Module 10 Flashcards
(15 cards)
How do nurses implement health promotion and population health in a home, complex care, and acute care (hospital) setting?
- Empowerment of patients (sharing power held over them)
- Education of patients (with consideration of literacy and health literacy)
- Awareness of inequity, power imbalance, social determinants of health
- Awareness of one’s own assumptions, biases, judgments
Power-with vs. Power-over - Strength-focused care
- Holism/Holistic provision of care
- Patient/client-centered care (and family-centered care/family as client)
- Advocacy at the micro and macro level
- Being a good role model, self care
Challenges with implementation process of health promotion and population health?
Challenges:
- Policy can often be disempowering
- Many nurses have adopted a behavior-changing perspective
- Nursing is rooted (especially historically) in the biomedical model
- Organizational culture
Lack of time to implement HP
Lack of funding and staff to implement HP
Lack of organized structure for nurses to implement HP
Lack of enforcement or accountability
The theoretical basis in the nurses role in health promotion practice involves?
health promotion orientation- individual perspective, empowerment, social and health policy, community orientation
public health orientation- disease prevention, authoritative approach
what type of expertise do nurses have?
general health promoters, patient-focused health promoters, managers of health promotion projects
what type of professional knowledge and skills do nurses undertaking health promotion exhibit?
multidisciplinary knowledge: knowledge, ability to implement, be aware
skill-related competence: collaboration, communication, assessment
competence with respect to attitudes: proactive stance, advocate
Factors that help nurses implement health promotion?
supportive hospital managers
organizations culture of health
continuing education and training
What are the two sides to the mental health approach?
- General approach: part of everyone’s life and therefore it is an important issue to address
- Need for focusing on specific issues related to their mental illness.
What is the purpose of mental health promotion?
to foster, protect, and improve mental health, emerged from the fields of health promotion
What is mental health?
the capacity of the individual, group and environment to interact with one another in ways that promote subjective well-being, the optimal use and development of mental abilities and the achievement of individual and collective goals consistent with justice and the attainment and preservation of conditions of fundamental equality
What is mental health promotion?
is the process of enhancing the capacity of individuals and communities to take control over their lives and improve their mental health. Mental health promotion used strategies that foster supportive environments and individual resilience, interconnections and personal dignity
What are some key elements to mental health promotion?
- aims to enhance control and resiliency.
- addresses issues that affect everyone
What are the issues and settings for mental health promotion?
o Life transitions – causing stress often so mental health promotion is really important
o Crisis events – increase the potential for long-term mental health
o Settings – develop healthy and supportive environments within the individual setting
o Disability/disorder – can contribute to the richness and quality of life for those with disabilities
Rather than focus on disability, disorder, or dysfunction, mental health promotion focuses on?
individual strengths and community capacityCommunity capacity = the ability of community members to use the assets of its residents, associations and institutions to improve quality of life
What are the actions and strategies of mental health promotion; outlined in the Ottawa charter
o Developing healthy public policy – goes beyond clinical care, places mental health on the agenda of policy makers in all sectors and at all levels. Requires coordinated action
o Reorient mental health services – redirecting to health promotion approaches (SDOH), addressing barriers to change by using an Intersectoral approach
o Strengthening individual skills – supporting people to acquire specific skills to make decisions, advocate and manage life challenges
o Creating supportive environments – requires supportive and healthy environments.
o Advocacy – actions of stakeholders to influence decisions and actions influencing health
o Strengthening community action – encouraging effective community participation in setting priorities, making decisions, planning strategies and implementing them to achieve better health
Type I vs Type II nurse health promotion practitioners?
Type I- divergent nurse, holistic responses, health is an intrinsic part of a social context
Type II- More biomedical approach, seek to empower patients from unhealthy to healthy lifestyles, behaviour control
