Nola Pender: Health Promotion Model, Cheat Sheet of Nursing

Download Nola Pender: Health Promotion Model and more Cheat Sheet Nursing in PDF only on Docsity! NOLA PENDER: HEALTH PROMOTION MODEL Nola Pender: Health Promotion Model Nola Pender is a nursing theorist, author and academic. She is a professor emerita of nursing at the University of Michigan. She created the Health Promotion Model. She has been designated a Living Legend of the American Academy of Nursing. Health Promotion Model Purpose: Assist nurses in understanding the major determinants of health behaviors as a basis for behavioral counseling to promote healthy lifestyles Philosophical Roots: Reciprocal Interaction World View in which humans are viewed holistically, but parts can be studied in the context of the whole. Human beings interact with their environment and shape it to meet their needs and goals. Overview of Health Promotion Model Theoretical Roots: Expectancy value theory - Individuals engage in actions to achieve goals that are perceived as possible and that result in valued outcomes. Social Cognitive Theory: Thoughts, behavior, and environment interact. For people to alter how they behave, they must alter how they think. The model identifies background factors HPM Assumptions Based on the following assumptions, which reflect both nursing and behavioral science perspectives: 1. Persons seek to create conditions of living through which they can express their unique human health potential. 2. Persons have the capacity for reflective self-awareness, including assessment of their own competencies. 3. Persons value growth in directions viewed as positive and attempt to achieve a personally acceptable balance between change and stability. 4. Individuals seek to actively regulate their own behavior. 5. Individuals in all their biopsychosocial complexity interact with the environment, progressively transforming the environment and being transformed over time. 6. Health professionals constitute a part of the interpersonal environment, which exerts influence on persons throughout their lifespan. 7. Self-initiated reconfiguration of person-environment interactive patterns is essential to behavior change. a. patient has the capacity to initiate change The HPM is based on the following theoretical propositions: 1. Prior behavior and inherited and acquired characteristics influence beliefs, affect, and enactment of health-promoting behavior. 2. Persons commit to engaging in behaviors from which they anticipate deriving personally valued benefits. 3. Perceived barriers can constrain commitment to action, a mediator of behavior as well as actual behavior. a. barriers can limit our actions: ex. too busy to have better food choices 4. Perceived competence or self-efficacy to execute a given behavior increases the likelihood of commitment to action and actual performance of the behavior. 5. Greater perceived self-efficacy results in fewer perceived barriers to a specific health behavior. 6. Positive affect toward a behavior results in greater perceived self-efficacy. 7. When positive emotions or affect are associated with a behavior, the probability of commitment and action is increased. a. ex. not counting food intake=no negative emotions 8. Persons are more likely to commit to and engage in health-promoting behaviors when significant others model the behavior, expect the behavior to occur, and provide assistance and support to enable the behavior. a. parents are in the best condition to motivate their children (role model) 9. Families, peers, and health care providers are important sources of interpersonal influence that can increase or decrease commitment to and engagement in health- promoting behavior. a. family habits: ex. continuously fast food chains intake 10. Situational influences in the external environment can increase or decrease commitment to or participation in health-promoting behavior. a. things that prevent us from growing a particular behavior: ex. taking a bath daily but you don’t have necessary capacity or sources ex. wanting to have healthy foods but not enough money to buy one 11. The greater the commitment to a specific plan of action, the more likely health- promoting behaviors are to be maintained over time. 12. Commitment to a plan of action is less likely to result in the desired behavior when competing demands over which persons have little control require immediate attention. a. priorities should be well-placed 13. Commitment to a plan of action is less likely to result in the desired behavior when other actions are more attractive and thus preferred over the target behavior. a. ex. sleeping vs exercising ex. having water vs caffeine