NRS 429 Topic 3 DQ 1

nrs 429 topic 3 dq 1

NRS 429 Topic 3 DQ 1

NRS 429 Topic 3 DQ 1

Discuss how the concept of “health” has changed overtime. Discuss how the concept has evolved to include wellness, illness, and overall well-being. How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice?

Health promotion is the process of empowering people to take charge of their health and enhance it. It expands beyond human behavior to include a variety of social and environmental interventions. 

Health promotion is a basic role of public health that helps governments, communities, and individuals cope with and address health issues. Building healthy public policies, setting up supportive surroundings, and boosting community action and personal abilities are all ways to do this. 

The nurse might start the day by instructing a middle-aged man about postoperative care after a heart catheterization and health promotion skills including diet and activity adjustments to prevent coronary artery disease development (CAD). Later, the nurse may inform a patient about the significance of following up with her primary care provider (PCP) and finishing the antibiotic course prescribed to her. Nurses personalize the patient plan of care (POC) and supply the tools needed to make choices that improve patients’ overall health quality by using various health models, therapeutic communication, and assessment skills. 

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Over time, the definition of health has evolved. In the early nineteenth century, contagious infections were common and difficult to control, owing to a lack of suitable sanitation procedures, such as inadequate drinking water treatment and incorrect waste management. During this period, health was defined as the absence of disease. 

When effective sanitary measures were implemented in the late 19th and early 20th centuries, diseases became more treatable, and the definition of health shifted to include the ability to run in society. If a disease caused persistent incapacity or the inability to perform expected role obligations, it influenced overall health. Prevention of disease became a concern after the creation and administration of vaccinations in the twentieth century, as many people realized. 

As disease prevention became increasingly important, the definition of health expanded beyond being

nrs 429 topic 3 dq 1
NRS 429 Topic 3 DQ 1

disease-free, and the World Health Organization (WHO) was set up in 1948. The WHO’s main goal was and continues to be public health promotion. As health promotion became more popular, the term “health” developed to mean a combination of qualities such as physical, mental, and spiritual well-being. 

To reduce chronic health issues and promote healthy living in the United States, health promotion and disease prevention have assumed primacy. The goal is to foster a culture of health in which illness prevention and health promotion take precedence over seeking treatment once a disease has developed. 

Healthy People 2020 recognizes the nation’s current health care concerns and develops action plans to achieve a variety of aims relating to these issues. The Healthy People 2020 goals include the following: 

To live healthier, longer lives devoid of sickness, disability, damage, and early death. 

To achieve health equity, to eradicate inequities, and to promote the health of all people. 

Create social and physical situations that encourage everyone to be healthy. 

The purpose of the joint efforts of federal agencies, health care facilities, and health care practitioners is to create a healthier population by using health promotion initiatives. This effort is important to improve health in the United States because, despite being one of the world’s wealthiest and most modern countries, health care and health generally lag other industrialized countries across the world (Egen, Beatty, Blackley, Brown, & Wykoff, 2017). 

In all care settings, the nurse is critical in supplying health promotion initiatives. As the focus shifts to prevention, the nurse’s role in health promotion teaching is rapidly developing. While assuming each function and offering health promotion measures to patients and the community, the nurse examines the patient and executes evidence-based practice (EBP). The following explains the important roles of Nurses in health promotion;

Advocate 

Patient advocacy is a critical nursing function because nurses are the primary point of contact for patients. Nurses must use their advocacy skills to find and address patients’ individual needs. This is also in line with Provision 3 of the American Nurses Association’s (ANA) Code of Ethics, which affirms the nurse’s responsibility as a patient advocate (American Nurses Association [ANA], 2015). 

Service provider 

In strict terms, the nurse’s duty as a service provider entails the usual nursing responsibilities that nurses and the public are acquainted with. Vaccinations, health screenings, and health education are all examples of health promotion. While working within the registered nurse’s scope of practice, this post also requires clinical excellence and knowledge within the Registered Nurses’ scope of practice that is consistent with the ANA Code of Ethics (ANA, 2015). 

