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Enebeli MO, Saint V, Hämel K. Nurses' health promotion practices in rural primary health care in Nigeria. A qualitative study. Health Promot Int 2024; 39:daae120. [PMID: 39322423 PMCID: PMC11424163 DOI: 10.1093/heapro/daae120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/27/2024] Open
Abstract
Nurses play a vital role in providing high-quality primary healthcare and health promotion services. The state of research highlights their often complex operational realities and shows the need for an evidence-based understanding of nurses' perspectives on health promotion practices, especially in low-resource settings. This study focuses on how community health nurses in rural primary healthcare centers in Nigeria perceive their health promotion role and the opportunities and challenges of, and potential entry points for strengthening, their practice. A sample of 10 nurses from eight rural primary healthcare centers in eight local government areas of Anambra state, Nigeria, was purposively selected. Data were collected via semistructured telephone and written interviews and analyzed by qualitative content analysis using a deductive-inductive approach. Nurses emphasized their commitment to supporting patients and communities to develop skills and take control of their own lives. Nurses described their role as facilitators of behavioral and environmental change, individual and community empowerment facilitators as well as social activists. Factors that enhance the health promotion practice of nurses include adequate skills, sufficient human and material resources and community support and participation. Inhibiting factors included insufficient funding, poor working conditions, staff shortages, high workload, lack of training opportunities and low participation of community members. Overcoming challenges and facilitating health promotion activities in rural communities require bolstering nurses by providing further training opportunities for enhancing their health promotion competencies and creating supportive environments. Future research should focus on how to strengthen nurses' health promotion efforts through interprofessional and intersectoral collaboration.
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Affiliation(s)
- Maria Oluomachi Enebeli
- Department of Health Services Research and Nursing Science, School of Public Health, Bielefeld University, Universitätsstrasse 25, 33615, Bielefeld, Germany
| | - Victoria Saint
- Department of Population Medicine and Health Services Research, School of Public Health, Bielefeld University, Universitätsstrasse 25, 33615, Bielefeld, Germany
| | - Kerstin Hämel
- Department of Health Services Research and Nursing Science, School of Public Health, Bielefeld University, Universitätsstrasse 25, 33615, Bielefeld, Germany
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Shimizu S, Yoshida S, Nerome Y. Knowledge and practical skills for cancer pain management among nurses on remote islands in Japan and related factors nationwide. Aust J Rural Health 2024; 32:801-814. [PMID: 38853613 DOI: 10.1111/ajr.13146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Revised: 05/14/2024] [Accepted: 05/20/2024] [Indexed: 06/11/2024] Open
Abstract
OBJECTIVE To clarify the knowledge and practical skills needed for cancer pain management among nurses on remote islands in Japan and related factors nationwide. SETTING Due to geographical factors, nurses working on remote islands in Japan have few opportunities to attend training programs, which makes it difficult to acquire the knowledge and practical skills needed to provide pain management for patients with cancer. METHODS We conducted a self-administered questionnaire survey regarding knowledge and practical skills in pain management for patients with cancer. DESIGN Cross-sectional study. PARTICIPANTS Nurses working in cancer pain care in medical facilities and home care on remote islands throughout Japan. RESULTS We analysed 128 responses. Regarding knowledge, the average accuracy level was 49.1%. Items with a low accuracy rate included selecting medicine according to the type of pain and the patient's condition. Regarding practice, the items with low scores included analgesics appropriate for the type of pain and relating physical pain to mental, social and spiritual aspects. The most common significant factor in both knowledge and practice was related to postgraduate training. CONCLUSIONS These findings suggest that to improve the knowledge and practical skills for cancer pain management among nurses on remote islands in Japan, it is necessary to incorporate clinical reasoning into basic education and establish remote education systems and consultation systems with other facilities.
