Thursday, July 17, 2008

Health Promotion Model: Heuristic Device for Health Care Professionals


Ourselves, our body, our health….. enhancing self usage towards prevention of illnesses & promoting well-being.

Nora J. Pender developed the Health Promotion Model that is proposed as a holistic predictive model of health-promoting behavior for use in research and practice. She is Professor Emeritus in the School of Nursing at the University of Michigan, and an advocate of health promotion.



“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, PhD, RN, FAAN




Health Promotion Model has given health care a new direction. According to her, Health Promotion and Disease Prevention should be the primary focus in health care, and when health promotion and prevention fail to prevent problems, and then care in illness becomes the next priority. She defined 2 concepts: health promotion & health protection.

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. (Kozier, 2004)

Figure 1 – Health Promotion Model

This model (Figure 1) is moving towards understanding multi-faceted nature of persons correlating with their interpersonal nature and interacting with their interpersonal & physical environments as they trail towards health.
Because of the model, nurses have already advanced their health approaches, addressing not only the curative side, but as well as prevention of diseases & promotion of well-being. Application of this theory is varied and substantive on its own.





Applications

Nursing Practice

“We are moving toward an era of science-based practice in nursing that incorporates the latest findings from the behavioral and biological sciences into practice to assist people of varying cultural backgrounds to adopt healthy lifestyles.” – Pender

As what they say, prevention is better than cure. Thus, health promotion is valued much. But how? Question seems hard…hard as if you don’t know how to solve the problems of the world…But how, again? If super heroes could save life using their super powers, we nurses could do more by using our caring touch, and therapeutic talks. Health teachings are always part of nurses’ experience in the workplace. Despite of various clinical & community health care settings, we nurses are always interacting with our patient/client.

Community health care setting is the best avenue in promoting health & preventing illnesses. Using Pender’s Health Promotion Model, community program may be focused on activities that can improve the well-being of the people. Health promotion and disease prevention can more easily be carried out in the community, as compared to programs that aim to cure disease conditions. This is because the people in the rural area tend to veer away from modern medical methods. Most of them, due to financial reasons, choose to avail of the services offered by “herbolarios” and other folk healers. In our local setting, promoting health to our fellow Filipinos is very crucial. Though, there are campaigns provided by our government’s health agency, which is the Department of Health (DOH), there’s still a big percentage in the population who live unhealthily and many are suffering from different type of diseases.

Nurses, though are scattered in different fields, have common primary concern: to promote health to every individual. The following are just examples of methods on how to promote health to our fellows.


Insight from an Academe nurse teaching CHN… A group of students taught the families the value of eating a balanced diet. They introduced the concept of including the different food groups in all their meals. They also stressed the benefits and advantages of the various vitamins and minerals found in those food. Another group encouraged the community to practice lifestyle modification. They discussed the disadvantages of vices such as smoking and drinking alcoholic beverages. For disease prevention and health protection, one group tried to inculcate the importance of early detection of illnesses. They taught the women the proper way and timing of self-breast examination. The mothers were also encouraged to avail of the vaccination services offered by the nearby health center. These programs proved to be very beneficial to the community. Because one can truly build a healthier tomorrow through good community health practice.


Insight from an ICU nurse… Although most patients admitted in the ICU are experiencing health problems, Health Promotion Model may still be applied in one way or another. This is projected towards improving health condition and prevention of further debilitating conditions. Diet modifications and performing passive & active range of motion exercises are examples of its application.




Nursing Education

“I believe that the future will be very bright and productive for nurses who direct their careers toward understanding disease prevention and health promotion processes.” – Pender

Nurses are expected to be adaptive. Indeed, changes are always constant. In health care settings, patients come & go. Meet & greet. Recover or expire. As this theory advocated, we should not allow our patients to experience severe conditions if we could only prevent them from encountering such. We are expected to know, if not in depth, the disease processes. Because of this know-how, we could apply health promotion and worsening prevention before the hands of the clock stop moving.

