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Results for “Health Promotion”

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PubMed2005

Forming, managing and sustaining alliances for health promotion.

ISSUE ADDRESSED: To create consistency among the health promotion alliances in which it engages, the National Heart Foundation of Australia (NHFA) undertook to develop guidelines for the formation, management and sustainability of alliances for cardiovascular health. METHODS: A condensed review of the key themes in the literature and survey of staff who were involved in health promotion alliances were conducted to guide the development of a checklist and template Memorandum of Understanding (MOU) for use by staff when engaging in health promotion alliances. RESULTS: The essential factors for forming, managing and sustaining alliances are explored extensively throughout the literature. Here we provide a condensed overview of the key themes relating to the advantages and barriers of health promotion alliances, plus a useful set of principles for forming, managing and, where applicable, sustaining health promotion alliances. CONCLUSIONS: Alliances are a crucial part of the cardiovascular health work of the NHFA and, indeed, broader approaches to promote health. These alliances may involve simply sharing knowledge and creating networks, or they may involve complex arrangements to address broad health issues.

Australia↗

PubMed1991

[Educational courses for the teaching staffs of exercises for health promotion].

The new Industrial Safety and Health Law in Japan, published in 1988, not only has improved the protection of workers against hazards or other risk factors at work, but also has implemented the health promotion of workers. In order to improve their health, factors on workers' daily-lifestyle, including smoking, alcohol consumption, nutrition and exercise, have to be modified to increase well-being. As exercise is one of the most important factors in health promotion, a fundamental knowledge of exercise physiology and exercise prescription is essential for the occupational physician. As various staffs for evaluation and consultation of the workers' exercise ability are necessary, different Ministries and associations have made efforts to educate several kinds of staff members, including doctors for sports medicine, and exercise and/or fitness-instructors. The state of educational courses for the teaching staffs of exercise for health promotion is discussed.

Curriculum↗

PubMed2005

Accident and Emergency nurses' attitudes towards health promotion.

AIM: This paper presents a study exploring Accident and Emergency nurses' attitudes towards health promotion. BACKGROUND: Much has been written about nurses and health promotion. Research has focused mainly on community nurses, less on nurses working in acute hospital settings, and apparently not at all on those working in Accident and Emergency units. METHODS: Q methodology, a technique for extracting subjective opinions, was used. Eleven nurses working in Accident and Emergency departments completed 33-item Q-sorts and wrote personal definitions of health promotion. Based on published literature in the field, the Q sample was structured with reference to nurses' attitudes as they related to health promotion. Factor analysis was performed on the data, and the resulting factors were interpreted. The data were collected in 2003. RESULTS: Three alternative constructions emerged from the data, representing three alternate views about health promotion. The most widely held opinion (representing nine of the 11 nurses) was a positive view of health promotion and the nurses' role in health promotion in Accident and Emergency environments. CONCLUSIONS: It is not possible to generalize the findings of this study due to the small number of participants. However, their knowledge of, and commitment to, health promotion is encouraging. Recommendations for practice are that there is continued and increased post-registration education in health promotion for nurses and continuing exploration of the hospital nurses' health promotion role. Further research is needed to explore nurses' perceptions of barriers to effective health promotion and nurses' health promotion activities in Accident and Emergency environments.

Attitude of Health Personnel↗

PubMedDate not supplied

Health promotion: a community-based perspective.

This article outlines the model for health promotional activities developed by the Westside Health Authority (WHA). WHA has extensive experience in health promotions through community clinics and organizations. It addresses several reasons why traditional health promotion programs implemented by universities and health institutions often fail to curb the escalation of preventable health problems. Universities seek community involvement usually only at the implementation stages of such programs, and even when leaders are invited to participate in earlier need assessments, significant community investment is not achieved. True respect and trust for the community's ability to solve problems are often missing in health promotional attempts. WHA has learned three lessons in implementing programs: (1) people's lives cannot be disintegrated into a set of problems defined and "fixed" by "experts"; (2) health promotion programs must be designed in cooperation with the community; and (3) health promotion should encompass a means by which "affirming relationships" can be developed. WHA attempts to provide opportunities for residents to use what they already know to accomplish health promotion by connecting individuals within the community, affirming each other's ideas, and developing strategies from the ground up.

