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Re-orienting healthcare for healthy living communities: A qualitative exploration of nursing students utilising the salutogenic theory for community health practice
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore (SGP).ORCID iD: 0000-0002-6048-2190
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore (SGP).ORCID iD: 0000-0003-3217-1835
University West, Department of Health Sciences, Section for health promotion and care sciences. (LOV)ORCID iD: 0000-0002-3452-3761
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore (SGP).
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2022 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 119, article id 105545Article in journal (Refereed) Published
Abstract [en]

Background

Salutogenesis is a resource-oriented approach that focuses on health creation. With the shift in focus from healthcare to health, there is a need to develop salutogenic inquiry and capacity of future nurses to promote good health and well-being in the community.

Objective

This study explored nursing students' perspectives on utilising the salutogenic theory in the community for health promotion, including the scope, perceived benefits, and challenges of theory application.

Design

A qualitative study using framework analysis.

Setting

A tertiary institution in Singapore.

Participants

Nursing students who were taught the salutogenic theory for ‘Healthy Community Living’ module.

Methods

Data were gathered from four focus group discussions (n = 18) and 32 students' written assignments. They were analysed based on five components of knowledge framework.

Results

Four themes were identified: re-orienting healthcare for healthy living communities; ambivalent learning experiences; attracting early adopters of salutogenic paradigm; and practices for positive health development in complex systems: future directions. Findings reflected the value, versatility, and usefulness of introducing the salutogenic paradigm into the curriculum of healthcare education. Practical know-hows of applying the theory in community practice and development of health intervention were elicited.

Conclusion

Much work is needed to future-proof the next generation of nurses in embracing and unifying the concept of salutogenic science into the existing pathogenic-driven care model. The real challenge would be the continual support of nursing education and health system to provide salutogenic care in the community.

Place, publisher, year, edition, pages
Elsevier, 2022. Vol. 119, article id 105545
Keywords [en]
Nursing education, Community practice, Health promotion, Theory application, Salutogenesis, Sense of coherence, Qualitative study
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-19149DOI: 10.1016/j.nedt.2022.105545ISI: 000864471100005Scopus ID: 2-s2.0-85138516941OAI: oai:DiVA.org:hv-19149DiVA, id: diva2:1696488
Available from: 2022-09-16 Created: 2022-09-16 Last updated: 2024-04-09Bibliographically approved

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Eriksson, Monica

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