programs are delivered based on somewhat different jurisdictions. The objective of this nursing model includes describing public and community health nursing practice in modern times while developing workable strategies to be used in the future (Brownson, Colditz & Proctor, 2012). The model is useful among nursing teachers, students, the public, non-nursing colleagues, and other health professionals. Nursing settings and programs for public and community health keep on changing for purposes of meeting specific populations' health needs (Parker & Smith, 2010). The target groups include street people, mothers and children, schoolchildren, and seniors. Certain health care roles focus on variable activities, including administrative or clinical leadership. On the contrary, the integral nursing role in public and community health addresses qualifications, skills, and activities relating to subspecialty environs not included in such booklets.

Nursing in public and community health offers synthesis for public health science and


The foundation for public and community health includes models and theories targeting community participation, injury and illness prevention, development and primary health care, and population health promotion (Parker & Smith, 2010). The underlying focus includes promotion and maintenance of health among members of the public. Community participation ethnographic models offer important processes and innovative strategies for which public health nurses utilize in implementation and development of community prevention and assessment programs. The establishment of core competencies, as well as guidance based on ethnographic and community participation, allows public health nurses to empower populations and communities. The system is more involving in terms of community health prevention and promotion (Mitchell, Fisher & Wallen, 2010).

The empowerment concept increases health equity and reduces health threats. While roles and responsibilities of public health nurses evolve within areas of community health prevention and promotion, emphasis is placed on ethnographic approaches and community participatory. Education seeks to provide benefits among students, as well as a generalist and advanced concept of advocacy, collaboration, education, partnership, policy-making, and research (Gauld, 2009). Advanced and basic roles in public nursing practice emphasize on community participatory strategies, inter-professional collaboration, and the relevance of local knowledge in addressing community health issues (Schim, Benkert, Bell & Danford, 2007). The factors contribute towards improved population and community health outcomes.

The requisite skills involved in cultural competence, community practice dimensions, program planning, and analytic assessment are critical. The factors promote the pursuit of promotion goals in community health where public health nurses are widely involved in participatory approaches within immediate communities. Other significant competencies in health promotion roles are necessary for establishing relevance for public health nurses such as policy development; systems and leadership thinking; public health science; management and financial planning; and communication. Nurses in public health develop such skills through continually engaging in practices that require community participation. For instance, the model utilizes public health competencies, skills, and science knowledge through collaborating with public health researchers and educators. The consultations develop interventions programs that are evidence-based prevention that contributes to extensive nursing science (Brownson, Colditz & Proctor, 2012).

Community initiatives contribute towards the development of substantive policies regarding in-depth evidence while assisting community health advocates leading to an improved outcome in the long-term. Public health nurses can gain more skills in the creation of collaborative partnerships among community stakeholders and leaders to identifying solutions and resources to issues through the theory proposed. The skills can be enhanced through empowering community members for purposes of addressing their health issues within the community and increasing community and individual self-efficacy within health promotion across the entire process. The focus develops such skills by increasing the community's capacity and engaging the partners and members to design effective and sustainable programs to promote health (Schim, Benkert, Bell & Danford, 2007).

Youths and Adults from rural southern states illustrate high rates of smokeless tobacco and cigarette use across the Adolescent tobacco users in America. There is a high correlation with application of alcohol among other drugs in high schools. The use of alcohol, tobacco, and similar drugs remains at pervasive problems across the world and is attributed to large morbidity and mortality proportions across the U.S. (Yoder-Wise, 2012). The use is a lead implication of long-term threats to health among adolescent substance users as well as the essence of increasing proportions of adolescents remaining substance free. However, many rural counties do not have enough knowledge on the effective intervention strategies necessary in preventing the use of substances among adolescents. Health care professional recommend that population-oriented strategies are used in increasing the primary prevention programs availed among community-based organizations. The goal is to prevent alcohol, drug, and tobacco use among the youth (Parker & Smith, 2010).

In addressing the above problem, projects that involve community participation and appropriate nursing models provide exemplar for the evolution of roles within promotion of participatory community health. Inter-professional team can be established by public health nurse for advanced practices as well as human development specialists. The approach allows for usage of the innovative and participatory community strategies such as Photovoice and GIS mapping for the designing of substance use among prevention program. The most implicated parts include the south rural, which is tobacco-growing County (Davies, 2010). Public interdisciplinary researchers and health nurses created through teams that are based on youths, community leaders, and parents (Mitchell, Fisher & Wallen, 2010). The involvement is based on completion of environmental assessment and comprehensive community for the county. The rural ecological culture and context for review programs on…

Sources Used in Documents:


Brownson, R.C., Colditz, G.A., & Proctor, E.K. (2012). Dissemination and implementation research in health: Translating science to practice. New York: Oxford University Press, Inc.

Davies, S., (2010) Global Politics of Health Polity. New York: Brunei

Gauld, R., (2009) The New Health Policy. New York: McGraw-Hill International

Lofgren, H., Leeuw, E., (2011) Democratizing Health: Consumer Groups in the Policy Process. New York: Edward Elgar Publishing

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