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PHILOSOPHY
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They aim to produce a graduate who is a critical thinker, ethical, committed to
the profession, and who can integrate research findings into practice.
As an active learner, the student prepares for learning and becoming a risk taker
by actively participating in a supportive learning environment. Learners also must
be willing to identify those areas that allow them an opportunity to grow. This
openness expedites the socialization process toward professional practice.
Different problem solving approaches are used. One of these, the nursing process
is a dynamic and on-going means of addressing clinical problems. A collaborative
endeavor, it depends on nurse and client observations, perceptions, and consensual
validations of physiological, psychosocial, emotional, and spiritual needs. This
process requires the nurse, client, family, and members of collaborating health
care teams to work together. Student education encourages critical thinking through
the nursing process. The nursing process involves:
Assessing factors that influence the position of the client, group, community, or
population on a health-illness continuum;
Determining actual or potential health problem(s);
Establishing mutually acceptable goals;
Intervening by promoting adaptation through modification of influencing factors
or increasing the coping response;
Evaluating the position on the health-illness continuum to reaffirm or modify nursing
interventions.
Department of Nursing Conceptual Model
CSUF Practice
Model
CSUF faculty has adapted a revised version of the Public Health Nursing Practice
Model as a model for application of nursing process within a community/population-based
framework. This model (Smith Bazini-Barakat, 2003) encourages the nurse to
consider all steps of the nursing process at every level of practice.
The model is grounded in the assumption that nursing practice uses a team approach,
is community/population-based, and has as its goal the creation of the conditions
in which healthy people can live in healthy communities. This model is also applicable
to hospital-based practices where the nurse manages care of individuals and their
family within the complex environment of a hospital healthcare system.
The diagram of model is a simplified representation of the concept and components
of the practice process. It presents the key elements of care and the relationships
between these elements and provides a tool for understanding and applying the model
to the reality of the practice environment. The model begins with a depiction of
the nurse as an integral part of interdisciplinary and intradisciplinary teams,
thus providing a broad approach to complex patient care and community problems.
Areas of assessment, diagnosis, outcomes identification, planning, interventions,
and evaluation facilitate application of the nursing process to all levels of practice.
The model also depicts three interwoven circles that show the levels of population-based
practice: systems, community, and individual/family. The circles are nested within
population-based care that is evidence-based, which is then applied at all points
of the nursing process. The ultimate goal of the model is healthy people in healthy
communities. For the individual, success is measured by improvement in or maintenance
of health; for the community, success is measured by improvement in overall community
health and quality of life indicators. Focusing on these goals completes the nursing
process and brings the nurse back to the assessment step of the nursing process.
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