• Subject Name : Nursing

Diabetes Mellitus Influenza Rheumatic Heart Disease

One of the chronic diseases which affect many people in the world is diabetes mellitus. It could be better handled if nurses would help in supporting diabetic patients. Nurses play a very significant role in public health promotions. They can help to focus towards the prevention of diseases and changing attitude and behaviour of the people towards the patient. Health promotion could improve the quality of care which is given to the patients. It could also reduce the signs and symptoms of severe diseases which will in turn benefit the health of the patients. Health promotion performed by nurses could give multiple positive outcomes (Kemppainen, Tossavainen & Turunen, 2013). Thus, it could be said that health promotion by nurses could help in delivering quality care to diabetic patients. 

Strengthen Community Action

Makers of the policy and guidelines aim towards strengthening community actions and primary care so that the high quality of care could be provided to the diabetes mellitus patients. The process of improving community actions could be well supported by the use of nurses who works in healthcare settings and with diabetes patients. Diabetes patients are suffering from a serious health problem which involves emergency and long term care. With that, the patient becomes dependent on the use of insulin. Diabetes could also affect the mental well-being of the patient. Therefore, it is necessary that the nurse helps in empowering the patient so that they can take control of their situation. This will help in strengthening of community. This could be done if the nurse would not only be confined until the hospital setting and would also help the patient in the outside world (Nikitara et al., 2019). The nurse could also help by improving the clinical outcomes and by reducing wrong or inappropriate referrals. The nurse could also facilitate by decreasing outpatient attendance. In addition to that, nurses could also educate the patients about their disease and the ways by which they can self-manage the situation. They could also merge self-management techniques with a model of proactive care management. With that, the nurse could also help the diabetic patient in decision-making for the promotion of their well-being. The nurse could furthermore make appropriate discharge plans. With that, the nurse could see whether the patient is receiving proper care or not (Nikitara et al., 2019; Nikitara et al., 2020). Thus, by taking all these actions nurse would deliver appropriate care to the patient which would increase his health outcomes and thus would strengthen the community.

Develop Personal Skills

Developing personal skills of the patients who are suffering from diabetes mellitus includes enabling individuals to learn about their condition and the disease. It also involves preparing them for future stages that they will have to face in their disease. Nurses play an important role in imparting this education to diseased individuals. They make patients capable to cope with their chronic disease. Nurses need to make them feel more in control by informing and educating them (Agide & Shakibazadeh, 2018). Nurses could do that by telling them the importance of exercise and correct diet. They could also tell them what kind of food is appropriate for their condition and how they can themselves modify their situations according to their needs. The nurse could help them develop skills by letting the patient know about self-management techniques and strategies. The nurse could also tell the patients about managing their blood glucose level and how could they monitor that daily. With that, the nurse could also tell how crucial the medication for the patient is and that they should administer it on right time (Agide & Shakibazadeh, 2018). In addition to that, the nurse could impart some good problem-solving skills to the diseased patient. They can also help in the reduction of risky behaviours which are showcased by the patients (Nikitara et al., 2019; Arabiat, AL Jabery & Whitehead, 2020). All these practices if undertaken by the nurse would increase the personal skills of the diabetic patient and would improve his quality of life.

Create a Supportive Environment

The supportive environment could be created by nurses so that they can improve the experience of diabetic patients. This could be done by creating and running prevention programs by the nurses that could help the patients with altered conditions that might increase the risk associated with diabetes. Nurses could inform the patient about smoking linked problems and their usefulness of doing exercise and taking a correct diet which has fruits and vegetables. Nurses could also represent themselves as public health representatives so that they can impart the knowledge of diabetes among the community people. This would help in creating a positive environment for diabetic patients and more awareness about their conditions and the challenges that they have to face. By doing so, nurses could create some strategies so that the living conditions of the patient could be made better (Agide & Shakibazadeh, 2018). With that nurse could also tackle the unhealthy lifestyles of the patient. The nurse could therefore impact the determinants of health especially social and local connections and in turn improve the mental and physical wellbeing of the patient (Sidawi, Alhariri & Albaker, 2014; Sidawi & Al-Hariri, 2015). Thus, it could be said that nurses could enhance the people knowledge about diabetes and could implement strategies that would create a positive environment around the diabetic patient which will improve the quality of life of the patient.

Reorient Health Services

Nurses have the responsibility to promote the health of diabetic patients in health services and among different healthcare professionals and the groups that are formed in the community. Nurses should collaborate with the members of the community, healthcare professionals and with the government in order to contribute towards diabetic patients health pursuits. The health sector should play an important part in exceeding health promotions for individuals who are suffering from diabetes. Nurses should also provide services that are outside their curative and clinical services (Agide & Shakibazadeh, 2018). They should also look into the patient welfare from the grass root levels so that they can understand the issues that are faced by patients. By doing so, nurses could find solutions to problems which are experienced by the patients. Nurses could also support the care of diabetic patients by respecting their cultural desires. They could also open pathways between social, economic, political, physical components and healthcare sector. In addition to that, nurses could also lead changes in the organization and attitude of everyone towards diabetic patients. They could also help in paying attention towards research in the field of diabetes mellitus (Agide & Shakibazadeh, 2018). In the study, it was also founded that participation of nurses in healthcare promotion is positively linked with the practice of health behaviour. Thus, it can be said that workplace promotion of health by nurses is needed for the better care of diabetic patients (Chiou, Chiang, Huang & Chien, 2014; Abdolkarimy et al., 2017).

