Health promotion: Facilitators and barriers perceived by district nurses

Wilhelmsson, Susan; Lindberg, Mats

doi:10.1111/j.1440-172x.2009.01740.x

Cited by 43 publications

(75 citation statements)

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“…In Sweden, seniors with multimorbidity often live in the community, with their homes serving as health-promoting arenas for encounters with professionals, such as district nurses (DNs). Health promotion is stipulated by law, and general practitioners (GPs) and DNs in primary care have been assigned the primary responsibility for promoting health (Wilhelmsson & Lindberg 2009). However, community-dwelling seniors with multimorbidity may lack healthpromoting dialogues that could promote their mental health (Grundberg et al 2014).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, home health care is primarily the responsibility of the county council and is provided by DNs in primary care settings. GPs and DNs bear the primary responsibility for health promotion among patients of all ages in Sweden (Wilhelmsson & Lindberg 2009). Swedish DNs are specialised registered nurses who completed 50 weeks of extra training [75 European Transfer System (ECTS)] and postregistration as a nurse beyond a bachelor's degree in nursing (Sherman et al 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Swedish DNs are specialised registered nurses who completed 50 weeks of extra training [75 European Transfer System (ECTS)] and postregistration as a nurse beyond a bachelor's degree in nursing (Sherman et al 2012). These nurses receive patients at health care centres (HCCs), aim to prevent disease among and promote the health of housebound patients and provide care to primary care patients of all ages and (medical) diagnoses (Wilhelmsson & Lindberg 2009). The job also involves prescribing patients with chronic conditions, for example, diabetes or incontinence, specific medicines, technical materials and equipment.…”

Section: Introductionmentioning

confidence: 99%

“…The job also involves prescribing patients with chronic conditions, for example, diabetes or incontinence, specific medicines, technical materials and equipment. DNs in primary care supply health care to homebound seniors (Wilhelmsson & Lindberg 2009) with the support of homecare aides (HCAs) from municipal home help services. These HCAs support patient autonomy by enabling seniors to remain in their homes for as long as possible (Perissinotto et al 2012).…”

Section: Introductionmentioning

confidence: 99%

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District nurses' perspectives on detecting mental health problems and promoting mental health among community‐dwelling seniors with multimorbidity

Grundberg

Hansson

Hillerås

et al. 2016

Journal of Clinical Nursing

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Aims and objectivesTo describe district nurses' perspectives on detecting mental health problems and promoting mental health among homebound older people with multimorbidity.BackgroundMental health problems among older people with multiple chronic conditions, that is, multimorbidity, are challenging issues. These patients' homes often serve as arenas in which district nurses can promote health. Mental health promotion must be studied in greater depth within primary care because older people with multimorbidity are particularly prone to developing poor mental health, which can go undetected and untreated.DesignA descriptive, qualitative study using semi‐structured interviews and content analysis.MethodsTwenty‐five district nurses completed individual or focus group interviews. Data were analysed using qualitative content analysis.ResultsMost district nurses stated that detecting mental health problems and promoting mental health were important tasks but that they typically focused on more practical home health care tasks. The findings revealed that district nurses focused on assessment, collaboration and social support as means of detecting mental health problems and promoting mental health.ConclusionsThe district nurses described various factors and actions that appeared to be important prerequisites for their involvement in primary mental health care. Nevertheless, there were no established goals for mental health promotion, and district nurses often seemed to depend on their collaboration with other actors. Our findings indicated that district nurses cannot bear the primary responsibility for the early detection of mental health problems and early interventions to promote mental health within this population.Relevance to clinical practiceThe findings of this study indicated that workforce training and collaboration between different care providers are important elements in the future development of this field. Early detection and early treatment of mental health‐related issues should also be stated as explicit objectives in the provision of care to community‐dwelling older people with multimorbidity.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

District nurses' perspectives on detecting mental health problems and promoting mental health among community‐dwelling seniors with multimorbidity

Grundberg

Hansson

Hillerås

et al. 2016

Journal of Clinical Nursing

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“…Wilhelmsson in Lindberg (2009) ugotavljata, da se patronažne medicinske sestre pogosto znajdejo ujete med kurativno usmerjenim obiskom in zdravstvenovzgojnim, tj. preventivnim obiskom.…”

