Titre :
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Health promotion versus disease and care : failure to establish "blissful clarity" in British nurse education and practice. (1999)
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Auteurs :
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P. Smith ;
A. MASTERSON ;
S.L. Smith
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Type de document :
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Article
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Dans :
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Social science and medicine (vol. 48, n° 2, Janvier 1999)
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Pagination :
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227-239
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Langues:
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Anglais
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Mots-clés :
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Promotion santé
;
Soins
;
Education santé
;
Infirmier
;
Pratique soins
;
Formation
;
Profession santé
;
Formation professionnelle
;
Evaluation
;
Homme
;
Royaume Uni
;
Europe
;
Emotivité
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Résumé :
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[BDSP. Notice produite par INIST TtR0x1Uq. Diffusion soumise à autorisation]. An evaluation which involved documentary analysis, observation and interviews with teachers, students and nurses in four educational institutions, revealed that the interpretation and implementation of a philosophy of health in nursing in the UK has been variable. A small but influential group of teachers saw health as the basis for the curriculum and the way forward for nursing. The new Project 2000 health-based curriculum led some participants to reassess their conception of nursing, but disease and care of the sick remained uppermost. Trained hospital nurses in particular continued to view nursing as primarily concerned with disease treatment. The care model associated with'New Nursing'rooted in communication and interpersonal relationships, was also apparent particularly among pre-and post-registration students. Health was operationalised as both health education and health promotion ranging from individualised information giving and disease prevention to more participatory forms based on equity and empowerment. Participants'responses to the introduction of health in the curriculum were categorised in one of four ways : pessimism, partisanship. fanschen (to turn over) or marketisation. Their response depended on whether they viewed health as the central nursing philosophy rather than disease or care. On the basis ofour findings we propose that these responses give rise to four policy choices for nurses at an individual and group level.
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