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Ferreira PBP, Porto IS, Santo FHDE, Figueiredo NMAD, Enders BC, Cameron LE, Araújo STCD. Health education for hospitalized patient in nursing care: a conceptual analysis. Rev Bras Enferm 2021; 75:e20200459. [PMID: 34669897 DOI: 10.1590/0034-7167-2020-0459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Accepted: 06/27/2021] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES to define the concept of Health Education of Hospitalized Patient. METHODS the study used the conceptual analysis based on Walker and Avant strategies: Derivation, Synthesis, and Analysis of the concept. Researchers conducted 35 interviews with nurses who worked in direct care to patients admitted to a Hospital-School, and a bibliographic search on the CINAHL, Medline/PubMed®, Scopus, Web of Science, LILACS, and BDENF databases. RESULTS the study identified the antecedents, attributes, and consequences of the concept and defined the concept of Health Education of Hospitalized Patient as "the action of sharing knowledge about the promotion, prevention, recovery and rehabilitation concerning to health based on reciprocity between nurses and patients, family members and companions, in a systematized or unsystematic way". FINAL CONSIDERATIONS the identification of antecedents, attributes, consequences, and empirical references enabled the theoretical definition unprecedented of this concept and its applicability in practice, contributing to science and hospital nursing care.
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Affiliation(s)
| | | | | | | | - Bertha Cruz Enders
- Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil
| | - Lys Eiras Cameron
- Universidade Federal do Rio de Janeiro. Rio de Janeiro, Rio de Janeiro, Brazil
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Lu YT, Wu Y. The effect of an instant message-based lifestyle and stress management intervention on the reduction of cardiovascular disease risk. Int J Nurs Pract 2021; 28:e13002. [PMID: 34402121 DOI: 10.1111/ijn.13002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Revised: 07/03/2021] [Accepted: 07/24/2021] [Indexed: 11/27/2022]
Abstract
AIM This study investigated the effectiveness of an instant message-based lifestyle and stress management intervention delivered by nurses on cardiovascular disease risk reduction. METHODS In this nonrandomized concurrent controlled trial conducted from March 2013 to September 2013, 164 eligible employees in two companies were assigned to the intervention (n = 83) and control (n = 81) groups based on their worksites. Only participants were blinded to group assignment. All participants received two education sessions during 1 month, and the intervention group also received an instant message-based lifestyle and stress management intervention for 5 months. The primary outcome was the Framingham Risk Score, and the data were collected at the first month and the sixth month. RESULTS The final analysis included 80 participants in the intervention group and 76 in the control group. After the intervention, significant intervention effects were found for the mean value and the changes of the Framingham Risk Score and the proportion of participants who improved their diet and exercise (P < 0.05). There were trends for improvement in the proportion of smoking and levels of stress, but statistically significant levels (P > 0.05) were not met. CONCLUSION An instant message-based lifestyle and stress management intervention can reduce cardiovascular disease risk in high-risk individuals.
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Affiliation(s)
- Ya-Ting Lu
- School of Nursing, Capital Medical University, Beijing, China
| | - Ying Wu
- School of Nursing, Capital Medical University, Beijing, China
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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: 15] [Impact Index Per Article: 3.8] [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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Abstract
Nurses have a public health role, requiring them to promote the health of individuals and communities, and to engage at a political and policy level to improve population health. There is also a professional expectation that nurses will model healthy behaviours and take responsibility for their personal health and wellbeing. However, studies have indicated that undergraduate nurses find the academic and practice elements of their nursing programmes stressful. To manage their stress many use coping behaviours that negatively impact on their health and wellbeing and may influence their ability and willingness to effectively support health promotion in practice. It is widely recognised that environments influence health outcomes and personal health behaviours. This article addresses some of the structural causes of student nurse stress and highlights a recent educational initiative at a UK university that aims to equip student nurses with the practical skills required to engage in health promotion and thereby provide benefits for service users and student nurses alike.
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Affiliation(s)
- Anne Mills
- Senior Lecturer, Bournemouth University, Dorset
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Liu XL, Willis K, Wu CJJ, Shi Y, Johnson M. 'Better to save one life than build a seven-storied pagoda': a qualitative study of health education for patients with acute coronary syndrome and type 2 diabetes mellitus in Shanghai, China. BMJ Open 2018; 8:e019351. [PMID: 30139890 PMCID: PMC6112403 DOI: 10.1136/bmjopen-2017-019351] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVE To describe, from the perspectives of health professionals, the health education currently being provided from hospital admission to discharge to home to patients who present with acute coronary syndrome who also have type 2 diabetes mellitus (T2DM). METHODS A qualitative study using semistructured interviews was undertaken in the coronary care unit (CCU) of a major hospital in Shanghai, China. Fifteen health professionals (nine registered nurses and six physicians) from the CCU who delivered health education to patients with acute coronary syndrome and T2DM participated. Participants also completed an Education Content Checklist containing topics consistent with existing national guidelines. FINDINGS Major themes identified included: health education is an essential embedded component of treatment; health education comprises varied strategies to facilitate behavioural change; and barriers and required resources to deliver effective health education. CONCLUSIONS Surviving the initial symptoms and providing immediate treatment is the first step in recovery for patients with acute coronary syndrome and T2DM. Health education is an essential component of the management of these patients, and content and focus that is responsive to the recovery stage of the patient is required. Teaching and supporting strategies appropriate for the inpatient phase prior to discharging to the community phase are required.
