Moving Towards a Culture of Health

Sharon A. Denham, PhD, RN, CNE

Professor, Houston J. & Florence A. Doswell Endowed Chair in Nursing for Teaching Excellence
Texas Woman's University, College of Nursing

HOW DO WE BUILD
BRIDGES?

CULTURE OF HEALTH
(ROBERT WOOD JOHNSON FOUNDATION)

How can diverse societies lead healthier lives?

Need to move beyond disjointed care services,
the bricks and mortar, & medical offices
Health is more that medicine, it is influenced by
income, education, ethnicity, & where people live
Health is about places where family members
live, work, learn, play & pray

CULTURE OF HEALTH
(ROBERT WOOD JOHNSON FOUNDATION)

MEDICINE

Medical
Technologies
Pharmacology
Treatments
Screenings
Diagnosis

HEALTH

Prevention
Health Promotion
Versus

Wellness
Normal Routines
Evidence - based
practice

The Choluteca River

HEALTH CARE IS NOT HEALTH

Health Care

Diagnosis

Treatment

In America, only 10% of physicians

practice in rural areas, but nearly 25%
of the population live there.

HEALTH
Health
Family
Health
Routines

Household
& Community
Factors

The Future of Nursing, Leading Change,

Advancing Health (IOM Report, 2010)
Nurses should practice to the full extent of their
education and training.
Nurses should achieve higher levels of education
and training through an improved education system
that promotes seamless academic progression.
Nurses should be full partners, with physicians and
other health care professionals, in redesigning health
care in the United States.
Effective workforce planning and policy making
require better data collection and information
infrastructure.
-

The Future of Nursing, Leading Change,

Advancing Health (IOM Report, 2010)

Prepare and enable nurses to lead

change to advance health (i.e., ensure
that leadership positions are available to and filled
by nurses)

Family Health

DISRUPTIVE INNOVATION

SMART PHONE

-DISRUPTIVE INNOVATIONPowerful computer - Astounding technology in our pockets

Calculator, watch, alarm, digital or video camera, radio, music
streamer, voice recorder, messaging system, game machines,
flashlight, photo album, maps, GPS, notepad, shopping list,
magazines, newspapers, books, or drug references.
Translates languages, receives weather updates, access web,
answers questions, international synchronous video connector
(FaceTime, SKYPE)
Make phone calls
Can facilitate medical care, contain personal electronic health
records, and use body sensors and maintain health action or
inaction records

DIFFUSION OF INNOVATION

Family & Community Health

WE ARE AT THE CORNER OF:

WHY CHANGE? & GOOD ENOUGH!

What Do Consumers Want?

FAMILY CARE

See Individual - Think Family

Think Family Household

NURSING EDUCATION
INNOVATION
Active Learning
Role Development
Communication Skills
Technical Skills
Fully engage patients & families
during acute care
Ways to Support & Educate Families
Family, Community & Population
Health

Critical Thinking
Always Events
Family - Focused Care for All
Individuals
Complexity of care concerns
People touching people
Ways to Support & Educate Families
Social Determinants of Health
Care Costs - Ethics, Policy, Advocacy

NURSING PRACTICE
INNOVATION
Family Matters - Family
Households
Connect with Communities Telehealth
Cultural Sensitivity

Interprofessional Teamwork
Differentiated Role
Management
Recruit & Educate
Community Health Workers
Advocacy

Intentional Family - Focused

Nursing Practice
Collaborative Practice Across
All Types of Settings

Collaborative plans for

change
Health promotion