Editorial Ofce, WHO-CC • Clinical Health Promotion Centre • Health Science, Lund University, Sweden
Copyright © Clinical Health Promotion - Research and Best Practice for patients, staf and community, 2021
Research and Best Practice
Volume 11 | Issue 1 www.clinhealthpromot.org
Editorial Ofce, WHO-CC • Clinical Health Promotion Centre • Health Science, Lund University, Sweden
Copyright © Clinical Health Promotion - Research and Best Practice for patients, staf and community, 2021
C
L
I
N
I
C
A
L
H
E
A
L
T
H
P
R
O
M
O
T
I
O
N
s
t
a
ff
c
o
m
p
e
t
e
n
c
i
e
s
e
v
i
d
e
n
c
e
p
a
�
e
n
t
p
r
e
f
e
r
e
n
c
e
s
Clin Health Promot 2021;11:16-36
1 Bern University of Applied
Sciences, Department of He-
alth Professions, Applied
Research & Development in
Nursing, Bern, Switzerland
2 Maastricht University, Cap-
hri - School for Public Health
and Primary Care, Depart-
ment of Family Medicine and
Department of Health Ser-
vices Research, Maastricht,
Netherlands
About the
08 March 2020
09 February 2021
26 February 2021
Submited:
Accepted:
Published online:
doi.org/10.29102/clinhp.21004
Abstract
Background Nursing homes in many countries contnue to follow a traditonal medical model of care. This study explored
health promoton approaches in the nursing home setng, partly in order to move away from a medical model and to improve
the well-being of residents and staf.
Method A scoping study was conducted to review the scientfc literature. The Integrated Model of Populaton Health and
Health Promoton was adapted for utlizaton with the literature analysis.
Results A total of 64 publicatons met the inclusion criteria and were analysed. Five main approaches were shown to have ap-
plied health promoton in nursing homes, although gaps were present in the usage of systematcally applied health promoton.
Conclusion A variety of approaches do exist for the nursing home setng which apply health promoton; however, their usage
is fragmented. This study revealed that a framework designed to support nursing homes in the systematc usage of health pro-
moton, could improve the well-being for both residents and staf.
Contact:
Tannys Helfer
tannys.helfer@bfh.ch
Tannys Helfer
1
, Kathrin Sommerhalder
1
, Jos M.G.A. Schols
2
, Sabine Hahn
1
A Scoping Review of Health Promoton
in the Nursing Home Setng
Background
Globally, the population is aging at a ra-
pid rate. According to Katz, “In 2000
there were 600 million older persons,
triple the number of just 50 years earli-
er. By 2050 there will be 2 billion older
adults” (1). Therefore, the well-being of
older persons, including those residing
in nursing homes (NHs), has become an
common aim in health care systems of
many countries, (2). Nevertheless, NHs
in many westernized countries continue
to follow or adapt a traditional medical
model of care, which typically focuses
on patient regimes, treating illness. and
top-down decision making. NHs domina-
ted by a medical model are more likely at
risk of compromising basic human rights
and liberties, such as the resident’s entit-
lement to independence, participation,
care, self-fulfllment, and dignity (3).
The NH setting is complex and requi-
res skilled and engaged workers. NH
residents are often afected by multiple
health challenges, particularly chronic
diseases and/or cognitive difculties,
which frequently include dementia (4).
In particular, well educated and experi-
enced registered nurses and NH mana-
gers play a crucial role in the assurance of
quality and safety for both the residents
and other staf groups. Emphasis on the
importance of their leadership qualities
is increasing, as this afects the workpla-
ce environment and the health of nursing
staf (5).
New and complementary approaches are
necessary which meet the needs of both
the residents and the nursing staf. He-
alth promotion (HP), could potentially
ofer such an approach and thereby as-
sist in improving the well-being of the
NH residents and nursing staf. There
are fundamental, key concepts which
guide the planning and implementation
of HP. These include the Ottawa Char-
ter, which recommends the following HP
action strategies: developing personal
skills, creating supportive environments,
strengthening community action, reori-
enting health services and building he-
althy public policy (6). Also included are
the Social Determinants of Health, which
are the social factors that afect peoples’
health. According to Harris & Grootjans
(7), the most important external infuen-
cing factors afecting the health of older
persons in the NH environment include
governance, the physical environment
February | 2021 | Page 16
AUTHORS