Community Week 3

Well-substantiated explanations of some aspect of the natural or social world based on a body of knowledge that has been repeatedly confirmed through observation and experimentation

theory

Theories ___ researchers on where to look for new information and how to interpret data, similar to how a roadmap directs travellers on where to go and how to navigate.

guide

Theory provides roots that anchor both ___ and research in the nursing discipline.

practice

Practice and research in diverse settings contribute to ___ of new theories.

development

Key ___ concepts include social justice, population health, epidemiology, health promotion and prevention, ethics, commitment to community and health equity.

public health

___ health nursing concepts include health equity, determinants of health, capacity building, a strengths-based approach, caring, cultural safety, and collaboration.

community

Health ___ is achieved when all people have the opportunity to reach their full health potential regardless of age, race, ethnicity, gender, or social class.

equity

Nursing theories focusing on illness in clinical settings are not always easily adapted to practice of community health nursing and theories specifically about CHN are ____.

lacking

In 1987, ___ argued that nursing tends to represent individual problems as isolated events rather than a pattern of responses in a community.

Schultz

___ is the scientific study of social relationships in a society.

Critical social theory

CST is a ___ of social theory and does not adhere to one singular theory

subset

CST is rerived from a ___ of perspectives; e.g., racism, feminism, colonialism

variety

CST is concerned with critically ___ and reflecting on existing social institutions and ideologies and exposing the way domination and oppression are reinforced and normalized.

examining

CST provides a way of ___ at the world; e.g., analysis of root causes.

looking

CST addresses underlying ___ and inequities that may exist offering insights into the mechanisms of social injustice and advocating for transformative change.

power differentials

CST includes asking questions, identifying constraints, determining risks of health damage, developing ___ to secure conditions for health and well-being

strategies

All research, theory, and practice is ___ (CST assumption)

political

Oppressive power relations and subjugation are ___ (insidious) but are frequently not questioned (CST assumption)

common

___ and usual ways of thinking and getting things done are ideally open to systematic questioning and criticism (CST assumption)

scientific

Social, economic, and political conditions have a ___, and we can better understand health by looking at history, oppressive social arrangements, economic inequities, and political disenfranchisement (CST assumption)

history

Health is viewed as related to ___ and liberation

empowerment

CST recognizes that health is ___

complex

CST believes that ___ creates ill health and liberation is an indispensable part of any group’s pursuit for  well being and integrity

oppression

per CST, the health of communities depends on:

integrity of the ___

humanness of social relations

physical environment

CST believes ___ distribution of health risks

equitable

CST believes in the availability of ___ to sustain life and manage illness

resources

CST believes in attainable ___ and education

employment

CST recognizes the ___ determinants of health

social

CST’s entire theoretical framework is based on:

• understanding root ___

• implications of differences in access to determinants of health

causes

CST views illnesses as based on ___ and oppression

inequity

illness not simply a ___ occurrence, CST looks at the structure of society as well

physiological

what is the bottom up approach in the CST

a problem-solving, design, or management strategy that starts with individual, low-level components and builds them up into a larger, comprehensive system

in the bottom up approach health promoters work ___ the group

with

the bottom up approach includes helping groups understand the ___ impediments to health

political, social, historical, and economic

Upstream approaches are often ___ and promotion strategies focused on policy interventions that benefit the whole population.

prevention

PHC interventions that focus on people’s well-being by addressing and taking action on the ___ of preventable diseases and injuries.

root causes

Acute care services are usually tertiary prevention measures, are focused on individual treatment and cure, and are considered ___ interventions

downstream

Upstream approaches extend beyond addressing ___ and identify programs, policies, and environmental changes.

individual behaviours

Nurses not the expert: ___ have expert knowledge of the situation

community members

Shifting one’s centre of thinking from one often centred in the voices and experiences on dominant groups to the lives and thoughts of those who have been ___

devalued, marginalized, and excluded

Shifting one’s centre of thinking includes previously silenced voices as a ___ for analyzing the complex interrelationship of race, class, and gender in society, and for thinking about social relationships, actions, experiences, and institutions in new ways

starting point

what does Anderson and Collins’ social analysis include??

1. shift the centre and reconstruct knowledge

2. conceptualize race, class and gender in analytical terms

3. Rethink how race, class and gender shape the social organization of social institutions

4. Analyze social issues (e.g., violence and sexuality) using this inclusive perspective

5. Work toward social change and the politics of empowerment

what does conceptualize race, class and gender in analytical terms mean?

make visible the continuing effects of race, class, and gender on peoples’ experiences

the third step of social analysis, rethink how race, class and gender shape the social organization of social institutions, means what?

how social institutions are constructed through race, class, and gender relations

Work toward social change and the politics of empowerment by acknowledging that people are not just ___, they are creative and visionary

victims

___ should be the primary framework in all the community health studies.

Social analysis

Refers to fair and equitable distribution of resources, opportunities, and  privileges among all members of the community

social justice

social justice involves the ___ and dismantling of systemic inequalities and injustices that affect marginalized and disadvantaged groups.

recognition

To create a society where all individuals have the same access to social, economic, and political rights, and where diversity is respected and valued is the ___ of social justice

goal

Centred around understanding and addressing the social, political, and economic inequalities between genders

feminist theories

feminist theories analyze the structures and systems that perpetuate ___ oppression

gender-based

FT ___ for the rights and empowerment of women and other marginalized genders

advocate

feminist theories are focused on ___, oppression, and justice, which are central concerns in public health

equity

Explores the cultural, political, and economic impacts of colonialism and imperialism on former colonies and their people

post colonial theories

Examines how colonial histories have shaped the present and continue to influence…

identities, power structures, and social dynamics

colonial theories are to give “voice to subjugated and ___ knowledge, especially non-Western voices”

Indigenous

post colonial theories analyze how ___ are established and maintained control through knowledge production, such as the creation of certain narratives and the suppression of others

colonial powers

Provides a way to understand how multiple social identities such as gender, race, disability, SES, and other inequalities intersect at the level of the individual

intersectionality theory

intersectionality theory examines difference and influence of ___

powe

A framework that accounts for synergistic or amplifying influence of multiple forms of oppression

intersectionality theory