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health promotion model.ppt

  1. Nola Pender Health Promotion Theory
  2. Dr. Pender has been a nurse educator for over forty years. Throughout her career. She taught baccalaureate masters, and PhD students. She also mentored a number of postdoctoral fellows. In 1998, she received the Mae Edna Doyle Teacher of the Year award from the University of Michigan School of Nursing. She currently serves as a Distinguished Professor at Loyola University Chicago, School of Nursing.
  3. She was the lady that started the Health Promotion Model in Nursing Care . She was born in August 16,1941 at Lansing, Michigan
  4. II. DATA: Features: This model is based on the idea that human beings are rational, and will seek their advantage in health. But the nature of this rationality is tightly bounded by things like self-esteem, perceived advantages of healthy behavior , psychological states and previous behavior.
  5. As for the medical profession in general, the main purpose here is not merely to cure disease, but to promote healthy lifestyles and choices that affect the health of individuals.
  6. Concepts: 1.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.
  7. 2. Health protection or illness is described as behavior motivated desire to actively avoid illness, detect it early, or maintain functioning within the constraints of illness.
  8. ASSUMPTIONS OF THE HEALTH PROMOTION MODEL 1. Individuals in all their biopsychosocial complexity interact with the environment, progressively transforming the environment and being transformed over time. 2. Health professionals constitute a part of the interpersonal environment, which exerts influence on persons throughout their life span. 3. Self-initiated reconfiguration of person-environment interactive patterns is essential to behaviour change
  9.  Personal factors Personal factors categories as biological, psychological and socio-cultural. These factors are predictive of a given behavior and shaped by the nature of the target behavior 1. Personal biological factor Includes variables such as age gender body mass index pubertal status, aerobic capacity, strength , agility, or balance. 2. Personal psychological factors: Include variables such as self-esteem, self motivation, personal competence perceived health status and definition of health 3. Personal socio-cultural factors Include such as race ethnicity, education and socio economic status.
  10.  PERCEIVED BENEFITS OF ACTION •Anticipated positive out comes that will occur from health behaviour.  PERCEIVED BARRIERS TO ACTION •Anticipated, imagined or real blocks and personal costs of understanding a given behaviour  PERCEIVED SELF EFFICACY Judgment of personal capability to organise and execute a health-promoting behaviour.
  11.  ACTIVITY RELATED AFFECT Activity-related affect influences perceived self-efficacy, which means the more positive the subjective feeling, the greater the feeling of efficacy.  INTERPERSONAL INFLUENCES Interpersonal influences include: norms , social support and modelling ( learning through observing others).  SITUATIONAL INFLUENCES Personal perceptions and cognitions of any given situation or context that can facilitate or preventive behaviour.
  12. Behavioural Outcome 1. COMMITMENT TO PLAN OF ACTION The concept of intention and identification of a planned strategy leads to implementation of health behaviour. 2. IMMEDIATE COMPETING DEMANDS AND PREFERENCES Competing demands and Competing preferences are alternative behaviour over which individuals exert relatively high control, such as choice of ice cream or apple for a snack. 3. HEALTH PROMOTING BEHAVIOUR End point or action outcome directed toward attaining positive health outcome such as optimal well-being, personal fulfilment, and productive living.
  13. Prior related behaviour :- • History of sunburns • Outdoor lifestyle • Indoor tanning salon use INDIVIDUAL CHARACTERISTICS & EXPERIENCE BEHAVIOUR –SPECIFIC COGNITIONS BEHAVIORAL OUTCOME Perceived benefits :- • Intercept skin cancers at early stages • Increased autonomy in skin’s health Perceived barriers :- Lack of knowledge , Limited time , Limited resources Personal factors :- • Fitzpatrick type I & II • Family history of melanoma , basal or squamous cell carcinoma • Diagnosed with melanoma Perceived cell efficacy :- Lack of ability to perform self skin exam and recognize abdominal lesions . Activity related affect :- Excitement and apathy to practice sun protection and self screening Interpersonal and situational influences :- • Family sun protection habits • Societal pressure / peer pressure • Lack of guidance from primary care health professionals Immediate competing demands and preference s :- More pressing to health concerns Commitment of plan of action :- • Use cotton cloths • Cover the whole body parts • Avoid the sunlight during noon time Health promoting behaviour :- • Regular self skink examinatio n • Practicing sun safe behaviours
  14. Strengths and Weaknesses Strengths  The Health Promotion Model is simple to understand yet it is complex in structure.  Nola Pender’s nursing theory gave much focus on health promotion and disease prevention making it stand out from other nursing theories.  It is highly applicable in the community health setting.  It promotes the independent practice of the nursing profession being the primary source of health promoting interventions and education. Weaknesses  The Health Promotion Model of Pender was not able to define the nursing meta peradigm or the concepts that a nursing theory should have, man, nursing, environment, and health.  The conceptual framework contains multiple concepts which may invite confusion to the reader.
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