Precede-Proceed Planning Model For Health Promotion

To achieve the proposed outcome of planning the health promotion activity, it is important to look at staff training. Staff who give advice to people on diet, weight and activity, need appropriate training, experience and enthusiasm to motivate people to change NICE 2015). As a future specialist district nurse practitioner, it is vital part of the role to be able to assess a person’s health needs and provide health promotion and health education as necessary (NMC, 2001). Another important factor, is to maintain effective relationships with members of the multi-disciplinary team, including GPs, dieticians and physiotherapists who can act as valuable resources. Furthermore, district nurses are ideally placed to promote health in the patient’s

Planning models, can help develop policies to promote health and change behaviour (Balsdon, 2009).

The Precede-proceed planning model was developed to help plan health promotion and has nine phases (Appendix 4). Each phase leads to a diagnosis of contributing factors which include: predisposing factors, enabling factors, and reinforcing factors, which is the feedback received after adopting the behaviour (Green et al, 2014). However, the model sits mainly within a biomedical framework and is used little in the nursing field due to its complexity, and nurses prefer the cyclic stage as it mirrors elements of the nursing process (Whitehead, 2001).

It was decided to use Ewles and Simnett (1999) cyclic planning model which has a much less complex approach, and can be used within a nursing framework (Whitehead, 2001). The model has a six-step approach, involving identifying the needs of a population (as explored in the profile of a Rochdale ward), and setting aims and objectives (Ewles and Simnett, 2003). These objectives need to be specific and measurable. The acronym SMART (specific, measurable, achievable, realistic, time-limited) describes the fundamentals of a clear objective (Green et al, 2014). Appendix 5 demonstrates how this has been achieved for the health promotion activity