Section: Diskusijaunclassified

Izkušnje medicinskih sester v patronažnem varstvu z obiski na domu v okviru projekta Nadgrajena celovita obravnava pacienta: rezultati pilotne raziskave

Pajk¹,

Benkovič²,

Susič³

2017

Obzor Zdrav Neg

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IZVLEČEKUvod: Patronažno zdravstveno varstvo je pomemben člen pri odkrivanju, spremljanju in obravnavi kroničnih bolezni na primarni ravni. Namen raziskave je bil predstaviti izkušnje in stališča do nadgrajene preventivne obravnave ter obiskov na domu. Metode: Uporabljen je bil mešani raziskovalni dizajn. Podatki so bili zbrani z delno strukturiranim vprašalnikom (Cronbach α = 0,92). Sodelovalo je 50 diplomiranih medicinskih sester, odzivnost je bila 81-% (n = 41). Opravljena je bila tematska analiza odprtih vprašanj. Za kvantitativne podatke je bila uporabljena opisna statistika, t-test, analiza variance in korelacijska analiza. Rezultati: Prispevek preventivnih obiskov na domu anketiranci vidijo v zdravstvenovzgojnem delovanju ( = 4,34, s = 0,85), odkrivanju rizičnih dejavnikov ( = 4,12, s = 0,81) in ohranjanju kakovosti življenja pacientov ( = 4,10, s = 0,92). Zadovoljstvo anketirancev je povezano s sprejemanjem obiskov s strani pacientov in družin (r = 0,754, p < 0,001), s prispevkom k stroki patronažnega varstva (r = 0,766, p < 0,001) ter z obravnavo posameznika z družino (r = 0,693, p < 0,001). V tematski analizi sta bili identificirani dve temi, in sicer (1) pozitivne izkušnje z obiski in (2) negativne izkušnje z obiski. Diskusija in zaključek: Novo obliko preventivnih patronažnih obiskov v domačem okolju anketirani podpirajo, še posebej možnost celovite obravnave posameznika in njegove družine. Glede na ugotovitve se predlaga, da medicinska sestra v patronažnem varstvu postane enakovreden partner v timu referenčne ambulante na nacionalnem nivoju. ABSTRACTIntroduction: Community nursing is an important link in identifying, monitoring and addressing chronic diseases at the primary level. The purpose of the study is to present the views and experience in terms of upgraded preventive treatment and home visits. Methods: The mixed research design was used. Data were collected using a semi-structured questionnaire (Cronbach α = 0.92). 50 registered nurses participated and the response rate was 81 % (n = 41). A thematic analysis of open-ended questions was done and the analysis was carried out using the PSPP tool: descriptive statistics, t-test, variance analysis, correlation analysis. Results: Respondents see an added value of preventive home visits in health education interventions ( = 4.34, s = 0.85), detection of risk factors ( = 4.12, s = 0.81) and maintaining the patients' quality of life ( = 4.10, s = 0.92). Their satisfaction is linked to the acceptance of visits by patients and families (r = 0.754, p < 0.001), benefit to the profession of community health nursing (r = 0.766, p < 0.001), and treatment of individuals with family (r = 0.693, p < 0.001). Thematic analysis highlighted two themes, namely (1) positive experiences with home visits and (2) negative experiences with home visits. Discussion and conclusions: Respondents supported innovation in preventive home visits, especially the possibility of a comprehensive treatment of the individual and his family. According to the study data, we suggest tha...

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Health promotion in nursing: a Derridean discourse analysis

Whitehead

2010

Health Promotion International

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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/political 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.

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Health promotion: Facilitators and barriers perceived by district nurses

Abstract: Tasks of a medical nature are given priority over health promotion. DNs lack support and no one asked or cared about the results from health promotion activities.

Cited by 43 publications

References 16 publications

District nurses' perspectives on detecting mental health problems and promoting mental health among community‐dwelling seniors with multimorbidity

District nurses' perspectives on detecting mental health problems and promoting mental health among community‐dwelling seniors with multimorbidity

Izkušnje medicinskih sester v patronažnem varstvu z obiski na domu v okviru projekta Nadgrajena celovita obravnava pacienta: rezultati pilotne raziskave

Health promotion in nursing: a Derridean discourse analysis

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