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Affiliation(s)
- Sachiko Shimizu
- School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
| | - Satomi Yoshida
- Department of Nursing, Faculty of Nursing, Osaka Shin-Ai Gakuin University, Osaka, Japan
| | - Yasuhito Nerome
- School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
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The State of the Evidence about the Family and Community Nurse: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19074382. [PMID: 35410065 PMCID: PMC8998909 DOI: 10.3390/ijerph19074382] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 03/27/2022] [Accepted: 04/02/2022] [Indexed: 02/05/2023]
Abstract
Introduction. The increase in chronic degenerative diseases poses many challenges to the efficacy and sustainability of healthcare systems, establishing the family and community nurse (FCN) who delivers primary care as a strategic role. FCNs, indeed, can embrace the complexity of the current healthcare demand, sustain the ageing of the population, and focus on illness prevention and health promotion, ensuring a continuous and coordinated integration between hospitals and primary care ser. The literature on FCNs is rich but diverse. This study aimed to critically summarise the literature about the FCN, providing an overall view of the recent evidence. Methods. A state-of-art systematic review was performed on PubMed, CINAHL, and Scopus, employing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and checklist to guide the search and reporting. Results. Five interpretative themes emerged from the 90 included articles: clinical practice, core competencies, outcomes, Organisational and educational models, and advanced training program. Conclusions. FCNs can make a major contribution to a population’s health, playing a key role in understanding and responding to patients’ needs. Even if the investment in prevention does not guarantee immediate required strategies and foresight on the part of decisionmakers, it is imperative to invest more political, institutional, and economic resources to support and ensure the FCNs’ competencies and their professional autonomy.
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Blay N, Sousa MS, Rowles M, Murray‐Parahi P. The community nurse in Australia. Who are they? A rapid systematic review. J Nurs Manag 2022; 30:154-168. [PMID: 34634180 PMCID: PMC9298142 DOI: 10.1111/jonm.13493] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 10/05/2021] [Accepted: 10/06/2021] [Indexed: 11/29/2022]
Abstract
AIM This study aimed to profile the community nurse in Australia. BACKGROUND The need for nurses in the community health care sector is increasing in response to shorter hospital stays, an aging population and chronic disease. The increase in demand has not been followed by appropriate workforce planning, leading to structural issues and lack of qualified nursing workforce in the community sector. EVALUATION MEDLINE and ProQuest Public Health and grey literature were searched for records published between 2010 and 2020 relative to the profile of the community nurse in Australia. Twenty-five records (21 publications, 2 databases and 2 reports) were included in the review. Abstracted data followed the principles of workforce planning and included demographics, qualifications and roles. KEY ISSUES Inconsistent definitions, self-reported data and a focus on practice nurses have contributed to data irregularities. Little is known about the specific aspects of community nursing work. CONCLUSION A lack of concrete data has overshadowed a community nursing workforce crisis with implications for patients' health and safety across the lifespan. IMPLICATIONS FOR NURSING MANAGEMENT There is urgent need for nurse managers globally to refocus nursing recruitment to the community sector to maintain quality and ensure sustainability of the nursing workforce.
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Affiliation(s)
- Nicole Blay
- Centre for Applied Nursing Research, School of Nursing and MidwiferyWestern Sydney UniversityPenrithNew South WalesAustralia
- Centre for Applied Nursing Research (CANR)Ingham Institute for Applied Medical ResearchLiverpoolNew South WalesAustralia
- Nursing and MidwiferySouth Western Sydney Local Health DistrictLiverpoolNew South WalesAustralia
| | - Mariana S. Sousa
- Centre for Applied Nursing Research, School of Nursing and MidwiferyWestern Sydney UniversityPenrithNew South WalesAustralia
- Nursing and MidwiferySouth Western Sydney Local Health DistrictLiverpoolNew South WalesAustralia
- Faculty of HealthUniversity of Technology SydneyUltimoNew South WalesAustralia
| | - Mick Rowles
- Nursing and MidwiferySouth Western Sydney Local Health DistrictLiverpoolNew South WalesAustralia
- Primary and Community Health DivisionSouth Western Sydney Local Health DistrictLiverpoolNew South WalesAustralia
| | - Pauline Murray‐Parahi
- Centre for Applied Nursing Research, School of Nursing and MidwiferyWestern Sydney UniversityPenrithNew South WalesAustralia
- Nursing and MidwiferySouth Western Sydney Local Health DistrictLiverpoolNew South WalesAustralia
