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Title: The unrecognized role : hospital-based nurses' experiences of health promotion
Author: Du, Juan
ISNI:       0000 0004 6425 3605
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 2014
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The interest of this thesis lies in examining hospital-based nurses' experiences of health promotion by enquiring into what they understand by the term and what their practice of it is. The research begins with a questionnaire survey in order to describe the nurses' attitudes, the health promotion activities they took part in and the influencing factors. The sample for the survey, all from one NHS hospital in Scotland, was a group of 244 nurses (47% response rate) from both medical and surgical wards in the hospital. Semi-structured interviews with 16 nurses were recorded to gather further data on the nurses' insights into their role in health promotion in the hospital. Role theory was employed to orient this study to analyse the nurses' role expectations, their behavioural patterns, and the environment of hospital nursing relevant to health promotion. The data were analysed using quantitative and qualitative methods as appropriate. The study finds that there is a distinct discrepancy between the nurses' role expectations and the actual experiences described in the nurses' accounts. The health promotion role as understood by the nurses appeared to be too theoretical and rhetorical to fit with their current practice of it. The finding also reveals that the health promotion role was composed of divergent patterns within nursing practice although the nurses were not aware of this. The discussion of this phenomenon focuses on three issues: the nurses' experiences of the discrepancy between the expected role and the actual practice, the relation between health promotion and nursing, and the duality of the health promotion role. These analyses are, in varying degrees, all concerned with the idealized and the actual of the health promotion role and what and how each of them impacts on nurses' experiences of health promotion in hospital. It suggests that health promotion is much more sophisticatedly interconnected with nursing in hospital than has been recognized. Ignoring the existence of the actual health promotion role, a radical shift in ideology and policy of health promotion may never be a good solution for expanding the nursing role since this may result in a distorted role expectation and in unnecessary emotional cost to nurses in hospital.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available