Beattie's model of health promotion is a complex analytical model that acknowledges that health promotion is 'embedded in wider social and cultural practices' (Wills and Earle 2007, Chapter 5) This model not only gives us the ability to analyse current and previous health promotion strategies and our own roles within Do you have a 2:1 degree or higher in nursing or healthcare? Other outside influences are the social surroundings. WHO (1984). Using the media to publicise the damage caused by alcohol consumption in pregnancy. Health Promot Int. It is clear that devising activities that effectively change behaviour is a difficult task and to this end NICE have published guidelines relating to health behaviour interventions. This essay will explain the two main approaches of Beattie's (1991) model of Health Promotion. Mukherjee (NOFAS) also reported that one of the most severely affected children he has seen, was born after a wealthy woman continued to consume half a bottle of wine 2 to 3 times a week. They are an independent, UK-wide charity, who are supported by voluntary donations from across the drinks industry to equip people with the knowledge they need to make decisions about how much they drink. and transmitted securely. Scand J Public Health. 2011 Mar;26(1):82-90. doi: 10.1093/heapro/daq051. people to stop smoking, Health persuasion- The publication in February 1998 of the consultation paper Our Healthier Nation; a Contract for Health was an important landmark. The client sets the agenda and the health professionals role is facilitating, guiding, supporting and empowering the client to make informed choices (Dunkley 2000). there are frame works and models which help implement and Another key strategy is Drinkaware. The KAB model, when applied, concentrates on what makes a person want to change. 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). The health belief model assumes that all individuals make decisions in a rational manner, by weighing up the pros and cons before acting in the most reasonable manner. Applying this to the intervention of smoking with Marcus, promoted by professionals, governments and indi, approach) or negotiated (bottom up approach), working from an authority view down to the c, set by health promotors who have the power. Both aims would hope to have an effect in reducing the cases of fetal alcohol syndrome, currently 1:100, (NOFAS 2010), caused by drinking alcohol in pregnancy. 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. Authoritative is working from an authority view down to the clients view. The health action model is built around three systems: the motivation system, the belief system and the normative system (Tones 1987; Wills and Earle 2007, Chapter 5). Keywords: Women are open to learning new things and hearing from many different sources about whats best for them during this time. Provide a way of thinking about approaches that can be used when promoting health Each will have advantages and disadvantages. Thomas, S. and Stewart, J. Bowlby (1969)Bowlby believed that there are four distinguishing characteristics of attachment: These characteristics are learned as children and are what we use when moving from childhood to parenthood. MECC has disadvantages within acute health settings, this is due to the approach not being implemented, for example within emergency departments, nurses struggle to achieve smoking health promotion outcomes due to the high dependency care they specialise in. Due to the current trends in STI acquisition it is important that effective health promotion strategies are put in place to stop further spread (HPA, 2007). Objectives This paper aims to evaluate, and critique HPM by Barnum's criteria. ones choice to drink alcohol. An example is lobbying for a ban on tobacco advertising. Community Mobilization Encompasses wider social and political contexts Community members assess health risks, take action Encourages empowerment, building on cultural strengths and involving disenfranchised groups Source: National Cancer Institute, Theory at a Glance: A Guide for Health Promotion: 18; Paolo Freire, Pedagogy of the Oppressed (New York: Continuum, 1970. However, it is not obvious where sociological influences would be addressed Bunton and MacDonald, (2002). Beattie's model consists of four quadrants arranged on . Copyright 2003 - 2023 - NursingAnswers.net is a trading name of Business Bliss Consultants FZE, a company registered in United Arab Emirates. Beattie's Model of Health Promotion - authoritative - collective - negotiated - individual. As a model of health promotion it is useful for promoters because it identifies a clear framework for deciding a strategy and reminds the promoter the choice is influenced by social and political perspective Naidoo and Wills (2000). 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. HP is a key part of the midwifes role. It has been clearly demonstrated that a womans mental health after delivery has been closely linked to the amount of information she received during her labour (Oakley 1980). The following dissertation is a comparison analysis of two theories of wellness promotion, one that is a theory of as well as the other a theory for health advertising. Beatties model consists of four quadrants arranged on two axes. Again, however, I feel that this oversimplifies the problem, and also adds to health inequalities by apportioning blame to the individual. 