- Faculty of HealthUniversity of Technology SydneyUltimoNew South WalesAustralia
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Gillham J, Vassilev I, Band R. Rural influences on the social network dynamics of district nursing services: A qualitative meta-synthesis. Health Sci Rep 2021; 4:e336. [PMID: 34430710 PMCID: PMC8369946 DOI: 10.1002/hsr2.336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 07/02/2021] [Accepted: 07/15/2021] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND AND AIMS As demands on healthcare services grow, fiscal restrictions place increased emphasis on services outside of traditional healthcare settings. Previous research into long-term-conditions suggests that social network members (including weaker ties such as acquaintances, community groups, and healthcare professionals) play a key role in illness management. There is limited knowledge about the engagement of social networks in supporting people who are receiving medical interventions at home. This qualitative metasynthesis explores the work and the interactions between district nurses (DN) and informal network members supporting people who are receiving medical interventions at home and living in rural areas. METHODS A search was undertaken on CINAHL, Medline, and PsychINFO for qualitative research articles from 2009 to 2019. Studies that examined DN in rural locations and/or social network support in rural locations were eligible. Fourteen articles were selected. RESULTS Thematic analysis of results and discussion data from the studies resulted in four themes being developed: the development of both transactional and friend-like nurse-patient ties in rural localities, engagement of the wider network in the delivery of good care, blurring of professional boundaries in close community relationships, and issues accessing and navigating formal and informal support in the context of diminishing resources in rural areas.These findings suggest that DNs in rural localities work beyond professional specialties and experience to provide emotional support, help with daily tasks, and build links to communities. There was also evidence that nurses embedded within rural localities developed friend-like relationships with patients, and negotiated with existing support networks and communities to find support for the patient. CONCLUSIONS Findings indicated that developing strong links with patients and members of their networks does not automatically translate into positive outcomes for patients, and can be unsustainable, burdensome, and disruptive. DNs developing weak ties with patients and building awareness of the structure of individual networks and local sources of support offers avenues for sustainable and tailored community-based nursing support.
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Affiliation(s)
- Jack Gillham
- School of Health SciencesUniversity of SouthamptonSouthamptonEngland
| | - Ivaylo Vassilev
- School of Health SciencesUniversity of SouthamptonSouthamptonEngland
| | - Rebecca Band
- School of Health SciencesUniversity of SouthamptonSouthamptonEngland
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Bourke L, Dunbar T, Murakami-Gold L. Discourses within the roles of Remote Area Nurses in Northern Territory (Australia) government-run health clinics. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:1401-1408. [PMID: 33047418 DOI: 10.1111/hsc.13195] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Revised: 08/10/2020] [Accepted: 09/17/2020] [Indexed: 06/11/2023]
Abstract
The Northern Territory (NT) government operates remote clinics which are primarily staffed by Aboriginal Health Practitioners and Remote Area Nurses (RANs). RAN practice has been described as particularly complex due to high health needs, workforce shortages and high levels of turnover in remote Aboriginal communities. While individual incentives are offered, there has been little examination of the role and why the work takes such a toll on RANs. This study aims to identify dominant discourses underpinning RAN practice and how these discourses reflect tensions and reinforce power relations that impact on the RAN role. Discourses were identified from a Foucauldian-inspired discourse analysis of 29 interviews with RANs in six remote NT communities. Five dominant discourses were identified, namely, that permanent RANs are preferred to agency RANs, RANs portray themselves as experienced and certain, RANs use autonomous clinical judgement, Aboriginal staff are important and RAN's belief in making a difference. However, the experience of RANs suggested that there are many types of employment that learning from was also important, RANs often struggled to work with Aboriginal staff and they were unsure if they were making a difference. Furthermore, these discourses created tensions between RANs who were permanent-agency, older-younger, experienced-newer and certain-reflexive. Deconstructing these rigid discourses could allow the RAN role to be reconstructed in ways that lead to better retention, job satisfaction and health outcomes.
