Health Promotion in Nursing: Child Obesity Interventions

wellness packaging in Nursing infant obesity InterventionsThis essay leave seek the experience, skills and attitudes defends need for wellness progression.In the last decade wellness forward motion has been a hearty part of wellness policy in the UK (Piper, 2009). For illustrate the Department of Health (DOH) policies Choosing Health (DOH, 2004) and Better In formation, Better Choices, Better Health (DOH, 2007), some(prenominal) highlight health advance as a main concern in health service (Piper, 2009). think abouts give up a meaning(a) part in reducing the effect of disease, promoting health and function (RCN, 2012). The NMC (2008) states that health progression is a refer aspect of the nursing profession and bingle they be required to undertake in practise. Health advance is a procedure which helps people to enhance their health and have a bun in the oven control over it (WHO, 1985). Tones (1987) describes health furtherance as any strategic measure whic h help health or averts illness, disability and pre-mature death.Health advancement aims to enhance ones skills and abilities in order to take action, and in the volume of a group or community to work mutu anyy to place control over determinants of health and attain verificatory change (WHO, 1978). Health promotion is essential in tiddler nursing as anything which affects a untestedsters health during fryhood may have an effect on adulthood (Moyse, 2009). In order to provide useful health promotion nurses essential have the correct skills, knowledge and attitudes (Cole, 2008). Having the right knowledge, skills and attitude stomachs nurses to implement successful health promotion, consequently devising a positive effect on the patients life, health and offbeat (Cole Porter, 2008).Child nurses hark backing public health argon working to ease up opportunities for nipperren to live positive healthy lives, by influencing public policies and via health promotion (RCN, 20 07). However to ensure this nurses need knowledge (Risjord, 2011). For example having knowledge on various health conditions is full of life for nurses, as they spend a signifi providet amount of time with service users, thus nurses are usually the prototypal source for information when service users want find out more or slight a certain health condition (Risjord, 2011). In congenator to tackling churl corpulency nurses exit need knowledge about corpulency to bear out successful health promotion (Bagchi, 2010). Grimmet et al (2010) found that parents and churlren each have inadequate or no knowledge on obesity and the severity of it. This suggests that there is lack of certifiedness on small fry obesity. Moyse states that nurses must offer guidance and lifestyle education each time they are in contact with service users. Working with the childs family is critical as it ordain allow nurses to range mis correspondences families have about exercise, aliment consumpti on, and health matters (Moyse, 2009).This shows knowledge is spanking when delivering health promotion as nurses trick help both child and parent come to terms with health takingss via education and advice. Having knowledge on health epidemiology will be live for nurses in health promotion as if offers a depiction of rate of flow health conditions amid children thus highlighting areas which require priority. Currently in the UK 33% of boys and 30% of girls aged 2-15 years are obese (Health Survey for England, 2012). Since 1995-2006 the obesity rate has increased from 14% to 25% for boys and from 15% to 27% for girls. Obesity rates in boys aged 2-10 increased from 11% in 1995 to 17% in 2006 and girls 10% in girls to 12% in 2006 (Health Survey for England, 2012). creation aware of the prevalence and incidence of child obesity will allow nurses to detect preventative approaches, monitor secular trends and allow nurses to recognise groups at risk (Naidoo Willis, 2009).Nurses ne ed to have knowledge about a childs psychological, social, physical and intellectual growing. The Children Act (2004) states this as an obligation for all child practitioners involved in childrens health, protection and welfare. Being aware of child development is a signifi rear endt step towards determineing what establishes childrens public assistance, safety and promoting and maintaining well universe (DOH, 2012). This ensures that holistic keeping is given to the child as it considers all aspects of childs health. In parity to childhood obesity child development is a vital aspect when delivering health promotion as it will help the nurse to identify how the childs development is moved(p) due to obesity and the implications caused by it, but some importantly it allows the nurse to identify how this croupe be altered to improve the childs health (reference).Having evidence based knowledge is vital in health promotion, the NMC (2008) states that nurses must use evidence based practise to deliver fantabulous wield and to ensure patient of necessity are met. In singing to child obesity nurses can acquire evidence based knowledge about obesity by reviewing literature this will offer understanding of key research, initiatives, interventions, and policy which are all key in implementing mission for obese children(Porter Cole, 2008).Having knowledge on health promotion theories and models will be beneficial for nurses as they underpin the application of health promotion. Theory can help implement health promotion in various shipway (Nutbeam Harris, 2010). Models and theories offer a better understanding of health problem being addressed. They as well explain the need and motivations of the target population and offer suggestions in how to alter health status, health behaviour and their detriments. Health promotion models and theories also offer approaches and measures utilised to monitor the programmes and problems (Nutbeam Harris, 2010). In relation to child obesity nurses may use the nursing process, which has the following stages assessment, diagnosis, curriculumning, instruction execution and evaluation. For instance the child will be assessed to identify childs health needs as basis for care implementation.For the diagnosis the childs incubus and height may be measured, this will allow the nurse to identify if the child is obese by comparing the results to the national body potentiometer index percentile, for children. Nurses may also have a consultation with parents to identify what may be contributing to child being obese. For planning nurses may devise a care plan for the child consisting of planned actions which are suitable for childs needs i.e. regular exercise, balance fast or decreasing calorie intake to a sensible amount. For the implementation stage nurses will help the child to implement actions from the care plan e.g. food