Chicago↗

PubMedDate not supplied

Health promotion: a viable curriculum framework for nursing education.

Health care will be increasingly focused on the principles of health promotion and primary health care to better meet society's health needs. Nursing has an opportunity to lead the way in primary health care, however, for nurses to realize their potential, educational programs must be radically revised and be developed to teach nurses to work from a health-promotion perspective. Only when nurses have fully incorporated the principles of health promotion into their repertoire of working with clients and colleagues will they be the desired and appropriate profession to lead health care into the future.

Community Participation↗

PubMedDate not supplied

Program evaluation within a health promotion framework.

Program evaluation can assist in assessing the conceptualization, design, implementation and utility of health promotion action. Evaluation of health promotion, with multiple strategies combining individual, social and policy action, lends itself to an evaluation-as-politics paradigm. Consideration of the interests of all major stakeholders, use of a series of related studies, and a commitment to multiple methods and multiple perspectives characterize this paradigm. Simple, practical research that is adequate for answering relevant questions is required. The program evaluator is not a neutral, scientific observer--he/she is a participant in the political arena along with other stakeholder groups. A model of the areas of interest in evaluation of health promotion, some potential evaluation questions, and a health promotion impact evaluation model are presented to emphasize unique aspects involved in evaluation of health promotion action. The evaluator can take a proactive role and challenge problems in conception and implementation of health promotion action. He/she can advocate for health promotion.

Health Policy↗

PubMed2001

Investigating student nurses' constructions of health promotion in nursing education.

This article describes student nurses' constructions of health promotion and the change of these constructions during their nursing education in two Finnish polytechnics. The data consisted of essays written by the 19 student nurses before they began their nursing education in 1997 and of stimulated recall interviews with the same students during the second year of their education in 1998. The data were analyzed by using thematic analysis. During the first study year, 13 students' constructions of health promotion changed. Six students had initially broad constructions of health promotion and their constructions remained unchanged. Four basic changes were found in the students' constructions: (1) the emphasis shifted from physical to multidimensional health promotion, (2) health promotion became more concrete and contextual, (3) the conception of perfect health became more permissive and relative, and (4) the interpretation of health promotion shifted from performing towards being there for the patient. These results may indicate that student nurses in Finnish polytechnics were attempting to adopt the empowerment approach to health promotion for their constructions. Moreover, the results represent a major challenge concerning nursing education and health promotion learning from the constructivistic approach to knowledge building.

Attitude of Health Personnel↗

PubMedDate not supplied

Guiding health promotion efforts with urban Inuit: a community-specific perspective on health information sources and dissemination strategies.

OBJECTIVE: To develop a community-specific perspective of health information sources and dissemination strategies of urban Inuit to better guide health promotion efforts. METHODS: Through a collaborative partnership with the Tungasuvvingat Inuit Family Resource Centre, a series of key informant interviews and focus groups were conducted to gather information on specific sources of health information, strategies of health information dissemination, and overall themes in health information processes. FINDINGS: Distinct patterns of health information sources and dissemination strategies emerged from the data. Major themes included: the importance of visual learning, community Elders, and cultural interpreters; community cohesion; and the Inuit and non-Inuit distinction. The core sources of health information are family members and sources from within the Inuit community. The principal dissemination strategy for health information was direct communication, either through one-on-one interactions or in groups. CONCLUSION: This community-specific perspective of health information sources and dissemination strategies shows substantial differences from current mainstream models of health promotion and knowledge translation. Health promotion efforts need to acknowledge the distinct health information processes of this community, and should strive to integrate existing health information sources and strategies of dissemination with those of the community.

Canada↗

PubMed1992

Survey of health promotion in Pennsylvania nursing homes.

Health promotion programs for residents represent a discretionary organizational response to increased demand for service differentiation within the nursing home setting. More than half (57%) of facilities in a systematic sample of Pennsylvania nursing homes reported offering one or more health promotion programs. This article describes the variety of topical categories of programs. Guided by two alternative explanations of medical technology adoption--the key professional model versus the institutional/environmental model--an explanation is offered about why some facilities offer such programs and others do not.

