 Nightingale’s Theory of Environment Health Belief Model

o Focus on impact of a person’s environment on their health.

Focus is on preventative care (washing hands, clean

environment)

 Health Belief Model

o Assumes a person’s primary motivation in taking positive

health actions is to avoid getting a disease

 Likelihood of taking action is based on:

1. Modifying variables (age, gender, race, economy, education)

2. Perceived severity and susceptibility of getting the disease

3. Perceived benefits vs barriers of taking action

4. Cues to action (advice of doctor, media campaigns)

Community based nursing vs. community oriented nursing:

The community or population us the “client” in community health

nursing

 Community based nursing- is focused on illness care (acute or

chronic conditions) for individuals and families.

Examples: home health nurse doing would care,

school nurse administering epi-pen

 Community oriented nursing: is focused on improving collective

health of the community.

Examples: health education and promotion, disease

prevention activities. No illness care! Community oriented

nursing = public health nursing

Community Health nursing vs. public health nursing

 Community health nursing: delivers health care services to

individuals, families, and groups. Includes community based

nursing (illness care for individuals and families) AND community

oriented nursing (community focused care, with emphasis on

education and disease prevention)

 Public health nursing: disease prevention and health promotion of

communities and populations. They are not providing direct care

to individuals! Public health nursing = community oriented

nursing.

4 Ethical Principles in Community Health nursing