A qualitative study exploring the relationship between nursing and health promotion language, theory and practice

Piper, Stewart

doi:10.1016/j.nedt.2007.03.010

Cited by 28 publications

(26 citation statements)

References 52 publications

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“…In agreement with previous studies, we observed that despite a positive attitude and awareness of its importance, the definition of HP conveys a more traditional, individual approach and is equated to prevention and health education [24, 41]. This description is not consistent with the tenets of the salutogenic interpretation of the Ottawa Charter, which is based on the values of equity, participation and empowerment [42].…”

Section: Discussionsupporting

confidence: 77%

Health-care users, key community informants and primary health care workers’ views on health, health promotion, health assets and deficits: qualitative study in seven Spanish regions

Pons‐Vigués

Berenguera

Coma-Auli

et al. 2017

Int J Equity Health

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BackgroundAlthough some articles have analysed the definitions of health and health promotion from the perspective of health-care users and health care professionals, no published studies include the simultaneous participation of health-care users, primary health care professionals and key community informants. Understanding the perception of health and health promotion amongst these different stakeholders is crucial for the design and implementation of successful, equitable and sustainable measures that improve the health and wellbeing of populations. Furthermore, the identification of different health assets and deficits by the different informants will generate new evidence to promote healthy behaviours, improve community health and wellbeing and reduce preventable inequalities. The objective of this study is to explore the concept of health and health promotion and to compare health assets and deficits as identified by health-care users, key community informants and primary health care workers with the ultimate purpose to collect the necessary data for the design and implementation of a successful health promotion intervention.MethodsA descriptive-interpretive qualitative research was conducted with 276 participants from 14 primary care centres of 7 Spanish regions. Theoretical sampling was used for selection. We organized 11 discussion groups and 2 triangular groups with health-care users; 30 semi-structured interviews with key community informants; and 14 discussion groups with primary health care workers. A thematic content analysis was carried out.ResultsHealth-care users and key community informants agree that health is a complex, broad, multifactorial concept that encompasses several interrelated dimensions (physical, psychological-emotional, social, occupational, intellectual, spiritual and environmental). The three participants’ profiles consider health promotion indispensable despite defining it as complex and vague. In fact, most health-care users admit to having implemented some change to promote their health. The most powerful motivators to change lifestyles are having a disease, fear of becoming ill and taking care of oneself to maintain health. Health-care users believe that the main difficulties are associated with the physical, social, working and family environment, as well as lack of determination and motivation. They also highlight the need for more information. In relation to the assets and deficits of the neighbourhood, each group identifies those closer to their role.ConclusionsGenerally, participants showed a holistic and positive concept of health and a more traditional, individual approach to health promotion. We consider therefore crucial to depart from the model of health services that focuses on the individual and the disease toward a socio-ecological health model that substantially increases the participation of health-care users and emphasizes health promotion, wellbeing and community participation.

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Section: Discussionsupporting

confidence: 77%

Health-care users, key community informants and primary health care workers’ views on health, health promotion, health assets and deficits: qualitative study in seven Spanish regions

Pons‐Vigués

Berenguera

Coma-Auli

et al. 2017

Int J Equity Health

View full text Add to dashboard Cite

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“…When nurses support people to reflect about their health, life situation and personal resources to find effective coping strategies through solutions, they can act in a health-promoting manner (Antonovsky, 1996). Nurse education has thus an important role in supporting nursing students in creating knowledge for health promotion (Whitehead, 2004) with a broad understanding of how people experience, develop and maintain their health (Piper, 2008).…”

Section: Discussionmentioning

confidence: 99%

Swedish nursing students’ perceptions of the concept of health: A phenomenographic study

Skär

Söderberg

2015

Health Education Journal

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Objectives: Health is a central and important concept in nursing and nursing education, and has been theorised about in both positive and negative terms. The purpose of this study was to explore Swedish nursing students' perceptions of the concept of health. Design: A phenomenographic research approach was used to understand how nursing students perceive the concept of health. Setting: The study group comprised students (n = 233) attending the nursing programme in the first, third and sixth semester, at one university in northern Sweden. Method: Data were collected during the 2012-2013 school year by asking the nursing students to complete the sentence, 'I perceive that health is …' Results: Results indicated that health means a feeling of well-being in both body and mind and that a person is responsible for promoting his or her own health. Promoting good health involved finding a balance between, diet, activity, work and rest. Furthermore, relationships with family and friends were important for experiences of good health. Study participants also commented that a person could feel healthy despite illness. Discussion: Nursing students' perception of the concept of health was multifaceted and based on a holistic and positive attitude. However, the boundary between health and illness was characterised as being unclear, and none of the students' included nursing theory in their descriptions of the concept of health. Conclusion: These findings show that it is important to integrate students' experiences and perceptions into nursing education and theory, to develop a deeper understanding of the concept of health to enhance nursing education.

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“…In the literature, health education and health promotion are contested concepts. Definitions of health education include improving knowledge and understanding for changes in health‐related behaviour and helping people access health services and manage problems before using them – to notions of empowerment and community development (Piper 2008). True health education activities are voluntary, create understanding, provide skills for rational choices and assist clients in clarifying their values as well as respecting the autonomy of the individual rather than coercing people into adopting expert‐driven ‘medically approved’ behaviours (Whitehead 2009).…”

Section: Mental Health Nursing and Health Promotion In Education Pramentioning

confidence: 99%

Real mental health promotion requires a reorientation of nursing education, practice and research

Wand

2010

Journal of Psychiatric and Mental Health Nursing

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The evidence for the individual, social and economic benefits of mental health promotion is now well established. The indication is that a broader public health approach that addresses social and environmental factors related to mental health and well-being is required. Mainstream mental health services, however, continue to operate in relative isolation, allocating the greatest proportion of funding and resources to the treatment of mental illness and disorder. Relevant to health promotion, this paper explores the bidirectional link between physical and mental health and the social determinants of mental health. The growing interest in the positive aspects of health and well-being which focuses on wellness rather than illness is also discussed. One example of how mental health nurses can adopt principles of positive mental health to education, practice and research is presented. The author proposes that as the largest professional group in health care, nurses must become more actively involved in initiatives that reorientate practices and services away from an illness culture towards the adoption of wider mental health promotion principles.

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A qualitative study exploring the relationship between nursing and health promotion language, theory and practice

Cited by 28 publications

References 52 publications

Health-care users, key community informants and primary health care workers’ views on health, health promotion, health assets and deficits: qualitative study in seven Spanish regions

Health-care users, key community informants and primary health care workers’ views on health, health promotion, health assets and deficits: qualitative study in seven Spanish regions

Swedish nursing students’ perceptions of the concept of health: A phenomenographic study

Real mental health promotion requires a reorientation of nursing education, practice and research

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