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Affiliation(s)
- Xian-Liang Liu
- Tenth People's Hospital of Tongji University, Shanghai, China
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Brisbane, QLD, Australia
- School of Nursing, Jinggangshan University, Ji'An, China
| | - Karen Willis
- School of Allied Health, La Trobe University, Melbourne, Victoria, Australia
- Allied Health, Royal Melbourne Hospital, Melbourne, Victoria, Australia
| | - Chiung-Jung Jo Wu
- School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast (USC), Hervey Bay, QLD, Australia
- Royal Brisbane and Women's Hospital (RBWH), Brisbane, QLD, Australia
- Mater Medical Research Institute-University of Queensland (MMRI-UQ), Brisbane, QLD, Australia
| | - Yan Shi
- Tenth People's Hospital of Tongji University, Shanghai, China
| | - Maree Johnson
- Faculty of Health Sciences, Australian Catholic University, North Sydney, NSW, Australia
- Ingham Institute of Applied Medical Research, Liverpool, NSW, Australia
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Lifestyle Health Behaviors of Nurses and Midwives: The 'Fit for the Future' Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15050945. [PMID: 29747412 PMCID: PMC5981984 DOI: 10.3390/ijerph15050945] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/08/2018] [Revised: 05/02/2018] [Accepted: 05/03/2018] [Indexed: 12/31/2022]
Abstract
Nurses and midwives (nurses) are the principle role models and health educators for the wider population. This study sought to identify the health-related behaviors of the nursing workforce of New South Wales (NSW), Australia, compared to contemporary recommendations for healthy living and to the Australian general population, matched by gender and age. An electronic cross-sectional survey delivered in 2014–2015 recruited 5041 nurses through the NSW Nurses and Midwives Association and professional networks. Validated health behavior measures were collected and compared to Australian National Health Survey data. Compared with younger nurses, older nurses reported greater adherence to fruit and vegetable guideline recommendations, but were more likely to be overweight or obese. Younger nurses (25–34 years) had the highest risk of harmful drinking. Compared with the Australian general population, slightly higher percentages of nurses met dietary recommendations and slightly fewer were obese, had central adiposity or smoked. Nurses had lower physical activity levels and higher levels of risky drinking across most gender and age groups. Many nurses have lifestyle health behaviors that place them at high risk for developing non-communicable diseases, sometimes at higher risk than the Australian population to whom they deliver health education. Health promotion strategies for nurses are urgently required.
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Hwang H, Kuo M, Tu C. Health education and competency scale: Development and testing. J Clin Nurs 2017; 27:e658-e667. [DOI: 10.1111/jocn.14116] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/06/2017] [Indexed: 11/30/2022]
Affiliation(s)
| | - Mei‐Ling Kuo
- Department of Nursing Chang Gung Memorial Hospital – Kaohsiung Medical Center Kaohsiung Taiwan
| | - Chin‐Tang Tu
- National Kaohsiung Normal University Kaohsiung City Taiwan
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Turner-Wilson AL, Mills AM, Rees K. Can nurses rise to the public health challenge? How a novel solution in nurse education can address this contemporary question. NURSE EDUCATION TODAY 2017; 57:65-67. [PMID: 28735247 DOI: 10.1016/j.nedt.2017.06.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2017] [Accepted: 06/30/2017] [Indexed: 06/07/2023]
Abstract
This paper raises the problem of how improvements in health outcomes, a key component in many governments' strategies, can be achieved. The work highlights a novel undergraduate educational approach which offers solutions to public health challenges within nursing. Against the backdrop of one UK university institution it discusses approaches that can guide nursing students towards a deeper understanding and engagement within the principles of public health. It then proposes how nurses can use their learning to become leaders of health improvement.
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Affiliation(s)
- Angela L Turner-Wilson
- Bournemouth University, Department of Human Sciences and Public Health, Faculty of Health and Social Sciences, Bournemouth House, Christchurch Road, Bournemouth BH1 3LT, UK.
| | - Anne M Mills
- Bournemouth University, Department of Human Sciences and Public Health, Faculty of Health and Social Sciences, Bournemouth House, Christchurch Road, Bournemouth BH1 3LT, UK.
| | - Karen Rees
- Bournemouth University, Department of Human Sciences and Public Health, Faculty of Health and Social Sciences, Bournemouth House, Christchurch Road, Bournemouth BH1 3LT, UK.
