Role of the Nurse in Health Promotion Essay

The concept of health promotion has emerged with the increasing realisation in society that our health is one of our most valuable personal assets, as well as an asset for society (Crafter, 1997). The Health Promotion Agency (2008) describes health promotion as a process enabling people to

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

In this part of my assignment I will describe 2 different theories of behaviour change in relation to health.

Health promotion is very important to the nursing profession. It is one of the most important aspects of their career and should be practiced from the first day they are a nurse. It not only helps the patient to live a more healthy life, but a longer life without complications. Nurses take on many roles in health promotion, and as such should know the definition.

Used open and closed questions with Mr. K.K from 07.25- 08.40 minutes Formation of Motivation to Change and Intervention. Motivational Interview is an evidence‐based clinical method found to be effective in promoting positive behavioural/lifestyle change (Miller & Rollnick, 2009).

The transtheoretical model focuses on the process involved in changing problems, instead of solely focusing on the problems, and is concerned with identifying where patients are on the trajectory of the stages of change and assessing their motivation to advance through the stages. Social work clinicians can employ motivational interviewing, which is an evidence-based intervention within this theory, to work with patients as they learn to change their unhealthy behaviors and improve their physical and behavioral health. A limitation of this model pertains to its focus on consciousness decision-making instead of sufficiently addressing that deeply embedded behaviors automatic reactions, that do not incorporate conscious decision-making (Langer

The person I interviewed is a 52 year old caucasian woman who is obese and smokes a half a pack of cigarettes a day. She has a health history of GERD and high cholesterol. She is a mother of two, a wife and works full time. She expressed interest in making a lifestyle change so she could be in better shape for her family and for herself.

The strength of the proposal is incorporating behavior change into the intervention. The Transtheoretical Model stages used to assess the type of short – messaging service (SMS) messages to be sent to the participants is an innovative process that will facilitate behavioral change (Pender, Murdaugh, & Parsons, 2015). With your monthly individuals’ behavior stage assessments, appropriate health information can be presented to transition the participant to the next stage in pursuing health. For example, during the contemplative phase, motivational messages can promote participants to take interest in information which will pave the way into the planning stage (Pender et al., 2015). An important concept in young adults is the readiness to change health behaviors (Giles & Brennan, 2015).

As a nurse, providing education is a primary part of health promotion; such as explaining that smoking can make cancer more of a risk. As a secondary health promotion, a nurse would share how important it is to have screenings done. Detecting cancer early can help cure it so that the patient can return to their original health as soon as they can. For tertiary health promotion, the nurse would continue teaching the patient. This could be teaching the about their medications, or about support groups for those who can benefit (Taylor, 2014, p.51).

In addition, attempting certain behavior changes will be influenced by the patient’s definition of health. Likewise, the patient’s perception of their current health status will influence the odds that health-enhancing behaviors will be initiated. If the gains are perceived as achievable, patient will be more likely to either begin or to continue health-enhancing behaviors. Finally, patients are to be less empowered to attempt health-enhancing behaviors if the belief is present that the behavior is difficult or the necessary resources unavailable. Barriers to learning can also result from personal values, beliefs, attitudes, lack of motivation, poor self-concept or inadequate comprehension. In addition to the comprehending factors, which Dr. Pender believes have direct effect on expression of behavior, the theorist hypothesizes that a number of what are term “modifying factors” influence behavior expression in an indirect fashion. (Pender, 1995). These factors include such characteristics as biological traits, interpersonal factors, situational factors, and finally, behavioral factors. Examples include such traits as sex and age, or the expectations of a significant other. Primary motivational techniques and the modifying factors help predict the degree to which patients will be empowered to participate in health-promoting behavior. Finally action is predicted to be prompted by certain internal and external

According to the stages of change model, “individuals pass through a sequence of five ‘stages’ of motivational readiness when changing health behaviors: (a) Precontemplation (not yet considering change), (b) Contemplation (considering change), (c) Preparation (beginning to make small changes), (d) Action (recently making the change), and (e) Maintenance (having maintained new health behavior for 6 months)” (Bock, Marcus, Rossi, & Redding, 1998, pp.

As health providers, it is our duty to ensure that an individual learns how to properly take care of his or her own health and make appropriate and healthy choices. By being proactive in their healthcare, individuals are more likely to prevent and avoid health complications while promoting their own overall health. Many nursing theories have been proposed in order to guide healthcare professionals and refine the nursing practices. One of the more prominent theories is the Heath Promotion Model (HPM) proposed by the nursing theorist Nola Pender.

The program at St. John’s follows many constructs of the Transtheoretical Model (TTM), a model that uses various stages and processes of behavior to implement change (Glanz, 97). Consciousness raising, the first process of change in the TTM, applies to the St. John’s program when patients visit with their physicians at the clinic and learn facts regarding complications that can arise from mismanagement of diabetes (PowerPoint). Action, a major construct of the theory, was applied to the program through the patients actively attending the weekly classes, and the maintenance stage was seen when many of the patients consistently attended classes for months and noticed healthy changes in their blood sugar levels, weight and blood pressure (Powerpoint). Another important construct in the TTM, self-efficacy, can also be applied to the organization of this program. Through this program, patients learned how to measure and maintain their blood sugar levels and eat a healthy diet; detailed steps on managing their diabetes helped patients build their confidence, allowing them to continue using these skills even after leaving

In the article “Goal setting for health behavior change”, the author insists that specific intervention strategies and the processes by which they lead to health-related behavior changes (Ries and Blackman etc. 2014). So, I

* Age, gender, income, ethnic, racial and educational background comprises the demographic characteristics associated with the model. This aspect provides meshing of the HPM with the concept of self-actualization.