A move toward individual responsibility for health is gaining momentum in Canada. Whether or not individual responsibility for self-care practices is in the best interest of the public is debated in this article. The origins of the self-care movement in the Canadian healthcare system, its benefits and pitfalls, are explored. The role that the nursing profession can play is also discussed.
Get full access to this article
View all access options for this article.
References
1.
KemperDWLorigKMettlerM. The effectiveness of medical self-care interventions: A focus on self-initiated responses to symptoms. Patient Education and Counseling1993; 21: 29–39.
MinklerM. Personal responsibility for health? A review of the arguments and the evidence at century's end. Health Education & Behaviour1999; 26(1): 121–140.
6.
AndersonJM. Home care management in chronic illness and the self-care movement: An analysis of ideologies and economic processes influencing policy decisions. Advances in Nursing Science1990; 12(2): 71–83.
7.
AndersonJM. Empowering patients: Issues and strategies. Social Science & Medicine1996; 43(5): 697–705.
8.
ReiserSJ. Responsibility for health: A historical perspective. Journal of Medical Philosophy1985; 10(1): 7–17.
9.
WilliamsDM. Political theory and individualistic health promotion. Advances in Nursing Science1989; 12(1): 14–25.
10.
CarterPA. Self-care agency: The concept and how it is measured. Journal of Nursing Measurement1998; 6(2): 195–207.
StorchJLMeilickeCA. Political, social, and economic forces shaping the healthcare system. In: HibberdJMKyleME, editors. Nursing management in Canada. Toronto: W.B. Saunders; 1994.
25.
ArmstrongPArmstrongH. Wasting away: The undermining of Canadian healthcare. Toronto: Oxford University Press; 1996.
26.
BeardwoodBWaltersVEylesJFrenchS. Complaints against nurses: A reflection of “the new managerialism” and consumerism in healthcare?Social Science & Medicine1999; 48: 363–374.
27.
EvansRGBarerMLMarmorTR, editors. Why are some people healthy and others not?The determinants of health of populations. New York: Aldine De Gruyter; 1994.
28.
Advisory Committee on Population Health.Strategies for population health: Investing in the health of Canadians. Ottawa: The Committee; 1994.
29.
Canadian Nurses Association.Policy statement: Necessary support for nursing care. Ottawa: The Association; 1996.
30.
Canadian Nurses Association.Canadian nurses press federal government on home care. (on-line) 1998 [cited February 22, 2002.]. Available from: http://206.191.29.104/pages/press/homecare.html
31.
Canadian Nurses Association.Supporting self-care: A shared initiative. Ottawa: The Association; 1999.
32.
SofarelliDBrownD. The need for nursing leadership in uncertain times. Journal of Nursing Management1988; 6(4): 201–207.
33.
AlmondP. What is consumerism and has it had an impact on health visiting provision: A literature review. Journal of Advanced Nursing2001; 35(6): 893–901.
34.
CarterSMowadL. Is nursing ready for consumerism?Nursing Administration Quarterly1988; 12(3): 74–78.
35.
PriceR. Consumerism in health—are we accountable and if so, how?Australian Nurses Journal1981; 10(9): 50–52.
36.
KnoxJL. Demographic and epidemiological trends. In: HibberdJMKyleME, editors. Nursing management in Canada. Toronto: W.B. Saunders; 1994.
37.
National Forum on Health.Canadian health action: Building on the legacy. Final report of the National Forum on Health. Ottawa: The Forum; 1997.
38.
LewisSDonaldsonCMittonCCurrieG. The future of healthcare in Canada. British Medical Journal2001; 323: 926–929.
39.
WilkerD. Who should be blamed for being sick?Health Education Quarterly1987; 14(1): 11–25.
40.
PatersonB. Myth of empowerment in chronic illness. Journal of Advanced Nursing2001; 34(5): 574–581.
41.
Falk-RafaelAR. Advocacy and empowerment: Dichotomous or synchronous concepts?Advances in Nursing Science1995; 18: 25–32.
42.
OpieA. “Nobody asked me for my view”: Users' empowerment by multidisciplinary health teams. Qualitative Health Research1998; 18: 188–206.
43.
PelletierK. A review and analysis of the health and cost-effective outcome studies of comprehensive health promotion and disease prevention programs at the worksite: 1991–1993 update. American Journal of Health Promotion1993; 8(1): 50–61.
44.
StolleyMRFitzgibbonML. Effects of an obesity prevention program on the eating behaviour of African American mothers and daughters. Health Education & Behaviour1997; 24(2): 152–164.
45.
BarsevickAMJohnsonJE. Preference for involvement, information seeking and emotional responses for women undergoing colposcopy. Research in Nursing & Health1990; 13: 1–7.
46.
MahlerHIKulikJA. Preferences for health involvement, perceived control and surgical recovery: A prospective study. Social Science & Medicine1990; 31: 743–751.
47.
RobertsonAMinklerM. New health promotion movement: A critical examination. Health Education Quarterly1994; 21(3): 295–312.
48.
SalisberryPJ. Assuming responsibility for one's health: An analysis of the key assumption in nursing's agenda for healthcare reform. Nursing Outlook1993; 41: 212–216.
49.
CrawfordR. You are dangerous to your health. International Journal of Health Services1977; 4: 671.
MallikM. Advocacy in nursing: A review of the literature. Journal of Advanced Nursing1997; 25: 130–138.
54.
NelsonML. Advocacy in nursing. Nursing Outlook1988; 36: 136–141.
55.
MahlerH. Oral healthcare systems: An international collaborative study coordinated by the World Health Organization. Geneva: Quintessence Publishing; 1985.
56.
Advisory Committee on Health Human Resources (ACCHR).The nursing strategy for Canada. (on-line) 2000 [cited February 22, 2002]. Available from: http://www.hc-sc.gc.ca/english/pdf/nursing.pdf
57.
ArkseyHSloperP. Disputed diagnoses: The case of RSI and childhood cancer. Social Science & Medicine1999; 49: 483–497.
58.
RaatikainenR. Values and ethical principles in nursing. Journal of Advanced Nursing1989; 14: 92–96.