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Flashcards in ATI Chapter 1 Deck (16)
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Systems Thinking theory

  • studies how an individual or unit interacts w/ other organizations or systems
  • useful in examining cause and effect


Upstream thinking theory

  • used to focus on interventions that promote health or prevent illness, as opposed to medical tx models that focus on care after an individual becomes ill


Nightingale's Environmental Theory

  • relationship b/w indiv's env and health
  • depicts health as a continuum
  • emphasizes preventative care


determinants of health

  • factors that influence a client's health
  • can include nutrition, stress, education, environment, finanaces, and social status/stigma (prejudice)


health indicators

  • ie mortality rates, dz prevalence, levels of physical activity, obesity, tobacco or other substance abuse
  • describe the health status of a community and serves as targets for improvement of community's health


define community

  • group of ppl and institutions that share geographic, civic, and/or social parameters
  • vary in characteristics and health needs
  • community health nursing involves a synthesis of nursing and public health theory


public health nursing

  • population focused
  • involves a combination of nursing knowledge along w/ social and public health science
  • goal: promoting health and preventing dz
  • one service it provides is to conduct research to gain new knowledge and solutions to public health problems


3 core functions of public health nursing

  • assessment
  • policy development
  • assurance


explain assessment as a core function of public health nursing

  • using systematic methods to monitor the health of a population
    • monitor health status to identify community health problems
    • dx and investigate health problems and health hazards in the community


explain policy development as a core function of public health nursing

  • developing laws and practices to promote the health of a population based on scientific evidence
    • inform, educate, and empower ppl about health issues
    • mobilize community partnerships to identify and solve health problems
    • develop policies and plans that support individual and community health efforts


explain assurance as a core function of public health nursing

  • making sure adequate health care personnel and services are accessible, esp to those who might not normally have them
    • enforce laws and regulations that protect health and ensure safety
    • link ppl to needed personal health services and ensure the provision of health care when otherwise unavailable
    • ensure a competent publichealth and personal health care workforce
    • evaluate effectiveness, accessibility, and quality of personal and population based services


population focused nursing

  • includes assessing to determine needs, intervening to protect and promote health, and preventing dz w/in a specific population


principles of public health nursing

  • emphasizes primary prevention
  • work to achieve the greatest good for the largest number of individuals
  • recognize the client is the partner
  • use resources wisely to promote best outcomes


primary prevention

  • prevention of the initial occurrence of a dz or injury
    • nutrition education
    • family planning and sex education
    • smoking cessation edu
    • communicable dz prevention edu
    • edu about health and hygiene issues to specific groups (day care workers, restaurant workers)
    • safety edu (seat belt use, helmet use)
    • prenatal classes
    • providing immunizations
    • advocating for access to health care


secondary prevention

  • early detection/screening and tx of dz w/ goal of limiting severity and adverse effects
    • community assessments
    • dz surveillance (communicable dzs)
    • screenings
    • cancer 
    • DM
    • HTN
    • hypercholesterolemia
    • sensory impairments
    • TB
    • lead exposure
    • genetic disorders/metabolic deficiencies in newborns
    • control of outbreaks of communicable dzs


tertiary prevention

  • maximization of recovery after an injury/illness (rehab)
  • nutrition couseling for mgmt of Crohn's
  • exercise rehab
  • case mgmt (chronic illness, mental illness)
  • PT/OT
  • support groups
  • exercise for a client who has HTN