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Roden J, Jarvis L, Campbell-Crofts S, Whitehead D. Australian rural, remote and urban community nurses' health promotion role and function. Health Promot Int 2015; 31:704-14. [PMID: 25838551 DOI: 10.1093/heapro/dav018] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Community nurses have often been 'touted' as potential major contributors to health promotion. Critical literature, however, often states that this has not been the case. Furthermore, most studies examining nurses' role and function have occurred mainly in hospital settings. This is a sequential mixed-methods study of two groups of community nurses from a Sydney urban area (n = 100) and from rural and remote areas (n = 49) within New South Wales, Australia. A piloted questionnaire survey was developed based on the five action areas of the Ottawa Charter for Health Promotion. Following this, 10 qualitative interviews were conducted for both groups, plus a focus group to support or refute survey results. Findings showed that rural and remote nurses had more positive attitudes towards health promotion and its clinical implementation. Survey and interview data confirmed that urban community nurses had a narrower focus on caring for individuals rather than groups, agreeing that time constraints impacted on their limited health promotion role. There was agreement about lack of resources (material and people) to update health promotion knowledge and skills. Rural and remote nurses were more likely to have limited educational opportunities. All nurses undertook more development of personal skills (DPS, health education) than any other action area. The findings highlight the need for more education and resources for community nurses to assist their understanding of health promotion concepts. It is hoped that community nurse leaders will collectively become more effective health promoters and contribute to healthy reform in primary health care sectors.
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Affiliation(s)
- Janet Roden
- New South Wales Nurses and Midwives' Association & Australian Nursing and Midwifery Federation-NSW Branch, 50 O'Dea Avenue, Waterloo, NSW 2017, Australia
| | - Lynda Jarvis
- School of Nursing and Midwifery, University of Western Sydney, PO Box 1797, Penrith South, DC 2751, Australia
| | - Sandra Campbell-Crofts
- School of Nursing and Midwifery, University of Tasmania, PO Box 184, Rozelle, NSW 2039, Australia
| | - Dean Whitehead
- Faculty of Medicine, Nursing and Health Sciences, School of Nursing & Midwifery, Flinders University, SA 5042, Australia
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Owusu-Addo E. Midwives' perceptions and experiences of health promotion practice in Ghana. Glob Health Promot 2014; 22:4-14. [PMID: 25085477 DOI: 10.1177/1757975914543574] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2013] [Accepted: 05/06/2014] [Indexed: 11/15/2022]
Abstract
INTRODUCTION This research explores midwives' perceptions and experiences of health promotion practice in Ghana. METHODS A qualitative descriptive exploratory design was used in order to gain better insight into midwives' perceptions and experiences of health promotion practice. A total of 21 midwives took part in the study. Data were collected by individual in-depth semi-structured interviews. Thematic analysis was used to analyse the transcript. RESULTS Five dominant themes emerged from the interview transcripts, namely: health promotion as education, health promotion activities, the value of health promotion, client participation, and midwives' barriers to promoting health. Although midwives underscored the importance of health promotion to their work, their reports indicated that, in practice, midwives mostly delivered health education and behaviour change communication rather than health promotion. The midwives expressed the view that by way of their close association with women, they were in a better position to influence women's health. Health promotion activities engaged by the midwives included weight management, healthy eating, infection prevention, personal hygiene, counselling on family planning, and screening for hazardous and harmful substance use such as alcohol and smoking. All the midwives mentioned that clients participated in their health promotion activities. Factors that were identified by the midwives to enhance client participation were trust, attitude of the midwife, building rapport, creating enabling environment, listening and paying attention to clients and using simple language. The barriers to health promotion identified by the midwives included time, stress, culture, lack of training and inadequate health educational materials. DISCUSSION Midwives in this study had limited knowledge about health promotion, yet could play a significant role in influencing health; thus there is a need for on-going in-service training for midwives to focus on health promotion.