Evaluation Studies as Topic↗

PubMedDate not supplied

Planning a sexual health promotion intervention with homeless adolescents.

BACKGROUND: Homeless adolescents are at very high risk for sexually transmitted diseases (STDs), but few street-based interventions have been developed, tested, and made available to reduce risk and promote sexual health within this growing population. OBJECTIVES: This study, part of a larger study of the sexual health practices of homeless adolescents, explores participants' perceived need for more knowledge about sexual health and their ideas about developing a brief intervention to promote positive sexual health practices that would reflect their perspective. METHODS: Four focus groups with five to six participants each were conducted with 22 youth aged 16-20 years, randomly selected from the study sample of 425 homeless youth. Most participants (82%) were White, one was American Indian, two were Hispanic, and one did not indicate ethnicity. Local groups were audiotape recorded, transcribed, and analyzed for manifest and latent content. RESULTS: Participants were knowledgeable about symptoms, transmission, prevention, and treatment of STDs, but perceived the need for more knowledge about types of hepatitis, cancer, and long-term sequelae of untreated STDs. Participants identified barriers to seeking diagnosis and treatment for symptoms of STDs including cost, not knowing where to go, and lack of services specifically for females. They suggested developing a sexual health intervention based on respect that would provide concrete examples of how to promote their sexual health. CONCLUSIONS: Homeless adolescents were generally knowledgeable about symptoms and prevention of STDs and thought that street outreach interventions should be (a) brief, (b) gender-specific, (c) focused on the unique vulnerabilities and strengths of homeless youth, and (d) accessible.

Adolescent↗

PubMed1991

Workplace health promotion programs. An overview.

The development of workplace health promotion programs is a popular trend in corporate America. The workplace is considered to have great potential for health promotion and education because workers spend more than 30% of their waking hours at work. Corporate managers are attracted by the broad claims of benefits made for workplace health promotion programs, which include improving employees' health and fitness; decreasing medical and disability costs; reducing absenteeism; improving job satisfaction; increasing productivity; and enhancing the corporate image. Although these claims are not proven through scientific research, current evidence suggests the workplace health promotion programs can have a positive impact on employees. The trend of increasing numbers of corporations establishing health promotion programs should continue in the future.

Health Promotion↗

PubMed2004

Accessible online health promotion information for persons with disabilities.

Online health promotion materials have great potential to reach persons with disabilities and provide valuable information to this vulnerable population. While health promotion efforts are important for everyone, they are crucial for individuals with disabilities. Yet information needed to support these efforts is often presented in such a way that its access is limited or its content is inappropriate for this population. Whether designing or selecting online materials for individuals with disabilities, nurses can benefit from knowledge about strategies to make web sites more accessible or to assess the accessibility of existing web sites. The task of providing health promotion information to women with disabilities was undertaken as part of the "Health Promotion for Women with Disabilities Project" at Villanova University's College of Nursing. A web site was created as one method of providing information. This paper presents strategies that are used to make this site accessible.

Access to Information↗

PubMedDate not supplied

eHealth promotion: the use of the Internet for health promotion.

The use of the Internet for health promotion is explored in this edition including growth trends, general applicability, and evaluation strategies for online interventions. This article examines the range of preliminary studies of eHealth Promotion interventions and their summary results, and reviews potential evaluation tools and their use in online programming. Also assessed is their utility in population-based programming and review-selected implications for the field.

Health Promotion↗

PubMed2002

Integrating health promotion into nursing curricula in Hong Kong.

The health care system in Hong Kong has historically been steeped in the biomedical paradigm. Health care reform, however, is finally putting health promotion on the agenda of governments and health care providers. As the largest group of providers in Hong Kong, nurses must assume a leadership role in the transition of the current illness-focused system to one that emphasizes health and promotes wellness. For nurses to take up the challenge of health promotion, they need to acquire the requisite knowledge and skills. Nursing curricula must emphasize this new paradigm and provide opportunities for students to develop expertise in health promotion and disease prevention. This article describes a health-promotion initiative carried out by 1st-year students in an undergraduate nursing program in Hong Kong. The health-promotion project aims to prepare graduates who will be able to meet health care needs and function effectively in the future health care system. Not only will these nurses be capable of becoming future leaders of the health-promotion movement in Hong Kong, they are also contributing to the health and wellness of Hong Kong citizens.

