However, their role as promoters of health is more complex, since they have multi-disciplinary knowledge and experience of health promotion in their nursing practice. Traditionally, the focus of health promotion by nurses has been on disease prevention and changing the behaviour of individuals with respect to their health. These studies revealed that when health promotion for patient groups who need high levels of care and treatment is required, nurses must have the ability to include health promotion activities in their daily nursing practice. McDonald, 1998; Whitehead, 2009; Richard et al., 2010; Povlsen and Borup, 2011). We, as nurses assume the role of ambassadors of wellness. Studies included in this review are available in Supplementary data, Table S1. K.T. K.T. The process proceeded as follows: first, one researcher (V.K.) This included a knowledge of: health in different age groups; epidemiology and disease processes and health promotion theories. verified that the concept mapping process proceeded properly and made critical appraisals in every phase of the research process. Integrative reviews have the potential to generate a comprehensive understanding, based on separate research findings, of problems related to health care (Kirkevold, 1997; Whittemore and Knafl, 2005). Nurses' knowledge of health promotion and their relevant practical skills were described in 18 research papers (McDonald, 1998; Nacion et al., 2000; Burge and Fair, 2003; Whitehead, 2003; Hopia et al., 2004; Reeve et al., 2004; Spear, 2004; Cross, 2005; Irvine, 2005, 2007; Rush et al., 2005; Jerden et al., 2006; Casey, 2007b; Kelley and Abraham, 2007; Piper, 2008; Witt and Puntel de Almeida, 2008; Wilhelmsson and Lindberg, 2009; Goodman et al., 2011). A number of studies found that nurses' health promotion activities were based on multidisciplinary knowledge (e.g. Other researchers (K.T. In addition, the authoritative approach suggests that health promotion activities should aim to change patients' behaviour (Irvine, 2007; Chambres and Thompson, 2009). The searches were limited to studies published during the period 1998–2011 because, prior to 1998, nurses' health promotion practice was mainly linked to health education. All nurses are expected to promote patients’ health and this includes physical and psychological wellbeing. Whitehead, 2008; Witt and Puntel de Almeida, 2008; Fagerström, 2009; Goodman et al., 2011). However, empirical studies indicate that nurses have adopted an individualistic approach and a behaviour-changing perspective, and it seems that the development of the health promotion concept has not influenced practical health promotion practices by nurses (Casey, 2007a; Irvine, 2007). Receive exclusive offers and updates from Oxford Academic, The perceived health promotion practice of nurses in Saudi Arabia, Gaining insight into the implementation of an e-learning smoking cessation course in Latin American countries, Community health agents, nurses and physicians conducting research in Brazil’s family health program, How far are we from full implementation of health promoting workplace concepts? I challenge you to make the most of the expertise of a nurse. Nurses have a variety of types of expertise, some working as general health promoters, some as patient-focused health promoters and some as managers of health promotion projects (e.g. The management of health promotion projects is particularly important, although only three studies (Whitehead, 2006b; Witt and Puntel de Almeida, 2008; Fagerström, 2009) described the type of expertise possessed by such managers. Write CSS OR LESS and hit save. Twelve empirical studies were conducted in hospitals and fourteen in primary health-care settings. Telehealth is not for resolving situations that require immediate attention. Anyone can call in with a question, concern or health issue and gain information while being advised of a plan of action right over the phone. Nurses' health promotion activities were often based on a broad and multidisciplinary knowledge (Nacion et al., 2000; Burge and Fair, 2003; Spear, 2004; Irvine, 2005; Casey, 2007b; Witt and Puntel de Almeida, 2008; Whitehead, 2009). Hospital News is Canada's health care newspaper since 1987. Recognition of these subtle yet effective interactions is important in giving credit to the significance of nurses as health promoters. Health promotion by nurses is associated with common universal principles of nursing. In addition, the hospital managers were key individuals in ensuring that health promotion activities did not conflict with other work priorities (Jerden et al., 2006; Casey, 2007a; Beaudet et al., 2011). Nurses can be classified into: general health promoters, patient-focused health promoters and project management health promoters (Figure 2). This paper presents an integrative review aimed at examining the findings of existing research studies (1998–2011) of health promotion practice by nurses. The use of concept mapping promotes conceptual understanding and provides a strategy for analysing and organizing information and identifying, graphically displaying and linking concepts. The aim of this integrative review was to collate the findings of past research studies (1998–2011) of nurses' health promotion activities. Nurses must possess a variety of health promotion skills; of these, communication skills were considered to be the most important (McDonald, 1998; Nacion et al., 2000; Burge and Fair, 2003; Hopia et al., 2004; Irvine, 2005; Jerden et al., 2006; Casey, 2007b). Effective health promotion practice requires nurses to adopt a proactive stance and act as an advocate. Managers in health-care organizations should appreciate the value of health promotion