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Upstream Thinking

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Most of our healthcare is based on upstream thinking. Build big heart hospitals, tertiary care centers: recue victime

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Definitions & Purposes of Theory

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Nursing Theory is "an organized framework of concepts and purposes designed to guide the practice of nursing". Goal of nursing theory: improve nursing practice (p. 38)

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Microscopic Approach to Solving Community Health Problems

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Focuses on the individual, and sometimes family, response to health and illness Often emphasizes behavioral responses to individual's illness or lifestyle patterns Nursing interventions are often aimed at modifying individual's behavior by changing his or her perceptions or belief system Which nursing theories complement the microscopic approach?

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Macroscopic Approach to Solving Community Health Problems

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Think global Examines interfamily and intercommunity themes in health and illness Delineates factors in the population that perpetuate the development of illness or foster the development of health Emphasizes social, economic, and environmental precursors of illness Nursing interventions may include modifying social or environmental variables May involve social or political action

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Select Theoretical Approaches for Community Health Nursing

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Microscopic The individual is the focus of change Examples Orem's Self-Care Deficit Theory of Nursing The Health Belief Model (HBM) Macroscopic The Upstream View: society is the focus of change Examples Milio's Framework for Prevention Critical Theoretical Perspective

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Microscopic

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The individual is the focus of change Examples Orem's Self-Care Deficit Theory of Nursing The Health Belief Model (HBM)

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Macroscopic

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The Upstream View: society is the focus of change Examples Milio's Framework for Prevention Critical Theoretical Perspective

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Critical Interactionism

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Nurses can use both an upstream and a downstream approach to address health issues through critical interactionism.

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Nursing with the CommunityBellack (1998)

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The health agenda originates from within the community; it is not imposed by others. A shared vision of health is a challenge because multiple viewpoints are the norm. Success depends on ... Listening Being patient Providing accurate and scientifically sound information Respecting the experiences of community members PARTNERING

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Nursing problem-solving

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By thinking about the root causes of health problems, we begin to understand the importance of directing nursing efforts toward the antecedents of poor health and lost opportunities. The Social Determinants of Health topic area within Healthy People 2020 is designed to identify ways to create social and physical environments that promote good health.

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Community/Public Health Nursing Theories and Population-Focused Nursing Practice – Flashcards

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