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Journals / Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi / 2026 / Volume: 12 Issue: 1

The Environment According to the Upstream Model from the Perspective of Public Health Nurses

Halk Sağlığı Hemşirelerinin Gözünden Yukarı Akış Modeline Göre Çevre

Esma Akgül(SAKARYA UYGULAMALI BİLİMLER ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ)0000-0002-2202-2919
Fatma Nevin Şişman(MARMARA ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, HALK SAĞLIĞI HEMŞİRELİĞİ ANABİLİM DALI)0000-0001-9543-6875
Kamer Gür(MARMARA ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, HALK SAĞLIĞI HEMŞİRELİĞİ ANABİLİM DALI)0000-0002-2424-323X
Pages
87–92
Publication Date
2025-04-22
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Butterfield, by considering the environment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The impact of the environment on health has gained importance with Florence Nightingale.
📊
Key Findings & Data:Healthy People 2030 emphasises the importance of upstream factors in improving health and combating health inequalities.
💡
Conclusion & Impact:Butterfield, by considering the environment.
🔬Design:Review & Systematic Survey
📍Scope:2030 Verileri
⚙️Variables:Çevre · hemşirelik · sosyal belirleyiciler

Abstract

The impact of the environment on health has gained importance with Florence Nightingale. It is known that individual prevention initiatives alone are insufficient to protect and improve public health, and that nurses should be proactive in preventing environmental risks, which constitute a prerequisite for health, from turning into disease and disability. Environmental initiatives should be handled with a multi-sectoral, upward perspective from individuals to policymakers. Healthy People 2030 emphasises the importance of upstream factors in improving health and combating health inequalities. These factors are related to social determinants of health that are upstream and not related to health service delivery. From this perspective, the Butterfield Upstream Model for Population Health can be used in environment-related health problems. Public health nurses can intervene upwards from individuals to policymakers with a multi-sectoral approach by analysing environmental risks that may pose health problems with the model. The aim of this review is to explain the model, which was transferred to nursing science by public health nurse Patricia G. Butterfield, by considering the environment.

Özet

Florence Nightingale ile çevrenin sağlık üzerindeki etkisi önem kazanmıştır. Toplum sağlığını korumak ve geliştirmek için bireysel önleme girişimlerinin tek başına yetersiz olduğu, sağlığın ön koşulunu oluşturan çevresel risklerin hastalık ve sakatlığa dönüşmemesi için hemşirelerin proaktif olması gerektiği bilinmektedir. Çevreye yönelik girişimler çok sektörlü, bireylerden politika geliştiricilere, yukarı bakış açısı ile ele alınmalıdır. Sağlıklı İnsanlar 2030’da sağlığın iyileştirilmesi ve sağlık eşitsizlikleri ile mücadelede yukarı akış faktörlerinin önemi vurgulanmaktadır. Bu faktörler, akışın yukarısında bulunan ve sağlık hizmeti sunumu ile ilgili olmayan sağlığın sosyal belirleyicileri ile ilgilidir. Bu bakış açısına sahip Nüfus Sağlığı için Butterfield Yukarı Akış Modeli çevre ile ilişkili sağlık sorunlarında kullanılabilir. Halk sağlığı hemşireleri model ile sağlık açısından sorun oluşturabilecek çevresel riskleri analiz ederek çok sektörlü bir yaklaşımla, bireylerden politika geliştiricilere doğru yukarı yönde müdahalede bulunabilir. Bu derlemenin amacı, hemşirelik bilimine halk sağlığı hemşiresi Patricia G. Butterfield tarafından aktarılan modelin çevre ele anılarak açıklanmasıdır.

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Cite This Article

Akgül, E., Şişman, F. N., Gür, K. (2025). The Environment According to the Upstream Model from the Perspective of Public Health Nurses. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, Volume: 12 Issue: 1, 87–92. https://doi.org/10.31125/hunhemsire.1489838

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