Manager of Care 

The care manager’s job includes working with the interdisciplinary team as a group. This form of cross-disciplinary collaboration is critical for providing patients with safe, high-quality care. Nurses are often the ones that manage meetings between staff, family, and patients because they are at the forefront of patient care. Because this coordination of care also requires showing patient requirements that have been expressed to the nurse, this function overlaps with that of the patient advocate. 

Educator  

This position grows and becomes a key role and focus on health promotion. The nurse must adjust to the job of health educator and develop new methods for evaluating the patient’s preparedness, ability, and desire to learn. It is critical to teach health promotion and prevention practices to save lives and aid patients and families in living their best lives. 

Researcher 

Nurses must aspire to be competent caregivers who base their practice on strong scientific evidence based on EBP in all cases. In nursing, EBP is regarded as the gold standard for influencing nursing practice to improve patient care. EBP is distinguished by its use of the most up-to-date evidence, clinical ability, and patient preferences and values to create adjustments that improve patient care (Stevens, 2013). The most recent data is gathered through qualitative and quantitative nursing research, which offers the statistical evidence needed to back up change recommendations. This evidence is then paired with clinical skills and observations to form a compelling case for changing patient care processes. The knowledge and experience of nurses is crucial to the research process. 

It can be the difference between making changes that affect patient care outcomes and saving lives. Changes can be noticed in the several levels of prevention within health promotion. This could entail launching a new sort of teaching program or developing new health tests tailored to specific requirements. The National Institute for Nursing Research (NINR) promotes nurses’ participation in scholarly research and the use of evidence-based practice in nursing. 

American Nurses Association. (2015). Code of Ethics for Nurses with Interpretive Statements. Retrieved from http://nursingworld.org/DocumentVault/Ethics-1/Code-of-Ethics-for-Nurses.html 

Egen, O., Beatty, K., Blackley, D. J., Brown, K., & Wykoff, R. W. (2017). Health and social conditions of the poorest versus wealthiest counties in the United States. American Journal of Public Health, 107(1), 130-135. 

Grand Canyon University. (2018). Health promotion in Nursing. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/2 

Stevens, K. (2013). The impact of Evidence-based Practice in Nursing and the next big ideas.  

OJIN: The Online Journal of Issues in Nursing, 18(2). doi: 10.3912/OJIN.Vol18No02Man04 

World Health Organization.(n.d). Health Promotion. Retrieved from https://www.who.int/westernpacific/about/how-we-work/programmes/health-promotion 

The concept of health has changed greatly over the course of past few years, and it is important
that we as nurses keep up to date with the latest evidence based practices to stay current in our
practice. In the early days the incredibly fast spread of disease was attributed to lack of sanitation
and cleanliness, and contaminated water, in those days the concept of “health” was essentially
defined as anyone who was disease free and did not have any ailments. As we fast forward to
current times the definition of health had widely evolved to become a individuals identity and
how they hold their place in society, as a functional member of society, which includes factors
like physical mental and spiritual wellness. It is important that nurses use evidence based
practice because those methods incorporate proven scientific methods and studies to show the
effectiveness of health promotion.

Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the
continuum. Retrieved from  https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-
wellness-across-the-continuum/v1.1/
You are right about the change in the concept of health, diseases and ill-health. It has
evolved from the idea that diseases are caused by the gods or poor sanitation to what we
now know. Sickness is not just caused by injury or diseases. Mental health is a form of
sickness as you said.

Cleanliness, immunization, healthy diets can help promote health.

As nurses we must also consider the other causes of ill-health, for instance unhealthy life
styles like smoking, conditions that some individuals find themselves which is totally not
of their making and is beyond their control. This is the Social Determinants of Health
(SDOH). As nurses we must educate patients and the community, and assist them
accordingly.

