Pender 's Health Promotion Model

I define my philosophy of nursing within the three nursing domains of person, health, and environment. My goal is to communicate the importance of nursing as a knowledge-based career, depending not only on the nurse fulfilling her role but also on the patient’s compliance. A patient must learn to provide self-care at home in the same capacity as the nurse would provide care in the clinical setting. I discuss various subjects within nursing. I explain why I want to be a nurse, what I believe a nurse’s role is, the different domains of nursing, and where I believe nursing will be in the future. My philosophy demonstrates the interdependence of the nursing domains. You cannot fully evaluate a person without evaluating their health,

Childhood obesity has been increasing over recent years (Atay & Bereket, 2016). Kings Fund (2016) has shown a link to the lower socio-economic areas. Furthermore, World Health Organization [WHO] (2016) has recognised childhood obesity as a public health issue. Childhood obesity is the contemporary public health issue that is going to be explored throughout this assignment. Epidemiology will justify the reasoning as to why childhood obesity is a public health issue. A health promotion initiative designed to target obesity and the population’s health and wellbeing will be evaluated using Tannahills Model of Health Promotion (Tannahill, 2008). The health promotion initiative chosen is ‘Change 4 Life’ (Department of Health, 2011).

Nola Pender’s health promotion model is an organizing structure that establishes how nurses and patients can work together to aid individuals in achieving optimal health outcomes through health promotion engagement. The model of health promotion is multifaceted in the nature that it is applicable across the lifespan in various settings and situations and has also been revised to mirror more effective outcomes of patient well-being. The model’s development was based primarily on Pender’s life experiences and was cultivated from the social cognitive theory and the expectancy value model of human motivation. The model has been utilized to develop several instruments including the Health Promoting Lifestyle Profile (HPLP) and the Exercise Benefits-Barriers Scale (EBBS). The initial version of the health promotion model presented seven cognitive-perceptual factors and five modifying factors to define and forecast health. The later revised version that continues to be in use in today’s practice contains three new variables. The model recognizes fourteen theoretical propositions and is based off seven assumptions of the elements of person, environment, and health. The model of health promotion is useful in clinical practice, education, and research settings and has influenced critical thinking and practice decisions leading to evidence-based practice. There have been several advances in the health promotion model; however, there are improvements still to be made. The purpose of

This theory recognizes how the meta-paradigm of nurse, individual, health/wellbeing, surrounding environment (also known as society) have to be acknowledged (Dossey & Keegan, 2013). The nurse plays a strong

The development of a philosophy related to the profession of nursing is important in that it provides a framework for the nurse to base his/her work on. Philosophy is defined by Merriam-Webster as “a search for a general understanding of values and reality by chiefly speculative rather than observational means”. In other words, philosophies are based on beliefs and assumptions with an overall goal of obtaining an objective which states the nurse’s purpose in the profession. In my undergraduate nursing program I was exposed to multiple nursing concepts that guided my practice. Coupled with my ten years of experience in the nursing field, I was enabled to formulate my own framework or guide to nursing. The paradigm which resonates with me the most is the interactive-integrative perspective as it views practice “as having multiple, interrelated parts in relation to a specific context.” (Newman, Sime, & Corcoran-Perry, 1991, p.38). My framework includes three main components: the client, the professional nurse, and the nurse-client relationship.

The pervasive influence of scientific empiricism and Darwinism, “inevitably resulted in the establishment of the idea that the final reality is impersonal matter or energy being shaped into its present form by impersonal chance” (Schaeffer, 1981, p. 18). This change in worldview caused the removal of one of the basic foundations of nursing, the Bible. Throughout the Gospels we see that the ultimate purpose for physical healing was to restore people to a vital relationship with God and the community” (Shelly and Miller, 2006, p.24). Being able to demonstrate the value of this goal for today’s nurse is another important reason for me to understand nursing theory and history and how it applies to my philosophy of nursing.

The purpose of this paper is to discuss my personal beliefs pertaining to the profession of nursing. As well I will discuss the (4) metaparadigms in nursing which are known as; human beings, environment, health, and nursing, and my personal beliefs on these concepts and how they have similarities to the nursing philosophy of a nursing theorist.

The purpose of this paper will be to discuss the major philosophies that have shaped the nursing profession, how epistemologies have informed nursing science, the development of nursing philosophy, and the theoretical knowledge that has advanced the nursing body of knowledge. I will discuss how this new knowledge has influenced my perspective of the nursing profession, and how this will inform my theory-guided and reflective practice as an Advanced Practice Registered Nurse (APRN). Furthermore, I will articulate the concepts and ideas of my personal nursing philosophy and paradigm, and the congruence to the theoretical concepts and elements of Dr. Jean Watson’s Theory of Human Caring (Watson, 1979).

