Public Health and Health Promotion for Nurses at a Glance

Public Health and Health Promotion for Nurses at a Glance is the perfect companion for study and revision for nursing students and practitioners. Health promotion is a growing core component of nursing care, and this text combines superb illustrations with accessible information to make the key concepts of health promotion clear and easy to understand. It also provides guidance for how this can be applied in daily practice in all fields of nursing to promote the health of individual patients and communities.

Divided into six sections, the first looks at the relationship between the outcomes of public health and the outcomes of nursing, before going on to explore the definitions and different approaches of health promotion.This includes the causes and determinants of morbidity and mortality, and the skills and resources that can support nurses in promoting health with individual patients.  It also examines strategies for working with communities to improve health, as well as the ethics of health promotion in nursing.

• The perfect revision and consolidation textbook
• Closely linked with the public health outcomes as represented by the NMC, the 6Cs of nursing, essential nursing skills clusters as well as the implications for nursing arising from recent inquiries.
• Highly visual colour presentation, with full colour illustrations throughout

Karen Wild is Senior Lecturer in Adult Nursing at the University of Salford.

Maureen McGrath worked as a Lecturer in Adult Nursing at the University of Salford.

Preface ix

Acknowledgements x

Authors’ biographies xi

Glossary of terms xii

Unit I What has public health to do with nursing? 1

1 What is public health and why is it relevant to nursing? 2

2 Some historical points of public health 4

3 Determinants of health 6

4 Health improvement and the role of the nurse 8

5 What people think about public health 10

6 How public health is measured: epidemiology 12

7 Public health outcomes and the role of the nurse 14

8 The prevention of premature mortality: screening 16

9 Health surveillance 18

10 Inequalities in health 20

11 Investigations into inequalities in health: reports and reviews 22

12 The relationship between public health and competency standards for registered nurses 24

Unit II What has health promotion to do with nursing? 27

1 Health promotion 28

2 Aspects of health promotion 30

3 Primary and secondary prevention of ill health and health education 1. Cardiovascular disease in men 32

4 Primary and secondary prevention of ill health and health education 2. Children’s dental health 34

5 Primary and secondary prevention of ill health and health education 3. Self-harm 36

6 Primary and secondary prevention of ill health and health education 4. Obesity and people with a learning disability 38

7 Tertiary prevention of ill health and health education: cardiovascular disease in men and dental health in children 40

8 Tertiary prevention of ill health and health education: self-harm; obesity in people with a learning disability 42

Unit III Causes of mortality and morbidity 45

1 Different experiences of health through the life course 46

2 Long-term conditions: all ages 48

3 Cardiovascular diseases 50

4 Respiratory diseases 52

5 Cancers 54

6 Child and adolescent mental health 56

7 Depression 58

8 Dementia 60

Unit IV How nurses can work with individual patients to promote health 63

1 Why is behaviour change difficult? 64

2 Models of health behaviour 66

3 Models and theories of behaviour change 68

4 Readiness to change 70

5 Self-efficacy and resilience 72

6 Skills to support behaviour change 74

7 Skills supporting behaviour change. Example 1: Jenna 76

8 Skills supporting behaviour change. Example 2: Rachel 78

9 Further examples of supporting behaviour change: Jenny, Shaheed and Deena 80

Unit V Strategies for working with communities to improve health 83

1 Community health and public health 84

2 Factors that influence the health of communities 86

3 Barriers to the success of community health improvement programmes 88

4 Factors that may promote the success of community health improvement programmes 90

5 Health profiles 92

Unit VI Ethics of public health and health promotion 95

1 Ethical principles 96

2 Nursing and ethics 98

3 Application of ethical principles to public health issues 100

4 The stewardship model 102

5 Acceptable health goals 104

6 Opportunity and choice versus coercion 106

7 Individual versus collective interests in public health strategies 108

8 Individual versus collective interests in public health. Example 1 – Alcohol 110

9 Individual versus collective interests in public health. Example 2 – People with learning disabilities 112

10 Ethical issues in engaging people in conversations about health: an overview 114

Appendix 116

Reference 117

Index 124

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