The term health has evolved over many years. Nurses stay updated on their scope of
practice through continuing education hours, courses, updated evidence-based practices,
and board of nursing standards based on a state of residence. Education is a priority to
improve one’s health. In the early 20th century, health was defined by sanitation and
hygiene practices to decrease the amount of disease spread to others. Today’s meaning of
health includes an individuals physical, mental, and spiritual well-being. Health is overall
well-being rather than disease-focused. Health promotion encourages others to take
charge of their health conditions and promotes appropriate interventions to a patients
according to their barriers.

Programs that promote health and prevent disease focus on keeping people healthy. The
goal of health promotion programs is to get people and communities involved in and
empowered to choose healthy behaviors and make changes that make it less likely that
they will get chronic diseases and other diseases. The World Health Organization defines
health promotion as: enables individuals to gain more control over their health. It
encompasses a wide range of social and environmental interventions that aim to address
and prevent the underlying causes of illness rather than just treat and cure, thereby
enhancing and safeguarding individuals’ health and quality of life.

Important information for writing discussion questions and participation

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Important information on Writing a Discussion Question

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The concept of health has changed greatly over the course of past few years, and it is important that we as nurses keep up to date with the latest evidence based practices to stay current in our practice. In the early days the incredibly fast spread of disease was attributed to lack of sanitation and cleanliness, and contaminated water, in those days the concept of “health” was essentially defined as anyone who was disease free and did not have any ailments. As we fast forward to current times the definition of health had widely evolved to become a individuals identity and how they hold their place in society, as a functional member of society, which includes factors like physical mental and spiritual wellness. It is important that nurses use evidence based practice because those methods incorporate proven scientific methods and studies to show the effectiveness of health promotion.

Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from  https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/

The concept of health has evolved from some specific beliefs whereby prayer and sacrifices were made to gods and deities to achieve health, and diseases were attributed to the actions of demons and supernatural forces. Hippocrates brought about the first major break in health by separating “religious beliefs and establish the relationship between environmental/personal cleanliness and the origin of disease…. and that health is a product of environmental and behavioral factors” (Badesh, et.al., 2017). Hippocrates believed that disease resulted from imbalances between four body fluids. Galen, a physician in the first century BCE expanded the Hippocratic definition by considering the patient as a whole, including mental and emotional state.

Through several scientific discoveries, healthcare delivery methods kept changing till the formation of World Health Organization (WHO). WHO described “health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, n.d.). The concept of health keeps evolving and is being updated based on medical science scholars and research.

There have been other definitions of health by many different scholars. J Bircher, an expert in economics argues that health and disease definition should be changed to “a dynamic state of well-being, characterized by an individual’s physical, mental and societal potential to meet the demands of life unique to the individual’s age, culture and personal responsibility” (Bades, et.el., 2017). With the invention and administration of vaccines, prevention of illness took the center stage, and the (WHO) focus was on health promotion, and the definition of health became viewed as “accumulation of factors such as physical, mental, and spiritual wellness” (Falkner, 2018). The emphasis now is on health and wellness promotion, and prevention of disease.

Health promotion is defined as “the process of enabling people to exert control over the determinants of health and thereby improve their health” (Nutbeam, 1998). The focus is on engaging in activities that promote health, and by nurses educating individuals, families, communities, and organizations on implementation of health promotion interventions based on evidence -based practice. It is important that nurses only implement health promotion interventions based on evidence-based practice so that outcome can be replicated.

NRS 429 Topic 3 DQ 1 References:

Badash, I.,et.al. (2017). Redefining Health: The Evolution of Health Ideas from Antiquity to the Era of Value-Based Care. Cureus9(2), e1018. https://doi.org/10.7759/cureus.1018

Faulkner, A. (2018). Health Promotion in Nursing Care. In Health promotion: Health & wellness continuum. Chapter 2). Grand Canyon University. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/2

Nutbeam, D. (1998) Evaluating Health Promotion—Progress, Problems and solutions, Health Promotion International, Volume 13, Issue 1, 1998, Pages 27–44, https://doi.org/10.1093/heapro/13.1.27

(WHO, n.d.) https://www.who.int/about/governance/constitution

The concept of health has changed considerably over time. According to a general timeline by Falkner (2018), health was the absence of disease through the early part of the 19th century and considered the ability to remain a functional part of society in the early 20th century. Improvements in sanitation made diseases more manageable, and vaccinations eradicated many other common illnesses through these periods (Falkner, 2018). Today’s health care professionals are taking a proactive approach by educating their clients and encouraging disease prevention, not just treatment after disease or illness presents itself. Today’s definition of health is also more than being disease-free. It encompasses wellness, promoting healthy living, and disease prevention. Health today involves the whole client or the holistic approach, made up of physical, mental, and spiritual wellness.