Competency-Based Education↗

PubMed2004

Changes in health indicators related to health promotion and microcredit programs in the Dominican Republic.

OBJECTIVE: To assess the impact of health promotion programs and microcredit programs on three communities in the Dominican Republic. One community had only the health promotion program, one community had only the microcredit program, and one community had both a health promotion program and a microcredit program. This pilot project examined the hypothesis that the largest changes in 11 health indicators that were studied would be in the community with both a health promotion program and a microcredit program, that there would be intermediate changes in the community with only a health promotion program, and that the smallest changes would be in the community with only a microcredit program. METHODS: The health promotion programs used community volunteers to address two major concerns: (1) the prevalent causes of mortality among children under 5 years of age and (2) women's health (specifically breast and cervical cancer screening). The microcredit program made small loans to individuals to start or expand small businesses. Outcome measures were based on comparisons for 11 health indicators from baseline community surveys (27 households surveyed in each of the three communities, done in December 2000 and January 2001) and from follow-up surveys (also 27 households surveyed in each of the three communities, in June and July 2002, after the health promotion program had been operating for about 13 months). Households were randomly chosen during both the baseline and follow-up surveys, without regard to their involvement in the microcredit or health promotion programs. RESULTS: The health indicators improved in all three communities. However, the degree of change was different among the communities (P < 0.001). The community with parallel microcredit and health promotion programs had the largest changes for 10 of the 11 health indicators. CONCLUSIONS: Multisector development is known to be important on a macroeconomic scale. The results of this pilot project support the view that multisector development is also important on a microeconomic level, given that the parallel microcredit and health promotion programs resulted in greater change in the measured health indicators than either program alone. As far as we authors know, this is the first published study to quantify changes in health indicators related to parallel health promotion and microcredit programs as compared to control communities with only a health promotion program or a microcredit program.

Dominican Republic↗

PubMed1993

Child health promotion: a task for social pediatrics.

Health implies broad and positive aspects of life, well beyond disease and medical care. It is clearly expressed in the constitution of the WHO, and has been clarified in the Health for All strategy, emphasizing health promotion as a basic means to enable people to increase control over their health. The study of the broad and complex issues of population health is called public health; it naturally also includes children and their special needs. The ideology of Health for All, the science of public health and the imperatives of children's health are integrated in Social Pediatrics. Its task is to place the health of children in a full social, economic and political context, using inter-disciplinary, interprofessional and inter-sector cooperation with the children and their parents as the basis for all activities. After relating a few successes of socio-pediatric actions on a national level, the focus is directed towards health promotion issues that are especially significant for children and young persons, i.e. fundamental, academic and practical issues. The way ahead for children's health promotion and for Social Pediatrics lies in the readiness to anticipate change and to adapt to new societal needs.

Child↗

PubMed2005

[From health promoting school perspectives to discuss the building of school-community partnership].

In the wake of the WHO's health promotion campaign health promotion schools have gained currency in Europe and the United States. The Department of Education in Taiwan has proposed a "school health promotion program" and the Department of Health a "program to build healthy schools" The goal of these programs was to create a holistic environment for school health and put the concepts of "school-family-community partnership" into practice. Although difficulties, such as school-centered perspectives, ambiguous definitions of "community" and shortage of funding, human resources and long-term planning impeded the program, this article, based on literature and practical experience, presents the "school-community model" and the strategies that it applied to organize the school-community health promotion committee to plan long-term programs and to assess the needs and resources of schools and communities on a collaborative basis. It contends, furthermore, that integrating community services into curriculums in order to enable students to appreciate the meaning of partnership, and involving the community in the planning process, can achieve the goal of effectively promoting the health of both the school and the community.

Community-Institutional Relations↗

PubMed1995

New Jersey health promotion and disease prevention initiative.

Health promotion is a major component of the rhetoric about health care reform at a national level. However, it is likely that the benefit packages included in any congressional legislation will be limited and unsatisfactory, thus compelling the states to take the lead. New Jersey is the first state to enact a comprehensive health promotion and disease prevention law; this legislation has the potential to change medical practice in the state.

Female↗