¶ … 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 care the promotion of health care has fallen within the job description. 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 put the spotlight on the role nursing plays in health care promotion (Rafael, 1999).
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)."
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