Nursing: Health Education and Improving Patient Self-Management

Description:

This new edition describes the latest advances in health education and patients’ self-management, addressing core questions such as: How can you motivate a patient to adopt a healthier lifestyle, and how can you support their self-management? Though there is a broad consensus within the nursing profession on the importance of health promotion and the promotion of self-management, nursing professionals often struggle with the underlying theoretical and practical aspects involved, as well as the right type of intervention to use and how to evaluate the results.

The book departs from concepts of health. In the first chapters, it examines health at the micro-, meso- and macro-level, combined with epidemiological health indicators. The following chapters focus on prevention, health promotion and self-management, while also broadly discussing prevention.

The book then turns to the development and purpose of, as well as plans for, health promotion and health education. The Intervention Mapping protocol is the starting point, addressing questions such as how to motivate a patient to other, healthier behavior. Subsequently, the field of health promotion is extended to disease prevention, patient education and self-management. On the basis of patients’ needs, the book describes methods and interventions to promote self-management in detail. Self-management and chronic health problems are also highlighted, along with the patient’s social network in connection with self-management and eHealth. Lastly, the book explores the relationship between nursing and health promotion, as well as disease prevention, diagnoses, interventions and care results.

Additionally, this edition includes two trainings on ‘Promoting the self-management of the patient ‘ and on ‘What is the role of the nursing professional in promoting self-management of the patient?’. This book is intended for bachelor and master courses for nursing professionals and is linked to the CanMeds competencies of health promoters and reflective evidence-based working professionals.

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Table of contents :

