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Title: A Road Less Travelled : An Exploration of Community Health from the Perspective of Nursing and Environmental Justice
Author: Carnegie, Elaine Ruth
ISNI:       0000 0001 3520 4079
Awarding Body: University of Aberdeen
Current Institution: University of Aberdeen
Date of Award: 2007
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Abstract Aim: To describe the processes involved which encourage or inhibit the pursuit of community health within one environmental justice event. To contribute to nursing theory regarding nurses' environmental role, within the provision of holistic care. Method: Mixed methods within an interpretive approach drawing upon critical social theory. It focuses on one critical situation as a case study, namely the development of a local waste strategy that includes a proposarfor a waste incinerator. The sample was derived from documentation related to the case, members of the public, members of local and national government, expert informants and community nurses. Data collection included individual and focus group interviews, observation, local media and policy documentation. Findings: The pursuit of community environmental health requires a framework for dialogue between stakeholders. In the context of this critical study, the meaning of nursing advocacy has become the examination ofthe multiple agendas of stakeholders involved in. decisions that affect communities. The emergence of the community environmental health model demonstrates how community nurses can support a community with envirornnental health concerns and the emergence ofthe community engagement model reveals a cross-sector strategy. Community nurses need to be able to participate as partners in community environmental health without feeling restricted by organisational policies or fear ofconflict. It is argued that the adoption of a community environmental ethic will strengthen any nursing response. Conclusions: Within the proposed framework, nurses can become involved in environmental decision-making and environmental advocacy in partnership with the community. Ultimately nurses can act as a resource to communities and to policymakers. This role demands that nurses challenge professional ideologies in order to partake in the social dimensions of community nursing. It will also require working within defmed geographical boundaries, a clear environmental health agenda and the development of an environmental information base from which to draw. Keywords: community health, community nurses, environmental justice, environmental health, community environmental ethic, nursing advocacy.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available