Please enter something

Theory in Nursing: Middle Range Nursing Theory: Pender’s Health Promotion Model

question

Pender’s Health Promotion Model
answer

Constructed from *expectancy-value theory* and *social cognitive theory* using a nursing perspective Purpose: assist nurses in understanding *major determinants of health* behaviors as a basis for behavioral counselling to promote healthy lifestyles Major Concepts: Individual characteristics and experiences, behavior-specific cognitions and affect, and behavioral outcomes
question

Evolution of a Middle Range Theory
answer

Interaction Model of Client Behavior Health Belief Model Health Promotion Model (original) 1982 Health Promotion Model (Revised) 2002
question

Key Assumptions & Propositions
answer

-Which ones are particularly meaningful to you or resonate with your personal beliefs and experiences? -Health promotion is motivated by the desire to enhance well-being and to actualize human potential -Complex processes motivate individuals to engage in behaviors directed towards health enhancement -Patients/clients play an active role in managing health behaviors by modifying the environmental context -Nurses can exert an influence on patients that can last throughout their lives
question

Interventions for Health Behavior Change
answer

-Raising Consciousness -Reevaluating the Self -Promoting Self-efficacy -Enhancing the benefits of change -Modifying the environment -Managing the Barriers to change -Tailoring Behavior change interventions …creating individualized communication to meet the unique needs of the individual “patients will act in their own best interest, changing dangerous behaviors and increasing healthy practices if they have the knowledge, tools, and incentives to do so” (Pender et al., 2002).
question

Promoting Prevention and Early Recognition of Malignant Melanoma
answer

Purpose: to use the Pender Health promotion Model to examine the contributing factors, facilitators and barriers to surveillance and sun-protective behaviors. Implications for Patients and primary health care providers (doctors, NPs and RNs)
question

Health promotion in nurses: Is there a healthy nurse in the house?
answer

Purpose: to examine health-promoting lifestyle behaviors of acute care nurses using Pender’s HPM Challenges: stress management, physical activity Supports need for development of holistic nursing interventions to promote self-care Strategies include educational/experiential classes in holistic nursing; individualized unit-based activities fostering stress management, such as massage, reflexology, and imagery; and development of an employee wellness program.
question

Application of Theory to Practice
answer

“When nursing theory is used to guide clinical thinking and decision making, nurses can understand what they do and why, and they are able to clarify this for other health professionals” (Penz & Bassendowski, 2006).
question

Critique of Pender’s HPM
answer

-Clarity >HP behavior is influenced by individual characteristics and behavior specific cognitions and affect(emotion) that result in a commitment to action -Simplicity >Focuses on individual factors and socio-environmental factors that impact health promotion behaviors -Generality -Importance -Health Promoting Lifestyle Profile -Research…http://nolapender.weebly.com/empirical-testing.html