ORCID Profile
0000-0003-4131-4594
Current Organisation
Federation University Australia - Berwick Campus
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Publisher: Wiley
Date: 14-04-2008
Publisher: College of Nurses Aotearoa - NZ - Inc
Date: 03-2015
Publisher: Elsevier BV
Date: 08-2001
Publisher: Wiley
Date: 05-01-2023
DOI: 10.1111/JNU.12869
Abstract: In iduals with multiple physical and, or, mental health issues and, or, drug‐related problems are known as complex patients. These patients are often recipients of poor‐quality care. Compassionate nursing care is valuable to promote better care experiences among this patient population. Implementation strategies should be designed to enhance compassionate nursing care delivery. The study aimed to gain understanding of barriers to compassionate care delivery to propose implementation to promote compassionate nursing care of complex patients. An exploratory sequential mixed methods study was conducted. Phase 1 was the qualitative component during which 23 in iduals with multimorbidities were interviewed for exploring their perceptions of barriers to compassionate nursing care. The barriers were integrated with implementation science frameworks using the building technique during phase 2 to develop a Q‐sort survey of implementation strategies for phase 3. Nurses, nurse managers, health care administrators, policymakers, and compassionate care experts responded to the survey by ranking the 21 implementation strategies, out of which five met the Q‐factor analysis criteria. Participant‐perceived barriers to nurse compassion could be categorized under knowledge, intentions, skills, social influences, behavioral regulation, reinforcement, emotion, and environmental context and resources. The five highest‐ranked strategies included facilitation, consultation with stress experts, involvement of patients and families, modeling compassion through shadowing, and utilizing implementation teams. Enablement and modeling were the integration functions represented by the highest‐ranked implementation strategies. Enabling nurses to provide compassionate care through emotional support and mental health counseling, and, modeling compassion and compassionate care through shadowing were recommended and rated as highly relevant by the majority of stakeholders. Enhancing nurses compassionate behaviors toward complex patients requires facilitating them in enacting compassion in practice through modeling and support from organizations and nurse managers.
Publisher: Wiley
Date: 14-06-2022
DOI: 10.1111/NHS.12961
Abstract: Spiritual care as an aspect of holistic or person‐centered care has been well documented. Studies on spirituality and spiritual care in nursing have taken place in various countries and contexts. Studies about spiritual care from the nurse perspective in the primary healthcare setting of Australian General Practice are not evident. Using an interpretive description study design, data about views on spirituality, spiritual care experiences, and descriptions about any spiritual care provided were collected from eight practice nurses. Four themes were drawn from the findings: the personal importance of spirituality and spiritual care to nurses and patients, spiritual care as an aspect of person‐centered care, spiritual care practices, and barriers and enablers to addressing spiritual needs. Participants identified that practice nurses require improved education about spirituality to adequately address spiritual needs as expressed by patients, as well as the tools to be able to provide spiritual care. They also identified that documentation templates used in general practice should include prompts to address spiritual and/or religious needs.
Publisher: RCN Publishing Ltd.
Date: 31-01-2001
DOI: 10.7748/NS2001.01.15.20.33.C2975
Abstract: Since the publication of the Health of the Nation document in 1992, collaborative practice has been at the forefront of health service reform. While other professional groups have readily adopted health promotion and collaboration, the nursing profession has experienced difficulties in changing practice and some have resisted reform. The author examines the issues surrounding nursing's apparent hesitancy in adopting collaborative working practices. To promote collaborative practice, nurses need to be aware of the range of teams and agencies involved in health promotion and acknowledge the client as an equal member of the team. However, better education, training and shared learning initiatives are essential to improve collaborative practice.
Publisher: Wiley
Date: 12-08-2003
DOI: 10.1046/J.1365-2702.2003.00770.X
Abstract: This paper aims to conceptualize the issues that surround the notion of existential health. It also seeks to establish the impact that existential issues have upon the health of the in idual client and how these might explicitly be applied in clinical practice settings. The ability of clients to draw upon their own existential resources as a fundamental part of their health care experience often goes unrecognized in nursing. Whilst existential mechanisms may be theoretically recognized, as a valid aspect of an in idual's unique and personal identity, they are not an established part of the health care activity of nurses. Entrenched biomedical frameworks of care delivery and the interchangeable use of metaphysical health states with existential health states in the established literature present particular dilemmas for the acknowledgement of existential health in clients. A review of the literature has been conducted. This account argues that the failure to recognize and assess a client's existential health status represents a major omission on the part of the clinical nurse. These nurses are, in effect, denying their clients the right to exercise and mobilize an important and valuable health resource.
Publisher: Elsevier BV
Date: 06-2019
DOI: 10.1016/J.IJNURSTU.2019.03.005
Abstract: The concept of health education has traditionally focused on enabling people to change unhealthy behaviours and lifestyles. Although, at the theoretical level, there exist definitions of the concept, it remains complex and ambiguous. Furthermore, nurses often confuse the concept with other related terms, such as health information or health promotion. The aim here is to report a concept analysis of health education and elucidate a current definition. Rodgers' evolutionary concept analysis. A systematic search was conducted using PubMed and CINAHL for articles written in English or Spanish, published between 1986 and 2017. A manual search was performed, and grey literature was also reviewed. A pre-determined template of study inclusion-related questions assisted the process. Rodgers' evolutionary method guided the narrative analysis. The attributes of health education, as well as its antecedents, consequences, related terms and contextual bases were extracted and synthesized. Based on the review of 31 studies on health education, the attributes are a learning process, health-oriented, multidimensional, person-centred and partnership. The antecedents are professional awareness of health education, training of health professionals, available resources, in idual's willingness to act, and health as an in idual's priority in life. The consequences are the increase in knowledge, skills and/or attitudes change in health-related behaviours, in idual capability and empowerment positive health outcomes and positive social/economic impact. The related terms are health information, patient education, counselling, health coaching and health promotion. Health education is defined as a continuous, dynamic, complex and planned teaching-learning process throughout the lifespan and in different settings that is implemented through an equitable and negotiated client and health professional 'partnership' to facilitate and empower the person to promote/initiate lifestyle-related behavioural changes that promote positive health status outcomes. Health education takes into account in iduals'/groups' internal and external factors that influence their health status through potentially improving their knowledge, skills, attitudes and beliefs in relation to their health-related needs and behaviour, within a positive health paradigm. The theoretical definition and conceptual framework provided in this study contribute to and extend the current knowledge base among nurses and other health care providers. The findings elucidate the clinical role of health educators, enabling them to identify the realities of its practice, building a common reference point, and highlighting the main recommendations for its use at the clinical, education, policy and research interface.
Publisher: Cambridge University Press
Date: 2017
Publisher: Elsevier BV
Date: 12-1999
DOI: 10.1016/S1353-6117(99)80082-1
Abstract: The underlying philosophies of health promotion and complementary therapies are very closely related and, consequently, share many similarities yet such similarities that exist between these two disciplines are rarely expressed, acknowledged or explored. It would be almost impossible to practice complementary therapies without incorporating elements of health promotion within them, whether this is done so knowingly, or not, by the practitioner. This account sets out to establish the nature of such a relationship and highlights the common advantages and dilemmas in recognizing such a relationship. It seeks to determine the validity of closer collaboration (between the two disciplines) in order to provide a collective consensus for like-minded nurses to move towards a more holistic and empowering paradigm. It concludes by suggesting that, in order to move the shared aims of health promotion and complementary therapies forward, closer ties need to be established, between the disciplines, and built upon.
Publisher: Oxford University Press (OUP)
Date: 08-2018
Publisher: Oxford University Press (OUP)
Date: 12-11-2011
Abstract: The remit of this paper is to identify what might be the future direction of one of the Ottawa Charter's five main action areas developing personal skills (DPS). It is contested that this was never going to be an easy task. This opinion article argues that, while a watchful eye should be kept on evolving and innovative DPS strategy and programmes that Ottawa principles generally espouse, that type of activity is not representative of the current location and practice of many health practitioners--particularly clinically located health professionals. Targeting such professionals who, otherwise, might remain unaware of or unengaged with health promotion practice is the main reform required for future DPS activity. It is predicted that, where universal progress can be made, the potential for DPS development would be significant.
