This article discusses the importance of a conceptual framework for nurses involved in advanced practicing roles, due to their dynamic multidisciplinary functions. It highlights the conceptual framework of a health promotion model, in relation to the role of an advanced practicing nurse.
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Running head: CONCEPTUAL FRAMEWORK OF HEALTH PROMOTION CONCEPTUAL FRAMEWORK FOR HEALTH PROMOTION Name of the Student: Name of the University: Author note:
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1CONCEPTUAL FRAMEWORK FOR HEALTH PROMOTION Introduction The role of an advanced practicing nurse, demands various responsibilities, without limiting merely to the disease treatment of the concerned patient. The advanced practicing nurse, is involved in a variety of essential roles like diagnosis of disease, formulation of prescriptions, communicating with the patient’s families as well as engaging in recent medical research (Swan et al., 2015). Hence, the need for the hour is to develop a conceptual framework for nurses involved in advanced practicing roles, due to their dynamic multidisciplinary functions. The following paragraphs highlight the conceptual framework of a health promotion model, in relation to the role of an advanced practicing nurse. Importance and identification of a conceptual nursing framework The usage of a conceptual theoretical framework is imperative to the field of nursing. With the help of a framework, nurses aiming to engage in advanced practicing roles, obtain a clear idea of the key concepts and theories that they are required to apply practically, from their curriculum to real life medical settings (Bryant-Lukosius et al., 2016). As opined by the World Health Organization, the principles of ‘Health Promotion’ is based upon enhancing an individual’s participation in the control, regulation and improvement of their health, with associated mediating functioning at societal as well as environmental platforms (Lindström, 2018). Hence, it is of utmost importance to establish a conceptual framework of health promotion, keeping in the mind the dynamic multidisciplinary role of the advanced practicing nurse.
2CONCEPTUAL FRAMEWORK FOR HEALTH PROMOTION Value of conceptual framework for advanced nursing The advanced practicing nurse is increasingly undertaking interdisciplinary roles, beyond merely alleviation of somatic symptoms of the patients. Advanced practicing nurses are now entrusted with a variety of multiple functions such as providing consultation to patients as well families, assessing the patient’s health status on various functional and developmental levels as well as collaborating with clinicians in the diagnosis and prescription of medications to patients (Heale & Buckley, 2015). Hence, concerning the dynamic roles of today’s advanced practicing nurse, the value of development of a conceptual framework is immense in order to clearly define the roles of advanced practicing nurses, in not just disease prevention, but also in the multidisciplinary roles of counseling, diagnosis, researching, evaluating and follow up of the patient, both at individual, as well as at the community levels. Health Promotion: The Metaparadigm Concept Patient/Client With respect to the conceptual framework of the health promotion model, the advance nurse should aim to conduct health promotion activities, not only through obtaining extensive patient case histories for treatment of the same at the psychosocial, developmental and functional platforms, maintenance of records of patients, evaluation of the patients reception to the treatment plan, along with provision of patient consulting services and counseling of the concerned families. (Swan et al., 2015). There is also a need for the advanced practice nurse to conduct extensibe research in order to conduct adequate diagnosis (Lucchini et al., 2017).
