The case for geography in nursing practice.

Kelly S Krainak
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Abstract

Abstract: The discipline of geography is an increasingly necessary lens required to understand population-level diseases. Syndemics, or co-occurring diseases or epidemics within a specific population, are contextualized by place-preexisting social, economic, and political structures. Nurse practitioners are well-positioned to critically assess the impact of geography on patient health and well-being. This perspective provides a brief summary of syndemic crises, with a case example in the West Virginia coalfields. The position of this paper is one that supports geography, in addition to social determinants of health, as a framework for syndemics. A geographic perspective provides a more comprehensive picture of marginalized populations and regions facing the phenomenon. Given the significance of holistic nursing, attention to the role of geography in syndemics provides an increased dimension of care and treatment.

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护理实践中的地理因素。
摘要:地理学科日益成为了解人群疾病的必要视角。综合症,或特定人群中同时发生的疾病或流行病,是由地方--预先存在的社会、经济和政治结构所决定的。开业护士完全有能力批判性地评估地理环境对患者健康和福祉的影响。本文以西弗吉尼亚煤田为例,简要概述了综合症危机。本文的立场是,除了健康的社会决定因素外,还支持将地理因素作为综合症的框架。地理视角可以更全面地反映边缘化人群和地区所面临的现象。考虑到整体护理的重要性,关注地理因素在综合症中的作用可以增加护理和治疗的维度。
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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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