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Affiliation(s)
- Lisa Bourke
- Department of Rural Health, The University of Melbourne, Shepparton, VIC, Australia
| | - Terry Dunbar
- Indigenous Social and Wellbeing Centre, School of Population Health Research, Australian National University, Canberra, ACT, Australia
| | - Lorna Murakami-Gold
- Poche Centre for Indigenous Health and Well-Being, Flinders Northern Territory, Flinders University, Alice Springs, NT, Australia
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Brant JM, Fink RM, Thompson C, Li YH, Rassouli M, Majima T, Osuka T, Gafer N, Ayden A, Khader K, Lascar E, Tang L, Nestoros S, Abdullah M, Michael N, Cerruti J, Ngaho E, Kadig Y, Hablas M, Istambouli R, Muckaden MA, Ali MN, Aligolshvili B, Obeidat R, Kunirova G, Al-Omari M, Qadire M, Omran S, Mouhawej MC, Zouak M, Ghrayeb I, Manasrah N, Youssef A, Ortega PF, Tuncel Oguz G, Cajucona LA, Leaphart K, Day A, Silbermann M. Global Survey of the Roles, Satisfaction, and Barriers of Home Health Care Nurses on the Provision of Palliative Care. J Palliat Med 2020; 22:945-960. [PMID: 31380727 DOI: 10.1089/jpm.2018.0566] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: The World Health Assembly urges members to build palliative care (PC) capacity as an ethical imperative. Nurses provide PC services in a variety of settings, including the home and may be the only health care professional able to access some disparate populations. Identifying current nursing services, resources, and satisfaction and barriers to nursing practice are essential to build global PC capacity. Objective: To globally examine home health care nurses' practice, satisfaction, and barriers, regarding existing palliative home care provision. Design: Needs assessment survey. Setting/Subjects: Five hundred thirty-two home health care nurses in 29 countries. Measurements: A needs assessment, developed through literature review and cognitive interviewing. Results: Nurses from developing countries performed more duties compared with those from high-income countries, suggesting a lack of resources in developing countries. Significant barriers to providing home care exist: personnel shortages, lack of funding and policies, poor access to end-of-life or hospice services, and decreased community awareness of services provided. Respondents identified lack of time, funding, and coverages as primary educational barriers. In-person local meetings and online courses were suggested as strategies to promote learning. Conclusions: It is imperative that home health care nurses have adequate resources to build PC capacity globally, which is so desperately needed. Nurses must be up to date on current evidence and practice within an evidence-based PC framework. Health care policy to increase necessary resources and the development of a multifaceted intervention to facilitate education about PC is indicated to build global capacity.
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Affiliation(s)
- Jeannine M Brant
- 1Collaborative Science and Innovation, Billings Clinic, Montana State University College of Nursing, Billings, Montana
| | - Regina M Fink
- 2College of Nursing and School of Medicine, University of Colorado, Aurora, Colorado
| | - Cara Thompson
- 3Palliative Care, University of Colorado Health, Aurora, Colorado
| | - Ya Huei Li
- 4Collaborative Science and Innovation, Billings Clinic, Billings, Montana
| | - Maryam Rassouli
- 5Shahid Beheshti, University of Medical Sciences Cancer Research Center, Teheran, Iran
| | - Tomoko Majima
- 6Graduate School of Nursing, Chiba University, Chiba, Japan
| | - Tomoko Osuka
- 6Graduate School of Nursing, Chiba University, Chiba, Japan
| | - Nahla Gafer
- 7Radiation and Isotope Center, Khartoum, Sudan
| | - Ayfer Ayden
- 8Koç University School of Nursing, Istanbul, Turkey
| | - Khaled Khader
- 9Taif University Faculty of Nursing, Taif, Saudi Arabia
| | - Eulalia Lascar
- 10Hospital de Niños "Dr. Ricardo Gutierrez," Buenos Aires, Argentina
