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This study was anchored in the Milios Framework for Prevention. In this model Milios
Framework of prevention a nurse and leader in public health policy and public health education
The basic treatise is that behavioral patterns of populations and individuals who make up
populations are a result of habitual selection from limited choices. She challenged the common
notion that a main determinant for unhealthful behavioral choice is lack of knowledge.
Governmental and institutional policies, she said set the range of options for personal choice
making. It neglected the role of community health nursing, examining the determinants of
community health and attempting to influence those determinants through public policy.
Salmon Whites construct for public health nursing states that public health as an organized
societal effort to protect, promote and restore the health of people and public health nursing
He gave 3 practice priorities i.e.; prevention of disease and poor health, protection against
disease and external agents and promotion of health. For these 3 general categories of nursing
-education directed toward voluntary change in the attitude and behaviour of the subjects
Scope of prevention spans individual, family, community and global care. Intervention target is
in 4 categories:
1.Human/Biological
2. Environmental
3. Medical/technological/organizational
4. Social
Environmental theory focuses in altering the environment of the patient in order to affect
change in his or her health. The environmental factors that affect health, as identified in the
theory, are: fresh air, pure water, sufficient food supplies, efficient drainage, cleanliness of the
patient and environment, and light (particularly direct sunlight). If any of these areas is lacking,
the patient may experience diminished health. A nurse's role in a patient's recovery is to alter
the environment in order to gradually create the optimal conditions for the patient's body to
heal itself. In some cases, this would mean minimal noise and in other cases could mean a
specific diet. All of these areas can be manipulated to help the patient meet his or her health
Allender J.N; Spradely B.W. Community Health Nursing Concepts and practice. (8th edn)
2001.Lippincott,342-45.
Stanhope M; Lancaster J. Community Health Nursing Promoting health of Aggregates, Families and
individuals.(4th edn) 2001.Mosby,265-80.
http://www.nursing-theory.org/theories-and-models/nightingale-environment-theory.php