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Conceptual model for the health promotion model by nola pender
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Nola J Pender’s Health Promotion Model (HPM) increases the nursing profession to identify and understand the significant factors of health behaviors as a foundation for behavioral counseling to promote healthy lifestyles. Her theory’s purpose and goal is to assist nurses in helping patient’s pinpoint health risks, as well as valuable practices, in order to actively support patients. Assessing and collaboratively identifying which behaviors will result in reaching optimum health. The model helps to recognize steps a patient can take to follow optimal self-care to enhance health. Pender's HPM model centers on three areas which include the individual characteristics and experiences, behavior-specific cognitions and affect, and behavioral outcomes (2012). …show more content…
Currently my practice consists of working in critical care. I work with patients whose focus is mainly based on cardiac and pulmonary diseases. Many patients, based on thorough, individualized assessments, have a unique personal outlook of care, treatment and functionality. Some of these characteristics can be directly related to life choices, including, but not limited to, lack of preventative care, poor nutrition choices and exercise regimes and the improper use of medications which have added to their cardiovascular and pulmonary disease processes. Reading her theory, I see how I can effectively integrate her model within my practice. Understanding and incorporating the three key concepts allows definite knowledge into how patient’s behavior directly correlates with their own health and well being. Consistently within my practice, I am viewing behaviors and recognizing those cues as how to direct the care provided by the complete health a team. Establishing a plan of care based on the behaviors and cognition of a patient highly enhances motivation towards health promotion
Pender’s Health Promotion Model (HPM) will be used as the theoretical framework for this project. The primary role as a health care provider is to help patients adopt healthy behaviors. Pender’s model focuses on three areas: individual characteristics and experiences, behavior-specific cognitions and affect, and behavior outcomes. This framework provides an organized approach for nurses to follow in the promotion of healthy behaviors, such as health screenings, to clients and patients. Nursing interventions can be developed that address perceived self-efficacy, perceived barriers, perceived benefits, interpersonal influences, and situational influences relevant to a particular health behavior, such as health screenings for STIs (McCullagh, 2013). This model is applicable to
D.P. receives an abundance of support in her life. She finds most of her motivation from her family because family means the world to her. The members in her family will encourage her to do her best along with attending diabetic information groups. She finds the support and motivation from her family to be a great way to help deal with her diabetes. Other family members who have diabetes or know someone else with diabetes helps her realize that this is not necessarily an ending of freedom or her life. The health care professionals also have an impact on D.P.’s motivational level as they give her options and techniques to improve her ways of living in order to cope with diabetes. Fox and Chesla (2008) see the positive inspirational outcome a
In order to be effective as a health care educator, a basic knowledge and understanding of health behavior theories is crucial to working with patients, students and colleagues alike. Theories help the advanced practice registered nurse (APRN) to assess the basic educational needs of the client and develop interventions to address those needs. The behavioral and social sciences have contributed much to the development of health behavior theories. (O'Connell, p. 33). Several models will be discussed here.
We prioritized concerns based on the potential for immediate harm and the foundational role of nutrition and stable blood pressure in overall health, categorizing them from high to medium priority accordingly. Engaging with a real client like Helen involves active listening, empathy, and collaboration to incorporate her preferences and desired outcomes into the care plan. This ensures the plan is person-centered, enhancing adherence and effectiveness by aligning with her values and lifestyle
Safe staffing issue has been identified as one of the problem in health care. The problem resulted from the inappropriate ratio between the nurse and the number of patients a nurse takes care within a shift. Patients and nurses well-being are being at risk because of the inappropriate safe staffing because of nurses feeling overwhelmed and stressed with their job. It was learned from the previous papers that the issue with staff level can be intervened by applying the theory of Health Promotion Model as a framework in assisting nurse leaders in creating policies that ensure healthy and appropriate work practices, determine the appropriate number of nurse to
Health promotion is the process of enabling people to increase control over, and to improve, their health. There are a number of significant approaches that underpin the practice of health promotion. Tannahill (1996) postulated that all approaches are interrelated, but individually seen; they reflect distinctive ways of looking or approaches health issues. These models includes medical, education, behaviour change, empowerment and social change. The models that connect these approaches are Becker (1994), Claplan and Holland’s (1990), Beattie (1991), Tannahill Downie et al (1996) and Tones, Tones and Tilford (1994).
