ATI Community Health Nursing: Chapter 1
Nursing theories provide - ANSthe basis for care of the community and family
Nurses working in the community should have an understanding of - ANSthe foundations of
community health nursing, the principles of community health nursing, and health promotion and
disease prevention
Nightingale's Theory of Environment - ANSHighlights the relationship b/w and individual's
environment and health; depicts health as a continuum; emphasizes PREVENTIVE care.
Health Belief Model -- Purpose - ANSto predict or explain health behaviors; assumes that
preventive health behaviors are taken primarily for the purpose of avoiding disease;emphasizes
change at the INDIVIDUAL level
Health Belief Model -- Describes the likelihood of taking an action to avoid disease based on: -
ANSperceived susceptibility, seriousness, and threat of a disease; modifying factors; cues to
action; perceived benefits minus perceived barriers to taking action
Milio's Framework for Prevention - ANScomplements the health belief model; emphasizes
change at the COMMUNITY level; ID's relationship b/w health deficits and availability of
health-promoting resources; theorizes that behavior changes within a large number of people
can ultimately lead to social change
Community - ANSa group of people and institutions that share geographic, civiv, and/or social
parameters
A community's health is determined by - ANSthe degree to which the community's collective
health needs are ID'd and met
Health indicators - ANSmortality rate, disease prevalence, levels of physical activity, obesity,
tobacco use, and substance use
Population - ANSan aggregate who shares one or more personal characteristics
Who is the client in community health nursing? - ANSCommunity or Population
Community-Based Nursing - ANSFocuses on: Individuals and Families
Activities: ILLNESS CARE -- management of acute or chronic conditions in settings where
individuals, families, and groups live, work, and "attend"
Ex) Home health nursing, school nurse, employee health, student health, camp nurse, prison
clinic
, Community-Oriented Nursing - ANSFocuses on: AT-RISK individuals, families, and groups + the
community
Activities: HEALTH CARE -- determining health needs of the community, and intervening at the
individual, family, and group level to improve the collective health of the community
Community Health Nursing Practice - ANSFocuses on: synthesis of nursing and public health
theory
Activities: DOING -- promote, preserve, and maintain the health of a population by DELIVERY of
health services to individuals, families, and groups in order to impact "community health"
Public Health Nursing Practice - ANSFocuses on: Synthesis of nursing and public health theory
Activities: PREVENTING -- promote, preserve, and maintain health through disease and
disability PREVENTION and health protection of community as a whole
Public Health Nursing Core Functions: - ANS1. Systematic assessment of the health of a
population
2. Development of policies to support the health of populations
3. Ensuring that essential health services are available to all persons
Ethical Considerations - ANSPreventing harm, doing no harm, promoting good, respecting both
individual and community rights, respecting autonomy and diversity, and providing
confidentiality, competency, trustworthiness, and advocacy.
CH Nurses are concerned with: - ANSprotecting, promoting, preserving, and maintaining health;
as well as preventing disease
Client rights include: - ANSthe right to information disclosure, privacy, informed consent,
information confidentiality, and participating in treatment decisions
Respect for AUTONOMY - ANSDefinition: individuals select those actions that fulfill their goals
Situation: respecting a client's right to self-determination (ex: making the decision to no pursue
chemotherapy)
NONMALIFICENCE - ANSDefinition: no harm is done when applying standards of care
Situation: developing plans of care that include a system for monitoring and evaluating
outcomes
BENEFICENCE - ANSDefinition: max. possible benefits and min. possible harms
Situation: assessing risks and benefits when planning interventions
DISTRIBUTIVE JUSTICE - ANSDefinition: fair distribution of the benefits and burden in society
is based on the needs and contributions of its members
Situation: determining eligibility for health care services based on income and fiscal resource
Nursing theories provide - ANSthe basis for care of the community and family
Nurses working in the community should have an understanding of - ANSthe foundations of
community health nursing, the principles of community health nursing, and health promotion and
disease prevention
Nightingale's Theory of Environment - ANSHighlights the relationship b/w and individual's
environment and health; depicts health as a continuum; emphasizes PREVENTIVE care.
Health Belief Model -- Purpose - ANSto predict or explain health behaviors; assumes that
preventive health behaviors are taken primarily for the purpose of avoiding disease;emphasizes
change at the INDIVIDUAL level
Health Belief Model -- Describes the likelihood of taking an action to avoid disease based on: -
ANSperceived susceptibility, seriousness, and threat of a disease; modifying factors; cues to
action; perceived benefits minus perceived barriers to taking action
Milio's Framework for Prevention - ANScomplements the health belief model; emphasizes
change at the COMMUNITY level; ID's relationship b/w health deficits and availability of
health-promoting resources; theorizes that behavior changes within a large number of people
can ultimately lead to social change
Community - ANSa group of people and institutions that share geographic, civiv, and/or social
parameters
A community's health is determined by - ANSthe degree to which the community's collective
health needs are ID'd and met
Health indicators - ANSmortality rate, disease prevalence, levels of physical activity, obesity,
tobacco use, and substance use
Population - ANSan aggregate who shares one or more personal characteristics
Who is the client in community health nursing? - ANSCommunity or Population
Community-Based Nursing - ANSFocuses on: Individuals and Families
Activities: ILLNESS CARE -- management of acute or chronic conditions in settings where
individuals, families, and groups live, work, and "attend"
Ex) Home health nursing, school nurse, employee health, student health, camp nurse, prison
clinic
, Community-Oriented Nursing - ANSFocuses on: AT-RISK individuals, families, and groups + the
community
Activities: HEALTH CARE -- determining health needs of the community, and intervening at the
individual, family, and group level to improve the collective health of the community
Community Health Nursing Practice - ANSFocuses on: synthesis of nursing and public health
theory
Activities: DOING -- promote, preserve, and maintain the health of a population by DELIVERY of
health services to individuals, families, and groups in order to impact "community health"
Public Health Nursing Practice - ANSFocuses on: Synthesis of nursing and public health theory
Activities: PREVENTING -- promote, preserve, and maintain health through disease and
disability PREVENTION and health protection of community as a whole
Public Health Nursing Core Functions: - ANS1. Systematic assessment of the health of a
population
2. Development of policies to support the health of populations
3. Ensuring that essential health services are available to all persons
Ethical Considerations - ANSPreventing harm, doing no harm, promoting good, respecting both
individual and community rights, respecting autonomy and diversity, and providing
confidentiality, competency, trustworthiness, and advocacy.
CH Nurses are concerned with: - ANSprotecting, promoting, preserving, and maintaining health;
as well as preventing disease
Client rights include: - ANSthe right to information disclosure, privacy, informed consent,
information confidentiality, and participating in treatment decisions
Respect for AUTONOMY - ANSDefinition: individuals select those actions that fulfill their goals
Situation: respecting a client's right to self-determination (ex: making the decision to no pursue
chemotherapy)
NONMALIFICENCE - ANSDefinition: no harm is done when applying standards of care
Situation: developing plans of care that include a system for monitoring and evaluating
outcomes
BENEFICENCE - ANSDefinition: max. possible benefits and min. possible harms
Situation: assessing risks and benefits when planning interventions
DISTRIBUTIVE JUSTICE - ANSDefinition: fair distribution of the benefits and burden in society
is based on the needs and contributions of its members
Situation: determining eligibility for health care services based on income and fiscal resource