diary to help reduce calorie intake to recommended amount, load-bearing(a) the chil d and family to do 30 minutes of exercise per day or increasing healthier food choices. For the evaluation stage the nurse and child or family, will assess if the interventions were effective and if not how actions can be improved to ensure patients needs are met.Nurses need knowledge on health inequalities as the UK government has identified health inequalities as a key public health issue (DOH, 2013). Child obesity can be considered as a health inequality, as the National Child Measurement Programme, found high obesity rates amid 5 and 12 year olds were linked to increased socio economic deprivation (NCMP, 2010). The well-in make Lives Healthy People policy (DOH, 2010) aims to reduce health inequalities and increase opportunities by offer various run for both family and children. The policy stresses the significance of giving children a healthy start in life, it sets goals for the Healthy Child Programme, health visitors, and the Family Nurse Partnership and demonstrates how th is contributes to the public health priority of promoting good health and wellbeing (DOH, 2010).Nurses play a key role in this policy by improving health and opportunities for children and young people via health promoting initiatives. For instance it aims to rig child obesity by educating parents on healthy eating, and exercise. To achieve this nurses will need knowledge on the factors of health inequalities and health promotion methods which can be utilised to aid children and their parents to avert infirmity, injury and mortality (Moyse, 2009).Skills in that location is a vast range of skills used in health promotion to tackle public health issues. One of them is having the skill to collaborate with others. Brammer, (2007) states that effective support for families and children cannot be attained by a sole agency. thereof nurses must cooperate with others when delivering health promotion, to meet childs needs. The DOH, states that NHS stave collaborate with each other in effect ive teams and that confederation is vital in implementing care to patients (DOH, 2006). Acheson suggests that in order to help people trine independent lives inter-professional collaborationism is required to encourage public agencies to adapt services to individuals needs and to promote choice along with independence (Acheson, 1999).In relation child obesity nurses can collaborate with others to tackle environmental challenges, as its an area where nurses have less input. The environment consists of physical, cultural, social and economic environment which are needed for one to catch up with lifestyle modifications (Davis, 2007).Via inter-professional collaboration within multidisciplinary team or with agencies for example with nutritionists, schools, religious representatives, fitness and blank centres and community food personnel environment barriers can be tackled (Mosytn, 2005). Family stopping point and social life can be modified by cause the family to embrace a health ier lifestyle, hence resulting in a positive environment for modification (Davis, 2007).Having communications skills is crucial in health promotion (Webb, 2011). Wills et al (2007) found that nurses had to recognise how individuals acquire information, how information is exchanged effectively, how individuals make choices regarding their health and understand the way in which communities alter. In relation to child obesity, communicating with parents creates cornerstone of intervention to address the issue of child being obese. When communication is carried out correctly the foundation for working in partnership with obese children and their family can be formed and nurtured (Mikhailovich Morrison, 2007).Having the skill to deliver family centred care is a key aspect in health promotion, as families have a crucial part in ensuring the health and well-being of children and young people (Moyse, 2009). The National Service Framework (DOH, 2004) has guidelines which emphasis on health promotion and assisting families with education and resources from birth to adulthood. The guidelines ask for high quality care to promote and safeguard children and young people.By implementing family centred care nurses allow the formation of partnership with the childs family in the pursuit of being gentle to the priorities and necessities of the family and child (Bowden Greenberg, 2011). Family centred care beneficial in delivery of health promotion as it improves care, allows successful distribution of resources, and satisfies both family and patient (Bowden Greenberg, 2011). In relation to child obesity optimal care is delivered by adopting family centred care, where care and advice is offered to both family and child to allow concordance.Having the skill to empower patients is vital, Tones Tilford (2001) argue that empowerment is most crucial feature of health promotion. In relation to child obesity empowering the young person to manage their health while satisfying their needs is vital. Empowerment has been recognised as key concept in advance healthy eating and exercise (Cochran, 2008).AttitudesTo achieve effective health promotion nurses must encompass health promoting attitudes and demonstrate respect for all patients.Empathy is a crucial attitude in health promotion, McQueen (2005) states that empathy refers to being able to understand the patients behaviour and feelings. Malloch (2001) suggests that empathy forms trust and allows care to be negotiated, implemented and evaluated efficiently. The NMC, (2008) also states nurses need to be able deliver care with empathy. In relation to child obesity empathy is a key attitude as the DOH (2010) states that nurses must be empathetic with families when dealing with sensitive issue like child obesity.Being compassionate is vital when delivering health promotion as the DOH (2010) states that compassion forms the basis of care via through relationships formed on respect, dignity and empathy.Being non-ju dgmental is vital in health promotion, as the NMC (2008) states that care must be given in a universal, non-judgmental, change and sensitive manner that avoids assumptions.Being a motivational is a key attitude nurses will require as it helps patients feel confident, thus making a desired health action more achievable Fisher, (2013). Harter suggests that patients will be motivated when they perceive themselves as being confident only if one feels they are not capable of fulfilling an action they are less likely to do it. Thus having a motivational attitude is vital as it increases patients self-esteem and prompts patients to take action on their health.ConclusionThis essay has explored why nurses need skills, knowledge and attitude to deliver health promotion and how this can be used to tackle child obesity.