| | - Lili Tang
- 11Department of Psychology, Peking University Cancer Hospital, Beijing, China
| | | | - Maihan Abdullah
- 13Health Promotion Department, Ministry of Public Health, Kabul, Afghanistan
| | - Natasha Michael
- 14Sydney School of Medicine, University of Notre Dame, Sydney, Australia
| | - Julie Cerruti
- 15Coordenadora Pesquisas Onco Pediátricas, Porto Alegre, Brazil
| | - Eric Ngaho
- 16Baptist Hospital Mutengene, Tiko, Cameroon
| | - Yolanda Kadig
- 17The Cyprus Association of Cancer Patients and Friends, Limassol, Cyprus
| | | | - Rana Istambouli
- 19Department of Palliative Care, Ain Wazein Medical Village University Hospital, Ain Wazein, Lebanon.,20Palliative Medicine, Paris, France
| | | | - Mushtaq Najm Ali
- 22Children's Welfare Teaching Hospital, Medical City, Baghdad, Iraq
| | | | - Rana Obeidat
- 24Faculty of Nursing, Zarqa University, Zarqa, Jordan
| | | | - Ma'an Al-Omari
- 26Department of Oncology, King Abdullah University Hospital, Irbid, Jordan
| | | | - Suha Omran
- 28Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | | | | | | | - Nemeh Manasrah
- 32Faculty of Nursing, Hebron University, West Bank, Palestine
| | - Alexey Youssef
- 33Faculty of Medicine, Tishrin University, Latakia, Syria
| | - Paz F Ortega
- 34Catalan Institute of Oncology, Barcelona, Spain
| | - Gonca Tuncel Oguz
- 35Dr. Abdurrahman Yurtaslan Ankara Oncology Education & Research Hospital, Ankara, Turkey
| | | | - Kassie Leaphart
- 37St. Vincent Healthcare, Montana State University College of Nursing, Billings, Montana
| | - Alexa Day
- 38Billings Clinic, Montana State University College of Nursing, Billings, Montana
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Iriarte-Roteta A, Lopez-Dicastillo O, Mujika A, Ruiz-Zaldibar C, Hernantes N, Bermejo-Martins E, Pumar-Méndez MJ. Nurses' role in health promotion and prevention: A critical interpretive synthesis. J Clin Nurs 2020; 29:3937-3949. [PMID: 32757432 DOI: 10.1111/jocn.15441] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 07/30/2020] [Accepted: 07/31/2020] [Indexed: 01/26/2023]
Abstract
BACKGROUND Role confusion is hampering the development of nurses' capacity for health promotion and prevention. Addressing this requires discussion to reach agreement among nurses, managers, co-workers, professional associations, academics and organisations about the nursing activities in this field. Forming a sound basis for this discussion is essential. AIMS AND OBJECTIVES To provide a description of the state of nursing health promotion and prevention practice expressed in terms of activities classifiable under the Ottawa Charter and to reveal the misalignments between this portrayal and the ideal one proposed by the Ottawa Charter. METHODS A critical interpretive synthesis was conducted between December 2018 and May 2019. The PubMed, CINAHL, Scopus, PsychINFO, Web of Science and Dialnet databases were searched. Sixty-two papers were identified. The relevant data were extracted using a pro-forma, and the reviewers performed an integrative synthesis. The ENTREQ reporting guidelines were used for this review. RESULTS Thirty synthetic constructs were developed into the following synthesising arguments: (a) addressing individuals' lifestyles versus developing their personal skills; (b) focusing on environmental hazards versus creating supportive environments; (c) action on families versus strengthening communities; (d) promoting community partnerships versus strengthening community action; and (e) influencing policies versus building healthy public policy. CONCLUSIONS There are notable misalignments between nurses' current practice in health promotion and prevention and the Ottawa Charter's actions and strategies. This may be explained by the nurses' lack of understanding of health promotion and prevention and political will, research methodological flaws, the predominance of a biomedical perspective within organisations and the lack of organisational prioritisation for health promotion and prevention.