According to the Healthy People Database, in 2010 the aging population was estimated at 40 million, this number is expected rise to nearly 70 million by the year 2030 (National Center for Health Statistics, 2000). At the forefront of health concerns for this aging population will be the intervention, management and treatment of chronic diseases. This increase in both this specific population as well as the required medical care will place a significant amount of stress on an already distressed healthcare system, which in turn will affect the availability of recourses and costs. Including patients in their self care with strategic health promotion such as encouragement and education geared towards specific socioeconomic groups will be more cost effective and beneficial in the management of chronic disease. Studies indicate that patients involved in self management of disease processes often have better patient outcomes.
Often in practice, we as nurses deal with a variety of diseases and treatments and often have to react to the illness that the patient presents with upon our interaction. While this is an essential piece of our practice, we also have a duty to our patients to be proactive in preventing specific health-related consequences based on their risk factors and to promote their health and well being. Health promotion as it relates to nursing is about us empowering our patients to increase their control over their lives and well beings and includes: focusing on their health not just illness, empowering our patients, recognizing that health involves many dimensions and is also effected by factors outside of their control (Whitehead et al. 2008)..
In recent years, research has established that there is a growing prevalence of dementia among people aged 65 years and above. A study by Prince, Prina and Guerchet (2013), established that the global prevalence of dementia has been increasing at a rate of 7%, especially among the adults who were aged over 60 years old. Research has also shown that a great number of the minority communities especially those of immigrants are having a high incidence of Alzheimer's disease. Similarly, high incidence has also been seen in Caucasian people. In this same study, Native Americans showed to have lower rates of the Alzheimer disease compared to the whites (Anderson & Egge, 2014).
As part of the Healthy People 2020 initiative, a national goal has been set to improve the health and well-being of women, infants, children, and families. This is an important public health movement considering their well-being determines the health of the next generation and can help predict future public health challenges for families, communities, and the health care system. Since there are many social and physical determinants of maternal, infant, and child health, recent efforts have been focused on addressing disparities by employing a “life course” perspective to health promotion and disease prevention. MICH 10.2 is an objective that seeks to improve the population’s health and well-being by increasing the proportion of pregnant women
Planning models, can help develop policies to promote health and change behaviour (Balsdon, 2009). The Precede-proceed planning model was developed to help plan health promotion and has nine phases (Appendix 4). Each phase leads to a diagnosis of contributing factors which include: predisposing factors, enabling factors, and reinforcing factors, which is the feedback received after adopting the behaviour (Green et al, 2014). However, the model sits mainly within a biomedical framework and is used little in the nursing field due to its complexity, and nurses prefer the cyclic stage as it mirrors elements of the nursing process (Whitehead, 2001).
Glanz, K., Rimer, B., Vixwanath, K., (2015). Health behavior: Theory, research, and practice. (5th ed.). San Francisco, Ca: Jossey-Bass.
Behavior is an important keyword when discussing health promotion theories because lifestyle modification requires a change in beliefs and attitude. Many health promotion theories explain how behavior can enhance or deter a patients progress in health related activities. Nola Pender, a nursing theorist and educator, has developed the Health Promotion Model (HPM). The three main parts of the HPM ar...
Health promotion consists of all actions that encourage maximum spiritual, mental and physical functions despite of whether an individual is ill or well. Most of these plans are aimed at bringing positive lifestyle changes (Van Leuven, & Prion, 2007). A major core competency for all NPs is health promotion. Through regular screening, immunizations and counselling, NPs can guide their patients towards the goal of health promotion and disease prevention. As a future NP, my goal is to provide patient-centered, holistic care focusing on health promotion and sickness prevention. I also believe that an understanding of practice models like Pender’s Health Promotion Model will enable me to empower patients to obtain self-efficacy and behavior specific changes.
We help and give our patients the knowledge and skill to change into a healthy lifestyle examples: smoking cessation and quitting alcohol consumption. The “nurse cares for, assists, or does something for the client to achieve client- desired health outcomes or to meet basic human needs” (Hood, Leddy, & Pepper, 2014, p.137). One process of obtaining outcomes is to communicate with the patient. What goal do they want during their stay? Do they want to walk fifty feet without a walker? Having a healthy relationship with our patient allows us to hear and see things that the patient may not be saying.