Course Catalogue

Title of the Module: HPC201 Health Promotion and Health Counseling

 

Programme:  Bachelor of Science in Nursing and Midwifery

 

Level: Year 2, Semester 2

 

The Credit Value: 12 credits (T=100hrs. L=15hrs. P=20hrs) Module Leader: Ugyen Wangdi

Module Tutor(s): Kinley Gyeltshen

 

 

This module consists of two units:

Unit I: Health Promotion: 8C (T= 70 hrs. L= 15hrs. P=0 hr.) Unit II: Health Counseling:4C (T=30 hrs. L=0 hrs, P=20 hrs)

 

 

General Objectives

This module aims to assist students to enhance and build knowledge, skills and attitude on health promotion and counseling. The module will provide theories, principles framework and practice of health promotion and counseling which intends to develop attitudes and values that support and reinforce healthy behaviors both at individuals and community.

The knowledge and skills gained can be applied in their day-to-day activities to restore and promote health, prevent disease and communicate effectively.

 

 

Learning Outcomes:

Unit I. Health Promotion

At the end of the unit the students will be able to:

  1. Describe the concepts, principles and evolution of health promotion
  2. Define the terminologies used in health promotion.
  3. Identify roles and responsibilities of nurses in health promotion activities
  4. Determine the scope of health promotion approaches and strategies in nursing practice.
  5. Discuss the determinants of health and consider the role of health promotion in mitigating their influence on health
  6. Discuss the  concepts,  values,  principles  and  scope  of  community  participation  and community involvement.
  7. Explain the concepts, principles and strategies of health promoting settings
  8. Discuss the concepts and principles of health education and empowerment.
  9. Apply health education  principles  and strategies in conducting individuals and  group sessions
  10. Describe the principles and strategies of health communication
  11. Demonstrate skills of effective communication in delivering health information, education and health care services
  12. Explain theories related to behavior change

 

 

  1. Discuss the strengths and limitations of health promotion theories
  2. Identify health need assessment and prioritize

 

 

Unit 2: Health Counseling

Upon completion of the module the students will be able to:

  1. Explain concepts and principles of health counseling in patient care focusing on psycho- social educational approach.
  2. Engage in basic skills for an effective health counseling session.
  3. Conduct effective and culturally sensitive interviewing and counseling.
  4. Analyze with considerable precision your own natural style of helping/supporting and its impact on clients.
  5. Demonstrate basic skills in a decisional interview, solution-oriented sessions, a person- centered interview and behavioral assertiveness-training sessions of patient care.
  6. Integrate ethical and multicultural issues in the practice of health counseling.
  7. Compare health education and health counseling.

 

 

Skills to be developed: Unit I

  • Conduct health education sessions
  • Demonstrate health communication skills
  • Carryout health needs assessment and priority settings
  • Plan and evaluate health promotion program

Unit II

  • Health Counseling: cognitive skill - critical thinking and decision making skills

Teaching Learning Approach:

  • Lecture
  • Group work
  • Assignment
  • Group discussions
  • Project work and presentation
  • Role play
  • Case study

 

 

Assessment

100

Unit I

 

Ongoing summative

40

·    Assignment

10%

·    Presentation

10%

·    Group work

10%

·    Class test

10%

 

 

Summative                                                      60

  • Final examination

 

 

Pre-requisite Knowledge

Resources required: LCD Monitor, chart paper, flip chart, white board, marker pen

 

 

Subject matter of the module

 

Session

(hrs)

 

Topic

 

Methods of T/L

 

Remarks

Unit I: Health Promotion

 

 

 

 

 

1(3 hrs)

Health and Health Promotion Concepts:

·    Definitions     of     health     and     health promotion.

·    Health Mandela

·    Terminologies used in health  promotion

Lecture

Discussion

Do brainstorming

sessions

Discuss various concepts and definitions of health and health promotion

 

 

 

 

 

 

 

 

2(5 hrs)

Key    Historical    Milestones    of    Health

Promotion:

Emergence of health promotion.

Timeline: Beginnings till now.

