NRS 429 V Importance of Cultural Competency in Nursing Practice
NRS 429 V Importance of Cultural Competency in Nursing Practice
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?
According to the textbook, the definition of health has changed overtime, Infectious diseases were prevalent and difficult to control in the early 19th century, primarily due to lack of adequate sanitation procedures including in adequate disinfection of drinking water and excessive disposal of human waste. Health was seen in simple terms as free of disease during this period. Disease become more manageable once proper sanitation measures instituted in the 19th and 20the centuries, shifting the definition of health to mean the ability to remain a functional part of society (Falkner, 2018).
Findings show that religious engagement among students declines during college, but their spirituality shows substantial growth. “Students become more caring, more tolerant, more connected with others, and more actively engaged in a spiritual quest.” (“Cultivating the Spirit – Spirituality in Higher Education”) The authors also found that spiritual growth enhances other outcomes, such as academic performance, psychological well-being, leadership development, and satisfaction with college. The study also identified a number of college activities that contribute to students’ spiritual growth. Some of these–study abroad, interdisciplinary studies, and service learning–appear to be effective because they expose students to new and diverse people, cultures, and ideas. Spiritual development is also enhanced if students engage in “inner work” through activities such as meditation or self-reflection, or if their professors actively encourage them to explore questions of meaning and purpose. (“Cultivating the Spirit – Spirituality in Higher (Alexander W, 2010)”). By raising public awareness of the key role that spirituality plays in student learning and development, by alerting academic administrators, faculty, and curriculum committees to the importance of spiritual development, and by identifying strategies for enhancing that development, this work encourages institutions to give greater priority to these spiritual aspects of students’ educational and professional development.
The concept of health grew into more than being disease –free as prevention of disease took center stage, and the World Health Organization (WHO) was established in 1948. Health promotion for communities worldwide was and continues to be the priority of the WHO. As health promotion expanded, the idea of health was seen as an aggregation of variables such as physical, emotional and spiritual wellbeing.
In an attempt to reduce chronic health problems and encourage safe living, health promotion and disease prevention have taken priority in the united states. The aim is to create health culture in which the emphasis is on health promotion and disease prevention rather than finding care after the start of disease. The Healthy people program was developed in 1979 to help reduce increasing disease related morbidity and mortality rates by setting new targets every 10 years.
It is crucial that nurses adopt health promotion policies based on evidenced based practice because the nurse is very active in all health care settings in delivering health promotion strategies. The role of the nurse in health promotion education is expanding rapidly as the emphasis is shifted to preventive measures. The Nurse assess the patient and implements evidenced-based practice while assuming each function and providing health promotion initiatives to patients and the community.
Nurse must continuously strive to be competent caregivers based on sound scientific evidenced developed via EBP in their practice. In Nursing EBP is regarded as the gold standard for guided improvements in nursing practices to enhance patient care. In order to make improvements that strengthen patient care, what makes EBP special is the integration of the latest research, scientific experience and patient expectations and values. (In 2018, Falkner)
Falkner, A. (2018). Health Promotion in Nursing Care. In, Health Promotion: Health and Wellness Across the Continuum. Retrieved from: https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-thecontinuum/v1.1/#/chapter/2
Response to Pardeep
Thank you for this insightful response Pardeep. Indeed, I concur with your post. I believe the scientific advances and societal changes throughout history are associated with the massive enhancements in realization of health. Currently, a maximized level of health, notwithstanding what the definition might be, can only be realized with sufficient resources. However, the realization of optimum level of health is challenged by limited resources, which leads to disproportional allocation of health care services between demographic groups and eventually resulting to disparity in realization of health. Currently, a value-based system in health care has been designed to facilitate high quality of health care services at relatively reduced cost. This system is expected to provide the solution to the increasing crisis in health care system and ensure ideal health is achieved by healthcare consumers. However, the attainment of health is challenged by the problem of high health care cost but with unacceptably low quality of care (Badash et al., 2017). Do you think that adoption of value-based system in health care will enhance quality and lead to realization of optimum health?
Badash, I., Kleinman, N. P., Barr, S., Jang, J., Rahman, S., & Wu, B. W. (2017). Redefining health: the evolution of health ideas from antiquity to the era of value-based care. Cureus, 9(2). doi: 10.7759/cureus.1018
In 1946 the World Health Organization (WHO) defined health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (World Health Organization, 2019). They went a step further in 1986 to include that “health is, therefore, seen as a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities” (First International Conference on Health Promotion, Ottawa, 21 November 1986, n.d.). The concept of health is no longer just the absence of disease, it is now to lead a healthy lifestyle in all aspects of life. It is also important to focus on our mental well-being as well and to promote an environment that supports that.