Percentage of nurses is geared towards continuing professional education. Attending seminars & conventions. Enrolling to masteral & doctoral classes. All are goaled towards becoming competent nurses. Nursing education is not a one-phase process. It does not end after passing the licensing exam. It is continuous. Unending. Ever changing. We must be abreast with new technologies, new approaches, and new techniques. Because of this theory, we nurses could address more the needs and problems of the client before it progresses to exacerbation. This model could be a basis for structuring nursing protocols and interventions.

Nursing Research

“I was committed to health promotion and encouraged other scholars to move in that direction long before health promotion and risk reduction became popular.” - Pender

Research help Health Care provider to develop a systematic problem-solving approach to improve and develop strategies to promote good health to individuals. Through research we will be able to clarify and verify the phenomenon.

Evidenced-based practice is fast emerging because of its factual and substantive results. These researches yield fruitful outcome that of great help in addressing arising problems and in setting nursing protocols. Much more research must be done to tailor interventions to individuals rather than to group stereotypes.

If we could remember, common research topics in our nursing college days are health promotion techniques and disease prevention. To name a few, some geared their research on effectiveness of Expanded Program on Immunization, others on health practices of mothers and families, some on efficiency of early detection of common illnesses. These are all but few of the model’s application to research.




Of all the theories presented in the module, Health Promotion Model is the easiest of them, yet substantive & useful. In our day-to-day experiences as nurses, we are always promoting health, preventing illnesses, and upholding well-being. We are seen by the public as health advocates. We have knowledge on health & illnesses, thus, we are expected to share this to laymen and contribute to their well-being. As what Pender said, “We cannot continue to let people become ill when we have the means to keep many people well--particularly when problems are environmentally and behaviorally induced”. Thus, the theory of Pender on Health Promotion is indeed a great to advocate to prolong and preserve life. This theory really manifests the noble work of a NURSE. Remember, nurses we are LOVE SERVES.

60 comments:

UPOU N207 Students said...

References:

Añonuevo, C., Abaquin, C., Balabagno, A., Corcega, T., Dones, L., Kuan, L., et. al. (2000). Theoretical Foundation of Nursing. Philippines: UP Open University

Kozier, B., Erb, G., Berman, A., Snyder, S. (2004). Fundamentals of Nursing: Concepts, Process, and Practice. 7th Edition. Philippines: Pearson Education South Asia Pte Ltd

University of Michigan School of Nursing (2006). Nora J. Pender Site. Retrieved July 16, 2008 from http://www.nursing.umich.edu/faculty/pender


Thank you guys for the untiring cooperation.
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UPOU N207 Students said...

ADDITIONAL INFORMATION BY MARK ALDWIN CATRAL BACCAY

PURPOSE AND MAJOR CONCEPTS:The HPM was proposed as a framework for integrating nursing and behavioral science perspectives on factors that influence health behaviors. The model is to be used as guide to explore the biophysical processes that motivate individuals to engage in behaviors directed toward health enhancement(PENDER, 1996). The model has been used extensively as a framework for research aimed at predicting health promoting lifestyles as well as specific behaviors.

Major concepts of the HPM are individual characteristics and experiences (prior related behavior and personal factors), behavior - specific cognitions and affect (perceived benefits of action, perceived self efficacy, activity related affect, interpersonal influences, and situational influences), and behavioral outcomes (commitment to a plan of action, immediate competing demands and preferences and health promoting behavior).

CONTEXT FOR USE AND NURSING IMPLICATIONS
Health promotion services are essential for improving the health of populations everywhere. It is noted that people of all ages can benefit from the health promotion care, which should be delivered at sites where people spend much of their time (eg schools and workplaces). Nurses can develop and execute health promoting interventions to individuals, groups, and families in schools, nursing centers, occupational health settings and the community at large. Nurses should work toward empowerment for self care and enhancing the client's capacity for self care through education and development.

REFERENCE:Wills and McEwen(2007). Theoretical Basis for Nursing. 2nd Edition. Philadelphia: Lippincott Williams and Wilkins.

mayang said...

nice post... I am also an advocate of Pender's theory.

great job!

Valerie Wada said...

