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Health promotion
1.
Health Promotion Copyright Ā©2008
by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Community Health Nursing, 5/e Mary Jo Clark 11 CHAPTER
2.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Evolution of Health Promotion ā¢ Religious, political, and cultural sanctions ā¢ Miasma control ā¢ Contagion control ā Immunization, disinfection ā¢ Preventive medicine ā Risk factor modification ā¢ Primary health care movement ā¢ Health Promotion ā 1990s- present ā Development of capacity for informed health decisions
3.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Definition of Health Promotion ā¢ a process of enabling people to increase control over, and to improve, their health. ā¢ It involves: - ā Public policy formation ā Development of environments that support health ā Promotion of community action.
4.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Key Elements of Health Promotion ā¢ Regulation of health via legislation ā¢ Sanitation ā¢ Immunization ā¢ Focus on risk modification ā¢ Recognition of effects of social conditions on health ā¢ Preparation for informed decision making
5.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Health Education ā¢ A health promotion strategy ā It is a mean to accomplish health promotion ā¢ Provides clients with information and skills ā Informed decisions regarding health-related behaviors
6.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Health Education (continued) ā¢ Uses education and motivation to change behaviors by influencing: ā Values ā Beliefs ā Attitudes
7.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Relationship Between Health Education and Health Promotion ā¢ Health education is one mean to accomplish health promotion
8.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Models for Health Promotion ā¢ Precaution Adoption Process model ā¢ The Theory of Reasoned Action/Planned Behavior ā¢ The Health Belief model ā¢ Penderās Health Promotion model
9.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Precaution Adoption Process Model ā¢ Stages of health-related behavior decisions ā Stage 1: Unaware of health-related issue ā Stage 2: Aware but unengaged ā Stage 3: Decision to act or not act ā Stage 4: Decision to not act
10.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Precaution Adoption Process Model (continued) ā Stage 5: Decision to act, but no action taken ā Stage 6: Act to engage ā Stage 7: Behavior becomes part of lifestyle routine (Weinstein and Sandman, 2002)
11.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. FIGURE 11-1 Stages of Adoption of Exercise Behavior.
12.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Theory of Reasoned Action/Planned Behavior ā¢ Attitudes reflect attitudes to expected consequences ā¢ Attitudes are a product of subjective norms influenced by others ā Intention to act ā Attitudes of person ā Perceptions of othersā attitudes ā Value placed on othersā judgments (Ajzen and Fishbein)
13.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Health Belief Model ā¢ Individual perceptions of susceptibility and seriousness ā¢ Modifying factors/variables ā Demographic ā Sociopsychological ā Structural ā¢ Perceptions of benefits and barriers to action ā¢ Cues to action (Becker and Rosenstock)
14.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Individual Perceptions Modifying Factors Likelihood of Action ā¢Demographics ā¢Personality ā¢Knowledge Perceived threat Cues to Action ā¢Education ā¢Symptoms ā¢Media ā¢Perceived Susceptibility ā¢Perceived Severity Perceived Benefits minus Perceived Barriers Likelihood of Behavior change
15.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Penderās Health Promotion Model ā¢ Behavior is influenced by individual characteristics ā¢ Behavior-specific cognitions and emotions result in a commitment to action ā¢ Commitment to action results in actual behavior ā¢ Behavior may be modified by competing demands and preferences (Pender)
16.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Penderās Health Promotion Model (Pender)
17.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Strategies for Health Promotion ā¢ Empowerment ā Environmental conditions affect health promotion actions ā¢ Social Marketing ā Enhance peopleās motivation to act ā¢ Health education ā Activities that seek to inform
18.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Social Marketing ā¢ Apply commercial marketing technologies ā¢ Designed to influence voluntary behavior of target audiences ā¢ Improve audiencesā or societyās personal welfare
19.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Empowerment ā¢ Process of enabling communities to acquire knowledge and skills ā¢ Allow communities to make informed decisions
20.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Key Requisites of Empowerment ā¢ Motivate community participation ā¢ Peer and organizational norms that support health promotion practice ā¢ Community agency managers who are empowerment-oriented ā¢ Agency internal policies for empowerment of community members
21.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Community Empowerment ā¢ Active process engaging community members in their own health education and health promotion needs ā¢ Empower individuals for their own personal action ā¢ Empower individuals to form small mutual assistance groups
22.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Community Empowerment ā¢ Empower groups to create community organizations ā¢ Empowering community organizations to form partnerships ā¢ Empower communities to take social and political action to improve environmental conditions that affect health
23.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Fostering Health Promotion through Empowerment ā¢ Individuals and communities become active participants in the health promotion process when they: ā Act on information and create knowledge and solutions from their own experiences ā Make informed decisions ā Recognize that structural and behavioral changes are necessary to promote health and well-being
24.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Health Education Process ā¢ Inform the individual on the nature and cause of health/illness ā¢ Inform the individual of risk associated with lifestyle-related behavior ā¢ Learning domains (Table 11.3 page 265) ā Cognitive ā Affective ā Psychomotor ā Perceptual
25.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Purpose of Health Education ā¢ Assist clients in making health-related decision about: ā Self-care ā Use of health resources ā Societal health issues
26.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Goals of Health Education ā¢ Client participation in health decision making ā¢ Increased potential to comply with health recommendations ā¢ Development of self-care skills ā¢ Improved client and family coping ā¢ Increased participation in continuing care for specific conditions ā¢ Adoption of healthier lifestyle
27.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Health Education Process ā¢ Assess health education needs ā¢ Plan and implement health education programs ā¢ Prioritize learning needs ā¢ Develop goals and objectives
28.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Design and Implementation ā¢ Needs assessment ā A planned process ā Identify the reported needs of an individual or group ā Identify and select target audience ā Assess health education needs ā Assess learning environment
29.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Identify Audience Characteristics ā¢ Biophysical ā¢ Psychological ā¢ Physical environmental ā¢ Sociocultural ā¢ Behavioral ā¢ Health system factors
30.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Planning and Implementation ā¢ Elements of planning process ā Prioritize learning needs ā Goals and objectives ā Content selection ā Teaching/learning strategies
31.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Language and Health Literacy ā¢Health literacy ā Ability to obtain, interpret, and understand basic health information and services ā Ability to use such information and services to enhance health
32.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Basic Principles ā¢ Content based on written objectives ā¢ Reader involvement is critical ā¢ Easy to read and understand ā¢ Materials look easy to read ā¢ Visual features clarify and motivate reader
33.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Evaluating Internet Information ā¢ Major issues ā Internet accuracy ā Information bias
34.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Evaluative Elements ā¢ Owner of site and reputability ā¢ Sources of financial support ā¢ Purpose of site ā¢ Sources of information provided
35.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Evaluative Elements (continued) ā¢ Evidence provided ā¢ Editorial oversight ā¢ Currency of information
36.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Evaluation of Health Promotion Programs (Refer to Table 11-6) ā¢ Diagnostic evaluation ā Accuracy of needs assessment ā¢ Formative evaluation ā How the program is carried out ā¢ Summative evaluation ā Program outcome and/or impact
37.
Community Health Nursing,
5/e Mary Jo Clark Copyright Ā©2008 by Pearson Education, Inc. Additional Elements for Evaluation ā¢ Evaluations based on achieving criteria related to ā Empowerment ā Participation ā Intersectoral collaboration ā Use of multiple strategies ā Sustainability
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