1. Please discuss the historic development of social ecology model and the comparison of this model with the nursing process.
The historical development of the social ecology model stems back to systems theory and Dr. Urie Bronfenbrenner social ecological model of human development (discussed below). It fits well into the diagnostic phase where the nurse is assessing the patients needs (individual, relationship, community and societal) and what is impacting the patient's health. Bronfenbrenner (1979) considered the individual, organization, community, and culture to be nested factors (see attached articles: social ecological theory.docx and social ecological2.docx, as well as pdf file)
On the other hand, nursing process is a patient centered, goal oriented method of caring that provides a frame work to the nursing care. The following are the steps or phases of the nursing process.
o Assessment (of patient's needs)
o Diagnosis (of human response needs that nurses can deal with)(use social ecological model)
o Planning (of patient's care)
o Implementation (of care)
0 Evaluation (of the success of the implemented care) (see http://www.slideshare.net/jeena.aejy/nursing-process-presentation).
A more recent 'repackaging' of the nursing process comes in the form of the ASPIRE approach to planning and delivering care. This approach - developed within Hull University (UK) as a teaching and learning tool - takes the 5-stage approach outlined above and enhances it. 'Diagnosis' is retitled 'Systematic Nursing Diagnosis' to reflect the process of diagnosis in addition to the final product. An additional stage - 'Recheck' - is placed between Implementation and Evaluation, and reflects the information-gathering activities carried out by nurses, necessary to make an informed judgement about the effectiveness of patient care. The acronym ASPIRE stands for:
1. Assessment (of ...
Discusses the historic development of social ecology model and makes the comparison of this model with the nursing process. Supplemented with articles expanding on these models.