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NOLA PENDER
HEALTH PROMOTION MODEL
PRESENTED BY Sandy Saylor Jackie Tiefenthal Michelle Rowe Chris Bookheimer PERSON REFERS TO Individuals Families Communities INDIVIDUAL FACTORS INCLUDE Biologic Sociocultural Psychological PSYCHOLOGICAL FACTORS Self esteem Self motivation Perceived health status SELF EFFICACY “Self efficacy is the judgment of personal capability to organize and carry out a particular course of action. Self-efficacy is not concerned with skill one has but with judgments of what one can do with whatever skills one possesses.” – Pender, 2006, p. 53. SUCCESS BREEDS SUCCESS According to Pender, “The most powerful input to self-efficacy is a successful performance of a behavior” (Pender, 2006, p. 59). ENVIRONMENT “Environmental wellness is manifest in harmony and balance between human beings and their surroundings” (Pender, 2006, p. 9). NURSING Health Promotion Services Health Promoting Interventions Empowerment for Self Care Client’s capacity for Self Care NURSING “Nurses make age-specific and risk-specific recommendations for clinical preventative services” (Tomey, 2010, p. 435). “Clinical interest in health behaviors represents a philosophical shift that emphasized the quality of lives alongside the saving of lives” (Tomey, p. 442). Nurses promote wellness by health promotion education (Tomey, p. 442). CONCEPTS UNIQUE TO MODEL “Unlike avoidance-oriented models that rely upon fear or threat to health as motivation for health behavior, the HPM has a competence or approach- oriented focus (Pender, 1996). Health promotion is motivated by the desire to enhance well being and to actualize human potential (Pender, 1996).” The HPM is a borrowed theory Tomey, p. 441 HOW PENDER’S HPM CAN BE USED IN CLINICAL PRACTICE Applies across a lifespan Useful in a variety of settings Holistic Unique plans Educating/hands-on HPM: FRAMEWORK FOR PATIENT ASSESSMENT Goal’s of HPM Improved health (holistically) Enhanced functional ability Better quality of life at every stage Increased well-being Possess a positive dynamic state An exercise screening will help identify different types of exercise and physical activity regimens that can be tailored to meet the existing health conditions, illnesses or disabilities of individuals. Lifestyle questionnaire: used in showing past/present lifestyle habits that may affect or have affected an individual’s life and how they can make the change to improve their health. NURSING EDUCATION “…increasingly, the HPM is incorporated in nursing curricula as an aspect of health assessment, community health nursing, and wellness-focused courses” (Tomey, 2010, p. 443). STRENGTH The greater the commitment to a plan of action, the more likely health promoting behaviors are maintained over time. Making a deal with yourself STRENGTH Persons are more likely to commit to and engage in health promoting behaviors when others model the behavior. LIMITATION Commitment to a plan of action is less likely to result when other actions are more attractive and preferred over target behavior
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REFERENCES Tomey, A. (2010). Nursing theorist and their work. Maryland Heights, MO: Mosby Elsevier. Pender, N, Murdaugh, C, & Parsons, M. (2006). Health promotion in nursing practice fifth edition. Upper Saddle River, NJ: Pearson Education, Inc. Peterson, S, & Bredow, T. (2009). Middle range theories application to nursing research second edition. Philadelphia, PA: Wolters Kluwer/Lipincott Williams & . McEwen, M, & Wills, Evelyn. (2007). Theoretical basis for nursing second edition. Philadelphia, PA: Wolters Kluwer/Lipincott Williams & . Kearney-Nunnery, R. (2008). Advancing your career concepts of professional nursing. Philadelphia, PA: F.A. Davis Company. DISCUSSION QUESTIONS 1. After viewing our presentation, can you think of ways that you use the HPM in your nursing practice or personal life? How would you incorporate this model if you do not currently utilize it? 2. According to Middle Range Theories Application to Nursing Research, “application of the HPM is untested in acute care settings and with clients whose health concerns are urgent or living condition are unstable”. Why do you think it would be hard to apply to these situations? 3. BMI, dietary journal, exercise evaluation and lifestyle questionnaire are examples of assessment tools that can be used with the HPM. Can you identify strengths or weaknesses of these or do you use a different assessment that would apply to the HPM? FOR YOUR VIEWING PLEASURE… http://www.youtube.com/watch?v=ykz8DhqnWzI The original pioneer of health promotion!