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N3006 Nursing Metaparadigm Nurses

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Politico-economic. Physical. Metaparadigm of Nursing. Person ... Politico-Economic. Roles of CH Nurse. Clinician. Educator. Advocate. Manager. Collaborator ... – PowerPoint PPT presentation

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Title: N3006 Nursing Metaparadigm Nurses


1
N3006Nursing MetaparadigmNurses Environment
  • N3006-Metaparadigm

2
Objectives
  • Identify the interrelationship between
    environment human health
  • Explore the roles of nurses in environmental
    health
  • Examine social justice issues of environmental
    exposures

3
No amount of medical knowledge will lessen the
accountability for nurses to do what nurses do,
that is, manage the environment to promote
positive life processes.
4
(No Transcript)
5
Metaparadigm
The most global perspective of a discipline and
acts as an encapsulating unit or framework,
within which the more restricted structures
develop. Eckberg and Hill, 1979, p.927
6
Metaparadigm
Each discipline singles out phenomenon with which
it will deal in a unique way that distinguishes
it from other disciplines.
7
Metaparadigm of Nursing
  • Person
  • Environment
  • Health
  • Nursing

8
Metaparadigm of Nursing
Person
Environment
Health
Nursing
9
  • N3006
  • Nursing Metaparadigm
  • Relationship of the Environment to Health

10
WHO
  • Poor environmental quality is directly
    responsible for 25 of all preventable ill health.

11
Human Biology
Health Status
Life-Style
Environ- ment
Healthcare System
12
EPA Fish Advisories
  • Fresh water or ocean fish contain more than the
    maximum amount of mercury allowed.
  • By the end of 1996, there were 2,200 fish
    advisories in 47 states.

13
CDC Top Ten for 21st Century
  • (2) Eliminate health disparities
  • (3) Focus on children's development
  • (4) Achieve a longer "healthspan"
  • (5) Integrate physical activity healthy
    eating into daily lives

14
CDC Top Ten
  • (6) Cleanup and protect the environment
  • (7) Prepare to respond to emerging infectious
    diseases
  • (10) Use new scientific knowledge and
    technologies wisely

15
Vulnerability of Children
  • Permanent damage possible
  • Metabolic and physiological processes
  • Diet differs- qualitatively quantitatively
  • Normal exploratory behavior
  • Cumulatively exposed to more in their life
  • No political voice

16
Human Biology
Health Status
Environ- ment
Life-Style
Reference Dever, G.E.A (1991), Community health
analysis A global awareness of the local level
(Second Edition), Maryland Aspen
Healthcare System
17
Human biological factors
  • genetics
  • physiological function
  • maturation

18
Health care delivery system
  • availability
  • accessibility
  • adequacy

19
Lifestyle includes
  • employment
  • consumption patterns
  • leisure activities (with the associated risks)

20
Environmental Component
  • physical
  • psychological
  • social environment

21
Environment
Socio-cultural
Biological
Physical
Politico-economic
22
Metaparadigm of Nursing
Person
Environment
Health
Nursing
Physical
Biological
Politico-Economic
Social-Cultural
23
Roles of CH Nurse
  • Clinician
  • Educator
  • Advocate
  • Manager
  • Collaborator
  • Leader
  • Researcher

24
Community Health Nursing
  • Emphasis on health of populations
  • Address personal environmental aspects of health

25
Community Health Nursing
  • Deal with community factors that inhibit or
    facilitate healthy living
  • Interventions Levels of prevention
  • Identifying at risk groups

26
Levels of Prevention
  • Primary
  • Secondary
  • Tertiary

27
Natural History of Disease
The description of the events which precede its
development and occur during its course as well
as its outcomes.
28
Stages in the Natural History of a Condition
Exposure to agent
Symptom development
Pre-exposure Stage
Pre-clinical Stage
Clinical Stage
Resolution Stage
29
Stages in the Natural History of a Condition
Pre-exposure Stage Factors present leading to
problem development
Pre-clinical Stage Exposure to causative agent
no symptoms present
Clinical Stage Symptoms present
Resolution Stage Problem resolved. Return to
health or chronic state or death.
30
Stages in the Natural Hx of a Condition Their
Relationships to Levels of Prevention
Pre-exposure Stage Factors present leading to
problem development
Pre-clinical Stage Exposure to causative agent
no symptoms present
Clinical Stage Symptoms present
Resolution Stage Problem resolved. Return to
health or chronic state or death.
Primary prevention
Secondary prevention
Tertiary prevention
31
  • Protection
  • of the environment
  • is the most
  • fundamental form
  • of
  • primary prevention

32
Precautionary Principle
  • When an activity raises threats of harm to human
    health or the environment precautionary measures
    should be taken even if some cause and effect
    relationships are not fully established
    scientifically.

33
Nurses Environmental Health
  • How will our profession change in an age of
    environmental crisis?

34
Nurses as Environmental Stewards
  • Trusted health professionals
  • Knowledge workers
  • Values/passion
  • Privileged intimacy
  • 2.7 million nurses
  • Nurses are everywhere
  • Guide to the community

35
IOM Recommendations
  • Basic Knowledge Concepts
  • Assessment Referral
  • Advocacy
  • Ethics
  • Risk Communication
  • Legislation and Regulation

36
The Challenges of Connecting to Nurses A
S.W.O.T. Analysis
37
Strengths
  • Continuous learners
  • Advocates for patients
  • Team players ideal partners
  • Skilled communicators
  • Value competency/ quality care
  • Holism

38
Weaknesses
  • Unaware of significance of environment-health
    connection
  • Untapped role in health promotion
  • Lack role models in practice

39
Weaknesses
  • Lack skills to advocate for populations
  • Assume environment is responsibility of public
    health nurses
  • Don't know they need to know

40
Threats
  • Continue to select non-environmental CE
    activities
  • HCDS focus-episodic care to acute and chronically
    ill

41
Threats
  • Increasing environmental threats to health
  • Nursing shortage
  • Missed diagnoses
  • Missed opportunities
  • Reimbursement

42
Opportunities
  • Unanswered patient questions
  • Vulnerable populations
  • Environmental concerns in own community
  • Unexpected national events

43
  • The lived experience of the Akwasasne people

44
Simple truths in an ecosystem
  • We all live downstream
  • Humans cannot outlast the ecosystems they
    depend upon
  • We cannot maintain healthy humans on a sick
    planet

45
Scientific evidence
  • Scientific evidence will only increase the
    accountability for nurses to protect the
    environment to promote positive life processes.

46
Nursing is a progressive art in which to stand
still is to go back. Florence Nightingale
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