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:
- Describe the concepts, principles and evolution of health promotion
- Define the terminologies used in health promotion.
- Identify roles and responsibilities of nurses in health promotion activities
- Determine the scope of health promotion approaches and strategies in nursing practice.
- Discuss the determinants of health and consider the role of health promotion in mitigating their influence on health
- Discuss the concepts, values, principles and scope of community participation and community involvement.
- Explain the concepts, principles and strategies of health promoting settings
- Discuss the concepts and principles of health education and empowerment.
- Apply health education principles and strategies in conducting individuals and group sessions
- Describe the principles and strategies of health communication
- Demonstrate skills of effective communication in delivering health information, education and health care services
- Explain theories related to behavior change
- Discuss the strengths and limitations of health promotion theories
- Identify health need assessment and prioritize
Unit 2: Health Counseling
Upon completion of the module the students will be able to:
- Explain concepts and principles of health counseling in patient care focusing on psycho- social educational approach.
- Engage in basic skills for an effective health counseling session.
- Conduct effective and culturally sensitive interviewing and counseling.
- Analyze with considerable precision your own natural style of helping/supporting and its impact on clients.
- Demonstrate basic skills in a decisional interview, solution-oriented sessions, a person- centered interview and behavioral assertiveness-training sessions of patient care.
- Integrate ethical and multicultural issues in the practice of health counseling.
- 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
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