Promoting Hospital Patientsâ€™ Health in Jordan: Rhetoric and Reality of Nursesâ€™ Roles
AbstractBackground: Hospital nurses are urged to promote patientsâ€™ health, but little is known about their role in
health promotion in general and, specifically, no Jordanian study was found that examines such a role. Objective:
this paper is a report of a study to understand and explore hospital nursesâ€™ roles in heath promotion.
Population: Surgical and medical nurses in a large Jordanian teaching hospital.
Methods: A case study design using a multiple method triangulation strategy was used. Hospital nursesâ€™ roles in
health promotion were examined using focus group discussions, non-participant observations, interviews, semistructured
questionnaires and documentary analysis.
Results: Generally, hospital nursesâ€™ views towards their role in health promotion were positive. However, their
perceived role and actual practice of health promotion were largely restricted to individualised information
giving and behavioural change approaches. Diverse factors contributed to this situation. These included lack of
time, shortage of nursing staff, lack of knowledge in heath promotion, a power imbalance between doctors and
nurses, low public image of nursing and gender issues related to nursing. The way hospital nursesâ€™ role in health
promotion is currently perceived and operationalised in practice in Jordan is inconsistent with recent health
promotion ideas operating at the level of empowerment and political actions.
Conclusion: Addressing the identified barriers therefore, together with a radical reform from curative services
towards a health promoting health agenda, is crucial.
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