Moving Towards a Culture of Health

Moving Towards a Culture of HealthSharon A. Denham, PhD, RN, CNEProfessor, Houston J. & Florence A. Doswell Endowed Chair in Nursing for Teaching ExcellenceTexas 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 officesHealth is more that medicine, it is influenced by income, education, ethnicity, & where people liveHealth is about places where family members live, work, learn, play & prayCulture of Health(Robert Wood Johnson Foundation)Medical TechnologiesPharmacologyTreatmentsScreeningsDiagnosisPreventionHealth PromotionWellnessNormal RoutinesEvidence - based practiceVersusMEDICINEHEALTH

The Choluteca RiverHonduras, gift from Japan - 1998 Hurricane Mitch - 75 of rain in four days

Roads on either end of bridge vanishedHealth CARE is Not Health

Health CareDiagnosisTreatmentIn America, only 10% of physicians practice in rural areas, but nearly 25% of the population live there.Health

HealthFamily Health RoutinesHousehold& Community FactorsThe 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 Innovation-Powerful computer - Astounding technology in our pocketsCalculator, 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 CareSee Individual - Think Family

Think Family Household

Roads on either end of bridge vanished

NURSING Education InnovationActive Learning Role Development Communication SkillsTechnical SkillsFully engage patients & families during acute careWays to Support & Educate FamiliesFamily, Community & Population HealthCritical Thinking Always EventsFamily - Focused Care for All IndividualsComplexity of care concernsPeople touching peopleWays to Support & Educate FamiliesSocial Determinants of HealthCare Costs - Ethics, Policy, Advocacy

Family Matters - Family HouseholdsConnect with Communities - TelehealthCultural SensitivityIntentional Family - Focused Nursing PracticeCollaborative Practice Across All Types of SettingsNursing Practice InnovationInterprofessional TeamworkDifferentiated Role ManagementRecruit & Educate Community Health WorkersAdvocacyCollaborative plans for changeHealth promotion