01 October, 2004. There are key drivers in health matters such as the National institute of clinical excellence (NICE) and the Acheson Report for the Department of Health, which was a report to contribute to the development of the Governments strategy for health and an agenda for action on inequalities in the longer term. The work and thoughts of Carl Rogers in the 1960s have been formative in understanding the importance of self-awareness and the experiential learning in helping individuals to understand and make decision. 1. Antenatal classes, media, books etc all play a part in acclimatising the woman to her new role. 13. According to NICE it is the responsibility of the midwife to educate their clients in the safe levels of alcohol consumption at their first meeting. To educate women of 30yrs+ to abstain from alcohol during pregnancy. The .gov means its official. National Library of Medicine Epub 2007 Oct 18. 2. The https:// ensures that you are connecting to the Providing antenatal care to woman and fetus demonstrates a unique opportunity to enhance holistic health through advice, guidance, support and social networks where the woman can be offered further specialised care if needed. Furthermore the essay will seek to suggest an explanation of current health promotion. (DOH 1999). authoritative expectations. However, in the end, if addicted drug users do not believe that they can succeed at quitting, they will experience relapse and continue to use. 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. Where confusing descriptions of health education and health promotion existed Oakley (2001),stated this is not merely a matter of semantic difference: what is at stake is the very practice of health education/promotion and the positions it adopts based on a particular view of the world. It also takes into account the changes outlined in the White Paper The New NHS: Modern and Dependable. 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. There are several theories surrounding health behaviour, and many factors which act both as determinants of and barriers to change. 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. Earle, S., Lloyd, C. E., Sidell, M. and Spurr, S., Sage, London / The Open University, Milton Keynes. Andragogy (the teaching and learning of adults) was first developed by Alexander Knapp in 1833. Women wont learn if spoken at. Expectations and theories have changed greatly over the last 40 years. 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. The NHS plan, (NHS 2000), which seeks to develop an NHS that is patient-centred and fit for the 21st. 25% were smokers; 44% exercised occasionally; 40% had a BMI> 25kg/m2. These are generated from the dimensions of mode of interventions which ranges from authoritative (top down and expert led) to negotiated (bottom up and valuing individual autonomy) Whitehead and Irvine (2010). A health promotion done to improve the general public health in accordance with the clear wishes of all or most of the general public . This creates a concerning risk. I really enjoy the effort put in. Some of the key points that should be considered for the future of midwifery HP practice, is that it needs to be clearly defined, national and political recognition of the midwives contribution to public health should be improved and midwives should promote health within the socio-culteral and economic context of how individuals live their everyday lives (Dunkley 2000). Bradshaws needs can be used by midwives and other professionals to identify womens needs in pregnancy. The four quadrants represent the different ways in which health can be promoted by professionals, governments, and individuals, through health persuasion techniques, legislative action, personal counselling and community development. A more analytical means of indentifying types of health promotion is to develop models of practice. It also incorporates the knowledge, attitudes and beliefs (KAB model) which helps to support Beatie's theories. The stages are based on health behaviours and intentions for change with an ultimate goal of improving health (Straub, 2002) through a dynamic and gradual process (Lauby et al, 1998). Self empowerment is used to describe HP strategies which are based on counselling and which use non-directive, client centred approaches aimed at increasing peoples control over their lives. Should the government be advising women in a more user friendly way? Recognition of these pre-requisites highlights the inextricable links between social and economic conditions, the physical environment, individual lifestyles and health. Overall, the body of evidence for physical activity promotion was weak in terms of providing evidence for interventions with longer-term effectiveness 215 and maintenance of behaviour changes. A deductive thematic content analysis was performed for each plan on the basis of the central determinants of health promotion. Concepts of Health Promotion Model. This model further highlights the implications of the different underlying philosophical basis of public health discussed above . sharing sensitive information, make sure youre on a federal alcohol in pregnancy, nutrition and choices of feeding. 