Objective: This study investigated relationships between organizational characteristics and the institutionalization of health promotion programs.
Design: The research employed both qualitative and quantitative methods in a multi-method correlational design.
Population, Sample, Setting, and Years: All Navy health promotion programs located at medical treatment facilities were included in the study. Major stakeholders at similar facilities were interviewed and all health promotion coordinators were surveyed (N = 65). The research was completed in 2001.
Concepts Studied Together: Elements signifying “institutionalization” of health promotion programs were examined including: actions of a program champion, mutual adaptation of program/organizational norms, and the match of mission and core operations. Relationships between program institutionalization and staffing, population served, community support, administrative support, departmental status, funding, and coordinator education/specialty were explored.
Methods: A qualitative, contextual case study design with constant comparison techniques identified factors affecting local level institutionalization of health promotion programs. A correlational survey design examined relationships among phenomena as they occurred naturally, and multiple regression analysis identified best predictors of full institutionalization.
Findings: Major findings confirm that institutionalization is a process of adaptation among the program, the host organization, and the local community. Organizational factors surrounding financial and other types of support were significant predictors of program institutionalization.
Conclusions: Overall community support, organizational support, and funding are critical to the process of institutionalizing health programs. Effectiveness of programs is related to goals, defined in objective, measurable terms, and focused on special, current interests, including cost efficiencies and successful outcomes measurement.
Implications: Future research will continue to uncover strategies and mechanisms for fostering the growth and institutionalization of health promotion programs. Research is beginning to demonstrate that the work of promoting health is more cost effective because there is increased wellness, enhanced prevention of disease and risky behaviors, resulting in people living longer, more productive lives.
Back to Health Promotion and Physical Fitness in Military and Civilian Personnel: Preparation for Homeland Defense
Back to 14th International Nursing Research Congress
Sigma Theta Tau International
10-12 July 2003