Publisher: Wiley
Date: 11-10-2006
Publisher: Wiley
Date: 14-01-2008
Publisher: Wiley
Date: 03-04-2006
Publisher: Wiley
Date: 05-06-2009
Publisher: Research Square Platform LLC
Date: 22-03-2023
DOI: 10.21203/RS.3.RS-2635694/V1
Abstract: Background and Purpose : The workplace is one of the priorities for health promotion in the 21st century by extending as the adult population extends. Also, the work environment has a significant impact on people's health. Therefore, the aim of this study was to determine the characteristics of a healthy environment promoting the health of women working in the hospital. Materials & Methods : This study was conducted using a qualitative method and content analysis. The participants were selected using the purposive s ling total of 48 working women, hospital managers, and health promotion specialists participated in the study. In this study, we tried to select participants with maximum ersity in terms of age, work experience, and the sector they are working in. The data were collected using a semi-structured interview. The texts of the interviews were extracted and ided into the meaningful units. The criterion of credibility or acceptability of the data (Credibility) was used to ensure the accuracy of the study results. Results: In the process of data analysis, 31 basic concepts that had the same characteristics were grouped into 12 subcategories, and based on the common characteristics at a more abstract level: they were transformed into 3 main categories, including organizational management and commitment to the health of working women. The psychological environment supports women's health, and also the social environment promotes women's health in the hospital by providing services. Discussion and conclusion: Hospital managers play an important role in creating healthy workplaces for women, and to achieve this goal, they should try to improve their health from the aspects of mental and social health and provide special services to working women.
Publisher: Wiley
Date: 14-04-2008
Publisher: Cambridge University Press (CUP)
Date: 27-05-2010
Publisher: SAGE Publications
Date: 12-2004
DOI: 10.1177/001789690406300406
Abstract: Objective To investigate an existing Trust-based osteoporosis service's preventative activity, determine any issues and problems and use this data to reorganise the service, as part of a National Health Service Executive/Regional Office-commissioned and funded study. Setting A UK Hospital Trust's Osteoporosis Service. Design & Method A Participatory Action Research (PAR) methodology was adopted, using PAR group sessions and reflective journals to collect and analyse qualitative data. Results The service was investigated and found to be lacking in preventative osteoporosis-related activity. Subsequently, the research participants identified and implemented a range of preventative activities. Conclusion Osteoporosis is a preventable disease that is known to place both a huge economic and social burden on societies worldwide. Despite this, evidence suggests that preventative osteoporosis activity is afforded a low priority within health services. This was the case with the osteoporosis service at the beginning of this study, but demonstrates how a service can be reorientated to accommodate a programme of preventative activity.
Publisher: Hindawi Limited
Date: 2006
DOI: 10.1111/J.1365-2934.2005.00599.X
Abstract: The World Health Organization's (WHO) Ottawa Charter for Health Promotion in 1986 provided the catalyst from which the Health Promoting Workplace movement emerged. Here, an extensive review of the available workplace-related health literature provides the basis for critical discussion and recommendations for health care managers. The findings suggest that health care managers, who practice in all health service settings, should be aiming to initiate and promote radical health promotion reform as set out in the WHO settings-based movement. Developing and implementing sustainable health promotion-orientated and organization-wide healthy workplace policy initiatives represent the most effective way for health care managers to directly benefit from the desirable outcomes that come from creating and maintaining a healthy workforce.
Publisher: Elsevier BV
Date: 10-2019
DOI: 10.1016/J.NEDT.2019.05.032
Abstract: Globalisation and a shortage of registered nurses in New Zealand have caused an increase in the number of overseas qualified registered nurses and nurse educators migrating to New Zealand. This reflects the overall international context. If overseas qualified nurse educators are to work optimally, providing the maximum benefit for students, their experiences need to be examined in order to identify potential issues and provide support. To investigate the experiences of overseas qualified nurse educators teaching in New Zealand nursing schools and relate this to the international context. A qualitative study using van Manen's hermeneutic approach to phenomenology. The lived experiences of 17 overseas qualified nurse educators were explored through in-depth, semi -structured in idual interviews. The study revealed that overseas qualified nurse educators initially experienced a sense of non-belonging in New Zealand, while their separation from their homeland and migration to a new country resulted in a sense of disorientation. Integration was the preferred method of adaptation to New Zealand among the study participants. However, they wanted to choose which aspects of the new culture they would adopt and to what extent they would adapt. The initial phase of adaptation was a difficult process for the majority of participants, however, it was found that the adaptation process was easier for the participants who were actively engaging in New Zealand society. Understanding and improving the experiences of overseas qualified nurse educators will enable nursing students to receive maximum educational benefits wherever they train in the world.
Publisher: Wiley
Date: 16-11-2015
DOI: 10.1111/INR.12222
Abstract: This study aimed to explore the perception of Iranian nurses concerning spiritual care and to reveal any confronted barriers. Although the context of spiritual care is a substantial aspect of holistic care, the delivery of spiritual care has been problematic due to lack of nurses' understanding of this concept. Nurses' perceptions of spirituality and spiritual care directly influence their performance as well as their relationships with patients. This cross-sectional survey was conducted in 2013 with 259 nurses working in hospitals affiliated with Qazvin University of Medical Sciences, Iran. Data were collected using the Spirituality and Spiritual Care Rating Scale alongside qualitative open-ended questions. Descriptive and inferential statistics were used for the quantitative data and content analysis for the qualitative data. The overall average for spirituality and spiritual care was 2.84 (score range: 1-4), indicating a moderate mean score. A significant relationship was found between education level and spiritual care. The majority of participants believed that they did not receive enough training in this aspect of care. The main obstacles regarding delivering spiritual care included busy working schedules, insufficient knowledge regarding spiritual care, low motivation, ersity of patients' spiritual needs and feeling 'unqualified' to provide spiritual cares. Consistent with the previous studies, this study has demonstrated that nurses had low confidence to meet the spiritual needs of patients due to lack of knowledge and training in this regard. Iranian nurses' perception of spirituality and spiritual care is moderate, reflecting that they do not receive sufficient training regarding spiritual care. Despite the attention focused on spiritual care in clinical settings in Iran, there remains a significant gap in terms of meeting the spiritual needs of patients in nursing practice. This finding assists nursing clinicians, educators and policy makers to more effectively approach spiritual care as a beneficial component of holistic care. It is proposed that more emphasis is placed on integrating spirituality content into educational programmes to enable more effective clinical delivery. In addition, it would be beneficial to implement more widespread cultural assessment in order to further benefit spiritual care practices.
Publisher: Wiley
Date: 03-05-2011
DOI: 10.1111/J.1365-2702.2010.03674.X
Abstract: Aim. To develop a unique framework which combines the concepts of settings and lifespan where they are applied to health promotion. Background. The influential World Health Organisation’s 1986 Ottawa Charter for Health Promotion supported certain settings being nominated as unique social systems for enabling specific health promotion activity. These initially included a whole raft of proposed settings ranging from the micro to macro these at the time mainly being hospitals, communities, schools, workplaces, cities, villages, islands and the home and family. Several other settings have since also been added to the list – which now include health‐promoting universities and health‐promoting prisons. Most of the mentioned settings have in more recent times being acknowledged in the nursing literature. Design. Discursive. Method. A critical examination and exploration of the existing health promotion literature related to both settings and lifespan. Results. It is possible to combine the related, but hitherto unexplored, concepts of health promotion settings and lifespan. This has resulted in a useable framework to further assist practitioners with their health promotion work. Conclusion. What has not yet surfaced in both the nursing and the general health promotion literature is that most settings can be linked as a whole, not just by their geographical location and proximity to each other, but also to the fact that they tend to follow a linear direction that ranges across the total lifespan. Relevance to clinical practice. Viewing health promotion in the way that this framework proposes further assists in locating and clarifying the often confused and contested position of health promotion in nursing.
Publisher: SAGE Publications
Date: 30-01-2017
Abstract: Alcohol-related accidents and injuries occur disproportionately within young people – especially when gathering at social events. This study represents a partnership between a faith-based group of volunteers specifically trained to counsel and support young people to reduce their risk of alcohol-related harm, Adelaide City Council, and the South Australian Police Force aimed at reducing risk-related alcohol consumption in a metropolitan nightclub district area. It posits that supporting young people to party safely, alongside positive community engagement, may deter unsafe consumption practices – such as pre-loading and binge-drinking. Retrospective online survey evaluated the impact on attitudes of young people who received the intervention. Findings suggest volunteers were perceived as positive role models who demonstrated a genuine sense of care and ability to support. As a result, one-third of respondents identified potentially more carefully pre-plan their drinking behaviour on their next night out. This study demonstrates that young people are responsive to positive interventions and that future pre-planning may become a more natural part of their party routine – resulting in less likelihood of alcohol-related risk. The outcome measure, that young people’s intentions to moderate their drinking as a result of positive encounters, is an important one.
