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Community Health and Wellness

Community Health and Wellness

Anne McMurray | Jill Clendon

(2011)

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Book Details

Abstract

A new edition of the esteemed nursing text exploring social, cultural and political issues affecting individual and community health

What makes a healthy community? And how can nurses and midwives support community health and wellbeing?

In Community Health and Wellness, 4th Edition: Primary health care in practice, authors Anne McMurray and Jill Clendon advance the discussion of health as a product of the interaction between people and their environment.

Engagingly written and based on extensive research, this valuable nursing textbook is ideal for nursing students as well as those working in the field.

Issues such a gender and cultural inclusiveness provide essential backdrops to evidence-based policy, research and the provision of equitable health care for all.

The Miller Family case study

This new edition of Community Health and Wellness features a common family case study running throughout the text.

The Miller family crosses Australia and New Zealand; providing examples of primary health care issues in both countries.

These include child health services, accessing care, adolescent health, contemporary family issues, ageing, cultural support and inclusive health care.

• global insights with a focus on primary health care practice in Australia and New Zealand
• promotion of community health care across the lifespan
• a unique socio-ecological approach to community health
• the Ottawa Charter, the Jakarta Declaration and the Bangkok Charter are included as contemporary health promotion guidelines for practice
• extensive references providing current, specific source information
• an emphasis on health literacy, intervention and health promotion
• an evolving case study in each chapter, with links to reflective activities
• a focus on learning outcomes to facilitate the integration of policy, research and practice
• exploration of Australian and New Zealand nursing and midwifery roles in primary health care practice
• strong pedagogy to increase engagement and emphasise key community health issues
• reflective exercises and action points encouraging readers to consider key issues, their implications and next steps
• research studies exemplifying each chapter’s central theme and promoting evidence-based practice

Table of Contents

Section Title Page Action Price
Front Cover\r Cover
Dedication ii
Community Health and Wellness\r iii
Copyright\r iv
Contents v
About the authors xv
Preface xvii
Acknowledgements xix
Reviewers xix
Section 1 Healthy people, healthy places\r 1
Chapter 1 - Health as a socio-ecological concept 5
Introduction 5
What is health? 7
Health and wellness 7
Defining ‘community’ and ‘community health’ 9
Community health and wellness 9
Social determinants of health 11
The role of communities in intergenerational health 13
Social capital 14
Sustainable community health 15
Community development: Helping communities change 16
Research to practice 20
References 24
Useful websites 27
Chapter 2 - Primary health care: principles and practices 28
Introduction 28
Clarification of terms 29
Public health, population health and primary health care: a brief history 32
PHC and the social gradient 34
PHC and the health promotion charters 34
PHC principles 36
Accessibility: a case of equity and social justice 36
Appropriate technology 37
Increased emphasis on health promotion 39
Health education 40
Cultural sensitivity, cultural safety 41
Intersectoral collaboration 42
Public participation 43
Community health promotion: The Ottawa Charter for Health Promotion 44
Implications for community health promotion 46
References 49
Useful websites 52
Chapter 3 - Promoting health in an era of globalisation 53
Introduction 53
Globalisation 53
The pros and cons of globalisation 55
Globalisation as a health promotion variable 57
Health promotion strategies for global health 58
Building the evidence base: the population approach 62
The global burden of disease project 63
The epidemiology of health and ill health 64
Social epidemiology 66
Healthy cities 68
The Healthy Cities Movement 69
Health promotion planning: diarrhoea and dirt to community activism 69
Community-wide health promotion and the ‘new health education’ 70
Community assessment: health planning for the enabling community 72
Helping people change 76
References 80
Useful websites 82
Chapter 4 - Enabling health and wellness: practice roles and models of care 83
Introduction 83
The role of nurses and midwives in promoting social justice 83
Nurse practitioners and advanced practice: Models of practice 85
Experiences in the UK: Public health, population health and role development 87
Primary health care roles: Specialist or generalist? 89
Practice nursing: Australia 90
Practice And primary health care nursing: New Zealand 91
Managing chronic conditions in the community 92
Child health nursing practice 94
School health nursing 95
Rural and remote area nursing practice 99
Paramedic practice in the community 102
Community mental health nursing practice 103
Occupational health nursing 105
Collaborative models of nursing and midwifery in the community 108
References 111
Useful websites 118
Section 2 Sustainable health for the family and the individual\r 120
Chapter 5 - Healthy families 123
Introduction 123
The family, community and society 123
Defining the family 125
Family functions 125
Family developmental pathways 126
Changing families, changing partners, changing roles 127
Fertility, child bearing and population trends 130
Families and work 131
Couple relationships 136
Healthy couples, healthy families: communication and resilience 138
Marriage, separation, divorce and parenting 140
Violence in the family 144
Migrant families and health 147
Families dealing with illness 148
Rural families 151
Family life in the 21st century 152
Building healthy public policy 153
Creating supportive environments 156
Strengthening community action 157
Developing personal skills 159
Reorienting health services 160
Section 3 Inclusive communities and societies \r 298
Chapter 10 - Health and gender: healthy women, healthy men 301
Introduction 301
Inequality, social exclusion and gender 302
Empowerment 303
Women’s health issues 304
Women and social disadvantage 307
Intimate partner violence and empowerment 308
Men’s health issues 310
Men’s lifestyles and health 311
Men’s health risks 312
Masculinity, behaviour and the men’s health movement 313
The need for men’s and women’s health policies 314
Men, women and intimacy 314
Gender issues among sexually diverse populations 315
Gendering society: goals for the health of men and women 316
Building healthy public policy 317
Creating supportive environments 318
Strengthening community action 319
Developing personal skills 320
Reorienting health services 321
References 324
Useful websites 328
Chapter 11 - Cultural inclusiveness: safe cultures, healthy Indigenous people 329
Introduction 329
Culture and health 330
Culture conflict 331
Cultural safety 332
Multiculturalism 333
Ethnocentrism to racism 333
Aboriginality, culture and health 335
The health of Indigenous people throughout the world 338
The health of Australian Indigenous people 339
The health of New Zealand Māori 341
Behavioural risk factors 342
Mental health and healing 343
Injury and family violence 345
Addressing the problems through healing and empowerment 346
Building capacity and social capital 346
Goals for Indigenous health 348
Building healthy public policy 348
Creating supportive environments 351
Strengthening community action 352
Developing personal skills 353
Reorienting health services 355
References 358
Useful websites 362
Chapter 12 - Building the evidence base: research to practice 363
Introduction 363
Global community health research 364
Social determinants of health and the research agenda 366
Conducting research for policy and practice 367
Researching the community: paradigms and strategies 375
Researching culture 377
Researching the future 381
Getting started: from research question to solution 384
References 388
Useful websites 391
Chapter 13 - Inclusive policies, equitable health care systems 392
Introduction 392
Politics, policy-making and health care 393
Health services policies and the social determinants of health 395
Policy-making and primary health care 396
Policy action at the national level: think global, act local 397
The need for policy integration: lessons from mental health 397
The New Zealand health care system 400
The Australian health care system 403
Health care: building a better system 407
Best practice in health care systems 408
Concluding comments 409
References 411
Useful websites 413
Appendix A - Symbols used in a genogram\r 417
Appendix B - Jakarta declaration on leading healthpromotion into the 21st century 419
Appendix C - People’s health charter 421
Appendix D - The bangkok charter for health promotion in a globalized world 429
Appendix E - Chart for community assessment\r 433
Appendix F - Transforming Australia for our children’s future: making prevention work\r 435
Appendix G - HEEADSSS assessment tool for use with adolescents\r 439
Appendix H ECOMAP\r 443
Index 444