13. For expectant mothers it is a time of immense psychological and physiological development. They promote responsible drinking and find innovative ways to challenge the national drinking culture to help reduce alcohol misuse and minimise alcohol-related harm. In this assignment I will discuss health, HP principles, changing peoples behaviour and attitudes and I will also apply the application of a HP strategy (Beatties model). Midwifes have a duty of care to inform women about health damaging behaviour where this may occur. Ewles and Simnett 1999. His model offers a structural analysis of HP approaches. It refers to effort to prevent ill health and promote positive health with the aim of enabling people to take . These four paradigms are used in capturing the entire picture which is necessary for allowing the health care professionals to develop an . Beatties model of health promotion has been chosen because it is a model used within the HIV Clinical Nurse Specialist in promoting health. 4.4/5 on reviews.co.uk. It offers the beginning of an explanation for some of the seemingly irrational health behaviours people exhibit by showing how outside influences may affect behaviour. But they can also provide no support or have a negative effect. Their current recommendations on alcohol in pregnancy is that Pregnant women and women planning a pregnancy should be advised to avoid drinking alcohol in the first 3 months of pregnancy if possible, because it may be associated with an increased risk of miscarriage. Lauby et al (1998) go on to point out that the crucial point for behaviour change is when the pros outweigh the cons. This model is easy to understand and relate to . HP is a positive concept emphasizing social and personal resources as well as physical capacities. health policy; health policy processes; health politics; health-promoting policies. It could be claimed that the unique and individual situations of pregnancy and birth do not lend themselves to categorising women and their needs. Beattie's unit will be used while theory of and transtheoritical stages of change version as a theory for overall health promotion. Health Policy. Community developments like counseling these interventions seek to empower and enhance the skills of a community, example working with target group for HIV prevention. PDF | On Jan 1, 1991, Alan Beattie published Knowledge and control in health promotion (1991) | Find, read and cite all the research you need on ResearchGate This new feature enables different reading modes for our document viewer. Unable to load your collection due to an error, Unable to load your delegates due to an error. A change of terms is far more than a semantic shi ft. Individuals rely on many different factors when thinking about their health, such as their basic health knowledge, their level of motivation, general attitudes and beliefs and their self-concept (Wills and Earle 2007, Chapter 5). For example, an individual who continues to engage in risky sexual behaviours despite knowing the health risks, thereby sacrificing long-term health for short-term pleasure. Most walking interventions are conducted . an academic expert within 3 minutes. Therefore, health promotion is not just the responsibility of the health sector, but goes beyond healthy lifestyles to well-being. There is no singularly accepted definition of health promotion. and then Add to Home Screen. they perceive are important or relevant to them. Figure 1.2 summarizes Beattie's model of health promotion. These links provide the key to a holistic understanding of health which is central to the definition of health promotion Trying to define Health promotion is not an easy task. it has been argued that this type of approach fails to assess and explore how ready and skilled a patients is in changing their behavior. The transtheoretical model, more commonly known as Stages of Change Theory, was originally developed in 1982 to aid smoking cessation (Prochaska et al, 1992) and is a theory for health promotion. The Health Belief Model (HBM), the Theory of Reasoned Action (TRA), the Theory of Planned Behaviour (TPB) and the Trans-Theoretical Model (TTM) are distinct models containing (in common with other psychological models of health behaviour change) a number of components. Tannahill, A. Devising strategies for preventing drug misuse: the role of the Health Action Model Health Education Research 2(4): 305-317. It is the role of the midwife to offer lifestyle advice and to tell women of the implications of what alcohol consumption can do to a fetus. A model is offered whereby health promotion is seen as a realm of activities which differs in emphasis from the current power bases in health service provision. These guidelines draw on evidence from a number of models, and I believe that it is the wide range of influences that will result in the most effective programmes (NICE 2007). This is evidence based on research showing the link between alcohol and FAS. These are legislative action; these are interventions led by professionals but intended to protect communities. Dahlgren and Whitehead (1991) discuss the layers of influence on health and its social and ecological theory. In this study, the contents of the five plans are positioned on the basis