Publisher: Wiley
Date: 06-2001
DOI: 10.1046/J.1365-2648.2001.01813.X
Abstract: To critically review the complex processes that underpin the modification of a client's health-related behaviour. This paper also seeks to contextualize the operational differences between health-educating and health-promoting activities - as a means of rationalizing current practice. In "health promotional" encounters, there is a plethora of evidence that suggests that nurses work predominantly within a "traditional" preventative framework of practice. The prevalence of a culturally inherent biomedical framework, governing most nursing practice, tends to reduce health-related client interventions to little more than one-off, reductionist information-giving exercises. The expectation on clients to respond to and subsequently modify their health behaviour, when presented with such information, is unrealistic in most cases. Nurses are often unaware of the extremely complex human phenomena associated with modifying health-related behaviours and the resultant change processes. In nursing-related health encounters, the planned or unplanned intervention and the subsequent outcomes are mostly viewed within a too simplistic and superficial context. A selective review of the relevant literature. Where many nurses believe themselves to be health promotionalists, the likelihood is that they are instead more likely to be traditional health educationalists. Not that this is the main problem, in itself--but if nursing is to progress on this issue, it must first become more effective in delivering its current health education initiatives. Armed with further knowledge and understanding of their practices, health educators are far more likely to achieve a degree of success in their behavioural-change encounters as well as approach the intervention with a far more realistic expectation of outcome. Without this further understanding, it is argued that the integration of health educational initiatives into nursing practice will generally do little or nothing to change the health status of clients.
Publisher: Wiley
Date: 23-12-2005
Publisher: Wiley
Date: 14-08-2012
Publisher: Wiley
Date: 13-10-2003
DOI: 10.1046/J.1365-2702.2003.00804.X
Abstract: A recognized 'paradigm war' exists between the two distinct approaches of health education and health promotion practice. This tension is both unhealthy and unhelpful and is known to have a profound effect on nursing activity. Leading health promotionalists have begun to acknowledge the futility of the stated paradigm tension, realizing that health education and health promotion interventions are not that dissimilar in their origins and intentions. Progressive health education and health promotion programmes acknowledge the interrelatedness of both approaches and seek to incorporate favourable aspects of the two. The aim of this article is to present arguments and stances that help to diffuse/avoid the stated paradigm conflict, as a basis for health education and health promotion reform in nursing. It also seeks to clarify the nature of both health education and health promotion practice so as to avoid contextual confusion. In doing so, this article draws significantly from the author's previous work. This article concludes that the constructive review of any intended health education/health promotion programme lies in the consideration of each approach according to its own relative merits, what is required of the programme, and the nature of the setting in which the intervention takes place.
Publisher: Elsevier BV
Date: 04-2007
DOI: 10.1016/J.NEDT.2006.05.003
Abstract: The [World Health Organisation, 2000. Nurse and Midwives for Health: A WHO European Strategy for Nursing and Midwifery Education. WHO Regional Office for Europe, Copenhagen] European Strategy for Nursing and Midwifery Education calls for the explicit inclusion and application of health promotion in all nursing curricula. Prior to this strategy, and subsequently, studies have explored the nature and extent of health promotion in nursing education. This article extensively reviews this body of literature. Overall, the literature, both included in this review and its supporting discussion, presents a picture suggesting that the call for effective inclusion of health promotion has in many cases gone unheeded. The literature also identifies that the educational delivery of broader elements of health promotion is muted in comparison to the 'traditional' constructs of health education. Considerations for wider reform, born out of the literature, are presented.
Publisher: Emerald
Date: 02-10-2017
Abstract: The purpose of this paper is to determine the extent to which youth have ready access to alcohol and the extent to which immediate family influence affects consumption. This qualitative descriptive exploratory study undertook semi-structured peer-group interviews with 20 participants from four New Zealand high schools. The interviews centred on exploring the “general” experiences of youth related to alcohol access – but with a focus on alcohol access “at home” and the parental role. The study confirmed that the home unit was the main source of alcohol for most youth and parents were the most common source of provision. Parents provided financial access to alcohol by giving their child money to purchase it themselves through older family members or friends. It was also found that youth used negotiation strategies with their parents to influence their consumer purchases of alcohol. Youth frequently used strategies such as pressure tactics, exchange tactics, ingratiating tactics and consultation tactics to influence their family’s decision-making process and to pressure their parents into supplying them with alcohol. It is important to recognise the role that family play as “gatekeepers” for readily allowing access and supplying youth with alcohol – and the reasons for doing so. Alcohol plays an important part in many societies. It is important to understand how young people consume and access alcohol – particularly when the family plays a major role in access and consumption. Many studies have been conducted in relation to youth and alcohol consumption. Very few, as far as we can tell, explore the role of the family from the young consumers’ perspective and especially from a qualitative narrative perspective.
Publisher: Wiley
Date: 16-10-2001
DOI: 10.1046/J.1365-2648.2001.01989.X
Abstract: To investigate the validity of a stage planning programme model for health education/health promotion practice in nursing settings and to develop a specific model for this purpose. Background/rationale. The last decade or so has seen a marked increase in the amount of health educational/health promotional activities that nurses are expected to undertake. This has followed concerted calls to make health promotion a familiar and recognized part of nursing practice. Despite this, however, current health-related practices are still unstructured, haphazard and under-evaluated. This state of affairs is further compounded by the lack of any generic and systematic nursing planning process model by which health education/health promotion programmes are applied in practice. This paper puts forward the case for such a model, develops it, and demonstrates its possible application in clinical settings. A systematic literature review was conducted in order to develop a new theoretical perspective for health promotion/health education nursing practice. The proposed model has evolved from this new perspective. The process of developing this model has drawn on existing contemporary planning models--using them as a means to develop a conceptual framework. Consequently, the proposed model seeks to critique, adapt and adopt some of their components within a nursing context. If the current situation continues, in which planning process models are not adopted as a routine part of practice, then nursing may well remain a "bystander" in health promotion/health education.
Publisher: Oxford University Press (OUP)
Date: 06-2004
Abstract: Back in 1986, the World Health Organization (WHO) produced the Ottawa Charter for Health Promotion. The intention of the charter was to create a framework that conveyed the notions of capacity building into a structured process for health promotion action in specific settings. This charter subsequently provided the vehicle from which the Health Promoting Hospital (HPH) initiative was launched, culminating in the Budapest Declaration of Health Promoting Hospitals (WHO, 1991). The aim of this paper is to investigate the nature and progress of the European HPH movement. Despite the fact that 'pockets' of concerted and progressive activity and evaluation have emerged from the HPH initiative, the majority of the available literature demonstrates a more limited impact than perhaps the WHO might have anticipated for its efforts over the last 15 years or so. Indications are that many of the member European HPH states have struggled to move beyond the 'project' phases of their planned programmes. This is not to detract from the considerable efforts that have been made to establish HPH networks or the continuing attempts to recruit further members/institutions into the movement. Nevertheless, this account concludes that a more concerted evaluation of European HPH progress is needed to accurately measure its impact and progress. If the situation remains unchanged, perhaps a fundamental review of the strategy is worth considering.
Publisher: SAGE Publications
Date: 10-11-2019
Abstract: The aim of this study was to explore nurses' knowledge and attitudes toward the use of complementary and alternative medicine (CAM) among cancer patients in a palliative care setting. A descriptive qualitative approach was used in this study. Semistructured interviews were conducted with 10 nurses recruited using purposive s ling. The data were analyzed using an inductive semantic approach. Thematic analysis identified that nurses possess limited knowledge of CAM. Nurses were skeptical toward CAM and less confident to recommend its use. Four main themes (and two subthemes) emerged: Understanding of CAM, Hesitative Attitudes, Personal Experience, and Preferences in Learning about CAM. There is a need to integrate CAM topics into nursing education programs in order to develop nurses' knowledge and build positive attitudes toward CAM use. Sufficient knowledge and positive attitudes toward CAM would support safety and quality of care in management of patients with cancer who use or are contemplating using CAM.
Publisher: RCN Publishing Ltd.
Date: 05-07-2000
DOI: 10.7748/NS2000.07.14.42.35.C2871
Abstract: Epidemiological research is seen by many to have immense value in helping to determine the health of populations and in helping to plan and determine health service policy. Despite this it seems to be poorly understood and greatly underused by the nursing profession. Epidemiological studies can potentially offer considerable benefits to the way nurses incorporate health-related practices into their professional role. Research also offers a valuable opportunity for the nursing profession to become more active in helping to determine health policy issues. This article explores the nature of the dilemmas surrounding nursing and epidemiology and argues that nursing might be better served by a more proactive role in this valuable research discipline.
