The health promotion work of the district nurse: interpreting its embeddedness

Abstract

Embeddedness is a significant issue for learning in practice. The ability of experienced community nurses to interpret and articulate the concept of health promotion clearly and to make tacit knowledge evident would be of benefit to students.

Identifying nurse practitioners' required case management competencies in health promotion practice in municipal public primary health care. A two‐stage modified Delphi study

“…The idea that NPs need ability to create a confidential nursing relationship with patients reached a consensus level of 91·1% in this study. This finding has been reported in previous studies as competence with respect to attitudes, including factors such as advocacy or encouraging the patient to participate in decision‐making (Irvine , Runciman ). In this study, the level of consensus as to whether NPs need to have knowledge of how to prevent diseases reached 89·3%.…”

“…Similarly, studies have found that individual and holistic perspectives, including helping people make health decisions and become engaged in changing unhealthy lifestyles, are the main health promotion activities in nursing (Povlsen & Borup , Speller et al . , Runciman ). Case management competence in health promotion indicated a need to have knowledge of common public health problems, and a level of consensus (94·6%) was reached in this study.…”

“…). This result may perhaps indicate that orientation in health education has gradually moved towards empowerment, which includes collaboration and an equal relationship with patients (Runciman ). NPs' need for knowledge of available health services in their own community showed a consensus level of 82·1%.…”

“…This result indicates that empowerment orientation will be more visible in health promotion practices. However, it has also been found that empowerment was not embedded in the nurses' health promotion practice (Runciman ). We found that NPs' need for technology skills, such as the ability to provide web‐based health education, reached a consensus level of 75%, while the need to have the ability to document health promotion issues in patient records reached 73·2%.…”

“…). In addition, the health promotion practice of nurses has been found to be embedded into day‐to‐day nursing care (Runciman ).…”