ABSTRACT

The rationale for this chapter and, indeed, this book is the absence of a consensus over a unifying framework for classifying health promotion theory and practice in nursing and the need to debate between frameworks (Rawson 2002). What follows is a detailed explanation of the framework synthesised for nursing from Beattie’s (1991, 1993), Piper and Brown’s (1998a) and Piper’s (2000, 2004, 2007a, 2007b) work and qualitative fieldwork findings (Piper 2004) designed to help address further this theoretical gap. This is accompanied by a discussion on health promotion models evaluation and a historical overview of the debate surrounding borrowing theory and theory development, derivation and synthesis for nursing and the application of the latter herein. Thus, this chapter discusses how the framework of the book was generated through inductive research and theorising together with its structure, the relationship between its inherent models and why it is fit for purpose. In addition, it explores the relationship between the health promotion models (the nurse as behaviour change agent, the nurse as empowerment facilitator, the nurse as strategic practitioner) within the framework and nursing practice, with subsequent chapters dedicated to each model.