The Principles Of Community Health

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M1DB Principles of Community Health Like any profession, the perception of nursing can change depending upon perspective. The purpose of this discussion is to compare and contrast community health nursing practice with hospital-based nursing practice in the provision of essential core functions and services. The paper will delineate nursing theories and models of care in relationship to those practices. Additionally, examples will be provided from nursing experience. Nursing care can be analyzed using different models of care, but two common ones are microscopic and macroscopic (Nies & McEwen, 2015). The conceptual model of microscopic practice is a focus on the individual patient, while macroscopic practice focuses on the origin of an…show more content…
For instance, I work in an neonatal intensive care unit (NICU). I take care of premature babies, sometimes as young as 23 weeks gestation. I concentrate my care on the infants and their families. It is common for me to need to teach parents how to feed their premature infant in my practice. Since a baby’s suck, swallow, and breathing coordination does not begin until about 35 weeks gestation, I often need to explain to parents why we are feeding their baby through a naso-gastric tube instead of giving him/her a bottle. This is an example of Orem’s self-care deficit theory, and HBM. The assumption behind these practices is that the care focuses on the patient’s immediate need. In the context of the HBM, health occurs downstream from its root cause. In this case, the self-care deficit is the baby’s inability to suck, swallow, and breathe at once. All the actions and teaching for this self-care deficit stem from that immediate need. A macroscopic view is more indicative of community health practices. Milio’s framework of prevention focuses on the provision of education to positively affect a community’s health (Nies & McEwen, 2015). There are six basic services provided by public health nurses: promoting healthy living, preventing health problems, treating disorders, research, and rehabilitation (Hersh, 2016). The function of public health nursing is to focus on ways to
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