Irvine Fiona
School of Nursing, Midwifery and Health Studies, University of Wales, Bangor, Gwynedd, UK.
J Clin Nurs. 2007 Mar;16(3):593-602. doi: 10.1111/j.1365-2702.2005.01539.x.
The aim of the research was to identify how the development of concept analyses have influenced practising nurses' understanding of health promotion. More specifically the aim gives rise to the objective of establishing how they translate their understanding into practice.
The acknowledgement that nurses are confused about health promotion has led to attempts to define the term through the production of concept analyses, which aim to clarify the term for nursing education, research, policy and practice.
A qualitative approach, using semi-structured interviews was undertaken with a purposive sample of 21 district nurses, based throughout Wales. Thematic content analysis was used to order, describe and interpret the data.
Generally the respondents gave definitions of health promotion that were confined to the traditional conceptualization of health promotion, comprising actions aimed at changing the behaviour of individuals. These interpretations were translated into practice, where district nurses adopted a mainly reactive and individualistic approach to health promotion.
The paper concludes that the more contemporary definitions of health promotion that focus on empowerment, community development and socio-political action are yet to reach practising district nurses. Considerable effort is required from educationalists and practitioners if nurses are to include these 'new paradigm' approaches to health promotion in their practice.
本研究的目的是确定概念分析的发展如何影响执业护士对健康促进的理解。更具体地说，该目的引出了一个目标，即确定他们如何将理解转化为实践。
认识到护士对健康促进感到困惑，促使人们试图通过进行概念分析来界定这一术语，其目的是为护理教育、研究、政策和实践澄清该术语。
采用定性研究方法，对威尔士各地21名社区护士进行了有目的抽样的半结构式访谈。采用主题内容分析法对数据进行整理、描述和解释。
总体而言，受访者对健康促进的定义局限于健康促进的传统概念，包括旨在改变个体行为的行动。这些理解被转化为实践，社区护士在实践中主要采取被动和个人主义的健康促进方法。
本文得出结论，关注赋权、社区发展和社会政治行动的更现代的健康促进定义尚未为执业社区护士所了解。如果护士要在实践中纳入这些“新范式”的健康促进方法，教育工作者和从业者需要付出相当大的努力。
