Promoting Hospital Patients’ Health in Jordan: Rhetoric and Reality of Nurses’ Roles

  • Noordeen Shoqirat Mutah University
  • Shona Cameron Shona Cameron PhD BA SRN SCM HV Nursing Faculty of Health Sciences Queen Margaret University Queen Margaret University Drive Musselburgh, EH21 6UU Nursing
Keywords: hospital nurses, health, health promotion, empowerment, case study, methods triangulation and organizational reform

Abstract

Background: Hospital nurses are urged to promote patients’ health, but little is known about their role in
health promotion in general and, specifically, no Jordanian study was found that examines such a role. Objective:
this paper is a report of a study to understand and explore hospital nurses’ roles in heath promotion.
Population: Surgical and medical nurses in a large Jordanian teaching hospital.
Methods: A case study design using a multiple method triangulation strategy was used. Hospital nurses’ roles in
health promotion were examined using focus group discussions, non-participant observations, interviews, semistructured
questionnaires and documentary analysis.
Results: Generally, hospital nurses’ views towards their role in health promotion were positive. However, their
perceived role and actual practice of health promotion were largely restricted to individualised information
giving and behavioural change approaches. Diverse factors contributed to this situation. These included lack of
time, shortage of nursing staff, lack of knowledge in heath promotion, a power imbalance between doctors and
nurses, low public image of nursing and gender issues related to nursing. The way hospital nurses’ role in health
promotion is currently perceived and operationalised in practice in Jordan is inconsistent with recent health
promotion ideas operating at the level of empowerment and political actions.
Conclusion: Addressing the identified barriers therefore, together with a radical reform from curative services
towards a health promoting health agenda, is crucial.

Author Biography

Noordeen Shoqirat, Mutah University

Noordeen Shoqirat PhD MSc BSc RGN Neuro.SN

Faculty of Nursing

Head of Fundamental and adult Health Nursing

Mutah University

Karak

PO:BOX: 7

 

References

Alborz, A, Wilkin, D and Smith, K. (2002). Are primary care

groups and trusts consulting local communities? Health and

Social Care in the Community. 10, (1), 20-27.

Tips dan kiat hidup sehat avalaible at: http://tipsdankiathidupsehat.blogspot.com

Microsystems in health care: Part 5. How leaders are

leading. Jt Comm J Qual and Safety, 29(6). 297-308.

Benton, D .(2000). Ground theory in the research process

in nursing (4 th ed). Oxford: Cormack-Blackwell science.

Berry, L .(2004). Is image important angles, battle sex,

handmaiden and sex kitten. Nursing Standard. 18, (23), 14-

Casey, D (2007). Nurses' perceptions, understanding and

experiences of health promotion. Journal of Clinical

Nursing. 16, (6):1039-1049.

Chikanda, A. (2005). Nurse migration from Zimbabwe:

analysis of recent trends and impacts. Nursing Inquiry; 12:

–174.

Cross, (2005). Accident and emergency nurses’ attitudes

towards health promotion. Journal of Advanced Nursing.

, (5), 474-483.

Daiski, I. (2004). Issues and innovations in nursing practice:

Changing nurses’ dis-empowering relationship patterns.

Journal of Advanced Nursing. 48(1), 43-50.

Davidson, A and Machin, T. (2003). Health visiting older

people-just a luxury? Community Practitioners. 76, (6),

-226.

Davis, S.M.(1995). An investigation into nurses’

understanding of health education and health promotion

within a neuro-rehabilitation setting. Journal of Advanced

Nursing. (21), 951-959.

Dovlo, D. (2005). Wastage in the health workforce: some

perspectives from African countries. Human Resources for

Health , 3. (6 ) 3-6.

Ewles L and Simnett (2004) Promoting health: a practical

guide.(5thed). Toronto: Bailliere Tindall. Fletcher k. (2007).

Image: changing how women nurses think about themselves.

Literature review. Journal of Advanced Nursing, 58(3),207-

Gharaibeh, M and Al-Ma’aitah, R and Al Jada, N (2005).

Lifestyle practices of Jordanian pregnant women.

International Nursing Review. 52. 92-100.

Groene, O, Jorgensen, S, Fugleholm, A, Moller, L and Gracia-Barbero, M . (2005). Health promotion in hospitalsa

strategy to improve quality in health care. Journal of Public

Health. 15, (1), 6-8.

Haddad L and Kane D, Rajacich D and Cameron, S. (2004).

