NRS 429 Topic 3 DQ 1

Sample Answer for NRS 429 Topic 3 DQ 1 Included After Question

Discuss how the concept of “health” has changed overtime. Discuss how the concept has evolved to include wellness, illness, and overall well-being. How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice? 

A Sample Answer For the Assignment: NRS 429 Topic 3 DQ 1

Title: NRS 429 Topic 3 DQ 1

The concept of health has changed greatly over the course of past few years, and it is important that we as nurses keep up to date with the latest evidence based practices to stay current in our practice. In the early days the incredibly fast spread of disease was attributed to lack of sanitation and cleanliness, and contaminated water, in those days the concept of “health” was essentially defined as anyone who was disease free and did not have any ailments. As we fast forward to current times the definition of health had widely evolved to become a individuals identity and how they hold their place in society, as a functional member of society, which includes factors like physical mental and spiritual wellness. It is important that nurses use evidence based practice because those methods incorporate proven scientific methods and studies to show the effectiveness of health promotion. 

Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from 

A Sample Answer 2 For the Assignment: NRS 429 Topic 3 DQ 1

Title: NRS 429 Topic 3 DQ 1

You are right about the change in the concept of health, diseases and ill-health. It has evolved from the idea that diseases are caused by the gods or poor sanitation to what we now know. Sickness is not just caused by injury or diseases. Mental health is a form of sickness as you said. Cleanliness, immunization, healthy diets can help promote health. As nurses we must also consider the other causes of ill-health, for instance unhealthy life styles like smoking, conditions that some individuals find themselves which is totally not of their making and is beyond their control. This is the Social Determinants of Health (SDOH). As nurses we must educate patients and the community, and assist them accordingly. 

The term health has evolved over many years. Nurses stay updated on their scope of practice through continuing education hours, courses, updated evidence-based practices, and board of nursing standards based on a state of residence. Education is a priority to improve one’s health. In the early 20th century, health was defined by sanitation and hygiene practices to decrease the amount of disease spread to others. Today’s meaning of health includes an individuals physical, mental, and spiritual well-being. Health is overall well-being rather than disease-focused. Health promotion encourages others to take charge of their health conditions and promotes appropriate interventions to a patients according to their barriers. 

Programs that promote health and prevent disease focus on keeping people healthy. The goal of health promotion programs is to get people and communities involved in and empowered to choose healthy behaviors and make changes that make it less likely that they will get chronic diseases and other diseases. The World Health Organization defines health promotion as: enables individuals to gain more control over their health. It encompasses a wide range of social and environmental interventions that aim to address and prevent the underlying causes of illness rather than just treat and cure, thereby enhancing and safeguarding individuals’ health and quality of life.

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NRS 429 Topic 3 DQ 1
NRS 429 Topic 3 DQ 1

Yes the fast spread of diseases were factors of not being clean and unsanitary. I’m so glad society has zeroed in on being more sanitary. Especially in healthcare. We as nurses could very well be the main individual spreading the disease if we are not practicing good hand hygiene and standard precautions. Very good post! 

To think that “health” was defined as anyone who was disease free and did no have any ailments, we have definitely evolved, like you mentioned. We have come so far, The World Health Organization (WHO) defines health as ‘a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’. I can’t help but wonder what “health” will look like or be defined as in 20-30 years from now. As nurses we will continue to evolve with the changes and change our practices as times change.  


A Sample Answer 3 For the Assignment: NRS 429 Topic 3 DQ 1

Title: NRS 429 Topic 3 DQ 1

The concept of health has evolved from some specific beliefs whereby prayer and sacrifices were made to gods and deities to achieve health, and diseases were attributed to the actions of demons and supernatural forces. Hippocrates brought about the first major break in health by separating “religious beliefs and establish the relationship between environmental/personal cleanliness and the origin of disease…. and that health is a product of environmental and behavioral factors” (Badesh,, 2017). Hippocrates believed that disease resulted from imbalances between four body fluids. Galen, a physician in the first century BCE expanded the Hippocratic definition by considering the patient as a whole, including mental and emotional state. Through several scientific discoveries, healthcare delivery methods kept changing till the formation of World Health Organization (WHO). WHO described “health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, n.d.). The concept of health keeps evolving and is being updated based on medical science scholars and research.NRS 429 Topic 3 DQ 1

There have been other definitions of health by many different scholars. J Bircher, an expert in economics argues that health and disease definition should be changed to “a dynamic state of well-being, characterized by an individual’s physical, mental and societal potential to meet the demands of life unique to the individual’s age, culture and personal responsibility” (Bades, et.el., 2017). With the invention and administration of vaccines, prevention of illness took the center stage, and the (WHO) focus was on health promotion, and the definition of health became viewed as “accumulation of factors such as physical, mental, and spiritual wellness” (Falkner, 2018). The emphasis now is on health and wellness promotion, and prevention of disease. 