Publisher: Wiley
Date: 12-11-2001
DOI: 10.1046/J.1365-2648.2001.01973.X
Abstract: To investigate the place and validity of contemporary social cognitive models for health education practice in nursing settings and, in doing so, develop and put forward a specific model for this purpose. The last decade or so has seen a marked increase in the amount of health educational/health promotional activities that nurses are expected to undertake. This has followed on from concerted calls to make health education a familiar and recognized part of nursing practice. Despite this, past and current evidence identifies that nurses have been, and continue to be, ineffective and inconsistent health education practitioners. Where health education activity does take place it tends to centre specifically on social cognitive behavioural change strategies. Subsequently, it is argued here that any failure on the part of nurses successfully to apply health educational initiatives into practice has been compounded by the lack of any nursing-specific social cognitive model process. This paper seeks to redress this imbalance by putting forward the case for such a model, developing it, and demonstrating how it can be incorporated into the practice setting. A systematic review of the literature has been conducted and the article draws upon this in order to develop an evolving theoretical perspective for health education practice. The proposed model has evolved from this new perspective. Development of this model has drawn on contemporary social cognitive behavioural models--using them as a means to develop a further conceptual framework for nursing. Social cognitive behavioural models are valuable tools that nurses can incorporate routinely into existing frameworks of practice. The proposed model is designed to make the adoption of health-related behavioural change in clients easier and more realistic. If the current situation continues whereby social cognitive behavioural models are not adopted as a concerted and routine part of nursing practice, then nursing may well continue to fall behind other health professions in the discipline of health education.
Publisher: Wiley
Date: 2005
DOI: 10.1111/J.1365-2702.2004.01012.X
Abstract: 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. A critical review of the available health promoting hospital and related literature has been conducted for discussion. The literature revealed that hospitals are being urged to reject practices based purely on health-limiting and limited biomedical frameworks, in favour of moving towards models based on health promoting hospitals and public health-orientated hospitals. This requires radical reform that focuses on the social and health policy context of organizations, the socio-political empowerment of its employers and clients, and the personal/collective positive health and welfare of its employers and clients. Many health service agencies are beginning to emphasize population health within communities as part of a concerted move away from an original primary focus on acute inpatient hospital-based service provision. Hospitals need to adapt and expand their efforts to focus on health promotion activities, in collaboration with the ever-widening community networks of health and social agencies. This requires the commitment of all health care professional groups. Nurses who practice in the hospital setting should be aiming to initiate and promote radical health promotion reform as set out in the health promoting hospital movement. This paper argues that nursing per se could be making much larger inroads and efforts to affect and implement wide-ranging health promotion activities in hospital organizations. Nurses should view the HPH movement as another opportunity truly to embrace evolving broad-based health promotion concepts, as a means to forge and own their own health agenda, and also as a means to move beyond the traditional reliance of a limited health education role. Hospitals and their employees must be seen to advocate, support and implement wide-reaching social and community-based reform, as part of a necessary commitment to 'seamless' health care provision. The health promoting hospital movement represents a collective vehicle for enabling such activities. If nurses wish to be at the forefront of current health service strategies they must be seen to embrace the radical health promotion reforms that are emerging from the current literature and put forward in this article.
Publisher: Wiley
Date: 16-05-2002
DOI: 10.1046/J.1365-2648.2002.02211.X
Abstract: To investigate the academic writing experiences of a group of preregistration nursing students. To explore issues surrounding how academic writing skills were developed, integrated and received into the student's educational programme and how these skills impacted on various aspects of their educational and clinical experience. The development of an academic writing style is seen to be an integral skill that the student must be willing to learn and undertake within higher education settings. Academic styles of writing have been imported into nursing education as a consequence of its integration into higher education. I wanted to investigate the experiences of learning an academic style of writing for students early on in their nursing career. There is little, if any, research that seeks to investigate or measure these experiences of nursing students. A phenomenological approach to investigate the academic writing experiences of a group of preregistration students. There is an expectation that preregistration students will quickly acquire academic writing skills when most will have had little or no prior experience. There appeared to have been little emphasis placed on facilitating the development of these skills in the educational programme. The lack of emphasis and support proved to be problematical for these nursing students. The emergence of a theory-practice ide also figured strongly. Students were, however, able to appreciate the need and place for academic writing skills and most were able to identify the structural processes that were integral to acquiring such skills. A plethora of anecdotal evidence, supported by the findings in this study, suggests that most nursing students' struggle with the demands placed upon them when writing academic assignments. The need for greater emphasis and support throughout the whole period of training are highlighted in the findings of this study. It is known that nursing loses large numbers of its students to the academic rigors of its educational programmes. Where this is the case, the findings of this study support the need for nurse educationalists and curriculum planners to revise and reform the way that they approach and deliver the demands of an academic style of writing with their students.
Publisher: Wiley
Date: 04-08-2005
Publisher: Wiley
Date: 12-09-2006
Publisher: Cambridge University Press
Date: 03-05-2010
Publisher: SAGE Publications
Date: 13-10-2011
Abstract: Internationally, it is well established that the behaviour, performance, and achievement of schoolchildren is directly linked to the nutritional status of overall diet – including the contents of their school lunch-boxes. In a previous survey study by the lead authors, primary school children’s food consumption behaviour was investigated. Results indicated that most children’s lunch-boxes contained an over-representation of ‘undesirable’ food groups and an under-representation of fruit and vegetables. This follow-up study examined children’s awareness of healthy food choices and investigated what food groups children would choose if given free choice when constructing a lunch-box. The data was obtained by surveying 1,184 primary school children from eight different urban primary schools in the Manawatu Region of New Zealand. Food items included in this survey represented the 40 most common foods from the previous study. A series of accompanying food charts were used in combination with the checklists. From these lists the children were asked to construct a hypothetical ideal ‘dream’ lunch-box and a ‘healthy’ lunch-box. Results indicated a significant difference between the fruit and vegetable content between lunch-boxes, demonstrating that children understood fruit and vegetables are healthy – but that they did not necessarily translate this knowledge into action. The influences on children’s choices in fruit and vegetables are as complex as the barriers to them eating. This study offers unique insight into the knowledge and behaviours of schoolchildren when selecting and consuming fruit and vegetables – especially given a degree of autonomy and choice.
Publisher: Emerald
Date: 12-2005
DOI: 10.1108/14777260510629715
Abstract: To put forward the, to date, unidentified viewpoint that organisational action research and project management have many shared properties – making it a useful exercise to compare and contrast them in relation to organisational management structures and strategies. A conceptual exploration, drawing on a wide range of supporting literature, is used here. Project management represents a mainstay strategy for much of the organisational research seen in health care management – and has done for many years. More recently, the exploratory literature on project management has identified many limitations – especially when matched against “traditional” ex les. Many health services have witnessed a more recent organisational management drive to seek out alternative strategies that incorporate less hierarchical and more participatory research methods. Action research certainly fits this bill and, on further examination, can be incorporated into a project management ethos and vice versa. The views expressed here are of a theoretical construct and have not been implemented, as they are presented in this paper, in practice. The intention, however, is to do so in some of the author's future studies. If the management of health service organisations are to evolve to incorporate desirable structures that promote consumer‐oriented empowerment and participation (where the consumers also include the workforce), then having a wider array of research tools at one's disposal is one way of facilitating this. Incorporating action research principles into project management approaches, or the other way round, or marrying them both to form a “hybrid” research strategy – it is argued here – represents an appropriate and representative way forward for future organisational management studies. In terms of originality, this represents a conceptual piece of work that puts forward constructs that have, to date, not featured in the health care literature. Its value lies in suggesting further options for organisational‐oriented health care research.
Publisher: Elsevier BV
Date: 06-2009
DOI: 10.1016/J.IJNURSTU.2008.12.014
Abstract: In the light of the fact that it is known that much of nursing-related health promotion practice is 'out-of-step' with the wider health promotion community, it seems sensible to explore to what extent this is the case and the reasons why. This article examines the key issues related to both c s. In doing so, and in noting any differences, it is possible to put forward recommendations for any needed reform--so that, where differences can be reconciled, nursing health promotion is seen to be in alignment with other health professions and the general health promotion community at large.
