TERNOPIL STATE MEDICAL UNIVERSITY

INSTITUTE OF NURSING

INTERNATIONAL NURSING SCHOOL

BACHELOURATE NURSING PROGRAM

 

Community and Public Health Nursing

PRACTICUM

 

METHODICAL INSTRUCTION

FOR

PRACTICAL CLASS #4 (7 hours)

 

 

Theme:

Models and Concepts applied to Community Health Nursing.

Conceptual models: The Omaha System, Neuman System Model.

Aim:

 

To learn about modern nursing models and concepts applied to Community Health Nursing and to be able to use them in your practice.

Professional orientation of students

In nursing’s early history, knowledge was extremely limited and almost entirely task oriented. As nursing knowledge grew, so too did a means to organize information systematically. As nursing advanced professionally, theories were used to analyze client care situations and communicate with other nurses. Nursing theory is necessary for the continued development and evolution of the discipline of nursing.

Instructor: 

__________________________________________________

 

 

OBJECTIVES:

1.      Explain what is meant by a theory and a model of nursing

2.      Characterize the conceptual models:

a.      the Omaha System,

b.     Neuman System Model

 

 

Examples of Multiple Choice Tests

Identify the choice that best completes the statement or answers the question.

____ 1.       All of the following statements about the term theory are true EXCEPT

a.

propositions are structural elements of theory

b.

a theory is a set of concepts and propositions that provides an orderly way to view phenomena

c.

description, explanation, and prediction are the purpose of theory

d.

use of the term theory is restricted to the scientific world

____ 2.       Nursing's metaparadigm differs from that of medicine's because nursing's metaparadigm

a.

has been in existence longer

b.

is broader and focuses on the person, health, and the environment

c.

is focused on the curing of disease

d.

is focused on acute needs of the client

____ 3.       Who was an author of a theory that focused on self-care?

a.

Nightingale

c.

Abdellah

b.

Levine

d.

Orem

 

Answer Section

         1.       ANS: D     

         2.       ANS: B      

         3.       ANS: D     

 

 

READINGS

1.      Allender, J. A., Spradley, B.W. (2001). Community Health Nursing: Concepts and Practice (5th edition). Lippincott Williams & Wilkins; 5th edition (January 15, 2001). 799 pages. ISBN-13: 978-0781721226.

2.      Stanhope, M., & Lancaster, J. (2000). Community and Public Health Nursing (5th Edition) St. Louis: Mosby.

3.      Stanhope, M., & Lancaster, J. (2006). Foundations of Nursing in the Community: Community-Oriented Practice (2nd Edition) St. Louis: Mosby-Elsevier.

4.      Allender, J. A., Spradley, B.W. (2004). Community Health Nursing: Promoting and Protecting the Public's Health (6th Edition) Lippincott Williams & Wilkins, 2004. – 992 p.

 

Additional readings:

1.      Fawcett, J. (2000). Analysis and evaluation of contemporary nursing knowledge: Nursing models and theories. Philadelphia: F. A. Davis.

2.      Nursing theorists: Portraits of excellence; Nursing theorists: Excellence in action [videos]. Athens, OH: Fuld Institute for Technology in Nursing Education.

 

Internet resources:

1.      http://www.omahasystem.org/

2.      http://nursing.jbpub.com/sitzman/artGallery.cfm

3.      American Association of Legal Nurse Consultants http://www.aalnc.org

4.      American Health Information Management Association http://www.ahima.org

5.      American Nurses Association http://www.nursingworld.org

 

Practicum Outline  Exam of Practical Skills II (9:00 am till 12:00 am)

1.      Personal work: In written form explain how you can use nursing conceptual models in your practice.

2.      Group work:

a.      Prepare short PPT presentation that will explain the the Omaha System

b.     Prepare short PPT presentation that will analyze Neuman System Model.

3.      Personal work: Give in written form definition to the next terms: Concept, Conceptual framework, Existentialism, Functional health patterns, Metaparadigm, Nursing, Paradigm revolution, Paradigm shift, Phenomenon, Self-care, Proposition.

 

Students discussion (12:30 pm till 14:00 pm)

 

1.      REVIEW QUESTIONS

Dorothea Elizabeth Orem

l     Dorothea Elizabeth Orem (1914 – June 22, 2007), born in Baltimore, Maryland, was a nursing theorist and founder of the Orem model of nursing, or Self Care Deficit Nursing Theory.

l     In simplest terms, this theory states that nurses have to supply care when the patients cannot provide care to themselves.

l     Her Theory is about self-care. It's all about the capacity to recover themselves with a little help of Nurses

 

Orem’s Theory:

l     compensatory nursing system: In the wholly compensatory nursing system, the nurse supports and protects the client, compensates for the client’s inability to care for self, and attempts to provide care for the client. The nurse would use the wholly compensatory nursing system when caring for a newborn or with a client in a postanesthesia care unit who is recovering from surgery. Both of these clients are completely unable to provide self-care.

l     the partly compensatory nursing system: In the partly compensatory nursing system, both the nurse and client perform care measures. For example, the nurse can assist the postoperative client to ambulate. The nurse may bring in a meal tray for the client who is able to feed self. The nurse compensates for what the client cannot do. The client is able to perform selected self-care activities but also accepts care performed by the nurse for needs the client is unable to meet independently.

l     the supportive-educative nursing system: In the supportive-educative nursing system, the nurse’s actions are to help clients develop their own self-care abilities through knowledge, support, and encouragement. Clients must learn and perform their own self-care activities. The supportive-educative nursing system is being used when a nurse guides a new mother to breastfeed her baby.

 

Neuman's systems model

l     is based on the individual's relationship to stress, the reaction to it, and reconstitution factors that are dynamic in nature.

l     is a unique, open systems-based perspective that provides a unifying focus for approaching a wide range of international health concerns.

l     Being universal in nature, it is open to creative interpretation and is widely used throughout the world as a multidisciplinary, holistic, and comprehensive guide for excellence in nursing practice, education, research, and administration.

 

 

2.     POP-QUIZ (14:15 pm till 15:00 pm)

 

 

Prepared by                                                                    Nataliya Haliyash

25/04/2009

 

Approved by Department of General Patient Care. Minute #8 from January 14, 2008

Revised by Department of General Patient Care. Minute #17 from June 12, 2008

 

Director of Institute of Nursing                               Associated Prof. Svitlana Yastremska, Ph.D., RN, BSN