Abstract
The recent White Paper entitled The Health of the Nation (Department of Health, 1992) is a (belated) response to the World Health Organisation (1978) call for health for all by the year 2000. It contains five key areas in which health targets are to be achieved in England within the next decade. These include reductions in coronary heart disease and strokes, reductions in mental illness, cancers, accidents and HIV/AIDS. Whilst the document has been criticised for its apparent failure to address the main determinants of ill health such as poverty and for its emphasis on the prevention of illness rather than the promotion of positive health, it does nevertheless provide the first real commitment from the government in supporting the value of health promotion. Importantly for nurses, the document does stress the strategic role that nurses can potentially play in achieving the targets, especially those working in primary health care. This will become all the more significant as the Community Care Act (Department of Health, 1990) takes effect. However, The Health of the Nation does not address how health professionals should be engaged in achieving the targets. It would appear that in order to have any positive effect on the five areas mentioned methods of health promotion must be well planned and supported by research and evaluation.
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References
Ashley, Y. (1987). Do health visitors really understand women’s needs? Unpublished paper presented at the International Primary Health Care Conference, Westminster (September).
Brody, D. S. (1980). The patient’s role in clinical decision making. Annals of Internal Medicine, 93, 718–22.
Brownlea, A. (1987). Participation: myths, reality and prognosis. Social Science and Medicine, 25, 6, 605–14.
Cassileth, B. et. al. (1980). Information and participation preferences among cancer patients. Annals of Internal Medicine, 92, 832–6.
Clayton, S. (1988). Patient participation: an undeveloped concept. Journal of the Royal Society of Health, 2, 55–8.
Council for Education and Training of Health Visitors (1977). An Investigation into the Principles of Health Visiting. CETHV: London.
D’Onofrio, C. N. (1980). Patient compliance and patient education — some fundamental issues, in Squyres, W. (ed.). Patient Education. Springer: New York.
Dennis, K. (1987). Dimensions of client control. Nursing Research, 36, 3, 151–6.
Department of Health (1990). NHS and Community Care Act. HMSO: London.
Department of Health (1992). The Health of the Nation. London: HMSO.
Drennan, V. (1985). Working in a Different Way. North Paddington District Health Authority: London.
Eisenthal, S., Koopman, C. and Lazare A. (1983). Process analysis of two dimensions of the negotiated approach in relation to satisfaction in the initial interview. Journal of Nervous and Mental Disease, 171, 1, 49–54.
Foster, M. C. and Mayall, B. (1990). Health Visitors as educators. Journal of Advanced Nursing, 15, 286–92.
Greenfield, S., Kaplan, S. and Ware, J. (1985). Expanding patient involvement in care. Annals of Internal Medicine, 102, 520–8.
Haugh, M. R. and Lavin, B. (1979). Public challenge of physician authority. Medical Care, 17 (8), 844–58.
Health Visitors Association (1988). Bridging the Gap. HVA: London.
Heritage, J. (1984). Garfinkel and Ethnomethodology. Polity Press: Cambridge.
Katon, N. and Kleinman, A. (1980). Doctor-patient negotiation and other social science strategies in patient care, in Eisenberg, L. and Kleinman, A. (eds). The Relevance of Social Science for Medicine. Reidel Publishing: New York.
Kim, H. S. (1985). Patients attitudes regarding collaborative decision making in nursing. Unpublished paper, University of Rhode Island.
Littlefield, V. and Adams B. (1987). Patient participation in alternative prenatal care: impact on satisfaction and health locus of control. Research in Nursing and Health, 10, 139–48.
Macleod Clark, J. (1982). Nurse-patient verbal interactions: a study of conversations on selected surgical wards. Unpublished Ph.D. thesis, London University.
Mcintosh, J. (1986). A Consumer Perspective on the Health Visiting Service. Social and Paediatric Research Unit, University of Glasgow.
Montgomery Robinson, K. (1987). The social construction of health visiting. Unpublished Ph.D. thesis, Polytechnic of the South Bank, London.
Pearson, P. (1991). Clients’ perceptions: the use of case studies in developing theory. Journal of Advanced Nursing, 16, 521–8.
Pendelton, L. and House, W. C. (1984). Preferences for treatment approaches in medical care: college students versus diabetic outpatients. Medical Care, 22, 1, 644–6.
Ross, F. (1988). Information sharing for patients, nurses and doctors. Evaluation of a drug guide for old people in primary health care, in Johnson R. (ed.). Recent Advances in Nursing (21): Excellence in Nursing. Churchill Livingstone: Edinburgh.
Roter, D. (1977). Patient participation in the patient provider interaction — the effect of question asking on the quality of interaction, satisfaction and compliance. Health Education Monograph, 5, 4, 281–315.
Schon, D. (1983). The Reflective Practitioner. Englewood Cliffs, NJ: Jossey Bass.
Sefi, S. (1985). The first visit: a study of health visitor/mother verbal interaction. Unpublished M. A. dissertation, University of Warwick.
Slimmer, L. and Brown, R. (1985). Parents’ decision making process in medication administration for control of hyperactivity. Journal of School Health, 55, 6, 221–5.
Strull, W. M., Bernard, L. and Charles, G. (1984). Do patients want to participate in medical decision making? Journal of the American Medical Association, 252, 21, 2990–4.
Tones, K., Tilford, S. and Robinson, Y. (1990). Health Education — Effectiveness and Efficiency. Chapman & Hall: London.
Tones, K. (1991). Health promotion, empowerment and the psychology of control. Journal of the Institute of Health Education, 29, 1, 17–26.
Valanis, B. G. and Rumpler, C. H. (1985). Helping women to choose breast cancer treatment alternatives. Cancer Nursing, 8, 3, 167–75.
Waterworth, S. and Luker, K. (1990). Reluctant collaboraters: do patients want to be involved in decisions concerning care? Journal of Advanced Nursing, 15, 971–6.
World Health Organisation (1978). Alma-Ata, Primary Health Care. WHO: Geneva.
Zola, I. (1972). Medicine as an institution of social control. Sociological Review, 20, 4, 487–509.
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© 1993 Sally Kendall
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Kendall, S. (1993). Client participation in health promotion encounters with health visitors. In: Wilson-Barnett, J., Clark, J.M. (eds) Research in health promotion and nursing. Palgrave, London. https://doi.org/10.1007/978-1-349-23067-9_14
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DOI: https://doi.org/10.1007/978-1-349-23067-9_14
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