Cusack L, Smith M, Byrnes T
Nursing and Intervention Services, Drug and Alcohol Services Council, Parkside, Australia.
Int J Nurs Pract. 1997 Jun;3(2):133-6. doi: 10.1111/j.1440-172x.1997.tb00086.x.
The Ottawa Charter for Health Promotion is cited internationally as an appropriate conceptual framework for healthcare service delivery yet the literature reveals minimal evidence of nursing services interpreting and applying the Ottawa Charter strategies into nursing practice. Nurses with the community services of Noarlunga Health Services and the Drug and Alcohol Services Council of South Australia, however, do use the strategies to plan and implement their services. The Ottawa Charter strategies of developing personal skills; creating supportive environments; strengthening community action; building healthy public policy; and re-orienting services in the interest of health can be used as a tool to assist nurses to identify the purpose of their interventions and select a comprehensive range of nursing actions which address the needs of individuals while acknowledging the broader determinants of health. This article presents a nursing analysis of the Charter and provides examples of how the strategies are used to influence nursing practice in both organizations. The examples provided from the two different nursing services also demonstrate the adaptability and relevance of the strategies to diverse community nursing practice settings.
《渥太华促进健康宪章》在国际上被视为医疗服务提供的合适概念框架，但文献显示，几乎没有证据表明护理服务将《渥太华宪章》的策略解读并应用于护理实践中。然而，南澳大利亚州诺阿伦加健康服务中心的社区服务部门以及药物与酒精服务委员会的护士确实会运用这些策略来规划和实施他们的服务。《渥太华宪章》中关于发展个人技能、创造支持性环境、加强社区行动、制定健康公共政策以及为了健康利益重新调整服务方向的策略，可作为一种工具，帮助护士确定其干预措施的目的，并选择一系列全面的护理行动，这些行动既能满足个体需求，又能认识到更广泛的健康决定因素。本文对该宪章进行了护理分析，并举例说明这些策略如何在两个组织中影响护理实践。来自两种不同护理服务的例子还展示了这些策略对不同社区护理实践环境的适应性和相关性。