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Affiliation(s)
| | - Olga Lopez-Dicastillo
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Navarra, Spain.,IdiSNA, Navarra Institute for Health Research, Navarra, Spain
| | - Agurtzane Mujika
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Navarra, Spain.,IdiSNA, Navarra Institute for Health Research, Navarra, Spain
| | | | - Naia Hernantes
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Navarra, Spain
| | - Elena Bermejo-Martins
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Navarra, Spain
| | - María J Pumar-Méndez
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Navarra, Spain.,IdiSNA, Navarra Institute for Health Research, Navarra, Spain
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Whitehead D. Exploring health promotion and health education in nursing. Nurs Stand 2018; 33:e11220. [PMID: 30375800 DOI: 10.7748/ns.2018.e11220] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/14/2018] [Indexed: 06/08/2023]
Abstract
The term health promotion has been used in healthcare for several years. However, the meaning of this term is debated, particularly in nursing. Some nurses might believe that, because they are healthcare practitioners working in healthcare services, that they are 'by default' automatically involved in health promotion activities; however, this is often not the case. Instead, they are more likely to be engaging in health education activities; that is, simply providing individuals with health-related information, rather than seeking to empower individuals, families, groups and communities. While health education is related to health promotion, these terms are not interchangeable, since health education is a component of health promotion. This article clarifies these concepts and describes approaches to illness prevention and promoting well-being that nurses can use in their practice with patients across the lifespan.
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Affiliation(s)
- Dean Whitehead
- College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
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"Practice What You Teach" Public Health Nurses Promoting Healthy Lifestyles (PHeeL-PHiNe): Program Evaluation. J Ambul Care Manage 2018; 41:171-180. [PMID: 29847404 DOI: 10.1097/jac.0000000000000243] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Healthy lifestyle programs are essential for meeting the challenge of noncommunicable diseases. The Public Health Nurses Promoting Healthy Lifestyles (PHeeL-PHiNe) program engaged nurses from family health clinics in Jerusalem District and included physical activity, healthy nutrition, and motivational skills. Questionnaires were completed at baseline, postintervention, and at 18 months. Results showed a marked effect on health practices. The proportion of nurses consuming a balanced diet and the use of food labels significantly increased and were maintained over time. Short-term improvements in physical activity were also observed. Nurses who practiced a healthy lifestyle were significantly more likely to provide guidance and counseling to families on healthy behaviors.
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Heidemann ITSB, Alonso da Costa MFBN, Hermida PMV, Marçal CCB, Antonini FO, Cypriano CC. Health promotion practices in primary care groups. Glob Health Promot 2018; 26:25-32. [DOI: 10.1177/1757975918763142] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This is a descriptive-exploratory study using a qualitative approach, conducted in ten municipalities in southern Brazil. Data were obtained by talking to 21 nurses from February to November 2012, through semi-structured interviews using questions to probe their health promotion practices. Data were analyzed through thematic analysis focused on health promotion concepts. We identified four themes about health promotion practices of family health nurses in Brazil: a) training of nurses for health promotion practice was weak; b) nurses formed health promotion groups around diseases and life stages; c) nurses formed groups to meet community needs; and d) nurses used health promotion techniques in group work. These family health nurses were somewhat aware of the importance of health promotion, and how to assist the population against various ailments using some health promotion strategies. The main weaknesses were the lack of understanding about health promotion concepts, and the difficulty of understanding the relevance of its practice, probably attributable to limitations in training. We conclude that primary care groups in Brazil’s unified health system could do better in applying health promotion concepts in their practice.