3CONCEPTUAL FRAMEWORK FOR HEALTH PROMOTION Health With respect to health promotion, advanced practicing nurses should target to administer and transmit sufficient healthcare and treatment functionalities, beyond merely alleviation of somatic symptoms, by considering the psychosocial, developmental and functional aspects of the health of the patient. The advance nurse should also aim to conduct health promotion activities through provision of adequate diagnosis and medication, evaluation of the patient as well as aiming to conduct adequate follow up and counseling practices at the individual as well as community level, for greater health promotion (Andrew et al., 2014). Nursing With respect to successful conductance of activities based on health promotion, advanced practicing nurses should strive to ensure provision of quality health care services beyond the individual, institutional or community platforms, to emerge into the inclusion of ensuring a healthy treatment of the population globally. Advanced practicing nurses should also conduct adequate health promotion activities consisting of equity and recognition of diversity, through the inclusion of economically unprivileged groups, such as indigenous aborigines, groups living in remote areas or deprived populations, without any sense of discrimination. The advanced practicing nurses should also aim to conduct nursing health promotion, by providing consultation to additional staff and subordinate nurses (Melnyk et al., 2014). Environment The advanced practicing nurse can perform health promotion activities, through usage of ‘faith community nursing’ principles. These include, consideration of the familial and cultural backgrounds, economic conditions, nature of the surrounding population in which the patient is residing, as well as the technological and social advancements present in the vicinity of the
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4CONCEPTUAL FRAMEWORK FOR HEALTH PROMOTION concerned patient. The advanced nurse should hence, consider the implementation of a holistic treatment plan for the patient as well as the community for the purpose of disease eradication considering cultural and ethnical backgrounds (Kimbrell & Powers, 2016). Conclusion Today’s advanced practicing nurse, is required to conduct health promotion activities beyond merely the alleviation of patient somatic symptoms (Swan et al., 2015). Health promotion activities conducted by the advanced practicing nurses, will now require assessing patients at various psychological, social, developmental and functional platforms, along with consideration of the diagnosis of the patient keeping in mind the response exhibited in accordance to the treatment procedures (Heale & Buckley, 2015). Hence, the need of the hour, is to further clearly define the scope and activities of the advanced practicing nurses, which would further result in the development of clarified theoretical frameworks, as well as the enhance health promotion.
5CONCEPTUAL FRAMEWORK FOR HEALTH PROMOTION References Andrew Scanlon, D. N. P., Denise Hibbert, R. G. N., Freda DeKeyser Ganz PhD, R. N., Linda East PhD, R. N., & Debbie Fraser MN, R. N. (2014). Addressing issues impacting advanced nursing practice worldwide.Online Journal of Issues in Nursing,19(2), 1. DOI: 10.3912/OJIN.Vol19No02Man05 Bryant‐Lukosius, D., Spichiger, E., Martin, J., Stoll, H., Kellerhals, S. D., Fliedner, M., ... & Schwendimann, R. (2016). Framework for evaluating the impact of advanced practice nursing roles.Journal of Nursing Scholarship,48(2), 201-209. Retrieved from: https://doi.org/10.1111/jnu.12199 Heale, R., & Rieck Buckley, C. (2015). An international perspective of advanced practice nursing regulation.International nursing review,62(3), 421-429. Retrieved from: https://doi.org/10.1111/inr.12193 Kimbrell, J. D., & Powers, C. (2016). Can Faith Community Nurses Successfully Teach Parishioners About Advance Health Care Planning?.International Journal of Faith Community Nursing,2(2),27.Retrievedfrom:https://digitalcommons.wku.edu/cgi/ viewcontent.cgi?article=1025&context=ijfcn Lindström, B. (2018). Workshop salutogenesis and the future of health promotion and public health.Scandinavian journal of public health,46(20_suppl), 94-98. Retrieved from: http://journals.sagepub.com/doi/pdf/10.1177/1403494817743902 Lucchini, R. G., Hashim, D., Acquilla, S., Basanets, A., Bertazzi, P. A., Bushmanov, A., ... & Luft, B. J. (2017). A comparative assessment of major international disasters: the need
6CONCEPTUAL FRAMEWORK FOR HEALTH PROMOTION for exposure assessment, systematic emergency preparedness, and lifetime health care.BMC public health,17(1), 46. DOI 10.1186/s12889-016-3939-3 Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E. (2014). The establishment of evidence‐based practice competencies for practicing registered nurses and advanced practice nurses in real‐world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs.Worldviews on Evidence ‐ Based Nursing,11(1), 5-15. Retrieved from: https://sigmapubs.onlinelibrary.wiley.com/doi/epdf/10.1111/wvn.12021 Swan, M., Ferguson, S., Chang, A., Larson, E., & Smaldone, A. (2015). Quality of primary care by advanced practice nurses: a systematic review.International Journal for Quality in Health Care,27(5), 396-404. doi: 10.1093/intqhc/mzv054