Preface
Introduction
Contents
About the Author
1: Health, What Is Health?
1.1 Introduction: Concepts of Health
1.2 Medical, Monocausal Concept of Health
1.3 Biological Concept of Health
1.4 Psychological Concept of Health
1.5 Social Concept of Health
1.6 Multicausal Concept of Health
1.7 Dynamic Concept of Health
1.8 Positive Health
1.9 Purpose in Life
1.10 Assignment Concepts of Health
Bibliography
2: Mapping Health
2.1 Introduction: Mapping Health, What Are Health Determinants?
2.2 Health Concept of Lalonde, Health Determinants
2.3 Endogenous, Personal Health Determinant
2.4 Health Determinants Lifestyle and Health Behavior
2.5 Assignment: Lifestyle and (Health) Behavior
2.6 External Environment: Health Determinant Physical Environment
2.7 External Environment: Health Determinant Social Environment
2.8 Exogenous Health Determinant: Medical Care and Prevention
2.9 Assignment: Health Determinants
2.10 ICF: International Classification of Functioning, Disability and Health
2.11 Assignment: International Classification of Functioning, Disability and Health
2.12 ICD: International Classification of Diseases
2.13 Model of Public Health
2.14 Model Objective Tree of Prevention
2.15 Assignment: Models of (Public) Health
2.16 Chronic Care Model
2.17 Assignment: Chronic Care Model
Bibliography
3: Health Indicators, Mortality, Morbidity, and Multimorbidity
3.1 Introduction: Looking at Health Using Health Indicators
3.2 Health Indicators and Public Health
3.3 Epidemiology and Epidemiological Research
3.4 Health Indicator Mortality
3.5 Assignment: Mortality
3.6 Health Indicator Life Expectancy
3.7 Assignment: Life Expectancy and Quality of Life
3.8 Health Indicators QALYs, DALYs, and ADL
3.9 Health Indicator Perceived Health
3.10 Assignment: Validated Questionnaires for Measuring Health Indicators
3.11 Health Indicator Years of Life Lost
3.12 Health Indicator Morbidity
3.13 Assignment: Morbidity
3.14 Health Indicator Multimorbidity
3.15 Assignment: Multimorbidity
3.16 Health Inequalities in Mortality and Morbidity
3.17 Assignment: Health Inequalities in Mortality and Morbidity
3.18 WHO, International Health Inequalities and Health Policy
3.19 Assignment: National and International Health Inequalities
3.20 Assignment: WHO, International Health Inequalities and Health Policy
Bibliography
4: Prevention
4.1 Introduction: Health from the Perspective of Prevention
4.2 Universal, Primary Prevention
4.3 Assignment: Expectations
4.4 Selective, Indicated, Secondary Prevention
4.5 Screening and Case Finding
4.6 Patients’ Delay and Doctors’ Delay
4.7 Care-Related, Tertiary Prevention
4.8 Assignment: Prevention
4.9 Levels of Prevention, Individual and Collective Prevention
4.10 Assignment: Individual and Collective Prevention
4.11 Downsides of Prevention
4.12 Assignment: Downsides of Prevention
Bibliography
5: Prevention and Patient/Person-Centered Care
5.1 Introduction: Person-Centered Care with a Focus on (Promoting) Health
5.2 Principles of Patient- and Person-Centered Care
5.3 Assignment: Principles of Patient-Centered Care
5.4 Patient- and Person-Centered Care and Informed Consent
5.5 Assignment: Informed Consent
5.6 Patient- or Person-Centered Care and in Shared Decision-Making
5.7 Assignment: Patient- or Person-Centered Care and Shared Decision-Making
5.8 Assignment: Patient- or Person-Centered Care and Decision-Making
5.9 Myths Related to Shared Decision-Making
5.10 Assignment: Shared Decision-Making and Myths
5.11 Assignment: Shared Decision-Making and the Patient’s Perspective
5.12 Assignment: Shared Decision-Making and Perspective of Nursing Professionals
5.13 Assignment: Shared Decision-Making and Prevention
5.14 Prevention and Intra- and Interdisciplinary Cooperation
5.15 Assignment: Are There Different “Types” of Patients?
5.16 Prevention and Intertwining of Cure and Care
5.17 Assignment: Prevention Intertwined with Nursing Care
5.18 P4 Medicine, Personalized, Predictive, Preventive, and Participatory
5.19 Assignment: Prevention from the Care Sector
Bibliography
6: Prevention and the Complexity of Health Behavior
6.1 Introduction: Looking at Health Behavior from a Preventive Perspective
6.2 Health Behavior, Is It About Lifestyle Behavior or Self-Management Behavior?
6.3 Prevention and (the Complexity of) Health Behavior
6.4 Assignment: Health Behavior
6.5 Voluntary Health Behavior, Paternalism, and Prospective Responsibility
6.6 Risk Assessment and Health Behavior
6.7 Health Motives and Health Behavior
6.8 Assignment: Health Behavior
Bibliography
7: Prevention and eHealth
7.1 Introduction: Looking at eHealth from a Prevention Perspective
7.2 Prevention and eHealth
7.3 Healthcare Professionals and eHealth
7.4 eHealth in the Collaborative Relationship Between Patient and Healthcare Professional
7.5 eHealth and Tailoring
7.6 eHealth and Telemonitoring
7.7 Assignment: eHealth in the Professional Relationship
7.8 Assignment: eHealth and Patient Needs
Bibliography
8: Prevention Umbrella: Health Protection, Health Promotion, and Disease Prevention
8.1 Introduction: View on the prevention Umbrella
8.2 Health Protection
8.3 Assignment: Health Protection
8.4 Health Promotion
8.5 Health Promotion and Health Education
8.6 Health Education and Lifestyle Coaching
8.7 Proto-Professionalization
8.8 Personalized Prevention
8.9 Disease Prevention and Improving Self-Management
8.10 Assignment: Disease Prevention and Self-Management
8.11 Self-Management Versus Symptom Management
8.12 Assignment: Self-Management