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Affiliation(s)
| | - Maria Fernanda Baeta Neves Alonso da Costa
- Adjunct Professor of the Department of Nursing of the Federal University of Santa Catarina - UFSC. Campus Universitário Trindade, Florianópolis, Santa Catarina, 88040-410, Brazil
| | - Patrícia Madalena Vieira Hermida
- PhD nursing of the Program of the Federal University of Santa Catarina - UFSC. Campus Universitário Trindade, Florianópolis, Santa Catarina, 88040-410, Brazil
| | - Cláudia Cossentino Bruck Marçal
- Phd student of the Program of the Federal University of Santa Catarina - UFSC. Campus Universitário Trindade, Florianópolis, Santa Catarina, 88040-410, Brazil
| | - Fabiano Oliveira Antonini
- Phd student of the Program of the Federal University of Santa Catarina - UFSC. Campus Universitário Trindade, Florianópolis, Santa Catarina, 88040-410, Brazil
| | - Camilla Costa Cypriano
- Master Nursing of the Program of the Federal University of Santa Catarina - UFSC. Campus Universitário Trindade, Florianópolis, Santa Catarina, 88040-410, Brazil
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Courtenay M, Franklin P, Griffiths M, Hall T, Macangus J, Myers J, Peniston-Bird F, Radley K. Establishing priorities on the range of conditions managed by UK community practitioner nurse prescribers: A modified Delphi consensus study. J Adv Nurs 2018; 74:1863-1874. [PMID: 29633337 DOI: 10.1111/jan.13584] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2018] [Indexed: 12/01/2022]
Abstract
AIM To provide national consensus on the range of conditions community practitioner nurse prescribers manage and for which it is considered important that they can prescribe. BACKGROUND Around 35,000 community practitioner nurse prescribers in the United Kingdom are able to prescribe from a limited formulary. Although prescribing is a key role for these nurses, there has been a decline in the numbers of community practitioner nurse prescribers who prescribe. It is evident that changing patterns of client and service delivery, changes the role of community nurses and the conditions they manage, however, little is known about the conditions community practitioner nurse prescribers manage. DESIGN AND METHODS A modified Delphi approach comprising three on-line surveys delivered to a national Expert Panel of 89 qualified community practitioner prescribers. Data collection took place between January-March 2017. RESULTS Panelists reached a consensus, with consistent high levels of agreement reached, on nineteen conditions for which it is believed community practitioner nurse prescribers should be able to prescribe. Conditions identified by school nurses (N = 12) and health visitors (N = 7) were mainly acutely focused, whereas those identified by district nurses (N = 9) and community staff nurses (N = 6) included both long-term and acute conditions. CONCLUSION Given the high degree of consensus, this list of conditions should influence any decisions about the items community and public health nurses should be able to prescribe. The findings should also influence the education and training of these nurses.
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Affiliation(s)
- Molly Courtenay
- School of Healthcare Sciences, Cardiff University, Cardiff, UK
| | | | - Matt Griffiths
- Doctors Urgent Care, Accident & Emergency Department, Urgent Care Centre, The Royal United Hospital, Bath, UK
| | | | - Julie Macangus
- Bridgewater Community Healthcare NHS Foundation Trust, Warrington, UK
| | | | - Fiona Peniston-Bird
- Medway School of Pharmacy, University of Kent and University of Greenwich, Chatham, UK
| | - Kathy Radley
- University of Hertfordshire and East and North Hertfordshire NHS Trust, Hatfield, UK
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13
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Courtenay M. An overview of developments in nurse prescribing in the UK. Nurs Stand 2018; 33:40-44. [PMID: 29583169 DOI: 10.7748/ns.2018.e11078] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/16/2018] [Indexed: 11/09/2022]
Abstract
In the UK and internationally, the nursing profession is continuing to advance and innovate its roles and functions. One area in which this is particularly notable is nurse prescribing. The UK has the most extended nurse prescribing rights in the world, with significant advances in this field over the past two decades. This article reflects on this development, what has been learned and the challenges that remain in relation to nurse prescribing and meeting healthcare service needs.
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Affiliation(s)
- Molly Courtenay
- School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff, Wales
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14
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Perry L, Nicholls R, Duffield C, Gallagher R. Building expert agreement on the importance and feasibility of workplace health promotion interventions for nurses and midwives: A modified Delphi consultation. J Adv Nurs 2017; 73:2587-2599. [DOI: 10.1111/jan.13345] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/11/2017] [Indexed: 01/02/2023]
Affiliation(s)
- Lin Perry
- Faculty of Health University of Technology Sydney Sydney NSW Australia
| | - Rachel Nicholls
- Faculty of Health University of Technology Sydney Sydney NSW Australia
| | - Christine Duffield
- Centre for Health Services Management Faculty of Health University of Technology Sydney Sydney NSW Australia
- Edith Cowan University Perth WA Australia
| | - Robyn Gallagher
- Charles Perkins Centre Sydney Nursing School University of Sydney Sydney NSW Australia
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