Theories Of Nola Pender

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

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

Finkelman, A. (2013) Health promotion, Disease Prevention, and Illness: A community Perspective.. In Professional Nursing Concepts (Second ed., pp 201-227). Burlington: Jones & Bartlet Learning.

The World Health Organization (WHO) defined health promotion as “The process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions.”

For many years, health promotions and prevention has been the focus for healthcare providers, especially nurses. Health promotion seeks to improve a person or population’s health by teaching about and helps people become more aware of risky behaviors associated with different diseases. It encourages individuals to take preventative measures to prevent onset or worsening of a disease or illness. It encourages a healthier lifestyle (Edelman & Mandle, 2010). The strategy is to help people make health improvements or prevention before illness occurs.

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.

Definition of Health Promotion is increasing awareness, indentifying alternatives and influencing attitudes of the people, so that they can make an informed decision and change their behaviors to achieve an optimal level of mental, physical and social health. Health promotion is also defined as the process of empowering people to improve and take control of their health to optimize the quality of their lives. Ennis et al (2006) has explained health promotion as emotional, cognitive and behavioral endeavor to promote well being and health of the people. Davis (1995) expresses a deeper perspective in which preventive health science, social environment,

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.

“Health is defined as a state of physical, mental and social well being and not merely the absence of disease or infirmity” (WHO). Like wise health promotion is the process of increasing the functional capacity of all people hence promote the sense of well-being. In order to accomplish this goal all health care professionals have to work hard by submitting themselves to their patients and community as a whole. Thus globalize health promotion should be the ultimate mission for all health care team, especially for nurses. Nurses are the first level health care team therefore nurses should play as a role model to all human beings. They should hold various positions in order to achieve optimum results. In this evolving health industry

Nurses take on educator roles both in educating the public on their health and as educators in clinical practice and academic settings. As a public educator, nurses teach and counsel patients and families to enhance health and well-being. Patient and family health education is an important step in preventing disease. In order to be able to properly educate their clients on health promotion and well-being, nurses must first fully understand “health”. Nurses do not view health as “the absence of illness” but “define health as the extent to which an individual or group is able to realize aspirations, to satisfy needs and to change or cope with the environment in which they live.” (CARNA, 2005, p.2). Nurses hold a holistic view of the person and health and address health within the context of a person’s wholeness, including biological, emotional, psychological, social, cultural, and spiritual dimensions. Incorporating these ideas, nurses use the determinants of health as a way of dealing with and achieving health for an individual. Nurses recognize the broad determinants of health as income & social status, education, culture, physical environments, gender, health services, social support networks, employment & working conditions, health services, personal health practices, and biology & genetic endowment.

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)..

Health promotion (HP) is a multi-dimensional and complex concept which the researcher is frequently used and defined in different ways. One of the nursing roles for nurses is the promoter of health; therefore it would be useful to attempt to clarify the concept. This article develops a concept analysis is to clarify the meaning of an existing concept of HP using the process developed by Pender, Murdaugh, and Parsons (2006). The method suggested by Walker and Avant guided this concept analysis. Attributes, model cases, antecedents and consequences, and empirical references are described. The implications for further research are also described.

The World Health Organisation - WHO (2015) defines Health Promotion as fundamental discipline in disease prevention through social /environmental intervention, health education and behaviour change towards health. This description coincides with Dahlgren and Whitehead’s Social Determinants of Health (1992) where the individual’s health is not only limited to medical factors but it is largely influenced by lifestyle – rooting from its social factors from familial, societal to national level. In this regard, the vital role of the nurse as a health promotion practitioner is to uphold individual’s autonomy by increasing their knowledge about how the body functions to prevent diseases and making them aware of how the healthcare

The main purpose of health promotion is to heighten people’s motivation to strive for optimal health, while assisting them in making lifestyle modifications that will help them advance their wellbeing to an ideal state. Modifications of the unfavorable way of living can be enabled through a

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.