From sick nursing to health nursing: evolution or revolution?

  • Jill Macleod Clark


Health care in the UK has reached a watershed and a fundamental shift in emphasis is required in order to ensure that health and nursing continue to be valued. Health care has been manoeuvred into the market place and the principles of cost effectiveness, audit and economies of scale now dominate. The effects of a growth in consumerism and the welcome pressure for enhanced lay participation in health care are also making themselves felt. At the same time, changing patterns of health and illness and demographic shifts are strongly impacting on the demands being made on nursing and health care services.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Bond, S., Rhodes, T., Philips, P. and Tierney, A. (1990). Knowledge and attitudes: HIV infection and community nursing staff in Scotland, part 2. Nursing Times, 86, 45, 49–51.PubMedGoogle Scholar
  2. Burt, A. and Illingworth, J. et al. (1974). Stopping smoking after myocardial infarction. Lancet, 1, 304–6.PubMedCrossRefGoogle Scholar
  3. Cooper, S. (1991). Nurses’ assessment skills. Unpublished dissertation. King’s College: London.Google Scholar
  4. Davies, J. and Evans, E. (1991). The Newcastle community project, in Adamson, S. and Thomson, A. (eds). Midwives’ Research and Childbirth. Chapman & Hall: London.Google Scholar
  5. Elkind, A. (1982). Nurses’ views about cancer. Journal of Advanced Nursing, 7, 43–50.PubMedCrossRefGoogle Scholar
  6. Faulkner, A. and Ward, L. (1983). Nurses as health educators in relation to smoking. Nursing Times, Occasional Paper 79, 15, 47–8.Google Scholar
  7. Fuller Bey, G. (1983). Anti-smoking counselling: an important part of cardiac rehabilitation. Canadian Nurse, 79, 17–20.PubMedGoogle Scholar
  8. Gott, M. and O’Brien, M. (1990). Attitudes and beliefs in health promotion. Nursing Standard, 5, 2, 30–2.Google Scholar
  9. Hall, S., Bachman, J. and Henderson, J. (1983). Smoking cessation in patients with cardiopulmonary disease. Addictive Behaviour, 8, 33–42.CrossRefGoogle Scholar
  10. Kabat, G. C. and Wynder, E. L. (1987). Determinants of quitting smoking. American Journal of Public Health, 77, 1301–55.PubMedPubMedCentralCrossRefGoogle Scholar
  11. Kendall, S. A. (1991). An analysis of the health visitor — client interaction: the influence of the health visiting process on client participation. Unpublished Ph.D. research report. King’s College: London.Google Scholar
  12. Knudsen, V. (1981). Out-patient educational programmes for rheumatoid arthritis programmes. Patient Counselling, 2, 77–82.CrossRefGoogle Scholar
  13. Macleod Clark, J. (1983). Nurse patient communication: an analysis of conversations from surgical wards, in Wilson-Barnett, J. (ed.). Nursing Research — Ten Studies in Patient Care. John Wiley: Chichester.Google Scholar
  14. Macleod Clark, J. (1987). Helping Patients and Clients to Stop Smoking. Assessing the Effectiveness of the Nurse’s Role. Research Report no. 19. Health Education Authority: London.Google Scholar
  15. Macleod Clark, J., Kendall, S. and Haverty, S. (1990). Helping people to stop smoking: a study of the nurse’s role. Journal of Advanced Nursing, 15, 3, 357–63.CrossRefGoogle Scholar
  16. Macleod Clark, J., Wilson-Barnett, J., Latter, S. and Maben, J. (1993). Health education and health promotion in nursing: a study of practice in acute areas. Unpublished report. Department of Health: London.Google Scholar
  17. Nightingale, F. (1893). Sick nursing and health nursing, in Seymour, L. (1954). Selected Writings of Florence Nightingale. Macmillan: New York.Google Scholar
  18. Rowe, K. and Macleod Clark, J. (1993). The coronary care nurse’s role in smoking cessation, in Wilson-Barnett, J. and Macleod Clark, J. (eds). Health Promotion Research in Nursing. Macmillan: London, 205–216.Google Scholar
  19. Sacks, G., Anderson, F., Lawless, M. and Thorogood, M. (1992). Smoking behaviour before and after attendance at a health promotion clinic in general practice. Health Education Journal, 51, 1, 11–15.CrossRefGoogle Scholar
  20. Sanders, D., Fowler, G. and Main, J. (1987). Randomised controlled trial of anti-smoking advice by nurses in general practice. British Journal of General Practice, 39, 273–6.Google Scholar
  21. Taylor, C. B., Houston-Miller, N., Killen, J. D. and De Busk, R. F. (1990). Smoking cessation after acute myocardial infarction: effects of a nurse-managed intervention. Annals of Internal Medicine, 113, 2, 118–23.PubMedCrossRefGoogle Scholar
  22. Walton, L. and Macleod Clark, J. (1986). Making contact: communication with stroke patients. Nursing Times, 82, 33, 28–30.PubMedGoogle Scholar

Copyright information

© Jill Macleod Clark 1993

Authors and Affiliations

  • Jill Macleod Clark

There are no affiliations available

Personalised recommendations