of a theoretical framework founded in Beattie's (Beattie, 1991) model of conflicting political philosophies in health promotion, which has been modified in this analysis to include power and health (Buse et al., 2005), and empowerment and health (Lawerack, 2007). Theory of Reasoned Action/Planned Behavior. The HPM encompasses behaviors for enhancing health and can be applied across the lifespan (Alligood, 2014). Participants need to be listened to carefully and their questions answered truthfully, which gives a positive effect on the woman and leads to the skills and confidence to take more control over their health. Optimising health promotion activities. The horizontal (X) axis depicts whether the focus of the intervention (activities listed below) are individual or as a group. Pregnant women from lower or working classes may not feel they have the same support as those from middle or upper class social areas. 4 Q . Since then the results of a large body of research have been published. The disadvantage of a broad approach is that because the approach is so broad it may never address the key rate-limiting steps in a timely manner. The tensions between the two approaches are discussed and whilst the authors acknowledge that both models constitute legitimate health education activity within nursing, it is argued that emphasis should be given, where practically possible, to the patient empowerment model. The negative theory of this is that the government is presuming that all women will know what 8g of alcohol is, or 1.5 units. decisions and impose idea of what should be done. I have a Masters degree in Science Communication, a BSc (hons) in Biomedical Science, and a certificate in Promoting Public Health, all . Top down verse bottom up, are priorities set by health promotors who have the power and resources to make decisions and impose idea of what should be done. With the personal counselling approach, this is achieved through a health professional assisting the individual to develop and reach their goals, rather than acting as an expert instructing them how to change. Some authors suggest that contemporary health promotion should not focus exclusively on any one single element, such as disease prevention, or societal change (Tannahill 2008). Study for free with our range of nursing lectures! Nadoo and wills (2009) state that using a model can be helpful because it encourages one to think theoretically, and come up with new strategies and ways of working. Applying this to the intervenion of smoking with Marcus, Legislaive acion in: gabe, J. et al (eds). It also incorporates the knowledge, attitudes and beliefs (KAB model) which helps to support Beaties theories. For example, the social policy banning smoking in public places influences how normal this activity appears, and may therefore affect the prevalence of smoking (Tones 1987). Some writers criticized health education for being a series of individualised focused campaigns designed to change lifestyles, and which therefore disempowered people by blaming the victim. This model examines why individuals act in ways that can appear irrational to others, for example through drug use or smoking, despite being aware of the health risks. These activities are focused at individuals. authoritative expectations. Epub 2007 Oct 18. In keeping with the concept of health as a fundamental human right, the Ottawa Charter emphasises certain pre-requisites for health which include peace, adequate economic resources, food and shelter, and a stable eco-system and sustainable resource use. It is up to the care giver to facilitate this information at the right level for each individual case. Health promotion emerged from health education movement and there are frame works and models which help implement and promote a healthy lifestyle. Like health promotion health is difficult to define as it means different things to different people. Author Andrew Tannahill 1 Affiliation 1 Public Health Science Directorate . It is also the time that HP can have its biggest effect. - Smart phone app Beatties model has been critised for making the health promoter push their personal opinion of ideal health onto their patients/clients (Bunton & MacDonald, 2002) and with so many ways to express sexuality (Bell et al, 004) who is to say they are necessarily correct. They may not reach out to areas of support, including what we consider basic antenatal care. Women are open to learning new things and hearing from many different sources about whats best for them during this time. Concepts of Health Promotion Model. If midwifery is viewed as a health-promoting activity, then it may be that HP models and approaches can enhance the way that midwives deliver care by developing an agreed research-based framework, which, rather than labelling women, standardize good practice (Crafter 1997). (DOH 1999). It also incorporates the knowledge, attitudes and beliefs (KAB model) which helps to support Beatie's theories. Many different tools used to explain the scope of health promotion. I really enjoy the effort put in. The results show that the value attributed to good health was consistently high, but the means for attaining this goal have varied over time. 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