The Corbin & Strauss Nursing Model

THE CORBIN AND STRAUSS NURSING MODEL AS A FRAMEWORK FOR HEALTH EDUCATION PROGRAMS

This research examines the Corbin and Strauss Nursing Model for appropriateness as a framework for health education programs for elderly persons. A description and explanation of the Corbin and Strauss Nursing Model is followed by a discussion of the appropriateness of using the model as a framework for health education programs for the chronically ill elderly.

The Corbin and Strauss Nursing Model: Description and Explanation

The Corbin and Strauss Nursing Model is based on the four central concepts of the metaparadigm of nursing identified by Jacqueline Fawcett (Robinson, Bevil, Arcangelo, Reifsnyder, Rothman, and Smeltzer, 1993, p. 255). The four central concepts of this metaparadigm are person, environment, health, and nursing (Fawcett, 1989, p. 216). Person refers to the individual receiving carethe patient. The person is a human being; a unity that can be viewed as functioning biologically, symbolically, and socially. Environment is envisioned within the contexts of (1) environmental factors and elements, which are considered to be external to the individual, (2) environmental conditions, which are the set of environmental factors and elements that exist at a given time, and (3) the developmental environment. The nurse, as a provider of care, creates a developmental environment which, for the individual receiving care, promotes

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are. The ability of the nurse to provide patient care is referred to as nursing agency. The goal of nursing agency is to help individuals meet their own therapeutic care demands. The three components of nursing agency are (1) helping the patient to accomplish therapeutic care, (2) helping the patient to move toward responsible and independent care action, and (3) helping members of a patient's family to become competent in providing care agency for the patient. The goal of nursing within the Corbin and Strauss (1992, pp. 928) Nursing Model is to assist afflicted individuals to shape their illness course while maintaining quality of life. Nursing care is perceived as supportive assistance, and "centers around health promotion and collaboration with the individual, family, or community, and self care or management of the chronic condition (Corbin and Strauss, 1991, pp. 155174). The interrelationships between the four metaparadigm factors provide the basis for self care in the Corbin and Strauss (1991, pp. 155174) Nursing Model. Self care is defined as a goal oriented activity that is learned. Self care involves three types of requisitesuniversal, developmental, and health deviation. Universal self care requisite

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