complete solutions verified and
approved.
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approved.
Canadian community health nursing practice model - ANSWER defines the practice of a registered nurse
in the specialty area of community health nursing and provides a guide for CHNs and their employers to
evaluate their practice
Limitations of the biomedical approach - ANSWER Traditional biomedical models are LINEAR
Traditional biochemical models focus attention on discovering pathology rather than understanding the
illness
Traditional biochemical models do not explain functional somatic syndromes and illness without
discernable disease
(ex: somatic pain)
Disease is only one factor contributing to illness and behaviours
We know the science, but do not know how it is influencing the whole system
Theory - ANSWER A set of interrelated concepts, definitions, and propositions that present a systematic
view of events or situations by specifying relations among variables in order to explain and predict the
events of the situations
Three major elements of a theory - ANSWER 1) Major factors that influence the phenomena of interest
(the variables)
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2) The relationship between these factors
3) The conditions under which these relationships do or do not occur
What is a model? - ANSWER - a generalized, hypothetical description used to analyzed or explain
something
- intentional simplification of the phenomenon of interest
- help explain situations, general, hypothetical or based on an analogy
- draw on a number of theories to help understand a specific problem in a particular setting or context
- more loosely structures than theories, used for simplification
Creates a bridge between theory and clinical practice
Theory vs. Model - ANSWER *Theory*
- clear explanation of how and why specific relationships lead to specific events
- explanatory AND descriptive
- described on an abstraction continuum (more complex)
*Model*
- deliberate simplification of a phenomenon
- descriptive (NOT explanatory)
Concepts - ANSWER Major components of a theory/model
ex: a personal belief that getting the hepatitis B vaccine is good
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Constructs - ANSWER Concepts that have been developed or adopted for use in a particular theory or
model
ex: people you respect saying the hepatitis B vaccine is safe and good
Variables - ANSWER Operational forms of constructs
- specify how a construct is to be measured in a specific situation
ex: hep B vaccine compliance questionnaire
Practical reasons to use a theory - ANSWER - help understand nature of problem
- describe and explain the needs and motivations of a population of interest
- explain or make propositions concerning how to change health status, health-related behaviours and
their determinants
- guide program planners in selecting these types of interventions that are needed to accomplish the
program goal and objective
- inform the methods and measures used to monitor the problem and the program
Intrapersonal level theory - ANSWER knowledge, beliefs, attitudes, self-concept, mental health, past
experiences, motivation, skills, behaviour
Models/theories include:
- health belief model
- theory of planned behaviour
- transtheoretical model (stages of change)
*no theory or model that is superior*
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Interpersonal level theory - ANSWER social cognitive theory
Behaviour continuum theories - ANSWER - health belief theory
- theory of planned behaviour
- SCT
Behaviour change stage theory - ANSWER - transtheoretical model
- precaution adoption process model
Key concepts of individual and interpersonal behaviour change - ANSWER *behaviour is motivated by
cognitions*
- that is, what people know and think affects how they act
*knowledge is necessary*
- but not sufficient to produce behaviour changes
*perceptions, motivations, skills, and the social environment*
- are key influences on behaviour
Health belief model - ANSWER Addresses the relationship between a person's beliefs and behaviours
- self-efficacy has been added since its conceptualization
6 concepts of health belief model - ANSWER *perceived susceptibility*
- beliefs about the chance of getting a condition/disease