The new approach to pre-registration nursing education in the UK (Proj
ect 2000) has an overt health focus as well as a specific remit to pre
pare nurses for a role as promoters of health. Data reported in this p
aper illuminate Project 2000 students' understanding of the concepts o
f health promotion and health education, and indicate the extent to wh
ich qualified nurses who have completed this new Project 2000 programm
e perceive themselves to be prepared for a health promotion role. Find
ings indicate that students are confused about the terms health educat
ion and health promotion, although most feel there is a distinction be
tween the two, Students' descriptions emphasize individualistic approa
ches, and lifestyle and behaviour changes. Many recognize that health
promotion should have a broader application and demonstrate a sophisti
cated grasp of the philosophy underpinning the promotion of health thr
ough their general perceptions of nursing. This understanding is not l
abelled health education or health promotion, but is embedded in their
articulation of concepts such as holism, patient-centred care and enh
ancing independence. Paradoxically, both students and Project 2000 qua
lified nurses (diplomates) illustrate a clear grasp of the more comple
x issues surrounding the concept of health promotion while remaining c
onfused by the terminology and its relationship to practice.