8.13 Self-Management Versus Symptom Management and Psychiatric Health Problems
8.14 Assignment: Self-Management Psychiatric Health Problems
8.15 Self-Management and Patient/Person Involvement
8.16 Assignment: Self-Management and Participatory Medicine
8.17 Self-Management and Stepped Care
8.18 Disease Prevention, Self-Management, and Self-Management Support
8.19 Health Coaching
8.20 Assignment: Health Coaching
8.21 Public Health
Bibliography
9: Effects of Promoting Self-Management
9.1 Introduction: A Look at Self-Management Support and Outcomes
9.2 Adherence to Therapy and Compliance
9.3 Concordance
9.4 Assignment: Attention Points for Care Professionals (Adherence and Concordance)
9.5 Effects of Promoting Self-Management: Compliance and Adherence
9.6 Effects of Promoting Self-Management: Patient Participation
9.7 Effects of Promoting Self-Management: Shared Decision-Making
9.8 Assignment: Shared Decision-Making by Nursing Professionals
9.9 Effects of Promoting Self-Management: Improved Self-Management
9.10 Assignment: Effects of Self-Management
9.11 Effects of Promoting Self-Management: Patients’ Well-Being
9.12 Effects of Promoting Self-Management: Understanding and Remembering
9.13 Assignment: Self-Management and Understanding Information, Remembering, and the Relationship with Anxious Patients
9.14 Effects of Promoting Self-Management: Patient Satisfaction
9.15 Assignment: Self-Management and Patient Satisfaction
Bibliography
10: Intervention Mapping: Self-Management and Lifestyle Coaching
10.1 Introduction: An Approach to Improving Self-Management and a Healthy Lifestyle
10.2 Health Promotion and Health Education: Changing (Health) Behavior
10.3 Intentional Health Education and Facilitating Information
10.4 Intervention Mapping, Planning Model for Health Interventions
10.5 Intervention Mapping, Planning Model for Self-Management and Lifestyle Support
10.6 Assignment: Self-Management and Lifestyle Coaching
10.7 Assignment: Exploring Patient Needs
Bibliography
11: Intervention Mapping Step 1: Needs Assessment, Assessing the Health Problem and Quality of Life
11.1 Introduction: The Analysis of the (Health) Problem
11.2 Intervention Mapping Step 1: Needs Assessment
11.3 Assignment: Intervention Mapping Step 1: Needs Assessment
11.4 Intervention Mapping Step 1: Behavioral Analysis, Assessment of Self-Management and Lifestyle Behavior
11.5 Assignment: Intervention Mapping Step 1—Behavioral Analysis
11.6 Intervention Mapping Step 1: Environmental Analysis, Analysis of Environmental Factors
11.7 Assignment: Intervention Mapping Step 1: Environmental Analysis
11.8 Assignment: Intervention Mapping Step 1: Lalonde
Bibliography
12: Intervention Mapping Step 1: Understanding Self-Management and Lifestyle Behavior—Theory of Planned Behavior
12.1 Introduction: Looking at Factors that Determine Lifestyle and Self-Management Behavior
12.2 Which Social-Cognitive Determinants Determine the Intention and (Health) Behavior?
12.3 Explaining Self-Management and Lifestyle Behavior
12.4 Theory of Planned Behavior: Behavior and Intention
12.5 Theory of Planned Behavior: Barriers
12.6 Theory of Planned Behavior: Attitudes
12.7 Theory of Planned Behavior: Subjective Norms or Social Influence
12.8 Theory of Planned Behavior: Perceived Behavioral Control and Self-Efficacy
12.9 Assignment: Intervention Mapping Step 1: Analysis of Self-Management and Lifestyle Behavior
12.10 Assignment: Intervention Mapping Step 1: Analysis of Social-Cognitive Determinants
Bibliography
13: Intervention Mapping Step 2: Defining Performance and Change Objectives
13.1 Introduction: Designing the Intervention, Focus on the Goals and the Changes that Are Needed
13.2 Intervention Mapping Step 2, Important and Changeable (Health) Behavior
13.3 Overall Objective of the Intervention
13.4 Assignment: Intervention Mapping Step 2—Determining the Overall Objective of the Intervention
13.5 Performance Objectives in Health Interventions
13.6 Change Objectives in Health Interventions
13.7 Matrix Performance Objectives and Change Objectives
13.8 Assignment: Intervention Mapping Step 2—Matrix of Performance and Change Objectives
Bibliography
14: Intervention Mapping Step 3: Methods for Changing Self-Management and/or Lifestyle Behavior
14.1 Introduction: Methods to Change Intention and Behavior Determine the Effectiveness of Your Intervention
14.2 Intervention Mapping Step 3: Methods and Theories to Change Intention and Behavior
14.3 Useful Methods for Changing (Health) Behavior, Risk Perception
14.4 Assignment: Method of Risk Perception
14.5 Useful Methods for Changing Attitudes, Decisional Balance
14.6 Assignment: Method for Changing Attitudes, Decisional Balance
14.7 Useful Methods for Handling Social Influence, Social Facilitation
14.8 Assignment: Method for Handling Social Influence, Social Facilitation
14.9 Useful Methods for Improving Self-Efficacy, Guided Practice
14.10 Assignment: Method for Handling Self-Efficacy, Guided Practice
14.11 Useful Methods for Changing Behavior, Action Planning, and Self-Monitoring
14.12 Assignment: Methods for Changing Intention, Action Planning, and Self-Monitoring
14.13 Useful Methods for Changing Behavior, Coping Planning, and Relapse Prevention
14.14 Assignment: Method for Handling Barriers, Coping Planning, and Relapse Prevention
14.15 Behavior Change Techniques
14.16 Assignment: Intervention Mapping Step 3
14.17 Assignment: Methods to Change Intention and Behavior
Bibliography
15: Intervention Mapping Step 4: Designing the Self-Management and/or Lifestyle Intervention
