Pender to be a "complementary counterpart to models of health protection. Health promotion is directed at increasing a patient's level of well-being.
Nola Pender The Health Promotion Model The health promotion model notes that each person has unique personal characteristics and experiences that affect subsequent actions. The set of variables for behavioral specific knowledge and affect have important motivational significance.
These variables can be modified through nursing actions. Health promoting behavior is the desired behavioral outcome and is the end point in the HPM. Health promoting behaviors should result in improved health, enhanced functional ability and better quality of life at all stages of development.
The final behavioral demand is also influenced by the immediate competing demand and preferences, which can derail an intended health promoting actions.
Major Concepts Health promotion is defined as behavior motivated by the desire to increase well-being and actualize human health potential. It is an approach to wellness. On the other hand, health protection or illness prevention is described as behavior motivated desire to actively avoid illness, detect it early, or maintain functioning within the constraints of illness.
Individual characteristics and experiences prior related behavior and personal factors. Behavior-specific cognitions and affect perceived benefits of action, perceived barriers to action, perceived self-efficacy, activity-related affect, interpersonal influences, and situational influences.
Behavioral outcomes commitment to a plan of action, immediate competing demands and preferences, and health-promoting behavior. Subconcepts Personal Factors Personal factors categorized as biological, psychological and socio-cultural.
These factors are predictive of a given behavior and shaped by the nature of the target behavior being considered.
Personal biological factors Include variable such as age gender body mass index pubertal status, aerobic capacity, strength, agility, or balance. Personal psychological factors Include variables such as self esteem self motivation personal competence perceived health status and definition of health.
Personal socio-cultural factors Include variables such as race ethnicity, acculturation, education and socioeconomic status. Perceived Benefits of Action Anticipated positive outcomes that will occur from health behavior. Anticipated, imagined or real blocks and personal costs of understanding a given behavior.
Perceived Self Efficacy Judgment of personal capability to organize and execute a health-promoting behavior. Perceived self efficacy influences perceived barriers to action so higher efficacy result in lowered perceptions of barriers to the performance of the behavior.
Activity Related Affect Subjective positive or negative feeling that occur before, during and following behavior based on the stimulus properties of the behavior itself. Activity-related affect influences perceived self-efficacy, which means the more positive the subjective feeling, the greater the feeling of efficacy.
In turn, increased feelings of efficacy can generate further positive affect. Interpersonal Influences Cognition concerning behaviors, beliefs, or attitudes of the others. Primary sources of interpersonal influences are families, peers, and healthcare providers.
Situational Influences Personal perceptions and cognitions of any given situation or context that can facilitate or impede behavior. Include perceptions of options available, demand characteristics and aesthetic features of the environment in which given health promoting is proposed to take place.
Situational influences may have direct or indirect influences on health behavior.
Commitment to Plan Of Action The concept of intention and identification of a planned strategy leads to implementation of health behavior Immediate Competing Demands and Preferences Competing demands are those alternative behaviors over which individuals have low control because there are environmental contingencies such as work or family care responsibilities.
Competing preferences are alternative behaviors over which individuals exert relatively high control, such as choice of ice cream or apple for a snack Assumptions Individuals seek to actively regulate their own behavior. Individuals in all their biopsychosocial complexity interact with the environment, progressively transforming the environment and being transformed over time.
Health professionals constitute a part of the interpersonal environment, which exerts influence on persons throughout their life span. Self-initiated reconfiguration of person-environment interactive patterns is essential to behavior change.
Propositions Prior behavior and inherited and acquired characteristics influence beliefs, affect, and enactment of health-promoting behavior. Persons commit to engaging in behaviors from which they anticipate deriving personally valued benefits.
Perceived barriers can constrain commitment to action, a mediator of behavior as well as actual behavior. Perceived competence or self-efficacy to execute a given behavior increases the likelihood of commitment to action and actual performance of the behavior.
Greater perceived self-efficacy results in fewer perceived barriers to a specific health behavior.Mar 25, · The Health Promotion Model (HPM) categorizes the factors influencing behaviors similar to the HBM.
Modifying factors, cognitive-perceptual factors and variables influencing the likelihood of action, are delineated. Pender N.J. Health Promotion in . Nola Pender.
The Health Promotion Model. The health promotion model notes that each person has unique personal characteristics and experiences that affect subsequent actions.
The set of variables for behavioral specific knowledge and affect have important motivational significance. These variables can be modified through nursing actions.
Pender’s quotes “I committed myself to the proactive stance of health promotion and disease prevention with the conviction that it is much better to experience exuberant well-being and prevent disease than let disease happen when it is avoidable and then try and cope with it.”-Nola J.
Pender. CHAPTER 21 Health promotion model Teresa J. Sakraida “Middle range theories that have been tested in research provide evidence for evidence-based practice, thus facilitating translation of research into practice” (Pender, personal communication, April ). Nola J. Pender to present Credentials and background of the theorist Nola J.
Pender’s first encounter with professional.
|Health promotion model | Nurse Key||Health promotion Health behavior counseling Dr.|
|Biography and Career of Nola Pender||Nursing Theories and a Philosophy of Nursing Nola Pender - Nursing Theorist One of the roles of nurses is to help patients learn to care for themselves and make healthy choices.|
|Nola Pender's Contribution to Nursing Theory: Health Promotion Model||After earning her PhD, Pender notes a shift in her thinking toward defining the goal of nursing care as the optimal health of the individual.|
Nola Pender began studying health-promoting behavior in the mid's and first published the Health Promotion Model (HPM) in She reported that the model was constructed from expectancy-value theory and social cognitive theory using a nursing perspective.
Dr. Pender developed the Health Promotion Model that is used internationally for research, education, and practice. During her active research career, she conducted research testing on the Health Promotion Model with adults and adolescents.