Morgan I S, Marsh G W
California State University, School of Nursing, Chico 95929-0200, USA.
Image J Nurs Sch. 1998;30(4):379-83. doi: 10.1111/j.1547-5069.1998.tb01337.x.
Health promotion in the United States has been narrowly defined focusing primarily on individual behaviors, risk factors, and lifestyle. This article traces the historic and conceptual roots of health promotion care in the United States and critically examines the direction nurses have taken in health promotion.
Health promotion care in Western ideology emphasizes the value of individuals and the importance of personal responsibility for success or failure.
Health promotion nursing interventions, based on the tenets of individual choice and knowledge, restrict the range of interventions. The complex nature of health promotion requires that nurses consider the economic, sociopolitical, and cultural context in which health care takes place. Recommendations are made for an expanded nursing role in health promotion, one that is consistent with nursing's underlying contextual focus and concern with environments.
美国的健康促进被狭义地定义，主要聚焦于个体行为、风险因素和生活方式。本文追溯了美国健康促进护理的历史和概念根源，并批判性地审视了护士在健康促进方面所采取的方向。
西方意识形态中的健康促进护理强调个人的价值以及个人对成败负责的重要性。
基于个人选择和知识原则的健康促进护理干预限制了干预的范围。健康促进的复杂性要求护士考虑医疗保健发生的经济、社会政治和文化背景。针对护士在健康促进中扩大角色提出了建议，这一角色应与护理对背景的潜在关注以及对环境的关切相一致。
