ABSTRACT
Nurses are challenged to advance the theoretical foundations of community practice. This paper offers ideas on what has been done and what needs to be done to meet this challenge. Within a community health nursing perspective, the paper defines community, proposes an integrated knowledge development framework that focuses on community, analyses contemporary theoretical and philosophical foundations of community in nursing, considers three world-views in which nursing can be framed, and examines parameters for knowledge development for the future.
Subject(s)
Community Health Nursing , Knowledge , Nursing Theory , Nursing/trends , Professional Practice , HumansABSTRACT
The alleged synthesis of nursing and public health has not produced the expected community-as-client emphasis. Public health is characterized as disease-focused, with masculine domination, using a causal model. The explanatory model of chaos challenges nurses to reexamine nursing's theoretical base by questioning assumptions associated with linear thinking. The selected chaotic concepts of aperiodicity, attractors, sensitive dependence on initial conditions, phase space, and fractals are discussed here. Each concept's connection to physics and mathematics is cited and considerations for nursing science are outlined. Conclusions include redefining health, nursing, and community in chaotic terms and renaming nursing practice, which has this aperiodic and holistic paradigm, as ecologic health nursing.
Subject(s)
Community Health Nursing , Models, Nursing , Nonlinear Dynamics , Fractals , Humans , ThinkingABSTRACT
We assessed the beliefs of 49 college students regarding the acquired immunodeficiency syndrome (AIDS), condom use, and sexual behaviors related to AIDS prevention. Roy's modes of self-concept, interdependence, and role function were used as a framework to find psychosocial determinants that influence safer sex practices. Interdependence was measured by a sexual regard scale. Beliefs regarding both AIDS beliefs and condom were very positive. Students were selectively using safer sex practices; most reported avoiding high-risk partners, but only 39% were using condoms. No significant associations were found among the four independent measures of AIDS beliefs, condom beliefs, self-esteem, and sexual regard or with the dependent measure, AIDS safer sex practices. A two-hour safer sex educational module did change several beliefs but did not increase safer sex practices. Most participating students stated they had a good understanding of how AIDS was spread, they knew how to use condoms correctly, and they discussed AIDS with friends and parents.