Publisher: Elsevier BV
Date: 09-2002
Abstract: With the proposed syllabus changes of the United Kingdom's (UK) 'Project 2000' curriculum, came the promise that pre-registration nursing students would benefit from a greater emphasis on 'health promotion' than had previously been the case (UKCC 1986, R CN 1988). The structural changes to this curriculum were designed, in part, to prepare the student for a more prominent and broader health-promotional role, in both their clinical and theoretical activities. The revised Making a Difference curriculum has recently sought to reinforce this (NHSE 1999). This grounded-theory study, undertaken at the authors' previous university, gathered the views and insights of a group of these students (10 students in all), in relation to their perceived and actual health promotion role. The students were in the last phases of the Project 2000 curriculum, as theMaking a Difference curriculum was being phased in. The findings of this study were designed to see if the changes, proposed throughout the Project 2000 curriculum, had had their intended impact on this particular group of students. Several categories emerged from the data. The core category became 'seeking out and making sense of health promotion theory and its application to practice'. In addition, five other fully developed categories emerged. These were: 'conceptualising health promotion', 'health promotion in the curriculum', 'health promotion in practice', 'role models in health promotion' and 'health promotion in a future context'. The study's findings demonstrated that these students, despite the promises of a revised curriculum, were still being inadequately prepared for a constructive and broad health promotional role. It showed, instead, that these students had continued to be prepared for and exposed to a limited and limiting 'health education' role. When applied to the findings of similar studies (i.e. Gott O'Brien 1990, Lask et al. 1994), prior to the Project 2000 reform, it appears that little has changed for the students in this study. This state of affairs was reflected in both the student's theoretical and clinical placement settings.
Publisher: Wiley
Date: 24-01-2005
Publisher: Wiley
Date: 06-07-2004
Publisher: Elsevier BV
Date: 06-2020
Publisher: Elsevier BV
Date: 04-2022
Publisher: Mark Allen Group
Date: 05-2001
DOI: 10.12968/BJCN.2001.6.5.7082
Abstract: Despite a flurry of interest in the 1980s, the adoption of a positivist, objective, scientific paradigm for nursing research has led to to a rejection of the study of nursing history as a valid pursuit in recent years. In this article, it is argued that this is a precarious situation. By not examining the history of the profession, nursing – and in particular community nursing – undermines its efforts to validate itself within the wider health-care arena. Nursing must learn from the mistakes of the past, as well as the successes, but do so in a critical way that does not romanticize its history.
Publisher: Wiley
Date: 10-2000
DOI: 10.1046/J.1365-2648.2000.01544.X
Abstract: For some time health professionals have recognized the growing importance of utilizing mass media strategies as part of their health-promoting practice. The ever-evolving climate of technology and increasing reliance on mass communications has further reinforced the position of mass media initiatives. The enormous potential for mass media resources to reach certain audiences and influence their health-related behaviours has become particularly well established. Despite these facts, however, it is argued that the nursing profession has been less than pro-active in acknowledging, accommodating and adopting such practices. Consequently, the incorporation of health-related mass media initiatives into nursing's health-promotional role remains an elusive exercise. The maintenance of such a position, it is claimed, is potentially damaging for the profession as a whole. In light of this state of affairs, this paper seeks to review the literature surrounding the nature and processes of mass media strategies, their relevance to health promotion and nursing, how they are currently utilized and how they can be incorporated further into nursing practice. In conclusion, it is argued that nursing should seek to become a more active user of mass communication/media technology--especially in relation to its health-promotional practices.
Publisher: Wiley
Date: 20-02-2003
DOI: 10.1046/J.1365-2648.2003.02556.X
Abstract: To investigate the place and validity of effective process in evaluating health promotion practice in nursing and, in doing so, develop a specific model for this purpose. The failure of many nurses to provide successful health promotional programmes is underpinned by a distinct lack of evaluation research activity. Without this type of activity, health-related nursing practice remains limited in its scope and nature. This article seeks to redress this situation by proposing a specific evaluation model that assists the nurse in their attempts to include evaluative research activity in future health promotion practice. This article draws on existing literature to develop an evolving theoretical perspective for health promotion practice in nursing. The proposed model was developed from this perspective. Evaluation is an essential activity for any health promotion programme. Failure to include it in practice ensures that attempts to conduct health promotion are usually rendered ineffective and unsuccessful. Evaluation models are valuable tools that nurses can incorporate routinely into existing frameworks of practice, alongside other models of health education/health promotion, such as planning models. The development of this model is intended to enable nurses to review their current practice and offer a further framework for those who wish to extend their current health promotion repertoire.
Publisher: Wiley
Date: 2007
Publisher: SAGE Publications
Date: 10-04-2009
Abstract: This article presents a conceptual strategy which uses the Behavioral Ecological Model (BEM) as a health promotion framework to guide school-based bullying awareness programs and subsequent anti-bullying strategies for school nursing practice. Anti-bullying frameworks and tools are scarce despite the extent of the problem of bullying. This article reviews existing literature centered on the BEM and illustrates how the model can be applied to the school-setting. This is the first time that a multilevel framework has been proposed for school-based anti-bullying in the form of a model. The BEM is a useful tool for assisting in the development of more comprehensive programs to influence anti-bullying intervention in school-based nursing practice.
Publisher: Wiley
Date: 07-02-2006
DOI: 10.1111/J.1365-2702.2006.01294.X
Abstract: To review the existing literature on health-promoting schools and put forward recommendations for continuing progress. The World Health Organisation's Ottawa Charter for Health Promotion in 1986 sought to create a framework for health promotion action that conveyed the notion of capacity building as it related to specific settings. It provided the catalyst from which the health-promoting school movement emerged, against the backdrop of health professionals adapting to the changing needs and demands of clients and the evolving social context of the communities in which they live. Since then, the international health-promoting school movement has been one of the most successful of the settings-based projects and has expanded considerably over recent years. An extensive review of available health-promoting school-related literature provides the basis for critical discussion and recommendations. Traditionally, the school nursing movement has provided the backbone of nursing-related health promotion activity in the school setting. The literature, however, is generally critical of its contribution over the years - especially as its role is mainly confined to a 'conventional' health education function and has little to do with health-promoting school projects. There are more and more calls now for the school nursing service to either re-evaluate its function and processes or be devolved back into a broader primary health care practitioner role. Nurses should view the health-promoting school movement as another opportunity to embrace evolving broad-based health promotion concepts truly, as a means to forge and own their own health agenda and also as a means to move beyond a traditional reliance on a limited health education role. Schools also need to adapt and expand their efforts to focus on health promotion activities, in collaboration with the ever-widening community networks of health and social agencies. This requires the commitment of all healthcare professional groups. Nurses who practice in all settings, and not just school nurses, should be aiming to initiate and promote radical health promotion reform as set out in the health-promoting school movement. If health professionals wish to be at the forefront of current health-promoting school strategies they must embrace the radical health promotion reforms that are emerging from the current literature and put forward in this article. Building such group capacity, through developing social interaction, cohesion, participation and political action can only benefit the community at large and further emphasize the health promotion role of nursing. The health-promoting school movement is truly an international concept and, as such, deserves a concerted nursing representation and resourcing well beyond its current commitment.
Publisher: Wiley
Date: 19-09-2022
DOI: 10.1111/JOCN.16542
Abstract: To explore behavioural indicators of compassionate nursing care from the perspectives of in iduals with multimorbidities and complex needs. Complex patients are in iduals with multimorbidity and/or mental health concerns, andoften with medication and drug‐related problems requiring ongoing person‐centered care, mental health interventions, and family and community resources. They are frequent consumers of health‐care services and it is documented that these patients experience discrimination and substandard care. Compassionate care can improve patient care experiences and health outcomes. However, missing is the guidance on how to provide compassionate care for this population from the perspectives of complex patients. A qualitative descriptive approach was conducted in eastern Canada from December 2020–April 2021. The COREQ guidelines were followed for reporting. Data from in‐person and virtual semi‐structured interviews with 23 in iduals having experiences as complex patients were analysed using reflexive thematic analysis. Among them 19 were homeless and lived in a shelter. Six indicators of compassionate nursing care were generated: sensitivity, awareness, a non‐judgmental approach, a positive demeanour, empathic understanding, and altruism. In iduals perceived that nurses who acknowledge personal biases are better at providing compassionate care by manifesting compassion through their genuine and selfless interest in the complicated health problems and underlying socio‐cultural determinants of each patient. Kindness, positivity, and a respectful nursing approach elicit openness and the sharing of heartfelt concerns. Comprehensive health assessment, dedicated efforts to know the patient as a human being, and listening to the patient's preferences can improve health outcomes among in iduals with complex needs. Healthcare administrators can effect the change by supporting nurses to address complex health and social care needs with compassion. Patients and healthcare professionals helped in data collection at the community care centre.