Health promotion is an integral part of healthcare. People are living healthier lifestyles to prevent illness instead of waiting until something goes wrong and then trying to correct the problem. It is important that nurses implement health promotion based on evidence-based practice (EBP). Nurses need to stay current on all new EBP in order to find the best interventions for each different patient and how to best promote a healthy lifestyle for them. For instance, due to EBP we have seen the effects of handwashing, social distancing and wearing a mask. We can now take that knowledge and apply it to preventing the spread of COVID and promoting health.
First International Conference on Health Promotion, Ottawa, 21 November 1986. (n.d.). Www.Who.Int. https://www.who.int/teams/health-promotion/enhanced-wellbeing/first-global-conference
World Health Organization. (2019). Frequently asked questions. Who.Int. https://www.who.int/about/who-we-are/frequently-asked-questions
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Response to Robin
This is an insightful response Robin. I concur with you. The reality is that the concept of health has changed overtime. The perception of physicians’ decades ago is far from the perceptions that physicians hold today. This is attributed to the societal changes and scientific advances. Similarly, the perceptions on the concept of health have gone drastic evolution due to societal changes and scientific advancements. However, the most important thing is that the definition of health that operates at any given time should be practical universally across various nations world over. That is, the definition of the concept of health should be developed to work for everyone or probably work for more individuals across various segment of the life (Capua & Cattoli, 2018). Therefore, the definition of the concept of health should be revised periodically to account for the necessity of early and effective disease management and health promotion. To keeping up with the evolving concept of health, health care providers should consider continuous education and regular trainings. What is your perception on changing concept of health?
Capua, I., & Cattoli, G. (2018). One Health (r) Evolution: Learning from the past to build a new future. Viruses, 10(12): 725. https://doi.org/10.3390/v10120725
The definition of health has changed over time. In the early 19th century, infectious diseases were widespread and difficult to contain largely because of the lack of proper sanitation methods, including insufficient disinfection of drinking water and improper removal of human waste. During this time, health was viewed in basic terms as being free of disease. Diseases were almost eradicated in the 20th century with the invention and administration of vaccines (Grand Canyon University, (Ed.), 2018).
The World Health Organization (WHO) was formed in 1948, with that, health promotion became the focus. The definition of health then became viewed as an accumulation of factors such as physical, mental, and spiritual wellness. When a dysfunction in these factors occurs it is termed an illness. Preventing diseases from happening is now the goal in the United States, rather than waiting for disease to set in and therefore causing chronic health conditions. The illness-wellness continuum defines wellness as a continual process, moving between the two throughout the lifespan (The Wellspring, n.d.).
Health promotion has changed over time by the incorporation of models of health. These provide assistance for the nurse in providing a plan of action to promote health strategies, thus leading to positive patient outcomes. It’s important to use evidence-based practice (EBP) when implementing health promotion. EBP is acknowledged in nursing as the gold standard for providing patient care. EBP incorporates the latest evidence, patient preference, and clinical expertise to improve patient care.
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 Wellspring. (n.d.) Key concept #1: The illness-wellness continuum. Retrieved from http://www.thewellspring.com/wellspring/introduction-to-wellness/357/key-concept-1-the-illnesswellness-continuum.cfm
Response to Michelle
This is an outstanding response Michelle and I agree with you. The concept of health is multi-dimensional and entails various characteristics ranging from fitness to wellness, integrity to ability. It is always a common practice to integrate and update biomedical definitions based on incessant accomplishment in medical science and bioethics. Similarly, the concept of health is also in progress and can change over time. Currently, the modern concept of health revolves from a person to societal risk and back to the person. Health is perceived to entail more than mere lack of disease and is concerned with optimal capacity of a person for self-fulfillment and self-realization. In public health and social medicine, the concept of health goes beyond individuals and focus on the health of community or groups due to the association of the individuals with the social environment. Moreover, the holistic concept of health encompasses expression of entirety where an individual should function properly mentally, physically, spiritually, and socially (Svalastog et al., 2017). Where can draw the line between previous concepts of health and the modern concept of health?
Svalastog, A. L., Donev, D., Kristoffersen, N. J., & Gajović, S. (2017). Concepts and definitions of health and health-related values in the knowledge landscapes of the digital society. Croatian medical journal, 58(6), 431. doi: 10.3325/cmj.2017.58.431