Literature about the significance of health promotion for the elderly and identification of various determinants of health-promoting activities contains numerous inconsistencies. From a review of nursing and health-related literature over the past decade, it is possible to draw only limited conclusions about the commitment of the elderly to health-promoting behaviors. Despite this, the importance of the roles of social support and spirituality for the empowerment of older adults to practice health-promoting activities is a consistent research finding in this population. Parish nurse programs expand home health and public health provider roles and use the faith community as a cooperative means for sociocultural implementation of successful health promotion. Significance for nursing education, practice, and research is discussed.
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References
1.
Armmer, F. A., & Humbles, P. A. (1995). Parish nursing: Extending health care to urban African-Americans. Nursing and Health Care: Perspectives on Community, 16 (2), 64-68.
2.
Becker, J., Payne, D., Adams, M. L., & Grobe, S. (1996). Health motivation: Key to health promoting behaviors?Nurse Practitioner, 21(11), 155-156.
3.
Beckerman, A., & Northrop, C. (1996). Hope, chronic illness and the elderly. Journal of Gerontological Nursing, 22, 19-25.
4.
Berggren-Thomas, P., & Griggs, M. J. (1995). Spirituality in aging: Spiritual need or spiritual journey?. Journal of Gerontological Nursing, 21, 5-10.
5.
Bowsher, J. E., & Keep, D. (1995). Toward an understanding of three control constructs: Personal control, self-efficacy, and hardiness. Issues in Mental Health Nursing, 16, 33-50.
6.
Bronte, D. L. (1986). The third quarter of life: Implications for American religious institutions. Journal of Religious Aging, 2(1-2), 117-125.
7.
Calnan, M. (1989). Control over health and patterns of health-related behavior. Social Science Medicine, 29, 131-136.
8.
Chowdhary, U. (1990). Notion of control and self esteem in institutionalized older men. Perception and Motor Skills, 70(3), 731-738.
9.
Cohen-Mansfield, J. (1990). Perceived control, reinforcement, satisfaction, and depression in community elderly. Journal of Applied Gerontology, 9, 492-503.
10.
Cordes, S. (1989). The changing rural environment and the relationship to health services and rural development. Health Services Research, 23, 57-78.
11.
Davis, D. T., Bustamante, A., Brown, C. P., Wolke-Tsadik, G., Savage, E. W., Cheng, X., & Howland, L. (1994). The urban church and cancer control: A source of social influence in minority communities. Public Health Reports, 109, 500-506.
12.
Dean, K. (1986). Self-care behavior-implications for aging. In K. Dean, T. Hickey, & B. Holstein (Eds.), Self-care and health in old age (pp. 58-96). London: Croom Helm.
13.
Dean, K. (1992). Health-related behaviors: Concept and methods. In M. G. Ory, R. P. Abeles, & P. D. Lipman (Eds.), Aging, health, and behavior (pp. 27-56). Newbury Park, CA: Sage.
14.
Droege, T. A. (1994, November 4). Congregations as communities of health and healing. In Western Pennsylvania Parish Nurse Symposium (pp. 1-9). Atlanta, GA: Carter Center of Emory University.
15.
Drummond, M., Buss, T. F., & Ladigo, M.A. (1992). Volunteers for community health. Health Progress, 73(5), 20-24.
16.
Dungan, J. M., Brown, A. V., & Ramsey, M. A. (1996). Health maintenance for the independent frail older adult: Can it improve physical and mental well-being?Journal of Advanced Nursing, 23, 1185-1193.
17.
Farran, C. J., & McCann, J. (1989). Longitudinal analysis of hope in community-based older adults. Archives of Psychiatric Nursing, 3, 272-276.
18.
Fleury, J. (1991). Empowering potential: A theory of wellness motivation. Nursing Research, 40, 286-291.
19.
Frenn, M. (1996). Older adults' experience of health promotion: A theory for nursing practice. Public Health Nursing, 13(1), 65-71.
20.