I appreciate Pender's theory. I have utilized it first as a Public Health Nurse and have found it useful throughout my nursing career thusfar. Valerie Wada, RN

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Nora J. Pender developed the Health Promotion Model that is proposed as a holistic predictive model of health-promoting behavior for use in research and practice. She is Professor Emeritus in the School of Nursing at the University of Michigan, and an advocate of health promotion. James

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(9) ASTHMA..

Unknown said...

I was in severe ribs and stomach pain at about this time last year. And I went to the hospital for treatment and was diagnosed for CHRONIC HEPATITIS B I was told it has no cure and i was so devastated because all hope seems to be lost, some drugs was given me to slowdown the viral load, and it got worse after sometime. I came across Dr. Iyabiye’s recommendation online while studying about the disease, and then I reach out to him just to try but I was taken by surprise. I got completely cured, all the pains were gone and I went back to the hospital for another test and I was tested negative to the disease. Here is the doctor’s contact if interested: iyabiyehealinghome@gmail.com (+234-815-857-7300)

fredrik palm said...

I’m recommending Dr Godday to everyone who have herpes virus to get the cure from him. I was diagnose of genital herpes in 2015 and i have been searching and asking questions to see if i could get something to cure the disease because i did not believe what the doctors say that no cure is found yet. I came across a comment on Youtube and the person testify how she was cured from herpes and hpv after using Dr Godday herbal medicine. I quickly contact Dr email and explain my problem to him and he prepare the herbs and send it to me through courier and gave me instructions on how to use it and tell me to go for checkup after usage which i did after two weeks of taken the herbal medicine and my result was NEGATIVE. I waited another month and retested the result was still NEGATIVE and my doctor told me that am completely free from herpes. Am so happy and grateful to Dr Godday for what he has done for me and i will continue to share this for people out there to know that there is cure for herpes. You can contact Dr Godday on email and WhatsApp to get the cure from him. Email:goddayspiritualhome@gmail.com Or Call/What’s-app +1{919}4956404

Mrs. Leona Lewis said...

ALL THANKS TO MRS. SEBI THE WIFE OF LATE DR. SEBI THAT WAS CURING PEOPLE FROM HSV, HIV, CANCER, STROKE, FIBROID, ETC. A FRIEND INTRODUCED HER TO ME THAT SHE CURED HER HIV, I EMAILED HER AND SHE SENT ME HERBAL MEDICINE & SOAP, WHICH I USED IN CURING MY HSV. EMAIL HER: mrssebiherbalhome@gmail.com DON’T FORGET TO TELL HER I REFERRED YOU ASAP. WHATSAPP: +1 504-962-3280

Shurya Wise said...


Greetings to the general public, i want to inform the public how i was cured of HERPES Simplex Virus by a Doctor called Dr. Omola i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex whicmptoms and never cured me. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how Dr. Omola cured them. when i contacted him he gave me hope and send a Herbal medicine to me that i took and it seriously worked for me, i am a free person now without problem, my HERPES result came out negative. I pray for you Dr. Omola God will give you everlasting life, you shall not die before your time for being a sincere and great man. Am so happy, you can also contact him if you have any problem, Email Address dr.omolaherbalhome@gmail.com or whatsapp or call him +2348118116254.thank me later.

Unknown said...

I experienced dark urine and ribs pain, so I went to the hospital for treatment and I was diagnosed for chronic HEPATITIS B. The doctor gave me drugs to slowdown the viral load which later worsens the ailment because the drugs weren’t effective anymore. And I was so scared because they say it has no cure, I told a friend about it and luckily he told me he ones battled same problem in the past but he was saved by Dr. Iyabiye. He gave me his contact and I reached him and I became well and tested negative after the treatment. Here is his contact if you have such case. Contact: +234-815-857-7300, (iyabiyehealinghome@gmail.com)

Ava Brandon said...