A comparison of health practices of Canadian and Jordanian

nursing students. Public Health Nursing. 2, (1), 85-90.

Haddad, L and Unlauf, L. (1998). Views of health promotion

among primary health care nurses and midwifes in Jordan.

Health Care for Women International. 19, 515-528.

Hallam J. (1998). From angels to handmaidens: changing

constructions of nursing’s public image in post-war Britain.

Nursing Inquiry. 5, 32-42.

Hillemeier M, Lynch J, Harper S and Casper, M. (2003).

Measuring contextual characteristics for community health.

Health Services Research. 38:6, 1645- 1701.

Irvine, F, (2007). Examining the correspondence of

theoretical and real interpretations of health promotion.

Journal of Clinical Nursing. 16, (3), 593- 602.

Irvine, F. (2005). Exploring district nursing competences in

health promotion: The use of the Delphi techniques.

Journal of Clinical Nursing. 14, 965-975.

Kalish,J(2000). The image of nursing: evolution and

revolution:http://www:nursing.umich.edu/stti/news/Kalish.ht

m [accessed on September 8th]

Kingma, M . (2001). Nursing migration: global treasure hunt

or disaster- in the making. Nursing Inquiry. 8, (4), 205-212.

Latter, S (1998). Editorial-Nursing health education and

health promotion. Lesson learned, progress made and

challenges ahead. Health Education Research. 13, 1-5.

Lusk B. (2000) Pretty and powerless: nurses in

advertisements, 1030–. 1950. Research in Nursing and

Health 23,pp. 229–236.

MacDonald, F. (2000). A new evidence framework for

health promotion practice. Health Education Journal 59, 3-

Maidwell, A. (1996). The role of the surgical nurse as a

health promoter. British Journal of Nursing. 5, (15), 898-

McBride, A (2004).Health promotion in the acute hospital

setting: the receptivity of adult in patients. Patient Education

Counseling. 54, (1), 73-8.

McBride, A. (1994). Health promotion in hospitals: the

attitudes, beliefs and practices of hospital nurses. Journal of

Advanced Nursing. 20, 92-100.

Mclennan, V and Khavarpour, F (2004). Culturally

appropriate health promotion: its meaning and application in

Aboriginal communities. Health Promotion Journal of

Australia. 15, (3), 237-239.

Morgan, D. (1997). The focus group guideline book.

Thousand Oaks: Sage Company.

Mrayyan,, M T . (2005).Nurse job satisfaction and retention:

comparing public to private hospitals ion Jordan. Journal of

Nursing Management. 13, 40-50.

Naidoo, J and Wills, J. (1998) Practicing health promotion:

Dilemmas and Challenges. London: Bailliere Tindall.

Nawafleh, H, Francis, K and Chapman, Y. (2005). The

influence of HIV/AIDS on the practice of primary care

nurses in Jordan: rhetoric and reality. International Journal

of Nursing Practice. 11:200-205.

Oweis, A (2005). Bridging the professional challenges for

nursing in Jordan to light. International Journal of Nursing

Practice. 11, 244-249.

Phillips, P. (2002). The rising cost of health care: can

demand be reduced through more effective health

promotion? Journal of Evaluation in Clinical Practice. 8, (4),

-419.

Piper, S and Brown, P (1998). Psychology as a theoretical

foundation for health education in nursing: empowerment

or social control. Nurse Education Today. 18, 637-641.

Robinsons, S and Hill, Y (1995). Miracles take a little longer,

project 2000 and health promoting nurses. International

Journal of Nursing Studies. 32, (6), 368-579.

Ross, S, Polsky, D, Sochalski, J and Faan, R (2005). Nursing

shortage and international nurse migration. International

Nursing Review. 52,253-262.

Runciman, P, Watson, H , McIntosh, J and Tolson, D .

(2006). Community nurses’ health promotion work with

older people. Journal of Advanced Nursing. 55, (1), 46-57.

Seago J.A., Spetz J., Alvarado A., Keane D and Grumbach K.

(2006). The nursing shortage: is it really about image?

Journal of Healthcare Management 51(2), 96- 110.

Seedhouse, D. (2004). Health promotion: Philosophy,

prejudice and practice. (Second edition). West Sussex: John

Wiley and Sons, Ltd.

Shoqirat, N (2009). The role of Jordanian hospital in

promoting patients’ health. PhD theses. Queen Margaret

University.