Grant, L. D. (1996). Effects of ageism on individual and health care providers' responses to healthy aging. Health and Social Work, 21, 9-15.
21.
Groer, M. W., O'Connor, B., & Droppleman, P. G. (1996). A course in health care spirituality. Journal of Nursing Education, 35, 375-377.
22.
Hagerty, M., Lynch-Sauer, J., Patusky, K., & Bouwsema, M. (1993). An emerging theory of human relatedness. Image: Journal of Nursing Scholarship, 25, 291-295.
23.
Harrison, J. (1993). Spirituality and nursing practice. Journal of Clinical Nursing, 2, 211-217.
24.
Haug, M. R., Wykle, M. L., & Namazi, K. H. (1989). Self care among older adults. Social Science and Medicine, 29, 171-184.
25.
Hewitt, M. (1992). Defining rural areas: Impact on health care policy and research. In W. Gesler & T. Ricketts (Eds.), Health in rural North America (pp.25-54). New Brunswick, NJ: Rutgers University Press.
26.
Huck, D. M., & Armer, J. M. (1996). Health perceptions and health-promoting behaviors among elderly Catholic nuns. Family Community Health, 18(4), 81-91.
27.
Ide, B. (1992, 4th quarter). A process model of rural nursing. Texas Journal of Rural Health, 30-34.
28.
Jones, M., & Nies, M. A. (1996). The relationship of perceived benefits of and barriers to reported exercise in older African American women. Public Health Nursing, 13, 151-158.
29.
Kaufmann, J. E. (1996). Personal definitions of health among elderly people: A link to effective health promotion. Family Community Health, 19(2), 58-68.
30.
Kennison, M. M. (1987). Faith: An untapped health resource. Journal of Psychosocial Nursing, 25(10), 28-30.
31.
Kimble, C. S., & Longe, M. E. (1989). Health promotion programs for older adults: A planning and management guide. Chicago: AHA/American Hospital Publishing.
32.
King, J. M., Lakin, J. A., & Striepe, J. (1993). Coalition building between public health nurses and parish nurses. Journal of Nursing Administration, 23(2), 27-31.
33.
Kiser, M., Boario, M., & Hilton, D. (1995). Transformation for health: A participatory empowerment education training model in the faith community. Journal of Health Education, 26, 361-365.
34.
Lasater, T. M., Wells, B. L., Carleton, R. A., & Elder, J. P. (1986, March-April). The role of churches in disease prevention: Research studies. Public Health Reports, 104, 125-131.
35.
Lee, J. (1991). Definitions of rural: A review of the literature. In A. Busht (Ed.), Rural Nursing (pp. 7-20). Newbury Park, CA: Sage.
36.
Lefcourt, J. M. (1991). Locus of control. In J. P. Robinson, P. R. Shaver, & L. S. Wrightsman (Eds.), Measures of personality and social psychological attitudes (pp.413-499). New York: Academic Press.
37.
Lindsey, E. (1996). Health within illness: Experiences of chronically ill/disabled people. Journal of Advanced Nursing, 24, 465-472.
38.
Lookinland, S., & Harms, J. (1996). Comparison of health-promotive behaviors among seniors: Exercisers versus nonexercisers. Social Sciences in Health, 2, 147-161.
39.
Lovallo, W. R. (1997). Stress & health: Biological and psychological interactions. Thousand Oaks, CA: Sage.
40.
Miskelly, S. (1995). A parish nursing model: Applying the community health nursing process in a church community. Journal of Community Health Nursing, 12(1), 1-14.
41.
Neeman, L. (1995). Using the therapeutic relationship to promote an internal locus of control in elderly mental health clients. Journal of Gerontological Social Work, 23, 161-176.
42.
Parish nursing program expands home health provider's role in the community. (1996, October). Home Health Digest, 2(7) 1-3.
43.
Parish nursing's pioneer: AJCN interview. (1989, Winter). Journal of Christian Nursing, 6(1), 26-29.
44.
Powers, C. B., Wisocki, P. A., & Whitbourne, S. (1992). Age differences and correlates of worrying in young and elderly adults. The Gerontologist, 32, 82-88.
