This article concerns the evolution of the concept of health, as reported i
n selected nursing journals, over the last 10 years. It builds on an analys
is reported by Reynolds [Reynolds CL. The measurement of health in nursing
research. Adv Nurs Sci 1988;10(4):23-31.] who initially investigated the co
ncept of health and the means by which it was measured during the period 19
77-1987. Using the same journals as Reynolds, the methodology of systematic
review is used to analyse the way in which health is defined, the frequenc
y with which it is investigated and the means by which it is measured, and
these data are compared with Reynolds findings. The results indicate that;
three times as many studies have been conducted in the last 10 years, a mor
e holistic concept of health has emerged, and the instruments used are beco
ming more sophisticated. These findings are discussed and the implications
for patient education and health care professionals considered. (C) 2001 El
sevier Science Ireland Ltd. Ail rights reserved.