Shuriquie, M, While, A and Fitzpatrick (2007). the

development of role adequacy for professional nurses in

Jordan. International Nursing Review 54, 144-150.

Sinivaara, M, Suominen, T, Routasalo, P and Hupli, M.

(2005). How delivery ward staff exercise power over

women in communication. Journal of Advanced Nursing. 46,

(1), 33-41.

Smith, P, Masterson, A and Smith, S l (1999). Health

promotion versus disease and care: failure to establish

“blissful clarity†in British nurse education and practice.

Social Science and Medicine 48, 227-239.

Smith, P, Masterson, A and Lask, S (1995,a). Health and the

curriculum: An Illuminative Evaluation- Part 1-

Methodology. Nurse Education Today. 15,317- 322.

Takase, M, Kershaw, E and Burt, L (2001). Nurseenvironment

misfit and nursing practice. Journal of

Advanced Nursing. 35, (6), 819- 826.

Tengland. A (2006) The goals of health work: Quality of life,

health and welfare. Medicine, Health Care and Philosophy 9,

(2), 155-167.

Tengland. A (2007) Empowerment: A goal or a means for

health promotion?. Medicine, Health Care and Philosophy

:2, 197-207.

Tones, K and Green, J. (2004). Health promotion: Planning

and Strategies. London: SAGE Publications.

Tucker, K, Wakefield, A, Boggis, C, Lawson, M, Trudie, R

and Gooch, J (2003). Learning together: clinical skills

teaching for medical and nursing students. Medical

Education. 37, 630- 637.

Tumulty G (2001) Professional development of nursing in

Saudi Arabia. Journal of Nursing Scholarship, 33, 285-292.

Uddin, I. (2001). Prevention of health promotion in the

hospital setting- programme development. International

Journal of Health Promotion and Education. 39, (2), 40-43.

Wahlstrom, O, Sanden, I and Hammer, M. (1997).

Multiprofessional education in the medical curriculum.

Medical Education. 31, 425-429.

Webster C and French J (2002) The cycle of conflict: the

history of the public health and health promotion

movements. In Adams L, Amos M & Munro J eds.

Promoting Health: Politics and Practice. London: Sage

Publications. Pp. 5–12.

Wellings, K and MacDowall, W (2000). Evaluating mass

media approaches to health promotion: a review of

methods. Health Education, 100, (1), 23-32.

Whitehead D. (2000) Using mass media within health

promotion: a nursing perspective. Journal of Advanced

Nursing. 32, (4), 807 – 816.

Whitehead D. (2002) The health promotional role of a preregistration

student cohort in the UK: a grounded-theory

study. Nurse Education in Practice 2, 197- 207.

Whitehead D. (2009). Reconciling the differences between

health promotion in nursing and 'general' health promotion.

International journal of nursing studies. Jun;46(6):865-74

Whitehead, D (2004). Health promotion and health

education: advancing the concepts. Journal of Advanced

Nursing, 47(3), 311-320.

Whitehead, D, Yonghuan, W, Wang, J, Zhang, Z, Sun, Z and

Xie, C. (2008). Health promotion and health education

practice: nurses’ perceptions. Journal of Advanced Nursing.

, (2),181-187.

Whitehead, D. (2001) Health education, behavioural change

and social psychology: nursing's contribution to health

promotion?. Journal of Advanced Nursing 34(6), 822-832.

Whitehead, D. (2003). Health promotion and health

education viewed as symbiotic paradigms: bridging the

theory and practice gap between them. Journal of Clinical

Nursing, 12, 796-805.

Whitehead, D. (2005). Health promoting hospitals: the role

and function of nursing. Journal of clinical Nursing. 14, 20-

Whitehead, D. (2011). Health promotion in nursing: A

Derridean discourse analysis. Health Promotion

International, 26(1), 117-127.

WHO (1986). Ottawa Charter for health promotion.

Ontario: Canadian Public Health.

WHO. (1991). The Budapest of the declaration of health

promoting hospitals. Copenhagen: WHO office.

WHO. (1997). The Vienna recommendations on health

promoting hospitals. Copenhagen. WHO office.

WHO. (1998). Regional health for target.

http://www.who.int/en/. [accessed on July 6th 2008].

Zelek, B and Phillips, P (2003). Gender and power: nurses

and doctors in Canada.

International Journal for Equity in Health. (2).

Http://www.equityhealth.com/content/2/1/1.[accessed on

th September2007].

Published
2012-07-01
Section
Medical Surgical Nursing