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voices of the person-community. “The purpose of
the model is to respond in a new way to nursing’s
social mandate to care for the health of society by
gaining an understanding of what is wanted from
those living these health experiences” (Bunkers,
Nelson, Leuning et. al, 1999, p. 94). Advanced prac-
tice nurses, a steering committee, and six “site com-
munities” are moving together in seeking mutual
understanding of human health issues while hold-
ing as important the unique perspectives presented
by individuals and groups with complex health sit-
uations. The community of Sioux Falls, South
Dakota, has embraced this theory-based nursing
education-practice model by providing funding
from many community sources.
In the Health Action Model, “advanced practice
nurses work with persons and groups in the ‘Site
Communities’ in creating a prototype of collabora-
tion in addressing issues concerning quality of life”
(Bunkers, Nelson, Leuning et al., 1999, p. 94). “Site
communities” are agencies or places that seek to


respond to the health and social-welfare issues of
those struggling with lack of resources (see Fig.
14–3). Issues of quality of life are addressed with
nurses asking persons, families, and communities
what their hopes for the future are and working
with them to create personal health descriptions
and health action plans. Personal health descrip-
tions are written in the words of the person, family,
or community and include: (1) what life is like for
me now; (2) my health concerns are ___; (3) what’s
most important to me now; (4) my hopes for the
future are ___; (5) my plans for the future are ___;
(6) how I can carry out my plans; and (7) my spe-
cific health action plan is ___ (Bunkers, Nelson,
Leuning et al., 1999). When a person or community
identifies a health pattern they want to develop fur-
ther or identifies a desire to change certain health
patterns, the nurse explores how she or he can sup-
port that process.
Objectives of the Health Action Model include:
(1) creating a nursing practice model to guide

198 SECTION III Nursing Theory in Nursing Practice, Education, Research, and Administration


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The Health Action Model For Partnership In Community


Based on Parse's
Human Becoming
School of Thought
(Parse, R.R., 1997)

The HAMPIC Model
Augustana College
Dept. Of Nursing
Sioux Falls, SD
© 1997

Advanced
Practice
Nursing

Advanced
Practice
Nursing

Advanced
Practice
Nursing

Health as
Human Becoming

Voices of the
Person-Community

Community
Interconnectedness

L I V I N G


IN


RELAT


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S


H


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FIGURE 14–2 The health action model for partnership in community.Reprinted with permission from the Augustana College,
Department of Nursing, Sioux Falls, SD © 1997.

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