FINAL Health Education Settings

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HEALTH EDUCATION SETTINGS

(Excerpted from Chapter 5 of Health Education by Jerrold S. Greenberg, The McGraw-Hill Companies, Inc. 1998 and Chapter 7 of Principles and Foundations of Health Promotion and Education by Randall R. Cottrell, James T. Girvan, James F. McKenzie, Allyn & Bacon 2001)

BY: CLARISSE P. SANTIAGO, RN

HEALTH EDUCATION
-Can occur anywhere (when parents instruct their children on the importance & proper way of brushing / when friends discuss sexuality on the street corner) -Some settings are more apt to result in accurate information. -People associated with formalized health education programs convey more accurate information than the lay public. -When the setting is specifically designed and designated for health education, there is more focus & distractions can be held to a minimum.

FOUR MAJOR SETTINGS OF HEALTH EDUCATION


The School Setting The Community Setting The Work-site Setting The Health Care Setting

THE SCHOOL SETTING


Instructing school-age children about health and health-related factors Education and health are interrelated. Health education supports the central mission of the school in that a health, well-nourished child is better able to learn.

Rules of Good Health

1. 2. 3. 4. 5. 6. 7. 8.

Take a full bath more than once a week. Brush teeth at least once a day. Sleep long hours with windows open. Drink as much milk as possible, but no coffee or tea. Eat some vegetables or fruit everyday. Drink at least 4 glasses of water a day. Play part of every day outdoors. Have a bowel movement every morning.

Source: Data from Bernice C. Regney, Rules of the Health Game in Milk and Our School Children, U.S. Dept. of the Interior, Bureau of Education, Health Education, No. 11, 1922

National Health Education Standards

1. 2.
3. 4. 5. 6. 7.

Students will comprehend concepts related to health promotion & disease prevention. Students will demonstrate the ability to access valid health education information and healthpromoting products and services. Students will demonstrate ability to practice health- enhancing behaviors and reduce health risks. Students will analyze the influence of culture, media, technology, and other factors on health. Students will demonstrate the ability to use interpersonal communication skills to enhance health. Students will demonstrate the ability to use goal-setting and decision-making skills to enhance health. Students will demonstrate the ability to advocate for personal, family, and community health.

Source: A work on the Joint Committee on National Health Education Standards. Reprinted by permission of the American Cancer Society, Inc.

ADVANTAGES
Captive audience School health education budget is usually fairly fixed Impact of health education may be significant There is less need to work with learners to unlearn unhealthy behaviors and lifestyles There are journals and articles that lend guidance to the practice of school health education Professional organizations conduct meetings and publish monographs to help school educators A graduate degree is not needed for entry- level employment

DISADVANTAGES
Long hours on the job, including many weekends and evenings Too often considered a fringe subject, relatively low status when compared with Math, English, and Science teachers Budget for school health education is disgraceful Limited instructional time, if any Limited resources health education is served last Discipline problems Difficulty of measuring long-term benefits of school health education and important short-term effects Difficulties with parents and administration when controversial subjects are taught

THE COMMUNITY SETTING

COMMUNITY HEALTH EDUCATION As defined by the Joint Committee on Health Education Terminology (1991), is

the application of a variety of methods that result in the education and mobilization of community members in actions for resolving health issues and problems which affect the community. These methods include, but are not limited to, group process, mass media, communication, community organization, organization development, strategic planning, skills training, legislation, policy making, and advocacy. (p. 105)

TWO SOURCES OF EMPLOYMENT

Voluntary Health Agencies -Address health needs not met by government agencies. - Examples are American Cancer Society, American Heart Association, American Lung Association Public Health Agencies -official government health agencies that are usually financed through public tax monies -Public Health Departments are formed to coordinate and provide health services to a community.

ADVANTAGES:
Job responsibilities are highly varied and changing Working with motivated learners Working with multiple groups of people Strong emphasis on prevention High degree of self-satisfaction

DISADVANTAGES
Low pay, particularly in the voluntary health agencies If employment depends upon soft money, job security is tenuous Placing oneself in jeopardy of physical harm SOME volunteers do not demonstrate the same level of commitment as might a paid employee Insufficient funding, facilities or equipment

THE WORK-SITE SETTING


There are three main reasons for companies to invest in health promotion programs: Economic incentive To improve employee morale To improve company image

ADVANTAGES

Provides excellent opportunities for prevention Working with diverse groups of people (upper management to shift workers) High degree of job satisfaction Pay and benefits are good Access to fitness facilities for personal use

DISADVANTAGES

Long and irregular hours (e.g., shift work) Not much room for advancement Program is low on the corporate priority list Subcontracting may take over Strong pressure to be a role model

HEALTH EDUCATION IN THE HEALTH CARE SETTING


- In hospitals and other health care settings, health educators had been hired to direct health an d fitness programs for company employees, much the same as in other worksite settings. -Hospitals often adopt a team approach to health education, in which doctors, nurses, physical therapists, and other health specialists are all part of the team.

ADVANTAGES

Increased credibility due to health care connection Satisfying and meaningful instructional time Health educators have at their disposal some health care resources Wages and benefits are good

DISADVANTAGES

Health educators may have low status and priority in the health care team Sometimes health educators are further confronted with the limitations of their capabilities Jobs are difficult to obtain Hours may be long and irregular Some M.D.s may be difficult to work with

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