The    key    strategies    of    various    health promotion Declaration and Charters:

·    Alma-Ata Declaration

·    Ottawa Charter

·    Jakarta Declaration

·    Bangkok Charter

·    Nairobi      Conference      on      health promotion

 

Lecture Discussion Group works

Exercise: Working on key health promotion

Conferences and

Declarations

 

 

 

 

 

 

 

 

 

3(5 hrs)

Health        Promotion        Models        and

Frameworks: Models:

·  Biomedical model

·  Behaviour change model

·  Educational model

·  Empowerment model

·  Social change model

Health promotion frameworks:

·  Levels of health determinants (upstream, midstream, downstream)

·  Ice-berg model of health determinants

·  Building     a     framework     for     health promotion

 

Lecture Discussion Group works Assignment

Exercise:

Working on

different models of health promotion

 

Reframing health promotion

     

 

 

 

 

 

4(5 hrs)

National Health Promotion Strategies:

·    Mission

·    Vision

·    Strategies

Lecture           and

discussion

 

 

 

 

 

5(5 hrs)

Understanding the Determinants of Health

·    The determinants of health

·    Biological determinants of health

·    Environmental determinants of health

·    Social determinants of health

·    Recognizing and responding to the social determinants of health

Brainstorming

sessions Lecture Discussion Group work Assignment

Exercise:

Group activities

on how to recognize and address health determinants

 

 

 

 

 

 

6(5 hrs)

Community            Participation            and

Empowerment for Health:

·  The     Concepts     and     Principles     of

Community Participation and involvement

·  Importance     of     community     capacity building and empowerment

·  The      community      development      and mobilization approaches

·  Building alliances and coalition for health development

 

Lecture Discussion Group works Assignment

 

Group work on how to empower community and people’s participation

 

 

 

 

7(6 hrs)

Health Promoting Settings:

·  The concepts, and principles of promoting healthy settings

·  Elements of health promoting settings.

·  Advantages  of  health  promoting  settings approach.

Lecture

Discussion Group works Assignment

 

 

 

 

 

 

 

 

 

 

8(20 hrs)

Health Education

·  Concepts,  principles  and  scope  of  health education

·  Review learning theories

·  Process of learning

·  Methods of health teaching

·  Development      of      health      education tools/materials and their uses

·  Application     and     process     of     health education

·  Planning and conducting health education session.

·  Practice health teaching

·  Audio-visual aids- types and selection

 

Lecture Brainstorming sessions Discussion Group works Assignment

Health education

Exercise:

Practicing health

education sessions.

 

Developing health education plan

 

Design health education A/V Aids

 

 

 

9(8 hrs)

Health Communication

·  Definition,  concepts,  principles  of  health communication

·  Elements and channels of communication

·  Methods of communication

Lecture

Brainstorming sessions Discussion Group works Assignment

Exercise:

Developing

effective communication in health education

130

 

 

 

 

·  Types of communication

·  Barriers of communication

·  Effective   communication   (review   from counseling)

Case studies

 

 

 

 

 

10(6 hrs)

Theories Related to behavior change

·  Health belief model;

·  Theories  of  reasoned  action  and  planned behavior;

·  The   transtheoretical   (stage   of   change)

model;

·  Behavior change theories at interpersonal and community level

Lecture

Brainstorming sessions Discussion Group works Assignment Case studies

Case presentation

Exercise:

Working on each

theories for their relevancy in health promotion activity

 

 

 

11(10hrs)

Health Need Assessment

·  Problem definition: Need assessment

·  Gathering data for specific issue

·  Priority setting

·  Design aims and objectives

Lecture

Discussion

 

Unit II: Counseling

1(6 hrs)

Orientation to health counseling

·  Definition of terms

·  Counseling and health counseling,

·  Different types of counseling

·    Counseling with families

·    Counseling with children

·    Individual and group counseling.

Counseling as a process

Psycho-    social    education    as    a    health counseling process

Lecture, Role play,

groups discussions

 

2(6 hrs)

Behaviors and theories of counseling

Understanding behavior

Changes in behaviour

·  Natural change

·  Planned change

·  Readiness to change

Helping people to lead healthier lives.

·    Using force

·    Giving information

·    discussion/Participating

Theories      of      counseling      (theoretical

Approaches to counseling)

·    Psychoanalytic theory Freud        Neo.

Freudian

·    Self theory (Carl Rogers)

·    Trait theory (Williamson)

·    Field theory (Gestalt )

·    Behaviouristic learning theory

Lecture, discussions,

guest speakers, self study

 

      

 

131

 

 

 

 

·    Current approach

·   Developmental counseling

·   Reality counseling

·   Rational emotive therapy

 

 

3(6

hrs.)

Values and attitudes of counseling

Counselor values and attitudes.

Thoughts and feelings

·    Knowledge,

·    Beliefs,

·    Attitudes

·    Values

People who are important to us.

Resources

·    Time

·    Money

·    Culture

Kinds   of   questions   counsellors   may   ask themselves.

