Effective Nursing Interventions in Health Promotion Health Care Education VIP Day 21.8.2017
Astana, Kazakstan Hanna Naakka Manager, Global Education Kaisa Seppälä, Development Manager School of Wellbeing, Häme University of Applied Sciences (HAMK)
Health Promotion (as defined by WHO) • Enables people to increase control over their own health. • Benefits and protects individual people's health and quality of life • Addresses and prevents the root causes of ill health • Not just focusing on treatment and cure.
Health Promotion as a Corner Stone of Finnish Health Services • Covers the whole population • Easily accessible: • Virtual services: e.g myHealth, on line - appointments, on line Health Village- services • Appointments: e.g walk-in clinics, integrated family health services, practice nurse clinisc • Strong impact: Research based evaluation e.g National Institute for Health and Welfare • Cost efficient: e.g salary costs nurse versus physician, short interventions
Health Promotion as a Corner Stone of Finnish Nurse Education Health promotion and guidance & teaching is one of the national nursing competencies Nurses promote healthy lifestyles and client's self-care by using various health promotion interventions Nurses have a significant role as health promoters
Examples on Health Promotion as a part of Health Services in Finland Number of health appointments for families with children under school age in Finland:
Appointments with
Nurse/PHN
Physician
Multiprofessional team (extensive health assessment appointment)
12
2
3 (4 months, 18 months, 4 yrs
• Appointments in health centers: 11 million in 2015, of which 5,6 million Physicians' appointments • In 2016 the most common reason for an appointment with a Nurse in a health center was Health Promotion: 500 000 appointments. This number increases significantly when appointments with Public Health Nurses are included. Public Health Nurses are especially focusing on preventive care in health services.
Core Aspects of Health Promotion in Nursing Health Policy Service structure Health Promotion Interventions and Tools Continuous Nurse– Client Relationship
Aims of the Client
MINI Intervention as an Effective Intervention example: Method: • Collaborative client centered councelling model to motivate a client to reduce alcohol consumption • Includes 1-4 short appoinments with nurse Results: • According to Institute of Occupational Health 60 000 Finns would benefit from MINI intervention
Motivational Interview as an Effective Intervention example: Method: • Collaborative client centered councelling style to strengthen motivation for change of health behaviour • Used in e.g dietary modification, weight reduction, exercise planning and smoking cessation
Key concepts: 1. Collaboration 2. Drawing out client's ideas about the change of his live habbits 3. Autonomy of the client Results: • 49 % of expectant mothers who smoked, quit smoking during pregnancy.
Effective Tools used in Health Promotion Eatwell Plate:
EXAMPLES OF OTHER TOOLS: Everyday resources for families expecting their first child Everyday resources for families with a newborn baby EDPS: Edinburgh postnatal depression scale
Weekly Physical Activity Pie:
Health Promotion Education: What KFEIG Consortium has to offer • • • •
Bachelor's degree in Nursing and Public Health Nursing Master's degree in Health Care Continuing education Tailored Master Classes e.g: • Multiprofessional Family Care • Patient safety in Nursing • Infection control and nursing care of patients with infectious illnesses
• Capacity building projects • Innovative pedagogical solutions
List of References
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Finnish Institute of Occupational Health https://www.ttl.fi/en/
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Kaikkonen, R; Mäki, P; Hakulinen-Viitanen, T; Markkula, J; Wikström, K; Ovaskainen M-L, Virtanen S, Laatikainen T 2012 Lasten ja lapsiperheiden terveys- ja hyvinvointierot (Only Abstract in English) https://www.thl.fi/documents/10531/95751/Raportti%202012%2016.pdf
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Kaljunen, Pelkonen M, Hakulinen-Viitanen T 2010 A questionnaire for identifying the factors that strengthen and burden parents expecting their firs child
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Khoury. J., Luoto.R et alEffect of diet and physical activity based interventions in pregnancy gestational weihgt gain and pregnancy outcomes: metaanalysis of participant data from randomised trials http://www.bmj.com/content/358/bmj.j3119
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Luoto R, Kinnunen TI, Aittasalo M & al. 2017 Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta-analysis of individual participant data from randomi 14.8.2017
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National Institution for Health and Welfare https://www.thl.fi/en/web/health-promotion 14.8.2017
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http://www.julkari.fi/bitstream/handle/10024/131497/Tk14_2016_2.pdf?sequence=3
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https://www.julkari.fi/bitstream/handle/10024/132297/Tr08_17.pdf?sequence=1
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Paananen R Ristikari T Merikukka M, Rämö A,Gissler M Children’s and youth’s well-being in light of The 1987 Finnish Birth Cohortstudy
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http://www.julkari.fi/bitstream/handle/10024/102984/Paananen%20et%20al.%201987%20report%20english%20161213.pdf?sequence=3
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Tilastoraportti 8/2017. Perusterveydenhuollon avosairaanhoidon vastaanoton asiakkaiden käyntisyyt vuosina 2015–2016. https://www.julkari.fi/bitstream/handle/10024/132297/Tr08_17.pdf?sequence=1
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Perinatal statistics Parturients, Deliveries and Newborns 2015 http://www.julkari.fi/bitstream/handle/10024/131259/Tr_16_2016.pdf?sequence=1
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https://www.paihdelinkki.fi/en/tests/alcohol/comprehensive-test-alcohol-use
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Tuominen, M 2016 Do families benefit from the integration of the maternity. University of Turku, Faculty of Medicine, Public Health, Annales Universitatis Turkuensis, Scripta Lingua Fennica Edita, Ser. C, Turku 2016. (Only abstract in English) https://www.doria.fi/bitstream/handle/10024/125185/AnnalesC426Tuominen.pdf?sequence
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UKK Institute http://www.ukkinstituutti.fi/en
The Kazakhstan-Finnish Education and Innovation Group, KFEIG – is the Consortium of four Finnish educational institutions: Häme University of Applied Sciences (HAMK), JAMK University of Applied Sciences, Lahti University of Applied Sciences (LAMK) and Tampere Adult Education Centre (TAKK).
The KFEIG Consortium focuses on training professionals in response to labor market needs and on conducting research and development. The Consortium provides Bachelor’s and Master’s level degree education, open studies, continuing education, competence-based vocational secondary education and consultation services.