Fundamentals of Health Promotion for Nurses

Fundamentals of Health Promotion for Nurses is a concise, accessible introduction to health promotion and public health for pre-registration nursing students and newly qualified nurses. Promoting the health and wellbeing of patients is a vital part of the nursing role, and the updated second edition of this user-friendly book discusses the foundations for health promotion practice using practical examples, activities and discussion points to encourage readers to reflect on their values, debate the issues and apply their knowledge and understanding to practice.

Preface xiii

Acknowledgements xv

Glossary of key terms xvi

Contributors xxi

How to use your textbook xxiii

About the companion website xxv

Part One Health Promotion and Public Health 1

Chapter 1 Health and health promotion 4
Jane Wills and Linda Jackson

Introduction 4

What is health? 5

Influences on health 7

What is health promotion? 10

Health promotion and public health 15

Health promotion and nursing practice 16

Further reading and resources 19

References 20

Chapter 2 The patient in their social context 22
Jenny Husbands and Jane Wills

Introduction 22

Inequalities in health 23

Explaining health inequalities 28

Tackling health inequalities 34

Global perspective on tackling health inequalities 36

The role of the nurse in tackling health inequalities 37

Further reading and resources 39

References 39

Chapter 3 Approaches to promoting health 42
Susie Sykes

Introduction 42

Perspectives of health 43

Approaches to health promotion 44

Models of health promotion 50

Further reading and resources 58

References 58

Chapter 4 Creating supportive environments for health 60
Amanda Hesman

Introduction 60

Creating supportive environments 61

A health promoting health service 65

The hospital setting 66

The pharmacy setting 68

The school setting 70

The prison setting 71

Further reading and Resources 74

References 74

Part Two Public Health Priorities 77

Chapter 5 Smoking 80
Jenny Husbands and Jane Wills

Introduction 80

Factors influencing smoking 81

Prevalence of smoking 82

Smoking as a public health priority 85

Addressing smoking: tobacco control 87

Addressing smoking: creating supportive environments 90

Addressing smoking: developing personal skills and stopping people from starting to smoke 91

Addressing smoking: developing personal skills and enabling people to quit 92

The role of the nurse in addressing smoking 94

Further reading and resources 95

References 96

Chapter 6 Alcohol 98
Jane Wills

Introduction 98

The impact of alcohol on health 99

Defining alcohol-related harm 100

Alcohol as a public health priority 103

The prevalence of drinking 103

The policy context 105

The role of the nurse in health promotion 110

Further reading and resources 111

References 112

Chapter 7 Sexual health 114
Jane Wills

Introduction 114

Defining sexual health 115

Why is sexual health a public health priority? 116

Sexual health inequalities in England 120

Factors contributing to sexual health 121

Addressing sexual ill health and promoting sexual health 122

The role of the nurse in health promotion 126

Further reading and resources 127

References 128

Chapter 8 Obesity 130
Jane Wills, Jenny Husbands and Muireann Kelly

Introduction 130

Defining obesity 131

Prevalence of obesity 133

Causes of obesity 135

Obesity as a public health priority 136

Policy context 137

Addressing obesity 138

Addressing obesity and promoting a healthy diet: health education 142

Addressing obesity in children: using social support 143

Addressing obesity and promoting physical activity: creating a supportive environment 144

Addressing obesity through public policy 144

The role of the nurse in tackling obesity 146

Further reading and resources 147

References 148

Chapter 9 Long-term conditions 150
Sandie Woods

Introduction 150

Long-term conditions as a public health priority 151

Health policy context 154

Approaches to long-term conditions: developing personal skills and self-management 155

Approaches to long-term conditions: developing personal skills: telehealth and telecare 158

Approaches to long-term conditions: developing personal skills and health education 160

Approaches to long-term conditions: creating a supportive environment 161

Further reading and resources 163

References 163

Part Three Skills for Health Promotion 165

Chapter 10 Using health information and epidemiology 168
Amanda Hesman

Introduction 168

Health information 169

Definitions and uses of epidemiology 173

Measuring health and disease in populations 174

Epidemiological studies 179

Surveillance of health and the collection of health information 183

Health outcomes 186

Needs assessment 187

The role of the nurse in using health information 187

Further reading and resources 189

References 190

Chapter 11 Evidence-based practice 192
Jane Wills and Pat England

Introduction 192

Practice and decision-making 193

What do we need to know? 194

The rise of evidence-based practice 197

Evidence-based practice: what it is and what it isn’t 198

Doing a review 200

Finding evidence 201

Looking for other information to help decision-making 206

Appraising evidence 207

Acting on evidence 209

Further reading and resources 210

References 210

Chapter 12 Health education and communication 212
Jane Wills

Introduction 212

Approaches to changing lifestyles 216

The role of the nurse in promoting health behaviour and lifestyle change 230

Further reading and resources 233

References 233

Chapter 13 Protecting the health of the population 234
Amanda Hesman

Introduction 234

The changing pattern of disease and ill health 235

Infection control 237

Protecting populations: the bigger picture 239

Vaccinations 240

Screening 243

Surveillance, prevention and control of communicable and non-communicable diseases 249

The role of the nurse in health protection 251

Further reading and resources 253

References 254

Part Four Health Promotion and the Nurse 255

Chapter 14 Health promotion and people with learning disabilities 258
Jo Delrée and Renée Francis

Introduction 259

The role of the nurse in promoting the health of people with learning disabilities 261

Priorities in health promotion and disease prevention 264

General health and life expectancy 265

Examples of health promotion strategies and activities 268

Further reading and resources 272

References 272

Chapter 15 Health promotion and people with mental health issues 276
Thomas J. Currid

Introduction 276

Defining mental health promotion 278

The role of mental health nursing and health promotion 279

Priorities for health promotion for people with mental health issues 284

Strategies for mental health promotion 286

Further reading and resources 290

References 290

Chapter 16 Health promotion and older adults 292
Sandie Woods

Introduction 292

Priorities for the health of older people 297

Strategies for health promotion with older adults 299

Further reading and resources 307

References 308

Chapter 17 Health promotion and nursing in the community 310
Sandra Horner and Maxine Jameson

Introduction 310

Defining community 311

Defining community nursing 312

Priorities for health promotion in the community 314

Strategies for health promotion in the community 319

Further reading and resources 322

References 322

Chapter 18 Children’s nursing and health promotion 324
Jane Wills and Matt Lester

Introduction 324

Priorities in health promotion for children 327

Strategies for health promotion with children 332

The role of the children’s nurse in health promotion 340

Further reading and resources 342

References 342

Index 345

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