NRS 429VN: Topic 1 DQ 2 – Health promotion model used to initiate behavioral changes
Describe a health promotion model used to initiate behavioral changes. How does this model help in teaching behavioral changes? What are some of the barriers that affect a patient’s ability to learn? How does a patient’s readiness to learn, or readiness to change, affect learning outcomes?
Re: Topic 1 DQ 2
The health promotion model was developed in 1982 by Dr. Nola J. Pender. The theorist, Nola J. Gender. Pender believed that the goal of nursing care was to help their patients achieve optimal health and well-being. The health promotion model claims that each individual’s characteristics and life experiences have a direct impact on their actions and decisions regarding their health (Butts & Rich, 2018, p.446) NRS 429VN: Topic 1 DQ 2 – Health promotion model used to initiate behavioral changes.
Pender’s health promotion model concentrates on three major categories: individual characteristics and experiences, behavior-specific cognitions and affect and lastly, the behavioral outcomes (Butts & Rich, 2018, p.446). The second category involves the behavior-specific cognitions and affect which have a direct impact on the individual’s motivation for change (Butts & Rich, 2018, p.447). Behavior plays an important role in people’s health. Behaviors such as , smoking, poor diet, lack of exercise and sexual risk-taking can cause a large number of diseases. Interventions to change behavior have enormous potential to alter current patterns of the disease that can be acquired from us behavior mentioned above. The goal of the health promotion model is to stimulate a behavioral change that results in a positive health outcome.
Barriers such as individuals’ inability to see or hear properly, culture, language, and religion, etc. can affect a patient’s ability to learn. teaching patients about their respective illnesses and finding ways to engage patient on how to best manage these illnesses guide the patient to pursue better health as well as suitable health.
Learning readiness refers to how likely a person is to seek out knowledge and participate in behavior change. Individuals go through various stages in order to adopt or maintain a new health behavior. In the contemplative stage, the person is generally not aware of a problem or ready to act. Many factors influence a patient’s readiness to learn. Anything that affects physical or psychological comfort such as pain, fatigue, anxiety, fear also affects a person’s ability and motivation to learn NRS 429VN: Topic 1 DQ 2 – Health promotion model used to initiate behavioral changes.
In order for a behavioral change to occur and be maintained it must be self-initiated (Butts & Rich, 2018, p.449). One must consider the individual’s previous behavior and characteristics that can have a direct influence on future health-promoting behavior. Perceived personal value or benefit, as well as, self-worth can be a driving focus to achieve participation (Butts & Rich, 2018, p.449). A strong indication for commitment to health-promotion behavior can be achieved when others in their environment support and display the behavior.
Butts, J. B., & Rich, K. L. (2018). Philosophies and Theories for Advanced Nursing Practice. Burlington, MA: Jones & Bartlett Learning.
you made some great points in your DQ. Nurses play an important roles in teaching or educate patients with information about healthy behavior. Many health conditions can be prevented by simple lifestyle changes. To make teaching more effective, nurses need to know about patient’s learning factors such as readiness, environment factors, health status, and cultural awareness. Nurses also use the health belief model to motivate people to take positive health actions. The desire to avoid a negative health consequence can be used as the initiative motivation. Receptiveness of the patient needs to be present in order for the patient to be able to absorb the knowledge that you are implanting to them. The plan for patient education should be checked for its efficacy and should be analyzed and acted upon after implementation. Nurses should also reassess the way that the patient is learning and if they are indeed learning at all. Therefore, a follow up conversation at some point should be implemented to assure their understanding NRS 429VN: Topic 1 DQ 2 – Health promotion model used to initiate behavioral changes.
That is a very important point you stated, “a strong indication for commitment to health promotion behavior can be achieved when others in their environment support and display the behavior.” Including a family member or caregiver at discharge or for education on diagnosis management, helps support the patient. Family members can enhance, reiterate and assist the patient to wellness by implementing new information learned to improve health. Outcomes can be better reached when there are support people available whom may also benefit from change.
In regards to Penders model, one of the important factors in health promotion is experience as you stated. Experienced behaviors will determine how well a patient or family unit is willing to change. As Nurses sometimes we make a less than meaningful attempt to teach a patient and the nurse might feel rushed to provide the information. Previous experiences in regards to promoting health changes, or the approach that is given plays a role. In health promotion is valuable to also assess past experiences with interactions that patient has had with health professional NRS 429VN: Topic 1 DQ 2 – Health promotion model used to initiate behavioral changes.