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Advancing the symptom science model with environmental health
Author(s) -
Castner Jessica,
Amiri Azita,
Rodriguez Jeannie,
HuntingtonMoskos Luz,
Thompson Lisa M.,
Zhao Shuang,
Polivka Barbara
Publication year - 2019
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/phn.12641
Subject(s) - environmental medicine , translational research , nursing research , environmental epidemiology , medicine , environmental health , psychology , engineering ethics , management science , public health , nursing , engineering , pathology
Objective 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. Design 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. Results 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. Conclusion 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.