NURSING ASSIGNMENT 1: Socio-ecological Model, Evidence-Based Practice

This nursing assignment delves into the application of the Socio-ecological Model (SEM) in public health, highlighting its multifaceted approach to health promotion by considering individual and environmental factors. It contrasts this model with the 'inside-out' approach, emphasizing personal strengths. The assignment further explores evidence-based public health, emphasizing the integration of informed and explicit evidence in healthcare practices. It details key domains influencing decision-making in public health, such as workforce development and financial processes. Additionally, the report discusses the significance of both research and practice in developing evidence-based care, including the barriers that hinder the translation of research into practice, and the importance of autonomy in healthcare decision-making. The report concludes by emphasizing the role of research and practice in improving healthcare outcomes and patient satisfaction. All information is supported by credible references.

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the student
Name of the university
Author note

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Socio-ecological model
As mentioned by Shahabuddin et al. (2017), the Social Ecological Model (SEM) of
public health is associated with the multifaceted and interactive effect of different individualized
and environmental factors. These factors develop avenues which are responsible for the growth
and development of the health promotional aspects. Through the five SEM levels, it describes of
formal and informal ways of effective healthcare aspects that help in the growth and
development of primary aspects of health promotion (Coburn et al., 2003).
The inside out model of health promotion focuses on people to understand that aspects
such as their personal and inner strength are the key elements that should be implemented in the
care process. Further, the original thinking approach did not focus on the personal strengths and
abilities for health promotional aspects. This is the way these approaches vary from each other in
a cohesive manner.
It should be noted in this regard that the model provides a directional paradigm for
perspective health promotional activities and research work that is undertaken by various
healthcare facilities. Thereby, it helps in examining the roles of several intermediate bodies such
as the legislation and corporate decision-makers in promotion of a holistic welfare for common
public.
Evidence based public health
Evidence-based public health is the aspects that are included in the healthcare processes
that includes aspects such as informed, explicit and judicial use of evidence present in the
society. This models and beliefs help the healthcare professional to maintain effective care for

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people that are unable to receive effective care for their wellbeing (Brownson, Baker,
Deshpande& Gillespie, 2017).
As per Bhalaji, Bathrinath, Ponnambalam and Saravanasankar (2019), there are five
aspects or domains that prevail or control the public health aspects and influence the decision
making related aspects so that people could be provided with quality and effective healthcare. In
this aspect, these domains should be mentioned which are the development of the workforce,
leadership, organizational climate and culture, partnership and relationship, financial processes.
These are important for the successful implementation of evidence for the usage in public health.
The evidence-based public health practices are developed so that the integration of
clinical experts could help to develop effective healthcare process for associated patients. This
helps to maintain the quality of healthcare processes and obtain a positive outcome for the
patient (Brownson, Baker, Deshpande & Gillespie, 2017). However, evidence-based medicine is
the approach that is inclusive of the judicious use of medication that can help acquire positive
patient outcome.
Research and practice in public health
Both research and practice hold tremendous importance in growth and development of
aspects so that evidence based practice could be developed. It helps patients to maintain quality
and improved care process and also helps them to maintain functional abilities, patterns of care,
increase healthcare costs and develop interventions so that patient could be provided with
strength and abilities for their growth (Moore et al., 2015).
The barriers that prevent translating research into practice could be categorized into two
sections, such as individual characterized and system based approach due to which majority of

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the majority of the patients could not be provided with effective care. These barriers are created
due to the presence of lack of knowledge about the aspect due to which people could not receive
effective care for their wellbeing aspects (Hoyer, Brotman, Chan& Needham,2015).
The autonomy in public healthcare processes are developed so that people who are
availing healthcare facilities in the country can be provided with avenues which could benefit
them in the care-driven decision making process (Fleetwood, 2017). It also provides the
implication of healthcare investigation so that effective care can be provided to the patients and
at the same time the patient-satisfaction level can be alleviated.

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References
Bhalaji, R. K. A., Bathrinath, S., Ponnambalam, S. G., & Saravanasankar, S. (2019). A Fuzzy
Decision-Making Trial and Evaluation Laboratory approach to analyse risk factors
related to environmental health and safety aspects in the healthcare
industry. Sādhanā, 44(3), 55.doi; https://doi.org/10.1007/s12046-018-1050-4
Brownson, R. C., Baker, E. A., Deshpande, A. D., & Gillespie, K. N. (2017). Evidence-based
public health. Oxford University Press.
Coburn, D., Denny, K., Mykhalovskiy, E., McDonough, P., Robertson, A., & Love, R. (2003).
Population health in Canada: a brief critique. American Journal of Public Health, 93(3),
392-396.
Fleetwood, J. (2017). Public health, ethics, and autonomous vehicles. American journal of public
health, 107(4), 532-537.doi: https://doi.org/10.2105/AJPH.2016.303628
Hoyer, E. H., Brotman, D. J., Chan, K., & Needham, D. M. (2015). Barriers to early mobility of
hospitalized general medicine patients: survey development and results. American
journal of physical medicine & rehabilitation/Association of Academic
Physiatrists, 94(4), 304.doi; https://dx.doi.org/10.1097%2FPHM.0000000000000185
Moore, G. F., Audrey, S., Barker, M., Bond, L., Bonell, C., Hardeman, W., ... & Baird, J. (2015).
Process evaluation of complex interventions: Medical Research Council
guidance. bmj, 350, h12doi; https://doi.org/10.1136/bmj.h1258

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Shahabuddin, A., Nöstlinger, C., Delvaux, T., Sarker, M., Delamou, A., Bardají, A., ... & De
Brouwere, V. (2017). Exploring maternal health care-seeking behavior of married
adolescent girls in Bangladesh: a social-ecological approach. PloS one, 12(1),
e0169109.doi; https://doi.org/10.1371/journal.pone.0169109