Escuela de Ciencias de la Salud
Filosofía de los Programas de Enfermería (BSN)
Bachillerato en Ciencias en Enfermería (BSN)
The philosophy of the undergraduate and graduate programs is consistent with the goals and mission of Universidad Ana G. Méndez, Recinto de Gurabo and the School of Health Sciences. The federal initiations Healthy People 2010 and Healthy People 2020 have set goals in many specific areas, including health promotion and disease prevention. Since the challenge of improving the nation’s health is an interdisciplinary one nursing education must anticipate and prepare for these changes in order to educate its students for this new environment. The nursing faculty at the School of Health Sciences at Universidad Ana G. Méndez, Recinto de Gurabo respond to this challenge by providing undergraduate and graduate education with a clear focus on differentiating the roles and responsibilities of nursing practice.
We believe that preparation for the entry-level nurse now requires a greater orientation to community-based primary health care and an emphasis on health promotion, maintenance and cost-effective coordinated care. This care must respond to the needs of culturally diverse, underserved groups and other populations in a variety of settings. The nursing faculty at School of Health Sciences concur with the AACN position statement that recognizes the Bachelor of Science degree in nursing as the minimum educational requirement for professional nursing practice. Advanced nursing practice is the focus of graduate preparation at the School of Health Sciences at Universidad Ana G. Méndez, Recinto de Gurabo with emphasis on primary health care, case management, community health, and specialization across health settings.
The philosophy of the Nursing Programs is based on the Dimensions Model of Community Health Nursing. The dimensions model consists of three elements: dimensions of health, dimensions of health care and dimensions of nursing.
Figure 1 Clark’s Dimensions Model of Community Health Nursing-UT Adaptation 2013-14
Dimensions of Health Care
The dimensions of health guide the nurse’s assessment of clients’ health status whether the client is an individual, a family or a community. The dimensions of health care and the dimensions of nursing guide nursing interventions. The dimensions of health care are derived from the epidemiologic perspective of public health, which acknowledges the interaction of multiple factors in population health and illness. The dimensions of health consist of six categories of factors that can be used to organize a health assessment.
The biophysical dimension includes factors related to human biology that influence health. These factors may be related to age and developmental stages, genetics, and physiologic function. The psychological dimension refers to health effects of both internal and external psychological environments. The physical environmental dimension encompasses the health effects of factors in the physical environment. The sociocultural dimension consists of those factors within the social environment that influence health, either positively or negatively. The behavioral dimension consists of personal behaviors that either promote or impair health. The health system dimension refers to the way in which health care services are organized and their availability, accessibility, affordability, appropriateness, adequacy, acceptability, and use.
The nursing faculty believes that nurses need to be educated about the applicability of this model. Correct use of the dimensions of health to collect and organize data regarding client health status is of great importance. Factors in each of the six dimensions are applied through the undergraduate and graduate curricula at multiple levels, including individuals, families, groups, and communities. From this data the nurse derives health diagnoses that guide the planning of nursing interventions.