Health Promotion



Healthpromotion is the process of enabling people to increase control overand improve their health. It is an art and science that facilitatespeople’s discovery of their synergies between their fervors andoptimal health thus enhancing their motivation and supporting theirefforts towards optimal health. Noticeably, health promotion involvesa dynamic balance between all aspects of health such as physical,social, intellectual, emotional and spiritual health.

Purposeof in Nursing Practice

Inorder for nurses to achieve positive health care shifts, they have toembrace a health promotion perspective. Nursing practice thereforerequires illness prevention and health promotion to ensure nurses areable to effectively assume their role as ambassadors of wellness. Inkeeping with the definition of the World Health Organization (WHO),health promotion helps people achieve more control over their healthand thus a better lifestyle. A healthy lifestyle is one of thefundamental goals of nursing practice which is thus facilitated byheath promotion through its ability to facilitate implementation ofsocial and health policy. The second purpose is empowerment.Empowerment is one of the most important bases of health promotionand incorporating it in nursing practice helps achieve communityparticipation, effective patient-nurse communication and thusimproved health. Health promotion helps achieve this through helpingnurses work collaboratively with other nurses and patient, have goodhealth surveillance strategies and interact well with dissimilarcultures.

Outstandingly,in working with a health promotion model, nurses are able to makeevery interaction with a client an educational intervention (Grant,&amp Greene, 2012).Health promotion has enabled nurses to provide health education andgive information to patients during each and every interface. Forinstance, a visit to a newborn presents a great opportunity todiscuss recommended vitamin supplements, familiarize with thechildhood vaccination schedule and even discuss hygiene measures forthe child. In nursing practice, recognition of the subtle yet veryeffective health promotion measures is vital to ensure that nursesare able to effectively deliver care. This helps nursing have ahumongous impact on the health and wellness of our society.

NursingRoles and Responsibilities Evolving in

Asin the American Nurses’ Association (ANA) Social Policy Statement,health promotion has continued to be an integral part of nursingpractice. However, with the health care field changing so rapidly andan increased necessity of health promotion, nursing roles andresponsibilities have also evolved. In our contemporary world, nurseshave not only been subjected to caring for the sick but also beennecessitated to care for the well. Nurses have now been tasked withduties to preserve wellness or preventive focus which reduces theneed for an entire health-care system, thus reducing costs.

Nursinghas also been tasked with patient navigation. This means that nurseshave adopted new models designed for behavioral change and thatemphasize on direct relationship between patient and provider. Forinstance, nurses and community health workers have resulted tokeeping patients and clients at home. This is to ensurecost-effective care and that the patient remains as an integral partof the community(Grant &amp Greene, 2012).Consequently, this measure has resulted to a new role of carecoordination where nursing time is devoted to a Patient-CenteredMedical Home (PCMH). In this new role, nurses are tasked to providetheir daily care through patient visits and communicating with thepatients.

Healthpromotion has also evolved entrepreneurial and intrapreneurialnursing roles. Nurses have been tasked with designing innovation inpatient care to help ease access to health care, provide affordablehealth care and enable collaborative practice settings. Suchinnovations include private duty nurses, adolescence mental healthcounseling and smoking cessation helps.

ImplementationMethods for That Encompasses All Areas of Nursing

Supportingcommunities and individuals to better their own health goes beyondjust preventing disease. It involves setting up programs, directintervention or sets of interrelated interventions to enhance asupportive environment which can be achieved through several ways.The fist method to implement health promotion is through effectivedevelopment and implementation of programs. The first step involvesneeds assessment or determining the underlying needs of an individualor community then analyzing and reflecting on that data. Effectivemonitoring of projects helps achieve aims of the project/program.

Inaddition, health promotion may be implemented by maintainingpartnerships, cooperation and collaboration of efforts. This willinvolve helping patients make decisions regarding their health issues(Ullrich et al, p. 1346, 2011). A well-developed working structureamongst everyone involve ensure effective implementation. This mayachieved by ensuring everyone involved is communicating wellinternally and externally. Implementation may also involve recruitingtarget groups. His involves identifying needy cases in the communityand acting on them to ensure there is improved health.

Anotherimplementation method involves developing social marketing and massmedia campaigns. Massive growth of technology has led to influx ofnumbers of people on social media and using mass media. Educatingpeople regarding health through such means would act as a veryeffective way of health promotion. Anyone in nursing practice couldalso implement health promotion by mobilizing communities towardoptimal health such as through writing scholarly articles, and usingaudio-visual materials to advocate for health-related issues.

Levelsof Prevention

Today’ssystem of health care works towards health promotion and diseaseprevention. There are three levels of health promotion and diseaseprevention namely primary, secondary and tertiary. Primaryprevention seeks to prevent occurrence or onset of diseases byemphasizing on risk factor reduction, general health promotion andhealth protecting education. This helps alter exposures and behaviorsthat may lead to disease and enhancing resistance when exposed todisease agent. Primary prevention mainly targets specific causes andrisk factors that cause diseases through measures such as stressmanagement, immunization, regular exams and screening and publichealth education regarding good nutrition.

Secondaryprevention aims at early detection and treatment of pre-clinicalpathological changes. Treatment of asymptomatic persons helps reducethe chances of recurrence or progression of an illness. One mostcommon approach in this level is screening for disease and is used todetect diseases such as cancer and hypertension. This helps toinitiate prompt treatment of the disease. However, it is importantthat health-care professionals get special training to enable themoffer enough social-economic support (Sjöström-Strand,p. 265, 2011).Tertiary prevention on the other hand involves rehabilitative andtherapeutic measures in order to soften the impact of an establisheddisease. Positive outcomes in this level are achieved when staffre-connect with, participate and prioritize patient interaction(Ullrich et al, p. 1346, 2011). This prevention aims at restoringpatient’s quality of life, function and longevity by preventing anyfurther physical deterioration as a result of the disease. Measuresapplied at this level include chronic pain management programs,therapies, counseling and cardiac rehabilitation. Such measures helpmanage long-term and complicated health problems such as heartdisease, meningitis and multiple sclerosis.

Tosum up, health promotion as a behavioral science has largely changednursing practice for the better. If the aforementioned methods ofimplementation are effectively put into practice by nurses, thenhealth promotion will with no doubt achieve all the necessary rolesat its three levels of prevention. According to Grant &amp Greene(2012), employment of health promotion in nursing practicecontributes to achievement of public health goals of increasingaccess to healthcare, better integrating health care with publicsystems and reducing health disparities.


Grant,R., &amp Greene, D. (2012). The health care home model: Primaryhealth care meeting public health goals. Americanjournal of public health,102(6),1096-1103.

Sjöström-Strand,A., Ivarsson, B., &amp Sjöberg, T. (2011). Primary health careresources for rehabilitation and second prevention after myocardialinfarction- a questionnaire survey. ScandinavianJournal of caring sciences,40(3),260-266.

Ullrich,S., McCutcheon, H., &amp Parker, B. (2011). Reclaiming time fornursing practice in nutritional care: outcomes of implementingProtected Mealtimes in a residential aged care setting. Journalof clinical nursing,20(9‐10),1339-1348.