Kelley Kate, Abraham Charles
Research and Development, Worthing Hospital, Worthing, Sussex.
J Clin Nurs. 2007 Mar;16(3):569-79. doi: 10.1111/j.1365-2702.2006.01577.x.
To identify nurses' beliefs about health promotion and its delivery in routine care of people aged over 65 years.
Regardless of age, health promotion interventions can enhance health and, in general, older people are motivated to take such preventive action. The National Service Framework for Older People sets the promotion of healthy living as a standard for UK National Health Service Trusts. However, the delivery of health promotion is 'haphazard'; patients aged over 65 years rarely report receiving health promotion, and reports from nurses suggest they are unsure how to deliver effective health promotion.
A theory-based survey of all nurses working in a department specializing in the care of people aged over 65 years, 41% of questionnaires were returned.
The majority of nurses identified examples of health promotion and 88% judged health promotion to be effective and worthwhile. Three quarters of the sample viewed health promotion as part of their role and most of the respondents were confident in their ability to provide health promotion. However, the respondents also reported that health promotion was not appropriate for all their patients and considered it an increasingly difficult task as people got older. Organizational barriers to the routine provision of health promotion were identified.
Nurses working on wards for people aged over 65 years are mostly positive about integrating health promotion into their everyday work. However, for health promotion to be routinely implemented, all nursing staff need to feel confident in undertaking the task and believe it is worthwhile. Health promotion needs to be awarded greater importance by hospital management to ensure that it does not conflict with other work priorities. Until this happens the provision of health promotion in hospitals will remain sporadic and lack conviction.
With an increasing older population nurses need to be confident and proficient at implementing health promotion to patients aged over 65 years. This survey demonstrates that nurses need more training and support to achieve this.
确定护士对于在65岁以上人群的日常护理中促进健康及其实施方式的看法。
无论年龄大小，健康促进干预措施都能增进健康，总体而言，老年人也有积极性采取此类预防措施。《老年人国家服务框架》将促进健康的生活方式设定为英国国民健康服务信托机构的一项标准。然而，健康促进的实施“杂乱无章”；65岁以上的患者很少报告接受过健康促进服务，护士的报告表明他们不确定如何提供有效的健康促进服务。
对在一个专门护理65岁以上人群的科室工作的所有护士进行基于理论的调查，问卷回收率为41%。
大多数护士列举了健康促进的例子，88%的护士认为健康促进是有效且值得的。四分之三的样本将健康促进视为其职责的一部分，大多数受访者对自己提供健康促进的能力有信心。然而，受访者也报告说，健康促进并不适用于所有患者，并且认为随着患者年龄的增长，这项任务越来越困难。确定了常规提供健康促进服务的组织障碍。
在65岁以上人群病房工作的护士大多对将健康促进融入日常工作持积极态度。然而，要使健康促进得以常规实施，所有护理人员都需要对承担这项任务有信心，并认为其值得。医院管理层需要更加重视健康促进，以确保它不与其他工作重点相冲突。在此之前，医院的健康促进服务将仍然是零星的，缺乏说服力。
随着老年人口的增加，护士需要有信心并熟练地对65岁以上的患者实施健康促进。这项调查表明，护士需要更多的培训和支持才能做到这一点。