Nursing was, for my sixteen year old self, taking care of the sick. Little did I know the complexities of that definition. Still, taking care of the sick was interesting enough to make nursing my major. I started practicing nursing years ago. However, I still struggle defining and explaining my profession to others. I usually start by differentiating nursing from medicine. Nurses see patients as humans rather than a disease that needs treatment (Zaccagnini & White, 2014, p. 15). However, as I advance my career, I must actively incorporate nursing theory into my practice. Nursing theory gives a foundation to understand patients and their health problems better. The use of nursing theory provides a framework to evaluate nurses’ interventions on a higher standard (Zaccagnini & White, 2014). Kenney described five steps to follow once the decision to include nursing theory has being made. This paper will explore the process of applying the Kenney’s five steps into my practice.

Kristen M. Swanson’s Caring Theory is the solution in bridging the gap between nursing practice and theory. It offers an explanation of the links between patient well-being and the caring process (Tonges & Ray, 2011). Swanson explained that nurses should be able to demonstrate that they care about their patients, and that caring about their wellbeing is as important as their patients’ current medical problem (Tonges & Ray, 2011).

The two theories that have helped to form my personal perspective on nursing are Erickson; and Rogers. Helen Erickson’s model is based on caring for an individual patient based on their own unique needs and perspective (Nursing Theories and Models, 2017). Erickson’s model took concepts from several other theorists such as Maslow, Padget, Seyle, and Lazarus and combined them to create a nursing model that takes care of each individual patient based on their needs ( Reed, 2017). This theory helps me to be more cognizant of the individual needs of my patient, not all patients regardless of disease process are the same. Each patient may have different underlying factors or circumstances that affect their health and current situation. Rogers’ theory is broader, viewing nursing as both an art and science, promoting health and wellbeing to patients regardless of where they are (Nursing Theories and Models, 2017). The science of nursing involves the knowledge and research of nursing, and the art is applying that science for the betterment of the patient. This theory views an individual as part

The nurse, the client, the environment, teaching/learning, and nursing education are the main points in VU’s Nursing Philosophy. VU’s Nursing Philosophy has lead me to view nurses as caring, culturally sensitive, and trustworthy individuals that stand as advocates for their patients and their community. Also, nurses collaborate with other health care professionals and use problem solving skills to promote physical, spiritual, and psychosocial, health and wellness (2014). Vincennes University’s Nursing Philosophy as taught me that a client can be any person, family, community, or population, who should all be cared for as a holistic being, worthy of dignity and respect. Although the client’s needs vary largely throughout their lifespan VU’s Nursing Philosophy supports their right to determine and actively participate in reaching their own health goals (2014). Vincennes University’s Nursing Philosophy defines health as any point of being between death and an optimal level of wellness (2014). This affects me as a nursing students because promotion, restoration, and maintaining the optimal level of wellness is the goal of nursing, this results from positive adaption between the client and the environment (Vincennes University, 2014). The environment can be defined as any external or internal aspect of the client, this is ever-changing as the world around us changes (Vincennes University, 2014).

Core concepts are the basis for a theory or model; concepts help in the development of theories. Theorists have developed different models or theories but have common core concepts. This paper will identify the core concept of ‘the role of nursing,’ which two theorists, Dorothea Orem and Virginia Henderson both utilized. We will compare and analyze the concept definitions among both theorists, and discuss the practical use of Orem’s self care theory.

This theory explains, describes, guides, and supports nursing practice. It gives language to the unspoken beliefs and perspectives of the nursing profession. This allows the nursing professionals to better envision, realize, and articulate their unique role in healthcare (Green & Robichaux, 2009). Human caring is the basis of therapeutic relationships between human beings (Wade & Kasper, 2006)

I chose the Parse Theory of Human becoming because I feel that this theory gives the patient strength, complexity and a strong internal locus. A person is free to choose their own meaning in a situation and interpret the meaning as freely as desired. This theory relates to the professional nursing practice because it allows the nurse to see the patient as a whole; spiritually, biologically, sociologically, and psychologically.(Taylor & Canney, 2011) As nurses, we perform a holistic assessment and provide care to the patient’s idea of health and wellness; a person is more than just the sum of their parts.