As with the definition of health, health promotion has evolved to encompass a broader definition. The World Health Organization [WHO] (n.d.) defines health promotion as the process of allowing people to increase control over and thus improve their health. This definition is lived by nurses. Nurses not only educate clients about treatment options and the disease process, but they teach about healthy lifestyles, reducing risky behaviors, developmental needs, screenings, and preventive care. This combination of things gives clients increased control over and improves their health.

Research also leads to improvements in health care with the development of evidence-based practice (EBP). Using EBP, the nurse is equipped with the most current information as well as resources regarding healthy lifestyle and healthy choices. Nurses are then able to educate their clients using EBP to reinforce their teaching. The more current the information, the better informed the client. One of the most important reasons nurses should include evidence-based practice interventions while promoting the client’s health is that the well-informed client is better equipped to make quality health decisions throughout their lives.

Falkner, A. (2018). Health promotion in nursing. In Grand Canyon University (Ed.), Health promotion: Health & wellness across the continuum. Grand Canyon University. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/2

World Health Organization. (n.d.). Health promotionhttps://www.who.int/westernpacific/health-topics/health-promotion#

Topic 3 DQ 1

Discuss how the concept of “health” has changed overtime. Discuss how the concept has evolved to include wellness, illness, and overall well-being. How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice?

The concept of health has changed greatly over the course of past few years, and it is important that we as nurses keep up to date with the latest evidence based practices to stay current in our practice. In the early days the incredibly fast spread of disease was attributed to lack of sanitation and cleanliness, and contaminated water, in those days the concept of “health” was essentially defined as anyone who was disease free and did not have any ailments. As we fast forward to current times the definition of health had widely evolved to become a individuals identity and how they hold their place in society, as a functional member of society, which includes factors like physical mental and spiritual wellness. It is important that nurses use evidence based practice because those methods incorporate proven scientific methods and studies to show the effectiveness of health promotion.

Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from  https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/

You are right about the change in the concept of health, diseases and ill-health. It has evolved from the idea that diseases are caused by the gods or poor sanitation to what we now know. Sickness is not just caused by injury or diseases. Mental health is a form of sickness as you said. Cleanliness, immunization, healthy diets can help promote health. As nurses we must also consider the other causes of ill-health, for instance unhealthy life styles like smoking, conditions that some individuals find themselves which is totally not of their making and is beyond their control. This is the Social Determinants of Health (SDOH). As nurses we must educate patients and the community, and assist them accordingly.

The term health has evolved over many years. Nurses stay updated on their scope of practice through continuing education hours, courses, updated evidence-based practices, and board of nursing standards based on a state of residence. Education is a priority to improve one’s health. In the early 20th century, health was defined by sanitation and hygiene practices to decrease the amount of disease spread to others. Today’s meaning of health includes an individuals physical, mental, and spiritual well-being. Health is overall well-being rather than disease-focused. Health promotion encourages others to take charge of their health conditions and promotes appropriate interventions to a patients according to their barriers.

Programs that promote health and prevent disease focus on keeping people healthy. The goal of health promotion programs is to get people and communities involved in and empowered to choose healthy behaviors and make changes that make it less likely that they will get chronic diseases and other diseases. The World Health Organization defines health promotion as: enables individuals to gain more control over their health. It encompasses a wide range of social and environmental interventions that aim to address and prevent the underlying causes of illness rather than just treat and cure, thereby enhancing and safeguarding individuals’ health and quality of life.

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