Health Promotion and the "Ideology of Choice"

Abstract Assessment and intervention in public health nursing are intricately linked to health promotion. Health promotional strategies in turn focus attention on life-style modifications. A broad base of research warns of the dangers of the "ideology of choice" that currently accompany such lifestyle-change attempts. The "ideology of choice" is inherent in pervasive views that individuals are "responsible for" and "choose" their disease. The rhetoric of individual responsibility pervades the discourse around both health promotion and health care reform. Without continual awareness of both the complex and multifaceted nature of such life-style "choices," and the balancing of a compassionate stance toward human frailty, health promotion attempts easily degenerate into a victim-blaming stance. Public health nurses need to be particularly aware of these dangers during this period when cost constraints are generating more pervasive "ideology of choice" rhetoric, targeting those with the scarcest resources and the most profound needs.     

对“健康促进和疾病预防干预活动可作为评价社区卫生的补充指标”一文的评论

鉴于传统的社区卫生指标例如死亡率或人均期望寿命受多种社会经济因素的影响,难以充分反映卫生系统的绩效,在欧盟国家也难以进行国家之间的比较（因为各国之间这些指标的差异很小）,本文作者建议,可通过评价那些具有成本效果的疾病预防和健康促进干预措施的实施情况,     

《健康评估》课程的教学理念与实施

《健康评估》是护理专业新设的一门课程 ,是培养适应 2 1世纪护理需要的高等护理人才的必修课之一 ,是医学、护理学基础课程与临床护理专业课程的衔接课程[1 ] 。《健康评估》教材是面向 2 1世纪课程教材 ,它包括心电图、影像检查、实验室检查等科目的主干内容。护理专业学生在学习上述科目的基础上运用健康评估的方法收集资料 ,为病人进行症状评估、身体评估、心理评估和社会评估 ,完成以人为中心的整体护理。经过教学实践及探索 ,形成了有个性、有特点的教学理念和实施方案。现就以长春职工医科大学 2 0 0 0届高护班学生为教学对象 ,将《…     

"Razoo Health": a community-based nursing education initiative

When statistics depicted a health crisis for people of all ages living in Louisiana, and New Orleans in particular, school of nursing faculty designed and instituted a neighborhood-based initiative to "Razoo Health." This initiative facilitated a paradigm shift from exclusively illness management to include health promotion and disease prevention. "Razoo," a local colloquialism used to claim an opponent's marble during game play, means to snatch or claim. Appropriately, Razoo Health refers to the intent of Louisiana citizens to reclaim and take back the health of the people in the cities' neighborhoods. Working with four inner-city parochial schools and churches as hubs, nursing faculty and students mobilize neighborhood assets, talents, and capacities to form partnerships for healthy change. The Centers for Disease Control and Prevention Coordinated School Health Model is employed within each neighborhood school to provide health care access, decrease absenteeism, raise test scores, and deliver worksite health programming to faculty and staff and to neighbors and parishioners. Nursing students work with citizens and students of other health care professions to learn community assessment skills and deliver primary, secondary, and tertiary services to individuals, families, and the community. Citizens wear crowns of empowered sovereignty as they take back, or razoo, what is rightfully theirs--health.     

"健康教育资料架"的应用评价

随着健康教育在全国的推广 ,医院健康教育已成为健康教育和健康促进的重要场所[1 ] 。向病人及其家属和广大社区群众开展健康教育活动 ,能提高人民群众的健康意识和自我保护能力 [2 ]。目前 ,医院开展健康教育活动有多种形式 ,如建立健康教育橱窗 ,举办大型健康知识讲座 ,护士一对一地宣教及编写健康教育小册子等。而在我院“健康教育资料架”的使用最为普遍。现就其应用情况进行评价 ,结果如下。1　“健康教育资料架”简介1 .1　构造　“健康教育资料架”是由做工精细的有机玻璃构成 ,其大小可根据放置地点不同而定 ,一般分成 1 2格 ,内面…     

《健康评估》教学改革的探讨

《健康评估》是以现代护理学理论为指导 ,以病人生理、心理、社会为一整体系统进行评估的护理学科的课程。其目的是通过该课程的学习 ,使护生掌握正确的健康评估技能、病情判断技能和建立科学的临床护理思维方法。以往对护理本科生《健康评估》课程的教学多沿用医疗专业《诊断学》的教材和教学方法 ,但由于医疗专业和护理专业培养的目的和目标有所不同 ,教学内容和教学重点亦不同。对此 ,我校对 2 0 0 0级护理本科生的《健康评估》课程进行了教学改革。1　优化教学内容　突出护理特色　　由于医疗专业和护理专业的培养目标不同 ,因此医疗专…     

《健康评估》教学改革初探

从如何利用现代科技手段,改进教学方式,培养临床思维能力,加强实践教学,提高学生综合素质等多方面对健康评估教学改革进行了初步探讨.     

《健康评估》课程多种教学方法的探讨

<健康评估>是一门涉及多相关专业知识的学科,是为临床护理专业课程的学习奠定基础.如何针对不同的教学内容选择最佳教学方法,是摆在我们面前值得探讨和研究的课题.随着教学科研、教学改革的不断深化.现代化教学手段不断完善,护理教学方法也不断改革、创新和灵活多样,以培养学生自主学习和终身学习的能力[1].