Module 4 Flashcards
(14 cards)
What is health promotion?
educating people to make better life decisions,
taking action on the determinants of health
interdisciplinary. long tradition of health promotion in nursing.
Where does health promotion date back?
Dates back to Nightingale and early public health in U.S, early nursing theorists defined “health” rather than “illness” as the focus of nursing practice
How did Novak (1988) define health promotion?
social mandate of nursing with historical roots in teachings of florence nightingale
3 reasons why nurses should critique health promotion?
- Lack of clarity on philosophy
- Global development with significant impact on health policy
- Day-to-day practice of nursing provides opportunity to develop H.P theory.
What document was the birth of health promotion?
The Lalonde report 1974, new perspective on health of canadians, focused on lifestyle modifications
4 factors of lalonde report?
- human biology, 2. environment, 3. lifestyle, 4. health care
What factors influence the evolution of health promotion?
- WW2, Political change
- Economic Change
- Population growth
- Stock Market Crash (1929)
- Rise of social welfare
- Increased maternal and infant mortality
Key points of the lalonde report?
- A new perspective on the Health of Canadians, recognition that our health care system is designed to treat illness and injury, those whose health is failing. It is not designed to promote health.
- gender differences, mortality, identified high risk populations, noted the influence of individual lifestyle factors, mental health problems
What are key points of the ottawa charter?
1986, Health promotion is the process of enabling people to increase control over, and to improve, their health
3 strategies: advocate, enable-health equity, mediate- collaboration of sectors
5 health promotion actions in ottawa charter?
looks at everything but the individual
- build public policy
- create supportive environment
- strengthen community actions
- develop personal skills
- reorient health services
The charter described 2 broad historical eras…
First era: followed release of Lalonde report, due to challenges with individualistic approach
Evidence that there is shift underway in nursing
What are the critiques of the H.P in ottawa charter?
rhetoric- challanges ideals and principles of H.P
epistemological- argues that H.P models try to integrate individual and system perspectives that have contradictory approaches
surveillance critique- suggests technologies of H.P reflect an idea for social control by governments and professionals
Alma ata declaration?
1978- state of complete physical, mental and social wellbeing, and not merely absence of disease or infirmity.
- human right
- requires participation
- birth of primary health care is an upstream approach
Jakarta declaration?
1997, Practical approach to to achieving greater health equity