activities and ensure adequate resources for their implementation (e.g. After that, select defining concepts and arrange hierarchially below of the key concepts. Normative values of muscle strength across ages in a 'real world' population: results from the longevity check-up 7+ project. All of the features related to cultural aspects of the organization in which nurses work. To facilitate that process, we must provide people with appropriate information. V.K. Health promotion by nurses is associated with common universal principles of nursing. Therefore, more research is needed to determine how to support nurses in implementing health promotion in their roles in a variety of health-care services. began to construct four concept maps hierarchically. I’m going to address the concept of health promotion from my perspective as a Registered Nurse in Ontario. The next time you are in the presence of a nurse, read a health-care article or are part of a health related discussion, think about nursing and the impact the occupation has on the health and wellness of our society. The second common defining concept of health promotion orientation was empowerment, which was related to collaboration with individuals, groups and communities (McDonald, 1998; Berg et al., 2005; Whitehead, 2006a; Irvine, 2007; Piper, 2008; Richard et al., 2010; Samarasinghe et al., 2010). Nurses' strategies for health promotion included giving information to patients and providing health education (Casey, 2007a). Education enhanced nurses' health promotion skills and health promotion projects were catalysts for health promotion in nursing practice (Goodman et al., 2011). A Concept Analysis of Preparedness: Application to LGBTQ Considerations for Nursing. All three researchers (V.K., K.T. Such orientation was described in these studies in terms of nurse–patient communication and patient, group and community participation. All rights reserved. Nurses play a huge role in illness prevention and health promotion. General health promoters are expected to have knowledge of health promotion, effective health promotion actions, national health and social care policies and to have the ability to apply these to their nursing practice (Witt and Puntel de Almeida, 2008; Whitehead, 2009). An affirmative and egalitarian attitude towards patients and their families, as well as the desire to promote their health and well-being, are important attitudes with respect to health promotion activities (Irvine, 2005, 2007; Wilhelmsson and Lindberg, 2009). When in a clinic or doctor’s office, if a patient comes in with a cut, it’s the perfect time to check the chart for the last tetanus booster. Casey, 2007b; Beaudet et al., 2011). Nursing is an appropriate profession in which to implement health promotion, but several barriers associated with organizational culture have a marked effect on delivery. Most of these studies were published between 2005 and 2009. Most of the studies were qualitative, but a broad range of health promotion activities undertaken by nurses was described. Nurses can direct people to local resources and give out health and wellness information. According to much of the health promotion research, it appears that nurses have not yet demonstrated a clear and obvious political role in implementing health promotion activities. The role of the nurse in health promotion, Complementary Medicine and Alternative Therapies, 2020 Professional Development and Education, 2019 Canadian Society of Hospital Pharmacists Supplement, 2019 Professional Development & Education, Mount Sinai Hospital goes greener and gets cooler with new energy source, Improving the functional health of at-risk seniors, The Best Visit Possible: New guide focuses on the needs of families during COVID-19. verified the first and the second phases of the concept mapping process. Everyone will interact with a nurse at some point in their lives. Concepts and examples of the types of nurses' expertise as health promoters. Why are LTC deaths in BC so much lower than Ontario? read the titles and abstracts of the remaining 412 research papers. V.K. Instead, nurses can be considered general health promoters, with their health promotion activities based on sound knowledge and giving information to patients. verified that the data searches were made properly. Nurses can use the internet resources to expand their knowledge about specific conditions or treatments, retrieve materials to integrate into teaching or to help patients use the internet to self-educate. The concept of health promotion was developed to emphasize the community-based practice of health promotion, community participation and health promotion practice based on social and health policies (Baisch, 2009). Oxford University Press is a department of the University of Oxford. Virpi Kemppainen, Kerttu Tossavainen, Hannele Turunen, Nurses' roles in health promotion practice: an integrative review, Health Promotion International, Volume 28, Issue 4, December 2013, Pages 490–501, https://doi.org/10.1093/heapro/das034. The review found information on the theoretical basis of health promotion practice by nurses, the range of their expertise, health promotion competencies and the organizational culture associated with health promotion practice. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. In addition, nurses may lack skills to implement health promotion in their working place (Goodman et al., 2011). and H.T.) Systematic computer searches were conducted of the Cochrane databases, Cinahl, PubMed, Web of Science, PsycINFO and Scopus databases, covering the period January 1998 to December 2011. were involved in the concept mapping process. 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