15.1 Introduction: Building (Health) Interventions Using Methods as Building Blocks
15.2 Intervention Mapping Step 4: Effective Methods to Develop Health Interventions
15.3 Intervention Mapping Step 4: Behavior Change Model
15.4 Behavior Change Model: Understanding Health Risks—Method of Risk Perception
15.5 Assignment Training: Understanding Health Risks—Risk Perception Method
15.6 Behavior Change Model: Changing Attitudes—Decisional Balance Method
15.7 Assignment: Changing Attitudes
15.8 Assignment Training: Changing Attitudes—Decisional Balance Method
15.9 Behavior Change Model: Subjective Norms or Social Influence—Resilience and Social Support Method
15.10 Assignment Training: Social Influence and Social Norms—Resisting Social Pressure and Seeking Social Support Method
15.11 Behavior Change Model: Changing Self-Efficacy—Guided Practice Method
15.12 Assignment Training: Perceived Behavioral Control or Self-Efficacy—Guided Practice Method
15.13 Behavior Change Model: Changing Intentions—Action Planning Method
15.14 Training: Changing Intentions—Action Planning Method
15.15 Behavior Change Model: Changing Behavior—Coping Planning and Relapse Prevention Method
15.16 Assignment Training: Changing Behavior—Coping Planning and Relapse Prevention Method
15.17 Assignment: Intervention Mapping Step 4—Designing the Health Intervention
15.18 Intervention Mapping Step 4, 5As, Ask, Advise, Assess, Assist, and Arrange
15.19 Assignment: Intervention Mapping Step 4, 5As—Ask, Advise, Assess, Assist, and Arrange
15.20 Intervention Mapping Step 4: Designing the Health Intervention—Transtheoretical Model
15.21 Assignment: Intervention Mapping Step 4, Transtheoretical Model
15.22 Intervention Mapping Step 4, Motivational Interviewing
15.23 Assignment: Intervention Mapping Step 4, Motivational Interviewing
15.24 Methods for Limited Health Skills, Health Literacy-Informed Counselling
15.25 Assignment: Intervention Mapping Step 4, Health Literacy-Informed Counselling
15.26 Intervention Mapping, Step 4: Patient Engagement Model, Chronic, Major Health Problems
15.27 Assignment: Intervention Mapping Step 4, Serious, Chronic Patients
Bibliography
16: Intervention Mapping Step 5: Implementation Plan
16.1 Introduction: Implementation Plan Before Carrying Out the Intervention
16.2 Intervention Mapping Step 5, Implementation Plan
16.3 Intervention Mapping Step 5, Implementation Mapping
16.4 Implementation Mapping
16.5 Intervention Mapping Step 5, Individual or Group Focused?
16.6 Intervention Mapping Step 5, Tools
16.7 Assignment: Intervention Mapping Step 5, Design Implementation Plan
Bibliography
17: Intervention Mapping Step 6: Evaluation Plan
17.1 Introduction: Did Self-Management and/or Lifestyle Become More Favorable After the Intervention?
17.2 Intervention Mapping Step 6, Evaluation Planning
17.3 Assignment: Intervention Mapping Step 6, Evaluation Plan
Bibliography
18: Obstacles for Patients When Changing Self-Management and Lifestyle
18.1 Introduction: What Do Patients and Clients Encounter?
18.2 Obstacles in Self-Management: Provision of Information, How Do Patients Experience This Themselves?
18.3 Obstacles in Self-Management: Communicating with Professionals, How Do Patients Experience This Themselves?
18.4 Assignment: Obstacles for Patients in Self-Management and Lifestyle Coaching
Bibliography
19: The Nursing Professional Supports the Patient’s Self-Management and Lifestyle
19.1 Introduction: What Obstacles Do Nursing Professionals Themselves Face?
19.2 Obstacles to Improving Self-Management and Lifestyle: How Do Professionals Experience This Themselves?
19.3 Assignment: Obstacles for Nursing Professionals
19.4 Opportunities to Improve Self-Management and Lifestyle: How Do Professionals Experience This Themselves?
19.5 Assignment: Opportunities for Nursing Professionals
19.6 Promoting Self-Management, a Healthier Lifestyle, and Shared Decision-Making
19.7 Nursing Professionals and Providing Self-Management and Lifestyle Support
19.8 Nursing Professionals and Providing Self-Management and Lifestyle Support: Risk Perception
19.9 Nursing Professionals and Providing Self-Management and Lifestyle Support: Decisional Balance
19.10 Nursing Professionals and Providing Self-Management and Lifestyle Support: Social Influence and Social Support
19.11 Nursing Professionals and Providing Self-Management and Lifestyle Support: Guided Practice
19.12 Nursing Professionals and Providing Self-Management and Lifestyle Support: Action Planning
19.13 Nursing Professionals and Providing Self-Management and Lifestyle Support: Coping Planning
Bibliography
20: Nursing Process and Health Promotion and Disease Prevention
20.1 Nursing Assessment, Health Promotion, and Disease Prevention
20.2 Nursing Diagnosis, Health Promotion, and Disease Prevention
20.3 Nursing Planning Phase and Health Promotion and Disease Prevention
20.4 Nursing Implementation Phase and Health Promotion and Disease Prevention
20.5 Nursing Evaluation Phase and Health Promotion and Disease Prevention
20.6 Nursing Diagnoses Designed to Promote Patient Self-Management
20.7 Health Patterns to Promote Patient Self-Management
20.8 Nursing Interventions to Promote Patient Self-Management
20.9 Classification Systems of Nursing and Health and Patient Education
20.10 Nursing Interventions to Promote Patient Self-Management Using Intervention Mapping
20.11 Implementing Nursing Interventions to Promote Patient Self-Management
20.12 Nursing Outcomes for Patient Self-Management
References
Index