Outpatient nurses: from handmaiden to autonomous practitioner (original) (raw)
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Health promoting hospitals: the role and function of nursing
Journal of Clinical Nursing, 2005
Background. In 1986, the World Health Organisation's (WHO) Ottawa Charter for Health Promotion sought to create a framework that conveyed the notion of capacity building, related to specific settings, and a structured process for health promotion action. It provided the platform from which the health promoting hospital movement was later launched. Nearly two decades on, the health promoting hospital (HPH) movement has grown considerably and continues to expand, against the backdrop of having to adapt to the changing needs and demands of clients and the evolving social context of their communities. Many nurses, it is argued here, are often unaware of health promoting hospitals concepts or, when they are, do little to contribute to them.
Journal of Clinical Nursing, 1998
This paper suggests that (i) the dominance of an individualistic philosophy of nursing, (ii) nurses’ own perceptions of their role and (iii) the hospital:community divide are all obstacles to health promotion being well integrated into nursing practice. • It explores how these obstacles need to be overcome in order for the new health promoting nurse to emerge in practice. • This is an attempt to clearly demonstrate ‘who’ the health promoting nurse is, ‘what’ she/he does, ‘how’ she/he works and ‘where’ she/he works. Keywords: community, health, hospital.
Health Promotion for Nurses: Theory and Practice
Health promotion is an increasingly high-profile aspect of a nurse's roleboth in line with health policy and as nursing has shifted from a disease model to a health model. This textbook explores how and why health promotion works in nursing, developing a new framework for understanding the nurse's role and promoting evidence-based practice.
Nursing care practices at an outpatient care center from an integrative perspective
Revista Latino-Americana de Enfermagem, 2012
AIM: to analyze nursing care practices at a Specialized Outpatient Care Center from the perspective of an integrative health care activity. METHOD: Interviews with 24 nursing professionals were undertaken. For data analysis, Thematic Content Analysis as proposed by Bardin was applied, resulting in the following themes: the team size and its commitment to health care; professional practices and activity of the nursing team. RESULTS: The size of the nursing team was considered insufficient, which compromises the quality of care and results in work overload and dissatisfaction of the nursing professionals. On the other hand, they were satisfied with the tasks performed day-to-day and related integrality to individual care, considered it essential and usually practiced it daily. CONCLUSION: It is considered that the nursing team has the potential and commitment to develop their care practice combined with the integrative perspective, and therefore providing quality health care to the po...
Effective approaches to health promotion in nursing practice
Nursing Standard, 2019
This article defines the concept of health promotion and explains why it is essential for nurses to embed health promotion aims and values in their practice. It discusses how health promotion contributes to the improvement and maintenance of population health and contemporary public health agendas in the UK and worldwide. Using several practical activities, this article aims to encourage nurses to identify their own approach to promoting health in their professional role, consider how they can implement 'Making Every Contact Count' with the patients they care for, and enhance the overall effectiveness of their practice.
A holistic approach to the promotion of older hospital patients' health
International Nursing Review, 2005
Purpose: To describe how nurses interpreted health promotion related to older patients in a medical hospital ward and the presuppositions for this work. Methods: The study had a descriptive and explorative design. Data were created through participant observation of five nurses and informal dialogues with four nurses working in an infection unit in a small hospital in Norway. The nurses where followed during a period of 6 months. The observations and dialogues were interpreted and transformed into text. This text was analysed with qualitative content analysis and interpreted hermeneutically on three levels: (1) reading the text to get an overview of the themes; (2) systematically separating central patterns; and (3) highlighting the patterns with examples. Findings: The nurses' interpretation of health promotion was closely connected to their interpretation of health and holistic nursing. Two main aspects were uncovered in the informal dialogues: a biomedically oriented nursing view and a holistically oriented nursing view. The observations showed that presuppositions, such as waiting for something or somebody, constantly changing situations, complexity and diversity in patient cases, influenced the nurses' work in general and also their focus on health promotion. The nurses balanced between the biomedical and the holistic approach. It seemed to be important for the nurses to be the masters of walking on a tightrope and to have professional clinical competence. Conclusion: It was difficult to find a clear focus on health promotion. The most visible focus was on diagnosis and treatment, while the more complex and comprehensive situations related to health promotion of older patients seemed to be underprioritized. The phenomenon of 'waiting' may be an important issue for further research.
Nurses' roles in health promotion practice: an integrative review
Health Promotion International, 2012
Nurses play an important role in promoting public health. Traditionally, the focus of health promotion by nurses has been on disease prevention and changing the behaviour of individuals with respect to their health. However, their role as promoters of health is more complex, since they have multidisciplinary knowledge and experience of health promotion in their nursing practice. This paper presents an integrative review aimed at examining the findings of existing research studies (1998-2011) of health promotion practice by nurses. Systematic computer searches were conducted of the Cochrane databases, Cinahl, PubMed, Web of Science, PsycINFO and Scopus databases, covering the period January 1998 to December 2011. Data were analysed and the results are presented using the concept map method of Novak and Gowin. The review found information on the theoretical basis of health promotion practice by nurses, the range of their expertise, health promotion competencies and the organizational culture associated with health promotion practice. Nurses consider health promotion important but a number of obstacles associated with organizational culture prevent effective delivery.
Physician's roles in health promotion in hospitals
Health promotion has been recognized in the current health system whereas physician's roles have been lacking. During December 2003 - April 2004, this qualitative study was conducted in 2 university hospitals, 2 general hospitals, 2 community hospitals, and 2 private hospitals. Focus group discussion, interview, and participatory and non-participatory observation techniques were used. It was found that diverse concerns and comprehensions among individual physicians, along with organizational factors (context), affected the physician's roles in health promotion. The key issues for the context were type of hospital, organizational structure, paradigm of thinking about health promotion, leadership opportunity, and contextual target population.
Do healthier nurses make better health promotors? A review of the literature
This discussion paper draws on a review of the literature to explore factors that might promote or inhibit healthier nursing practice. The term healthier nursing practice, used here, refers to the way commitment to health promoting practices at organisational, professional and personal levels is demonstrated and achieved. Health promotion is a holistic concept that calls for the creation of empowered relationships between self, others, and the environment to improve wellness. Nurses have often struggled to achieve this within their patient encounters and even more so within their own personal and professional life experiences. Two factors were identified in the literature review that appear to significantly impact on this situation, the organisational environment within which nurses practice and their educational exposure to health promoting opportunities. There are a number of parallel processes identified that illustrate the difficulties nurses have in their experiences of working with patients and with themselves in promoting healthier lives. Action learning is advocated as an effective way for nurses to address what are sometimes perceived as being insur-mountable barriers to developing health promoting opportunities for patients and the individual nurse.