Publisher: Elsevier BV
Date: 09-2019
DOI: 10.1016/J.CARDFAIL.2019.07.455
Abstract: There is evidence that heart failure (HF) patients who receive pharmacist care have better clinical outcomes. English-language peer-reviewed randomized controlled trials comparing the pharmacist-involved multidisciplinary intervention with usual care were included. We searched PubMed, MEDLINE, EMBASE, CINAHL, Web of Science, Scopus, and the Cochrane Library from inception through March 2017. Cochrane method for risk of bias was used to assess within and between studies. 18 RCTs (n = 4630) were included for systematic review, and 16 (n = 4447) for meta-analysis. Meta-analysis showed a significant reduction in HF hospitalizations {odds ratio (OR) 0.72 [95% confidence interval (CI) 0.55-0.93], P = .01, I2 = 39%} but no effect on HF mortality. Similarly, a significant reduction in all-cause hospitalizations [OR 0.76, 95% CI (0.60-0.96), P = .02, I2 = 52%] but no effect on all-cause mortality was revealed. The overall trend was an improvement in medication adherence. There were significant improvements in HF knowledge (P<.05), but no significant improvements were found on health care costs and self-care. The pharmacist is a vital member of a multidisciplinary team in HF management to improve clinical outcomes. There was a great deal of variability about which specific intervention is most effective in improving clinical outcomes.
Publisher: Australian College of Perioperative Nurses
Date: 19-04-2021
Publisher: Wiley
Date: 30-03-2007
Publisher: Wiley
Date: 12-2006
DOI: 10.1111/J.1741-6787.2006.00068.X
Abstract: Many agencies over the last few decades have called for the explicit inclusion and application of health promotion in all aspects of nursing practice. This article reviews the body of empirical (research-based) and theoretical (conceptual) literature addressing health promotion in nursing clinical practice, to uncover its nature, intention, and impact. The aim of this review was to identify from the nursing literature what is reported on in relation to health promotion activity, both theoretical and clinical in the practice setting. An extensive review identified that literature pertaining to these issues clustered around the categories of: theorising and conceptualising the meaning and purpose of health promotion in nursing practice, the development and testing of tools and models for practice, and the exploration of attitudes, behaviours, roles and functions of nurses and health professionals in practice. Against more recent trends in health promotion, the literature shows that broader and wide-ranging health promotion reform has yet to have universal impact, whereas conventional health education activities remain the mainstay for the majority of "health promotion" activities in nursing practice. Where nurses purport to be conducting "health promotion" they are often conducting behavioural, lifestyle, and risk-orientated health education. The findings of this review therefore support the notion that much of nursing-related health practice is firmly located in reactive ill health and disease risk-specific preventive locations, instead of incorporating and instilling broader societal, economic, ecological, and political dimensions of health promotion. Recommendations for wider reform, developed from personal opinion and supported by the literature, are presented. It is argued that nursing bodies, as well as in idual nurses themselves, should seek current health promotion locations in nursing practice, and find effective ways to implement health promotion strategies and, subsequently, equip practitioners with the necessary resources and skills to engage with other health promotion agencies. Future research should be aimed at implementing and evaluating broad health promotion processes.
Publisher: Elsevier BV
Date: 08-2000
Abstract: Complementary therapies, within Health Service arenas, have traditionally been associated with 'naturalistic' approaches to health care provision rather than with 'reductionist' practices. Evidence does exist, however, that certain approaches to complementary therapies can exist comfortably within both c s. Subsequent debates within nursing literature, surrounding the place and validity of reductionist approaches to health care provision and their relationship with the 'counter-part' naturalistic (i.e. empowerment) approaches to health care, have existed for some time now. Naturalistic (inductive and interpretive) and reductionistic (deductive and fixed) classifications of health care provision have continued to be viewed, by many health care professionals, as apposite, ided and allopathic. This appears to be even more so recently where elements of reductionist health care have been portrayed in terms that serve to undervalue and undermine its contribution. This is whilst naturalistic approaches, in far more favourable terms, have gone on to be 'ch ioned' by many health professions. This account sets out to investigate how this situation impacts upon the discipline of complementary therapies. It seeks to do so by defining the nature and purpose of these differing approaches - particularly within the boundaries of health promotion activities. It goes on to suggest that our current practices/viewpoints, related to these particular approaches, could be considered in themselves to be flawed, limiting and reductionist with a potential to unwittingly create a counterproductive practice ethic. As an alternative to this situation, it is suggested that by identifying the strengths and weaknesses of both stances it is possible to find common ground which marries together the more favourable aspects of these approaches. This can subsequently provide a clearer and more productive consensus for complementary therapies and other naturalistic-based practices to move forward.
Publisher: Wiley
Date: 12-08-2003
DOI: 10.1046/J.1365-2702.2003.00769.X
Abstract: A criticism laid at the door of many nurses in relation to their health promotion activity is that they almost exclusively adopt a biomedical reventative health education approach. When it comes to adopting socio-political health promotion approaches, there is scant evidence that nurses implement these activities in clinical practice. This article is designed to raise awareness and signpost the types of activities that nurses could be involved with if they wish to influence the broader social and political health promotion agenda. In doing so, it has developed an 'effect' programme model for socio-political health promotion practice as a framework for those practitioners who wish to review their current health-related activities and/or who are seeking to extend their range of health promotional practice. This article draws upon a critical review of the literature in order to develop an evolving theoretical perspective for health promotion practice. The proposed model was developed from this new perspective as were recommendations for practice.
Publisher: Wiley
Date: 16-11-2006
Publisher: Wiley
Date: 09-09-2005
Publisher: Wiley
Date: 17-09-2008
Publisher: Mark Allen Group
Date: 12-2000
DOI: 10.12968/BJCN.2000.5.12.7116
Abstract: It is the responsibility of all nurses to incorporate health promotional and health educational activities into their professional roles. Much of the literature around this issue relates to the specific role of community-based nurses in the primary healthcare team, and identifies their unique position and responsibility for pioneering the universal acceptance and adoption of health-promoting practices. Community-based nurses are in a good position to commission health-related activities and integrate them into practice (Department of Health and Social Security, 1987 Department of Health, 1992, 1996). On the basis of this, one might expect that the results of studies in this area would identify evidence of good understanding, adoption, parity and support for such initiatives among community professionals. However, many studies have identified a state of confusion, poor understanding, a lack of parity between professional groups, a lack of professional support and training, and haphazard implementation of such strategies (Dines, 1994 Russell, 1997). Inconsistency in study findings is problematic and tends to present a skewed picture of current practice. It is suggested that community-based nurses may benefit from a change in the way they view the implementation of health promotional practices, and that policy issues related to practice could be further clarified and enforced.
Publisher: Elsevier BV
Date: 05-1999
Publisher: Wiley
Date: 16-01-2006
Publisher: Mark Allen Group
Date: 10-1998
DOI: 10.12968/BJCN.1998.3.9.7182
Abstract: A common consensus regarding the way in which qualitative and quantitative approaches to research are viewed within nursing has existed unchanged for many years, i.e. the quantitive or positivistic research paradigm has traditionally been viewed as being more scientific, logical, rigorous and superior to the naturalistic/qualitative approach. Indeed, there is little evidence to refute the suggestion that these two approaches are perceived as being separate to, and independent of, each other. This article suggests that this long-standing ision has served to create many of the problems and barriers surrounding qualitative research in nursing. One of the main reasons for this ision results from the inherent interpretation of each approach and also the perceptions of nurse researchers. Qualitative research is traditionally viewed as the weaker of the two approaches and therefore qualitative researchers are often left to actively promote the standing and credibility of this research paradigm. This article aims to identify how nurse researchers can strive to resolve the imbalance that frequently exists between these two paradigms and, consequently, redress any related misconceptions within the nursing profession.