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Affiliation(s)
- Ebenezer Owusu-Addo
- Bureau of Integrated Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
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Bergh AL, Johansson I, Persson E, Karlsson J, Friberg F. Nurses’ Patient Education Questionnaire – development and validation process. J Res Nurs 2014. [DOI: 10.1177/1744987114531583] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Conditions for nurses’ daily patient education work are unclear and require clarification. The aim was to develop and validate the Nurses’ Patient Education Questionnaire, a questionnaire that assesses nurses’ perceptions of appropriate conditions for patient education work: what nurses say they actually do and what they think about what they do. The questionnaire was developed from a literature review, resulting in the development of five domains. This was followed by ‘cognitive interviewing’ with 14 nurses and dialogue with 5 pedagogical experts. The five domains were identified as significant for assessing nurses’ beliefs and knowledge; education environment; health care organisation; interdisciplinary cooperation and collegial teamwork; and patient education activities. A content validity index was used for agreement of relevance and consensus of items by nurses ( n = 10). The total number of items in the final questionnaire is 60, consisting of demographic items, what nurses report they do and perceptions about patient education in daily work. The questionnaire can be used by managers and nurses to identify possibilities and barriers to patient education in different care contexts.
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Affiliation(s)
- Anne-Louise Bergh
- Doctoral Student, School of Health Sciences, University of Borås, Sweden
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Inger Johansson
- Professor, Department of Nursing, University College Gjøvik, Norway; Associate Professor, Department of Nursing, University of Karlstad, Sweden
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Eva Persson
- Associate Professor, Faculty of Medicine, Department of Health Sciences, Lund University, Sweden; School of Health Sciences, University of Borås, Sweden
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Jan Karlsson
- Associate Professor, Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden; Centre for Health Care Sciences, Örebro University Hospital, Sweden
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Febe Friberg
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
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Abstract
PURPOSE The study examined the level of knowledge of health among hospital nurses in Jordan. Four focus group discussions were carried out with hospital nurses. The findings identified three themes: health as the freedom from illness, health as good social and psychological well-being, and health as a good environment to live in. The nurses in this study had no knowledge of spiritual and socioeconomic aspects of health. Our study shows that nurses' knowledge of health is often triggered by casework as opposed to a general learning of health-related issues. IMPLICATIONS FOR NURSING PRACTICE Hospital nurses in health promotion are unlikely to be very knowledgeable until they fully have a coherent understanding of sociocultural and environmental determinants of health.
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Shoqirat N. ‘Let other people do it…’: the role of emergency department nurses in health promotion. J Clin Nurs 2013; 23:232-42. [DOI: 10.1111/jocn.12383] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/03/2013] [Indexed: 11/29/2022]
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Shoqirat N, Cameron S. A qualitative study of hospital patients' understanding of health promotion. J Clin Nurs 2013; 22:2714-22. [DOI: 10.1111/jocn.12212] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/27/2012] [Indexed: 11/30/2022]
Affiliation(s)
- Noordeen Shoqirat
- Head of Fundamental and Adult Health Nursing; Faculty of Nursing; Mutah University; Karak Jordan
| | - Shona Cameron
- Faculty of Health and Life Science; Queen Margaret University; Edinburgh UK
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Aldossary A, Barriball L, While A. The perceived health promotion practice of nurses in Saudi Arabia. Health Promot Int 2012; 28:431-41. [DOI: 10.1093/heapro/das027] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Whitehead D, Irvine F. Ottawa 25+--'All aboard the Dazzling Bandwagon'--developing personal skills: what remains for the future? Health Promot Int 2011; 26 Suppl 2:ii245-52. [DOI: 10.1093/heapro/dar072] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Choi WHH, Hui GKH, Lee ACK, Chui MML. Student nurses' experiences and challenges in providing health education in Hong Kong. NURSE EDUCATION TODAY 2010; 30:355-359. [PMID: 19819050 DOI: 10.1016/j.nedt.2009.09.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2008] [Revised: 07/30/2009] [Accepted: 09/05/2009] [Indexed: 05/28/2023]
Abstract
Despite a call for increased emphasis on health education within the Hong Kong acute healthcare setting, in reality nurses conduct only minimal health education and do not model good educational practice for students. At the baccalaureate level, nursing education programmes aim to provide students with practical experience of best practice and international standards of care. This study describes the experiences of nursing students in providing health education to in-patients at an obstetric unit in Hong Kong. A qualitative research study using a phenomenological approach was conducted at a major public hospital. Data were collected using participant observation, debriefing notes, students' reflective journals and semi-structured interviews. Four themes emerged from the data: (a) effective knowledge building, (b) being a professional nurse, (c) refining learned skills, and (d) greater cultural awareness. The student experiences were further influenced by the patients' responses, the expectations of both patients and nurses concerning the health educator's role, and the role of the clinical teacher. Study findings highlight the experience of the students in conducting health education, something which has not been adequately examined previously, and demonstrates the benefits of independent clinical learning.
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Affiliation(s)
- W H Hui Choi
- Department of Nursing Studies, The University of Hong Kong, Hong Kong.
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Svedberg P, Hansson L, Svensson B. The attitudes of patients and staff towards aspects of health promotion interventions in mental health services in Sweden. Health Promot Int 2009; 24:269-76. [DOI: 10.1093/heapro/dap019] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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