Perspective Surveillance Model

Understanding whether education and self-efficacy increases adherence to health behavior modification is significant in the nursing world, because it suggests that nurses play a dominant role in patient teaching. As nurses, it is crucial to utilize patient teaching and supporting skills to ensure quality care and better health outcomes in the long run. When a patient is educated, it increase’s their confidence to participate in treatment, improves outcomes, and encourages better health habits. Feeling confident in one’s abilities is key to maintaining adherence to medical regimens, and health behaviors. Patient education can be done in various ways including, PowerPoint’s, handouts, and videos.

Patient prevention and education should start in the primary care setting where information could be shared with the patient and their love ones. Patient education can be initiated by the primary care provider and the ancillary staff. Initiating this fundamental exchange of information can establish a knowledge base for health promotion behaviors and increase self-management skills that can improve the patient quality of life (Cha et al., 2012).

Health promotion includes providing activities that improve a person’s health. These activities assist patients to “maintain or enhance their present levels of health. Health promotion activities motivate people to act positively to reach more stable levels of health” (Potter & Perry, 2005, p. 97). In order for nurses to assist patients in obtaining healthy lifestyles, they must first assess a patient’s perception of health. The World Health Organization defines health as a “state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity” (as cited in Potter & Perry, 2005, p. 91). There are many nursing theories that are based on an individual’s perception of health. This paper will

A patient centered approach is an important element in promoting self-efficacy as it encourages patients to participate in their care and become part of the decision making (Eich, Kiss, Langewitz & Wossmer, 1998). When the patient is excluded from the discussion and decision making of the nursing staff it makes room for a loss of opportunity by the patient for health promotion and self-efficacy. Patients’ perceptions of their level of self-efficacy could either augment or interfere with their health teaching learning abilities. As cited by Kaşıkçı, M. (2011) a central concept in Bandura’s theory (1997), self-efficacy is defined as the degree of confidence that individuals have in their ability to perform specific activities successfully.

Using the health belief model, how can nurses encourage patients to make immediate and permanent behavior changes; particularly as they relate to lifestyle choices?

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)..

Nurses implement health promotion strategies in a variety of ways. Due to the high level of credibility nurse’s have with their patients, they greatly influence their patients with their passion. By emphasizing health promotion strategies such as self-responsibility, proper nutrition, exercise and stress management, nurses plant the seeds of wellness in the minds of their patients. While ultimately, it is up to the individual to make healthy changes in their lives, the role of the nurse practitioner plays a huge role in motivating individuals to adopt healthy habits.

I chose Pender’s Health Promotion Model (HPM) as the mid-range theory that I believe that can aid me as an APRN in preventing and minimizing unnecessary Emergency Room visits and to empower patient and families to be a more active partner in their care, increase compliance to health teachings, early recognition of potential emergencies and knowing when a situation warrants a visit to the Emergency Room. I have noticed and realized too many visits that could have been prevented should the patient and family have had more education and complaint with medications, timely follow up visits, and had open communication with their health care provider. I saw the value and potential of recognizing and knowing about patient’s complex background can shed light on knowing what they value most, their degree of motivation, their

As a practitioner or a population health coach, both APNs considered other nurses at any level, and physicians within the same discipline, as her peers. Over the course of their professional careers, increased confidence, trust, and knowledge were the commonalities with evolving roles. The confidence and trust originates with oneself, then, includes that of her co-workers and physicians, but mostly from her patients. Maturing from the novice RN to an expert APN, the confidence and knowledge base has developed, building an individual practice and supporting patients and communities towards optimal health. Each considered autonomy the greatest privilege guaranteed them as APN.

One of the many ways technology is improving PA and nursing is that it makes promoting patient education much easier. Patient education is when health professionals give information about how to alter your lifestyle to stay healthy. The traditional way of doing this was seeing your PA or nurse through doctor appointments, but now through technology there is a much faster and effective way of doing this.

Nursing practice has been able to make a large impact on health promotion for the patient. Nurses are involved in many facets of continued health promotion such as; triage

Personal theory and philosophies are important for Advanced Practice Registered Nurses (APRN) to help care for patients and their career. According to the American Nurses Association (ANA, 2010) an “APRNs are registered nurses (RN) who have acquired advanced specialized clinical knowledge and skills to provide health care” (p. 112). APRN is a general term used to describe certified registered nurse anesthetist, certified nurse midwife, clinical nurse specialist, and nurse practitioners (NP) (ANA, 2010). For the purpose of this paper and my personal theory and philosophy, I will focus on the NP as the APRN. NPs are able to perform comprehensive assessments and promote health and prevention of illness and injuries (ANA, 2010). The ANA’s concepts of health promotion and disease prevention have helped shape my personal theory and aided in identifying a theory for my future practice as a Family Nurse Practitioner (FNP). The best theory to guide my practice will be Nola J. Pender’s health promotion model (HPM). By using Pender’s HPM, it will allow me to identify each patient as an individual with different needs for health promotion and disease management.

Beagley, L. (2011, October). Educating Patients: Understanding Barriers, Learning Styles, and Teaching Techniques. Journal of PeriAnesthesia Nursing, 26, 331-337. http://dx.doi.org/10.1016/j.jopan.2011.06.002

Nurses play an important role in promoting health within the patient, family, and community (Kemppainen, Tassavainen, & Turunen, 2012). The focus of patient care has been transferred from treating the illness to disease prevention (Mchugh, Robinson, & Chesters, 2010). The implementation of consultation, education, and follow up exams can increase the overall quality of life for an individual (Kemppainen et al., 2012). I will discuss the various roles of a nurse in health promotion along with the multiple work environments in which they can be implemented within. I will also reveal the maintenance plan of my own personal health regimen.

There is sufficient evidence supporting the use of physical exercise as a central element of rehabilitation for many chronic diseases.1 The effectiveness of implementing an exercise program with cancer patients is widely researched. Many studies note that any form of exercise performed has a proven effect to improve both physical and psychological effects associated with patients receiving chemotherapy or radiation therapy for their cancer diagnosis. However, treatment modalities for cancer produce a number of negative side effects in patients, preventing them from participating in an exercise routine. Some of these side effects include: increased fatigue, tiredness, pain, not enough time due to treatment schedule, decreased strength and energy, shortness of breath on exertion, decreased motivation, and decreased concentration.2 Due to these common side effects, most patients are unable to continue a previous exercise program or begin a new program, even though the benefits have been shown to reduce the severity of most side effects experienced.