Advancing the symptom science model with environmental health.
Environmental Health Science
Symptom Science Model
endotype
environmental justice
exposure
nursing theory
Journal
Public health nursing (Boston, Mass.)
ISSN: 1525-1446
Titre abrégé: Public Health Nurs
Pays: United States
ID NLM: 8501498
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
14
03
2019
revised:
15
06
2019
accepted:
20
06
2019
pubmed:
17
7
2019
medline:
7
3
2020
entrez:
17
7
2019
Statut:
ppublish
Résumé
Globally, indoor and outdoor pollutants are leading risk factors for death and reduced quality of life. Few theories explicitly address environmental health within the nursing discipline with a focus on harmful environmental exposures. The objective here is to expand the National Institutes of Health Symptom Science Model to include the environmental health concepts of environmental endotype (causative pathway) and environmental exposure. Meleis' research to theory strategy for theory refinement was used. Research workshop proceedings, environmental health nursing research expert consensus, panelist research trajectories, and review of the literature were utilized as data sources. Ongoing emphasis on the physical environment as a key determinant of health and theoretical perspectives for including environmental exposures and endotypes in symptom science are presented. Definitions of these concepts, further developed, are provided. Recommendations to strengthen environmental health nursing research and practice through capacity building/infrastructure, methods/outcomes, translational/clinical research, and basic/mechanistic research are included. The revised model deepens theoretical support for clinical actions that include environmental modification, environmental health education, and exposure reduction. This modification will enable a middle-range theory and shared mental model to inspire the prioritization of environmental health in nursing leadership, research, practice, and education.
Identifiants
pubmed: 31310379
doi: 10.1111/phn.12641
pmc: PMC6855393
mid: NIHMS1039166
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
716-725Subventions
Organisme : NIA NIH HHS
ID : R01AG047297
Pays : United States
Organisme : NIEHS NIH HHS
ID : P50 ES026071
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001412
Pays : United States
Organisme : NIMHD NIH HHS
ID : R01 MD009746
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG047297
Pays : United States
Organisme : NIEHS NIH HHS
ID : P50ES026071
Pays : United States
Organisme : NIEHS NIH HHS
ID : P30 ES019776
Pays : United States
Organisme : NIMHD NIH HHS
ID : R01MD009746
Pays : United States
Informations de copyright
© 2019 Wiley Periodicals, Inc.
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