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¶ … health care promotion in the field of Canadian nursing. The author draws from several sources to describe the history of health care promotion in Canada and how it has changed over the years. There were nine sources used to complete this paper.
The field of health care in Canada is an ever evolving industry. Over the past few decades there have been significant changes in the method of delivery as well as the parameters of the job description (Mustard, 1991). Nurses used to be charged with changing bed pans and taking temperatures but the field has evolved to the point that nursing is a demanding and respected profession. Today, nurses work closely with physicians, nutritionists, patients and their families to coordinate and deliver the most optimum health care possible. In keeping with the new more broadly defined role that nurses play in the field of health...
Health care promotion is a proactive measure that is being pursued with patients and their families. The duty of this promotion falls more heavily on the nursing profession than ever before as the medical community realizes the importance of proactive health care.
HISTORY
For many years the work of health care promotion fell by the wayside as daily nursing duties got in the way. As the profession began to expand and more became known about the importance of promoting good health care it began to become incorporated in the field of nursing little by little. A decade ago the nurse's union stated that the total responsibility for health care promotion had fallen on the nursing profession to handle. While this claim was refuted during a 1994 health care conference in Ontario it did…
The marked and significant differences in the various meanings ascribed to health promotion in professional literature provide evidence of the concept's evolution over the last half of the 20th century and testify both to the powerful influences of dominant ideologies and the invisibility of others (Rafael, 1999). The "new public health" marks a return to a conceptualization of health that is consistent with a nursing paradigm and thus potentially useful in supporting nursing health promotion practice (Rafael, 1999). While practitioners in the health care field have obviously always been involved in elements of what could broadly be termed "health promotion" the evidence and case material indicate the term "health promotion" is coming to be used in a more specialized way (Rafael, 1999)."
His judgment raises some important questions for nursing: What is health promotion (Rafael, 1999)? What is the "specialized way" into which it is evolving (Rafael, 1999)? What forces have been responsible for this evolution (Rafael, 1999)? And, how does that specialized way relate to nursing's legacy in health promotion and nurses' current conceptualization and practice of health promotion? The answers to these questions are important in order for nurses to reflect on their own conceptualization of health and the activities that promote it, as well as to understand the philosophical and political pressures that have brought about change in the way health promotion is being understood globally (Rafael, 1999). "
For the most part health promotion has always been viewed as the prevention of disease in the past. For many years it has been placed under the umbrella of disease prevention and control. Nurses promoted health by encouraging vaccinations, and providing
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"Studies of the relationship between managed care penetration in the health care market and expenditures for Medicare fee-for-service enrollees have demonstrated the existence of these types of spill over effects" (Bundorf et al., 2004). Managed care organizations generate these types of spillover effects by increasing competition in the health care market, altering the arrangement of the health care delivery system, and altering physician practice patterns. Studies have found that higher