Requirements of a good counselor. Feel secure and at ease

Focus the discussion

Important    values    and    attitude    of    a counselor

·  Maintenance of confidentiality

·  Positive regard

·  Acceptance

·  Empathy

·  Self determination

·  Understanding grief,

·  Mobilizing of resources

Culture & Tradition

·    Culturally sensitive counselor

·    Cultural attitudes towards Illness

·    Cultural attitude towards health

·    Culturally determined  rituals  for  death  +

cultural sources for healing.

·    Cultural attitude towards prevention.

Social   norms   and   Practices   influencing sexuality and Infections.

Lecture, Role Plays,

discussions

 

4(6 hrs)

Effective counseling skills and techniques

Qualities of a good counselor

·    Positive regard/ respect for people

·    Open,    non    judgmental/high    level    of acceptance

·    Carrying/empathetic

·    Self awareness/discipline

Lecture, guest speaker,

field visits to VCT and

HISC,

 

 

132

 

 

 

 

·    Knowledge/informed

·    Actually sensitive

·    Patient/good listener

·    Confidentiality maintenance.

·    Objective/clarity.

Different kinds of techniques and barriers of successful counseling

Effective feedback

Verbal skills

Non-verbal skills R-relax, O-open and approachable,  L-Learn  towards  client,  E- eye contact, S-smile

·    Active attending or listening

·    Reflection of feeling

·    Questioning

·    Para-phrasing

·    Interpretation

·    Repeating

·    Summarising

·    Confrontation

·    Respecting

·    Role plays and skills to be practice

·    Active listening

·    Reflection of feelings

·    Questioning

·    Paraphrasing and interpretation

 

 

5(10 hrs)

Guidelines on talking about sensitive topics

·    Ask direct question

·    Explain clearly

·    Establish reasons

·    Anticipate      a      certain      degree      of embarrassment

What makes people change behaviours

·    The physical element

·    The emotional element

·    The rational element

·    Effect of family community and nation

Lecture and guest

speaker

Laboratory

 

6(10 hrs)

Pre and Post counseling

Lecture, role plays,

discussions

 

7(6 hrs)

Problem solving counseling

·  Problem solving approach–its advantages.

·  What the counselor has to do.

·  What problem recognitions – varied ways.

Crisis counseling

Lecture, role plays,

discussions

 

8(6 hrs)

Application  of  counseling  to  clients  with

health problems:

 

 

 

133

 

 

 

 

·    STIs/HIV

·    Chronic Illnesses/problems

·    Injuries

·    Gender based violence

Case study

 

9(20hrs)

Practicum

Hospital and VCTC

centers , case study presentations

 

 

Reading List:

Unit I: Health promotion

Main Text:

Ewles,   L.   &Simnett,   I.   (2010).   Promoting   health:   A   practical   guide.   (7th     Eds.).

Edinburgh:BailliereTindall.

Nutbeam, D. & Harris, E. (2004). Theories in a Nutshell.A practical guide to healthpromotion theories.(2nd Ed.). Sydney: McGrawhill.

Additional Readings:

Wass, A. (2000). Promoting Health: The Primary Health Care Approach. (2nd Eds.).Philadelphia: Saunders.

WHO (1986).Ottawa charter for health promotion.

Park, K. (2012). Essentials of community health Nursing. (6th Eds.).Jabalpur, BanarsidasBhanot.

 

 

Unit II: Counseling

Main Text:

Burnard, P. (2005). Counseling Skills for Health Professionals Fourth Edition. Nelson Thornes, UK

Ivey,  A.  E.  &  Ivey,  M.B.  (2005).Intentional  Interviewing  and  Counseling,  Fifth  Edition.

Thomson, Brooks/Cole, USA

Kottler, J. A. (2003). Theories in Counseling and Therapy.Alllyn& Bacon, Boston, USA

Additional Readings:

Abbatt,  F.  &Mc  Mahon,  R.  M.  (1993).Teaching  health  care  workers.  A  practical  guide.2nd

Ed. China:Macmillan.

Chalkley, A. M. (1986). A text book of health worker- ANM. Vol. 1.CLS: Park town

Heidgerken,  L.  E.  (1994).  Teaching  and  learning  in  schools  of  nursing.  Principles  and methods. 3rdEd. Delhi: Konark Publishers

Tones, K. &Tilford, S. (2001). Health Promotion. Effectiveness, efficiency and equity. 3rd Eds.

Cheltenham: Nelson thornes.

WHO  (1988).Education  for  health.A  manual  on  health  education  in  primary  health  care.

Geneva:WHO

 

 

 

 

Date: January 6, 2017