Whitehead Dean
University of Plymouth, Faculty of Health and Social Work, Exeter, Devon, EX2 6AS, UK.
J Clin Nurs. 2003 Sep;12(5):668-77. doi: 10.1046/j.1365-2702.2003.00769.x.
A criticism laid at the door of many nurses in relation to their health promotion activity is that they almost exclusively adopt a biomedical/preventative health education approach. When it comes to adopting socio-political health promotion approaches, there is scant evidence that nurses implement these activities in clinical practice. This article is designed to raise awareness and signpost the types of activities that nurses could be involved with if they wish to influence the broader social and political health promotion agenda. In doing so, it has developed an 'effect' programme model for socio-political health promotion practice as a framework for those practitioners who wish to review their current health-related activities and/or who are seeking to extend their range of health promotional practice. This article draws upon a critical review of the literature in order to develop an evolving theoretical perspective for health promotion practice. The proposed model was developed from this new perspective as were recommendations for practice.
许多护士在健康促进活动方面受到的批评是,他们几乎完全采用生物医学/预防性健康教育方法。在采用社会政治健康促进方法方面,几乎没有证据表明护士在临床实践中开展了这些活动。本文旨在提高认识,并为护士提供一些活动类型的指引,如果他们希望影响更广泛的社会和政治健康促进议程,可以参与这些活动。在此过程中,本文为社会政治健康促进实践开发了一个“效果”项目模型,作为一个框架,供那些希望审视其当前与健康相关活动的从业者以及那些寻求扩大其健康促进实践范围的从业者使用。本文借鉴了对文献的批判性综述,以便为健康促进实践发展一种不断演变的理论视角。所提出的模型就是从这个新视角以及实践建议中发展而来的。