 Health promotion is defined as “the process of enabling people to exert control over the determinants of health and thereby improve their health” (Nutbeam, 1998). The focus is on engaging in activities that promote health, and by nurses educating individuals, families, communities, and organizations on implementation of health promotion interventions based on evidence -based practice. It is important that nurses only implement health promotion interventions based on evidence-based practice so that outcome can be replicated. 


Badash, I., (2017). Redefining Health: The Evolution of Health Ideas from Antiquity to the Era of Value-Based Care. Cureus, 9(2), e1018. 

Faulkner, A. (2018). Health Promotion in Nursing Care. In Health promotion: Health & wellness continuum. Chapter 2). Grand Canyon University. 

Nutbeam, D. (1998) Evaluating Health Promotion—Progress, Problems and solutions, Health Promotion International, Volume 13, Issue 1, 1998, Pages 27–44, 

(WHO, n.d.) 

A Sample Answer 4 For the Assignment: NRS 429 Topic 3 DQ 1

Title: NRS 429 Topic 3 DQ 1

 I really liked the point that you brought up about considering the patient as a whole including the mental and emotional state in addition to the physical state of the patient. Alot of time the mental aspect of health and health promotion is a widely underrepresented and goes hand in hand with the physical state of health. For example, if a patient is highly anxious about their treatment or procedures they will be less likely to go through it and thus not complete the required treatment needed to treat the underlying disease or illness and it would be detrimental to their physical health which in this case would be limited by the mental state.  

The concept of health has changed considerably over time. According to a general timeline by Falkner (2018), health was the absence of disease through the early part of the 19th century and considered the ability to remain a functional part of society in the early 20th century. Improvements in sanitation made diseases more manageable, and vaccinations eradicated many other common illnesses through these periods (Falkner, 2018). Today’s health care professionals are taking a proactive approach by educating their clients and encouraging disease prevention, not just treatment after disease or illness presents itself. Today’s definition of health is also more than being disease-free. It encompasses wellness, promoting healthy living, and disease prevention. Health today involves the whole client or the holistic approach, made up of physical, mental, and spiritual wellness. 

As with the definition of health, health promotion has evolved to encompass a broader definition. The World Health Organization [WHO] (n.d.) defines health promotion as the process of allowing people to increase control over and thus improve their health. This definition is lived by nurses. Nurses not only educate clients about treatment options and the disease process, but they teach about healthy lifestyles, reducing risky behaviors, developmental needs, screenings, and preventive care. This combination of things gives clients increased control over and improves their health. 

Research also leads to improvements in health care with the development of evidence-based practice (EBP). Using EBP, the nurse is equipped with the most current information as well as resources regarding healthy lifestyle and healthy choices. Nurses are then able to educate their clients using EBP to reinforce their teaching. The more current the information, the better informed the client. One of the most important reasons nurses should include evidence-based practice interventions while promoting the client’s health is that the well-informed client is better equipped to make quality health decisions throughout their lives. 

Falkner, A. (2018). Health promotion in nursing. In Grand Canyon University (Ed.), Health promotion: Health & wellness across the continuum. Grand Canyon University. 

World Health Organization. (n.d.). Health promotion. 

A Sample Answer 5 For the Assignment: NRS 429 Topic 3 DQ 1

Title: NRS 429 Topic 3 DQ 1

The term health has different meanings. In previous centuries, health solely focused on disease and how to prevent diseases from spreading to others. Sanitation and hygiene practices were slowly introduced at this time. Today, health focuses on more than a disease. It focuses on an individual’s physical, mental, and spiritual well-being. Health promotion has evolved with time. The definition provided for health promotion describes its purpose to aid patients in their health. Health promotion encourages any form of healthy behavior for a patient to act on to improve their well-being. More research and evidence-based practices performed mean more strategies to promote health through self-management.  

As the healthcare is evolving, the concept of health also changed. The WHO defined health as a state of complete physical, mental and social well being and not merely the absence of diseases or infirmity. One is said to be healthy if he is free from sickness and diseases. Between the 1750 and 2000, health care in the USA evolved from a simple system of health remedies and itinerant disease with little training to a complex, scientific technological and bureaucratic system often called the medical industrial complex. This complex is built on medical science and technology.

As a future nurse leader, addressing “sacred cows” and embracing evidence-based practice in the face of resistance to change requires a multifaceted approach. It is crucial to foster an environment that encourages open dialogue and critical thinking. By creating platforms for discussion and inviting diverse perspectives, nurses can challenge long-standing beliefs without fear of retribution.

Similarly, emphasizing the importance of evidence-based practice is essential. Sharing research findings, case studies, and success stories that demonstrate the positive impact of change can help overcome resistance. Educating staff about the benefits of evidence-based practice, such as improved patient outcomes and increased efficiency, can motivate them to embrace change. On top of that, involving staff members in the change process can enhance acceptance. By engaging nurses in decision-making, seeking their input, and addressing their concerns, leaders can empower them to become change agents. Collaboration and shared ownership can facilitate a smoother transition from traditional practices to evidence-based approaches. Adopting the above strategies can help nurse leaders to overcome resistance and promote a culture of continuous improvement and excellence in patient care.

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