Publisher: Wiley
Date: 05-03-2008
DOI: 10.1111/J.1365-2702.2007.02079.X
Abstract: To arrive at an expert consensus in relation to health promotion and health education constructs as they apply to nursing practice, education and policy. Nursing has often been maligned and criticized, both inside and outside of the profession, for its ability to understand and conduct effective health promotion and health education-related activities. In the absence of an expert-based consensus, nurses may find it difficult to progress beyond the current situation. In the absence of any previously published nursing-related consensus research, this study seeks to fill that knowledge-gap. A two-round Delphi technique via email correspondence. A first-round qualitative questionnaire used open-ended questions for defining health promotion and health education. This was both in general terms and as participants believed these concepts related to the clinical, theoretical (academic/educational) and the policy (political) setting in nursing. Line-by-line qualitative content and thematic analysis of the first-round data generated 13 specific categories. These categories contained 134 statement items. The second-round questionnaire comprised the identified 134 statements. Using a five-point Likert scale (ranging from 1 = strongly disagree to 5 = strongly agree) participants scored and rated their level of agreement/disagreement against the listed items. Data from the second-round was descriptively analysed according to distribution and central tendency measures. An expert consensus was reached on 65 of the original 134 statements. While some minor contradiction was demonstrated, strong consensus emerged around the issues of defining health promotion and health education and the emergence of a wider health promotion and health education role for nursing. No consensus was reached on only one of the 13 identified topic categories - that of 'nurses working with other disciplines and agencies in a health education and health promotion role.' This study provides a hitherto previously absent expert consensus on the current position of health promotion and health education, in nursing and predictions for their future course. Its findings represent an important step for nurses as they seek to become increasingly active and influential within wider health promotion and health education arenas. Relevance to clinical practice. Delphi studies do not necessarily offer indisputable fact. This study, however, with its strong consensus on the majority of original statements is a good indicator as to how nursing experts currently view health promotion and health education constructs. Expert consensus offers a useful form of measure against current and future clinical practice and helps to build a firm foundation for change. Nurses, then, are advised here to refer to the findings presented, that they remain contextually and conceptually clear, as they embark on current and future health promotion-related activities.
Publisher: Elsevier BV
Date: 05-2005
Publisher: Emerald
Date: 06-2005
DOI: 10.1108/09654280510595272
Abstract: To highlight recently emerging issues and discussions related to the “health journey” of young people, and how health education interventions may be best applied in light of these. A general review of the “health journey” phenomena in young people is explored. Many health education interventions involving young people target emotive issues such as illicit drug‐taking or sexual promiscuity and are often aimed at reducing the prevalence of health‐damaging behaviours primarily through the provision of health‐related information. It is well known and accepted by many, however, that “limited” health education methods are often ineffective, and may lead to more problems than they resolve. This is particularly so where the interventions seek to deny the in idual the health‐related experiences that may serve as an integral part of that person's “health journey”. Recently emerging literature highlights counter‐behaviours initiated by young people, in defiance of any imposed health education intervention. Where health educators do intervene, it is recommended that this is as an adjunct to assisting the in idual in their attempts to enjoy as safe a health journey as possible – and not merely to deny the journey. Highlights the fact that health educators need to use a range of strategies and “mind‐sets” when working with young people and dealing with “health journey” issues.
Publisher: Elsevier BV
Date: 02-2008
DOI: 10.1016/J.CTIM.2007.03.002
Abstract: To explore the factors which underpin the healthcare consumers' decision-making to use CAM in the primary setting. An explorative, multiple case-study of seven convenience-s led participants where in-depth, semi-structured interviews were employed. The findings showed that participants would continue to utilise CAM, even where CAM had no scientific evidence. The participants believed that CAM should be integrated into mainstream healthcare service delivery. There are few international studies that have reported on the utilisation and prevalence of CAM within the General Practice (GP) or clinic setting. The reasons why clients select specific CAM therapies, where they are offered in these settings, remain unclear. This study, however, casts further light on this matter.
Publisher: Wiley
Date: 14-03-2005
Publisher: Informa UK Limited
Date: 13-06-2020
Publisher: Informa UK Limited
Date: 29-06-2023
Publisher: Mark Allen Group
Date: 22-04-1999
DOI: 10.12968/BJON.1999.8.7.6653
Abstract: Since the late 1980s, there has been a consistent call from nursing's advisory and legislative bodies to incorporate the discipline of health promotion into the nursing profession. On reflection, however, evidence indicates that despite these calls there has not been a universal uptake of health promotional activity into the profession. What is evident is that where health promotional activity does take place, it occurs more in the community than in the acute setting. This article sets out to explore the reasons for this. It suggests that certain current and future activities may help to further promote the universal adoption of health promotion within nursing practice.
Publisher: Elsevier BV
Date: 02-2000
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 27-04-2019
Publisher: Wiley
Date: 28-05-2004
Publisher: Cambridge University Press
Date: 2017
Publisher: Oxford University Press (OUP)
Date: 03-12-2010
Abstract: The objective of this study was to identify the current position of health promotion in nursing as it relates to its practice, theory and policy and, where possible as a secondary aim, compare and contrast this against the health promotion position of other health professional groups. This was achieved using the framework of a Derridean-derived discourse analysis of existing health promotion literature specific to nurses and nursing practice. The overall process examined a 'corpus' of the literature considered exemplary texts of that kind and classification. A number of binary oppositions and tensions, in the Derridean tradition, were uncovered. Strong themes to emerge were that nursing has yet to clearly contextualize and differentiate health promotion and health education and the specific role and function of nursing. Also evident was the view that nursing-related clinical practice is yet to universally reflect the theory and language of 'general' health promotion. Furthermore, nursing has not yet demonstrated a clear and notable wider health policy olitical role in formulating and implementing health promotion agendas. Although this state of affairs has existed for some time now, there is evidence that nursing knowledge and practice is changing-even if this is not a universal phenomenon. Studies, like this one, are part of the step towards a more widespread reform for health promotion in nursing.
Publisher: Emerald
Date: 03-04-2017
Abstract: It is known that the consumption of fruits and vegetables in children is declining despite wide-spread national and international policy attempts to increase consumption. The purpose of this paper is to investigate the experiences of children’s consumption of fruits and vegetables so as to facilitate better health education targeting. In this qualitative descriptive exploratory study, peer group interviews were undertaken with 18 girls and 18 boys, aged 8-11, from schools in the Manawatu region of New Zealand. The results show that children’s consumption of fruits and vegetables is dependent on balancing risk and reward. Children know and understand the importance of eating fruits and vegetables however, the perceived risks are typically the prevailing determinant of consumption. These perceived risks often stem from children’s uncertainty about whether the fruits and vegetables will meet the child’s sensory preferences. To mitigate the risks perceived in eating fruits and vegetables, children employ a range of avoidance strategies. This study’s results indicate that a model of “associated” risk is a valuable tool to explain children’s fruit and vegetable consumption and preference behaviour and to assist in the development of future health education intervention c aigns.
Publisher: Elsevier BV
Date: 03-2020
Publisher: Elsevier BV
Date: 2006
DOI: 10.1016/J.IJNURSTU.2004.11.008
Abstract: The World Health Organisation's (WHO) Ottawa Charter for Health Promotion in 1986 provided the catalyst from which the Health Promoting Prison (HPP) movement emerged. Here, an extensive review of the available prison-related health literature provides the basis for critical discussion and recommendations for nursing services and prison-related health care. The findings suggest that current prison-based nursing services are seriously neglected and woefully lacking in structure and resources. This article recommends strategies for reform that includes nurses who practice in all settings, and not just prison-based nurses. If nurses wish to be at the forefront of future HPP strategies, they must first embrace the radical health promotion reforms that are emerging from the current literature. Building sustainable group capacity into prison-based health care, through developing social interaction, cohesion, participation and political action can only benefit the community at large and further emphasise the health promotion role of nursing.
Publisher: SAGE Publications
Date: 03-2003
DOI: 10.1177/001789690306200102
Abstract: Objectives This article aims to define what is action research and where it fits in with health promotion practice, through drawing upon associated literature and personal action research experience. It also seeks to investigate the possible reasons why it is that health promotion researchers have not readily taken on the processes of action research strategies. Rationale The place of action research in health promotion programmes is an important yet relatively unacknowledged and understated activity. It has proven to be very popular with other professional groups, such as in the education, management and social sciences. In terms of health service activity, it is widely established in the fields of nursing and mental health and is beginning to establish itself in medicine. While there are a few health promotion ex les to draw upon, they tend to be isolated, dated and often lie outside of the mainstream literature. It is suggested that this continuing state of affairs denies many health promotion researchers a valuable resource for managing effective change in practice. Conclusion The authors suggest that action research is both a valid and important research method for health promotion researchers, who are advised to further consider its merits in future studies. This article draws attention to the National Health Service (NHS) South West Regional Office-commissioned Our Healthier Nation: Improving the Competence of the Workforce in Health Promotion participatory action research project, as a means of promoting and validating action research strategy. The authors were all actively involved in this project.