Building Public Health Policy

Nurses could play a very important role in building health policy for diabetic patients. They could help in balancing the quick response to the issue that is faced by patients of diabetes mellitus. They can help by the effective partnership and by building relationships to support the patients. Nurses could also facilitate in building capacity in the community so as to aid diabetic patients. They could also focus on making decisions which are practice-based. With that, nurses could provide changes in management styles and lifestyles of the patients suffering from diabetes mellitus. They could evaluate the promotion of health strategies and could report about the potential risks and harm to the patients (Agide & Shakibazadeh, 2018). Nurses could build public policy by providing education about the patient’s need and their requirements by collaborating with government and other interprofessional people (Hassmiller, 2014). They could also make use of models and can demands changes in the health system so that they can undergo alterations and transformations. They could also advocate for prevention and promotion of health to reduce the health disparities of diabetic patients in local, state and national levels (Hassmiller, 2014; Kub, Kulbok, Miner & Merrill et al., 2017).

Conclusion on Health Promotion by Nurses

In the end, it could be said that nurses could help patients who are suffering from diabetes in various ways. They can strengthen community actions by improving clinical results and reducing incorrect referrals. They could also help the patients in self-manage their condition. Nurses could help in developing personal skills by educating the patients and letting them know how they can monitor and balance their blood glucose levels in their body. They could also aid patients in coping with their current situations. Nurses could also create a supportive environment for diabetic patients by improving their mental and physical well-being. They could also reorient health services by collaborating with community members, other healthcare practitioners and the government. In addition to that, nurses could build public health policy by quickening the response towards the issues and problems faced by the patients of diabetes mellitus. They could also advocate for the health prevention of these patients and can facilitate in narrowing the health disparities at every level.

References for Health Promotion by Nurses

Abdolkarimy, M., Zareipour, M., Mahmoodi, H., Dashti, S., Faryabi, R., & Movahed, E. (2017). Health promoting behaviors and their relationship with self-efficacy of health workers. Iran Journal of Nursing30(105), 68-79. 10.29252/ijn.30.105.68

Agide, F. D., & Shakibazadeh, E. (2018). contextualizing Ottawa charter frameworks for type 2 diabetes prevention: A professional perspective as a review. Ethiopian Journal of Health Sciences28(3), 355–364. https://doi.org/10.4314/ejhs.v28i3.14

Arabiat, D., AL Jabery, M., & Whitehead, L. (2020). A concept analysis of psychological distress in parents related to diabetes management in children and adolescents. Journal for Specialists in Pediatric Nursing, e12287.

Chiou, S. T., Chiang, J. H., Huang, N., & Chien, L. Y. (2014). Health behaviors and participation in health promotion activities among hospital staff: Which occupational group performs better?. BMC Health Services Research14(1), 474. https://doi.org/10.1186/1472-6963-14-474

Hassmiller, S. B. (2014). Leveraging public health nursing to build a culture of health. American Journal of Preventive Medicine47(5), S391-S392. http://doi.org/10.1016/j.amepre.2014.07.027

Kemppainen, V., Tossavainen, K., & Turunen, H. (2013). Nurses' roles in health promotion practice: An integrative review. Health Promotion International28(4), 490-501. https://doi.org/10.1093/heapro/das034

Kub, J. E., Kulbok, P. A., Miner, S., & Merrill, J. A. (2017). Increasing the capacity of public health nursing to strengthen the public health infrastructure and to promote and protect the health of communities and populations. Nursing Outlook65(5), 661-664. http://doi.org/10.1016/j.outlook.2017.08.009

Nikitara, M., Constantinou, C. S., Andreou, E., & Diomidous, M. (2019). The role of nurses and the facilitators and barriers in diabetes care: A mixed methods systematic literature review. Behavioral Sciences (Basel, Switzerland)9(6), 61. https://doi.org/10.3390/bs9060061

Nikitara, M., Constantinou, C. S., Andreou, E., Latzourakis, E., & Diomidous, M. (2020). views of people with diabetes regarding their experiences of the facilitators and barriers in type 1 diabetes inpatient care: An interpretative phenomenological analysis. Behavioral Sciences10(8), 120. https://doi.org/10.3390/bs10080120

Sidawi, B., & Al-Hariri, M. T. (2015). The importance of healthy and sustainable built environments for vulnerable groups of population. Built Environment Journal (BEJ)12(2), 24-32.

Sidawi, B., Alhariri, M. T., & Albaker, W. I. (2014). Creating a healthy built environment for diabetic patients: The case study of the eastern province of the Kingdom of Saudi Arabia. Global Journal of Health Science6(4), 136–147. https://doi.org/10.5539/gjhs.v6n4p136

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