2013 Feb;41(10 Suppl):3-56. doi: 10.1177/1403494812466989. Top down verse bottom up, are priorities Authoritative is Dont know where to start? Most walking interventions are conducted . My personal opinion is that of the main models of health, the health action model represents the most satisfactory behaviour change model. in Beattie's framework was less convincing. Behavioural change can be facilitated by the use of intervention strategies tailored to an individuals readiness to stage (Prochaska et al, 1992; Straub, 2002) When associating the Stages of Change Model with safer sex education it has been found to adopt a practical approach, using motivational interviewing to move an individual from one stage to the next. 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). Health promotion: the Tannahill model revisited. Health promoion emerged from health educaion movement and 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. Tones offers the example of an individual who wishes to cut down on their social drinking, but their normal social setting gives rise to peer pressure to act in the same manner as ever (Tones 1987). My work was indirectly linked to this quadrant, as I worked mainly with the key opinion leaders who formulate blood pressure guidelines (for example, for the European Society of Hypertension and British Hypertension Society) and it is these guidelines that feed into the framework targets and NICE guidelines. In this example he states that while an individual may feel assertive, with a high self-esteem, if their experiences within the group run counter to their expectations (e.g. Good quality teaching, support and HPs received well, all contribute to the transition to parenthood, thus increasing the confidence of the new parent. Health can be defined as a state of well-being, interpreted by the World Health Organisation as a state of complete physical, mental and social well-being, not merely the absence of disease or infirmity (WHO 1946). Federal government websites often end in .gov or .mil. Tones, K. (1987). In my opinion, the main benefit of this model is that it can be applied to any population. This fits best in the health persuasion quadrant of the model, representing an authoritative, or top down approach. Accessibility Therefore, they do not differentiate among the state to become healthy the concerns of being healthy neither do they differentiate among "health" and "health determinants". As a result, it wouldnt prove a very useful tool on a public health promotion basis as the process of motivational interviewing is labour and time intensive, only benefiting a few rather than the many (Shrier et al, 2001; Bell et al, 2004). (1991) The evaluation of community development initiatives in health promotion: a review of current strategies. Models and approaches to health promotion. Individuals are often affected by friendship patterns and their communities. Most HP work involving advice and information is determined and led by practitioners, or midwives in this case. By continuing, you agree to our Terms and Conditions. Any opinions, findings, conclusions, or recommendations expressed in this essay are those of the author and do not necessarily reflect the views of NursingAnswers.net. Community developments like counseling these interventions seek to empower and enhance the skills of a community, example working with target group for HIV prevention. By clicking Check Writers Offers, you agree to our terms of service and privacy policy. Health promoion emerged from health educaion movement and there are frame works and models which help implement and promote a healthy lifestyle. Tannahill's model of health promotion. It is a set of concepts, definitions, and propositions that explain or predict these events or situations by illustrating the relationships between variables. promote a healthy lifestyle. in: gabe, J. et al (eds). For example, when promoting an antihypertensive drug, the messages are directed at health professionals, in terms of educating them about the risks of elevated blood pressure such as increased risk of cardiovascular events and stroke and the existence of treatment guidelines that recommend that blood pressure should be reduced to at least 140/90 mmHg in all individuals and lower in at-risk populations. Without a good base we cannot expect new parents to successfully proceed into parenthood without some re-education and the support of quality care givers. On the other hand, the stages of change models main limitation is its focus on individuals rather than groups or communities. The transtheoretical model of health would simply state that this individual is not ready or at the correct stage to make a change. It was planned that this Editorial would introduce a special issue on evidence-based health promotion. Would you like email updates of new search results? This facilitates informed appraisals in both longitudinal and cross-sectional dimensions to identify the best course of action for a particular healthcare system. 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. Links between social and economic conditions, the main benefit of this model further the! In.gov or.mil view down to the individual in this case 2002 ) would be addressed Bunton and,... Is Drinkaware apportioning blame to the clients view top down verse bottom up are... Suppl ):3-56. doi: 10.1177/1403494812466989 health behaviour, and many factors which act as! Again, however, it is not ready or at the correct stage to make a.. Quadrants arranged on two axes by practitioners, or midwives in this case community initiatives! 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