Publisher: Springer Science and Business Media LLC
Date: 18-02-2021
DOI: 10.1186/S12872-021-01868-Z
Abstract: Studies have demonstrated that heart failure (HF) patients who receive direct pharmacist input as part of multidisciplinary care have better clinical outcomes. This study evaluated/compared the difference in prescribing practices of guideline-directed medical therapy (GDMT) for chronic HF patients between two multidisciplinary clinics—with and without the direct involvement of a pharmacist. A retrospective audit of chronic HF patients, presenting to two multidisciplinary outpatient clinics between March 2005 and January 2017, was performed a Multidisciplinary Ambulatory Consulting Service (MACS) with an integrated pharmacist model of care and a General Cardiology Heart Failure Service (GCHFS) clinic, without the active involvement of a pharmacist. MACS clinic patients were significantly older (80 vs. 73 years, p .001), more likely to be female ( p .001), and had significantly higher systolic (123 vs. 112 mmHg, p .001) and diastolic (67 vs. 60 mmHg, p .05) blood pressures compared to the GCHF clinic patients. Moreover, the MACS clinic patients showed more polypharmacy and higher prevalence of multiple comorbidities. Both clinics had similar prescribing rates of GDMT and achieved maximal tolerated doses of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) in HFrEF. However, HFpEF patients in the MACS clinic were significantly more likely to be prescribed ACEIs/ARBs (70.5% vs. 56.2%, p = 0.0314) than the GCHFS patients. Patients with both HFrEF and HFpEF (MACS clinic) were significantly less likely to be prescribed β-blockers and mineralocorticoid receptor antagonists. Use of digoxin in chronic atrial fibrillation (AF) in MACS clinic was significantly higher in HFrEF patients (82.5% vs. 58.5%, p = 0.004), but the number of people anticoagulated in presence of AF (27.1% vs. 48.0%, p = 0.002) and prescribed diuretics (84.0% vs. 94.5%, p = 0.022) were significantly lower in HFpEF patients attending the MACS clinic. Age, heart rate, systolic blood pressure (SBP), anemia, chronic renal failure, and other comorbidities were the main significant predictors of utilization of GDMT in a multivariate binary logistic regression. Lower prescription rates of some medications in the pharmacist-involved multidisciplinary team were found. Careful consideration of demographic and clinical characteristics, contraindications for use of medications, polypharmacy, and underlying comorbidities is necessary to achieve best practice.
Publisher: Elsevier BV
Date: 08-2004
Publisher: SAGE Publications
Date: 12-02-2013
Abstract: Poorly controlled pain is common in advanced cancer. The objective of this article was to synthesize the evidence on the effectiveness of pain-focused interventions in this population. We searched MEDLINE, CINAHL, PsycINFO, Cochrane, and DARE from 2000 through December 2011. We included prospective, controlled health care intervention studies in advanced cancer populations, focusing on pain. Nineteen studies met the inclusion criteria most focused on nurse-led patient-centered interventions. In all, 9 (47%) of the 19 studies found a significant effect on pain. The most common intervention type was patient/caregiver education, in 17 (89%) of 19 studies, 7 of which demonstrated a significant decrease in pain. We found moderate strength of evidence that pain in advanced cancer can be improved using health care interventions, particularly nurse-led patient-centered interventions.
Publisher: Elsevier BV
Date: 11-2003
DOI: 10.1016/S0260-6917(03)00097-2
Abstract: A plethora of literature suggests that many nurses struggle in their attempts to develop a political role that allows them to directly influence and implement health policy activity. Nursing curricula are an integral part of ensuring that nurses are capable of taking on a more active role in initiating and developing health policy processes, through a broadening of the health promotion curriculum that focuses on socio-political approaches to health care provision. Despite this, the available literature suggests that the majority of nursing curricula are yet to fulfil this role. Such a role could be supported by attempts to define and promote a specific career route that develops nurses as health policy experts and entrepreneurs early on in their careers. This article aims to put forward a rationale for developing such a position in nursing education.
Publisher: Wiley
Date: 10-12-2007
Publisher: Oxford University Press (OUP)
Date: 02-04-2015
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 in iduals 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.
Publisher: Springer Science and Business Media LLC
Date: 07-06-2011
Publisher: Wiley
Date: 11-04-2005
Publisher: Wiley
Date: 25-12-2013
DOI: 10.1111/JOCN.12484
Abstract: To identify preoperative risk factors that potentially affect postoperative length of stay of patients undergoing total hip replacement. With limited health resources and an ageing population, alongside an increasing prevalence of osteoarthritis and the growing need for total hip replacement, reducing length of stay is a mainstay of effective and cost-efficient orthopaedic practice. A retrospective observational study. Data from a convenience s le of 243 patients having undergone an elective unilateral total hip replacement between January 2008-December 2009 were collected. Demographic data were studied and allied against the main preoperative risk factors--with length of stay being the main outcome measure. Pearson's correlation demonstrated a moderate positive correlation between age and a longer postoperative stay. The number of comorbidities did not have an impact on length of stay. Demographic findings included almost half the cohort lived with hypertension, and 66% of the available cases (n = 196) were deemed overweight. Collecting accurate and comprehensive assessment information relating to preoperative risk factors for total hip replacement, significantly impacts on postoperative outcomes specifically related to length of stay. In complex healthcare systems, where there is a need for quality client outcomes tempered against limited resources, this study highlights the benefits of accurate preassessment of orthopaedic clients undergoing major surgical intervention against the desirable outcomes of reduced lengths of admission.
Publisher: Wiley
Date: 2008
DOI: 10.1111/J.1365-2648.2007.04479.X
Abstract: This paper is a report of a study to explore nurses' perceptions of health promotion and health education practice in a Chinese provincial hospital. Health promotion and health education practices are based on universal constructs. Therefore, such practices should share common principles. To date, most nursing-related studies have been conducted in Europe or in North America. A Husserlian phenomenological approach was adopted. Interviews were conducted in 2006 with a s le of eight nursing students and eight senior nurses. The interviews were audio-recorded and transcribed from Mandarin to English. Data analysis adhered to the framework developed by Giorgi. Reported health education and health promotion-related practices showed results similar to those reported in Europe and North America. Hospital-based nurses were often aware of what health promotion is, but did not have the scope or opportunity to implement it in practice. Instead, they were likely to conduct more limited forms of health education. Actual understanding of health promotion and health education constructs was high with most participants, underpinned by active clinical-based educational support. Some participants were able to conduct broader health promotion activities on a voluntary basis in their own communities. Health education and health promotion are universal health-related constructs. Thus, there is an expectation that all nurses will implement these in a similar fashion. Where possible, hospital-based nurses should strive to improve their health education practices and further embrace wider perspectives of health promotion practice.
Publisher: Elsevier BV
Date: 02-2004
DOI: 10.1016/S0020-7489(03)00117-2
Abstract: Behavioural-change-related health education programmes represent a mainstay of health care activity. Where adopted, however, the theoretical and practical constructs and constraints are not always considered. The failure of many health education programmes to achieve their intended life-style-related behavioural-change outcomes is often directly related to the complexity of the task itself. Changing a client's health behaviour is notoriously difficult and requires concerted and systematic activities to ensure any measure of success. This article draws upon existing literature to develop a critical theoretical and practical perspective for health education practice in nursing. It aims to explore the underpinning theoretical considerations for undertaking behavioural-change health education programmes. This article also proposes specific recommendations for nurse's current and future health education practice, as a means for facilitating a more structured approach to health education programme planning and evaluation.
Publisher: Elsevier BV
Date: 02-2021
Publisher: Wiley
Date: 23-08-2007
Publisher: Elsevier BV
Date: 02-1999
Publisher: SAGE Publications
Date: 03-2009
Abstract: Eating patterns among school-aged children continue to be highly reliant on frequent consumption of food items that are perceived to have low or poor nutritional value. This has become a serious public health concern. In this New Zealand-based study, primary school children's food consumption behaviour was investigated via two sources: a cross-sectional survey of school foods from 927 lunch-boxes, and the content analysis of unconsumed foods deposited in provided food waste disposal bins. The results indicated that most lunch-boxes contained an over-representation of the food groups high in fat, sodium and sugar, and an under-representation of fruit and vegetables. In this study, the measured high proportions of unconsumed healthy foods (mainly fruit and vegetables), in comparison to unhealthy foods, being thrown away by school-children were of concern. The results indicate that schools and parents should pursue initiatives that support healthy diets for children as best practice.
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Dean Whitehead.