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健康教育/健康促进实践的阶段规划项目模型。

A stage planning programme model for health education/health promotion practice.

作者信息

Whitehead D

机构信息

Institute of Health Studies, University of Plymouth (Exeter), Earl Richards Road North, Exeter, Devon EX2 6AS, UK.

出版信息

J Adv Nurs. 2001 Oct;36(2):311-20. doi: 10.1046/j.1365-2648.2001.01989.x.

Abstract

AIM

To investigate the validity of a stage planning programme model for health education/health promotion practice in nursing settings and to develop a specific model for this purpose. Background/rationale. The last decade or so has seen a marked increase in the amount of health educational/health promotional activities that nurses are expected to undertake. This has followed concerted calls to make health promotion a familiar and recognized part of nursing practice. Despite this, however, current health-related practices are still unstructured, haphazard and under-evaluated. This state of affairs is further compounded by the lack of any generic and systematic nursing planning process model by which health education/health promotion programmes are applied in practice. This paper puts forward the case for such a model, develops it, and demonstrates its possible application in clinical settings.

METHOD

A systematic literature review was conducted in order to develop a new theoretical perspective for health promotion/health education nursing practice. The proposed model has evolved from this new perspective. The process of developing this model has drawn on existing contemporary planning models--using them as a means to develop a conceptual framework. Consequently, the proposed model seeks to critique, adapt and adopt some of their components within a nursing context.

CONCLUSION

If the current situation continues, in which planning process models are not adopted as a routine part of practice, then nursing may well remain a "bystander" in health promotion/health education.

摘要

目的

探讨阶段规划项目模型在护理环境中健康教育/健康促进实践的有效性,并为此开发一个特定模型。背景/基本原理。在过去十年左右的时间里,护士预计开展的健康教育/健康促进活动数量显著增加。这是在一致呼吁将健康促进作为护理实践中常见且得到认可的一部分之后出现的。然而,尽管如此,当前与健康相关的实践仍然缺乏条理、随意且评估不足。由于缺乏任何通用且系统的护理规划流程模型来将健康教育/健康促进项目应用于实践,这种情况进一步恶化。本文提出了这样一个模型的理由,对其进行了开发,并展示了其在临床环境中的可能应用。

方法

进行了一项系统的文献综述,以便为健康促进/健康教育护理实践开发一种新的理论视角。所提出的模型就是从这个新视角演变而来的。开发这个模型的过程借鉴了现有的当代规划模型——将它们用作构建概念框架的一种手段。因此,所提出的模型旨在在护理背景下对其中一些组成部分进行批判、调整和采用。

结论

如果当前不将规划流程模型作为实践常规部分的情况持续下去,那么护理很可能在健康促进/健康教育中仍然是“旁观者”。

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