45.
Punamaki, R., & Aschan, H. (1994). Self-care and mastery among primary health care patients. Social Science Medicine, 39, 733-741.
46.
Rago-Durbin, N. (1995). Resource identification and creative community networking: Time saving steps for the parish nurse. In Parish nursing: Ministering through the arts (Ninth Annual Westberg Parish Nurse Symposium, pp.319-327). Park Ridge, IL: National Parish Nurse Resource Center.
47.
Reich, J. W. & Zautra, A. J. (1990). Dispositional control beliefs and the consequences of a control enhancing intervention. Journal of Gerontology, 45(2), 46-51.
48.
Ross, L. A. (1994a). Spiritual aspects of nursing. Journal of Advanced Nursing, 19, 439-447.
49.
Ross, L. A. (1994b). Teaching spiritual care to nurses. Nurse Education Today, 16, 38-43.
50.
Rubel, A. J., Reinsch, S., Tobis, J., & Hurrell, J. L. (1994). Adaptive behavior among very elderly Americans. Physical & Occupational Therapy in Geriatrics, 12(4), 67-80.
51.
Schmidt, R. M. (1993). HEALTH WATCH: Health promotion and disease prevention in primary care. Methods of Information in Medicine, 32, 245-248.
52.
Seidl, L.G. (1993). The value of spiritual health. Health Progress, 74(7), 48-50.
53.
Solari-Twadell, A., & Westberg, G. (1991, September). Body, mind, and soul: The parish nurse offers physical, emotional, and spiritual care. Health Progress, 72(7), 24-28.
54.
Spitzer, A., Bar-Tel, Y., & Ziv, L. (1996). The moderating effect of age on self-care. Western Journal of Nursing Research, 18, 136-148.
55.
U.S. Department of Health and Human Services. (1991). Healthy People 2000: National health promotion and disease prevention objectives (DHHS Publication No. PHS 91-50212). Washington, DC: U.S. Government Printing Office.
56.
Walker, S., Volkan, K., Sechrist, K., & Pender, N. (1988). Health-promoting life styles of older adults: Comparisons with young and middle-aged adults, correlates and patterns. Advances in Nursing Science, 11, 76-90.
57.
Wallston, K. (1991). The importance of placing measures of health locus of control beliefs in a theoretical context. Health Education Research, 6, 251-252.
58.
Walton, J. (1996). Spiritual relationships: A concept analysis. Journal of Holistic Nursing, 14, 237-250.
59.
Waugh, L. A. (1992). Spiritual aspects of nursing: A descriptive study of nurses' perceptions. Unpublished doctoral dissertation, Queen Margaret College, Edinburgh, England.
60.
Weinert, C., & Boik, R. (1993). MSU Rurality Index: Development and evaluation. Unpublished manuscript, Montana State University, College of Nursing, Bozeman, MT.
61.
Weinert, C., & Burman, M. E. (1994). Rural health and health-seeking behaviors. Annual Review of Nursing Research, 12, 65-92.
62.
Weitzel, M. H., Hudak, J. L., & Stuifbergen, A. K. (1994). An exploratory analysis of health-promotion beliefs and behaviors among White, Hispanic, and Black males. Family Community Health, 17(3), 23-36.
63.
Westberg, G. E. (1988). Parishes, nurses, and health care. Lutheran Partners, 26-29.
64.
White, J. (1996). Project Wellness: A collaborative health promotion program for older adults. Nursing Connections, 9(1), 2-8.
65.
Young, K. (1996). Health, health promotion and the elderlyJournal of Clinical Nursing, 5, 241-248.
66.
Zauszniewski, J. A., & Harman, G. A. (1996). Translation of a measure of learnedresourcefulnessintoSpanish.JournalofMulticulturalNursing&Health, 2(4), 13-18.
67.
Zorn, C. R. (1997). Factors contributing to hope among noninstitutionalized elderly. Applied Nursing Research, 10, 94-100.
