Translating an Individual Focused Nursing Model to a Community Focus Using Social Ecology Theory

2.50
Hdl Handle:
http://hdl.handle.net/10755/163539
Category:
Abstract
Type:
Presentation
Title:
Translating an Individual Focused Nursing Model to a Community Focus Using Social Ecology Theory
Author(s):
Klar, Robin
Author Details:
Robin Klar, DNSc, RN, Assistant Professor, University of Massachusetts, Worcester, Worcester, Massachusetts, USA, email: Robin.Klar@umassmed.edu
Abstract:
Purpose: Healthy People 2010 highlights the intersection of individual and community influences as determinants of health. Primary prevention interventions and health promotion models that guide the interventions have focused on the individual as client. Pender's revised Health Promotion Model (rHPM) offers a framework of individual indicators with a window to community indicators & situational influences. Further explanatory power via social ecology theory was used to translate the model from individual to community as client. There is a paucity of nursing research examining community indicators of health promotion for populations living in communities. The overarching specific aim of this research was to describe the intersection of interpersonal and community situational influences on the use of health promotion behaviors in urban women. Methods: A multi-level methodological approach was implemented. Individual level data were gathered to assess health promotion behaviors (HPLP-II), social support behaviors (ISSB), social networks (ASSIS), and demographics. Community level data were assessed from secondary (U.S. Census data and police crime statistics) and primary sources (survey of community influences). Descriptive statistics, correlations, and multiple regressions were conducted. Results: A stratified random sample of 47 women living in four distinct levels of neighborhood crime exposure was obtained. There was a statistically significant difference between neighborhoods of crime exposure and community-level influences: options available (p < .001), demand characteristics (p < .001), and aesthetics (p < .001). Spouses and friends were the social network members who provided socially supportive behaviors at statistically significant levels. Conclusions and Implications: Neighborhood does matter in relation to community indicators as they relate to engaging in health promotion behaviors. This research highlighted the policy issues related to the disparity of resource allocation within the same geopolitical region and highlights community resources that may be targeted to offer community oriented health promotion activities to populations of interest.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
17th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
New York, New York, USA
Description:
�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New York
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleTranslating an Individual Focused Nursing Model to a Community Focus Using Social Ecology Theoryen_GB
dc.contributor.authorKlar, Robinen_US
dc.author.detailsRobin Klar, DNSc, RN, Assistant Professor, University of Massachusetts, Worcester, Worcester, Massachusetts, USA, email: Robin.Klar@umassmed.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163539-
dc.description.abstractPurpose: Healthy People 2010 highlights the intersection of individual and community influences as determinants of health. Primary prevention interventions and health promotion models that guide the interventions have focused on the individual as client. Pender's revised Health Promotion Model (rHPM) offers a framework of individual indicators with a window to community indicators & situational influences. Further explanatory power via social ecology theory was used to translate the model from individual to community as client. There is a paucity of nursing research examining community indicators of health promotion for populations living in communities. The overarching specific aim of this research was to describe the intersection of interpersonal and community situational influences on the use of health promotion behaviors in urban women. Methods: A multi-level methodological approach was implemented. Individual level data were gathered to assess health promotion behaviors (HPLP-II), social support behaviors (ISSB), social networks (ASSIS), and demographics. Community level data were assessed from secondary (U.S. Census data and police crime statistics) and primary sources (survey of community influences). Descriptive statistics, correlations, and multiple regressions were conducted. Results: A stratified random sample of 47 women living in four distinct levels of neighborhood crime exposure was obtained. There was a statistically significant difference between neighborhoods of crime exposure and community-level influences: options available (p < .001), demand characteristics (p < .001), and aesthetics (p < .001). Spouses and friends were the social network members who provided socially supportive behaviors at statistically significant levels. Conclusions and Implications: Neighborhood does matter in relation to community indicators as they relate to engaging in health promotion behaviors. This research highlighted the policy issues related to the disparity of resource allocation within the same geopolitical region and highlights community resources that may be targeted to offer community oriented health promotion activities to populations of interest.en_GB
dc.date.available2011-10-27T11:09:19Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:09:19Z-
dc.conference.date2005en_US
dc.conference.name17th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationNew York, New York, USAen_US
dc.description�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New Yorken_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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