Finally I am free from herpes virus, with the help of Dr.Omola pure herbs, This Virus appeared at the age of 29, with no hope of a cure from the hospitals i have went to, I thought my life have come to an end, until a Facebook friend of mine told me about Dr. Omola who treats all Kinds of diseases including Herpes, I contacted him via his email: dr.omolaherbalhome@gmail.com, I explain everything to him so he ask for my home address, after telling me the cost of the herbal medicine so we agree at a particular price, he prepare the herbs and make delivery to me via FedEx delivery service they deliver the herbs to my door step, I drink the herbs as him instructed, I went for test in 3 different hospital and it was negative, today I'm free from herpes virus.
You should try Dr. Omola herbs I'm not the first person to be cured with his herbs there are different testimony about this herbal doctor, your case can not be different, here is his WhatsApp No +2348118116254 email: dr.omolaherbalhome@gmail.com.

bes unn said...


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Angela said...

The greatest Joy in my life today is that i have been cured of Herpes by a Doctor called Dr. Edualekhide, I was infected with HERPES Disease in 2017, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution,so that my body can be okay. Until one faithful day as I was browsing on the internet I saw a testimony on how Dr. Edualekhide has helped people in curing Herpes and other diseases, quickly I copied his WhatsApp number so i contacted him for solution for my Herpes disease, So Dr. Edualekhide told me that his going to prepare his herbal medicine for my health which he sent to me, luckily after 2week my Herpes was cured. Dr. Edualekhide is well recognized as one of the best herbalist doctors in Africa, you don't have to be sad anymore or share your tears anymore on this disease when the cure is available. The medicine has NO SIDE EFFECT,there's no special diet when taking the medicine. He also cures ALS, HIV AIDS, CANCER, HPV, DIABETES and lots more.
For enquiries:

E-mail: dredualekhide@gmail.com

Website: https://dredualekhide.wixsite.com/website

You can reach me on my Email:

angelaoscar06@gmail.com

Unknown said...

The reign of HIV aids has finally come to an end as the cure is available now. I was tormented by the disease for years and I managed to live with the help of antiretroviral drugs, I spent all that I have and went into borrowing because the drugs were capital intensive. I saw Dr. Iyabiye’s recommendation online while surfing for a solution I gave it a try and I tested negative at the hospital after the completion of the medicine and now I am healed. You too can be cured of HIV/aids. Contact the doctor through: iyabiyehealinghome@gmail.com phone +234-815-857-7300

David Mercy said...

I got Diagnosed with Herpes, I have be dealing with Herpes for the past 4 years. On till I got review online about natural cure people testifies how DR. Ehimare cure them with his herbal treatment. And I order the treatment, after taking it for 21 days I totally got cured with DR. Ehimare treatment. I'm recommending you diagnosis with herpes should get this treatment and be cured of it you can contact his email address via; drehimare3@gmail. com or you can also call or whatsapp +1 (267) 691-1087Dr. Ehimare also cure the following virus and many more... 1} Cancer 2} Diabetes 3} Hepatitis 4} fibroid 5} herpes 6} Lupus  

Rash Yuad said...

I got help for my diabetes type 2 from DR.DUDU a herbal doctor from Africa, I wanted this cure since a year and 3 months, i was taken treatment from some doctor, few Months back i came on the net to see if i will be able to get any information for a permanent cure, on my search i saw various testimony of people who was helped by a great man called Dr ODUDU and without any hesitation, i contacted his email: dr.oduduherbalhome@gmail.com , i wrote him and and he guided me, i asked him for solutions and he started the remedies for me and indeed in 3 weeks and few days after i started using the medicine, i was completely happy as it worked for me. You can contact him now for your medicine to cure your diabetes if you sicking for a permanent cure for it, contact his Email; dr.oduduherbalhome@gmail.com his cell phone contact, Call / Whats-app +2348101571054 https://www.facebook.com/DR.ODUDU

Tom Kingsley said...

I'm Tom Kingsley, It's been a while since I've
written to thank Dr OHIKHOBO who helped me in my
life. I was infected with HERPES SIMPLEX VIRUS in 2016, i went to many
hospitals for a cure but there was no solution, so I was thinking how can I
get a solution out so that my body can be okay. One day my Aunt Rosa
introduce me to Doctor OHIKHOBO having seen so many testimony online
about his herbal medication to cure HERPES and gave me his
email:drohikhoboherbalcenter@gmail.com , so I emailed him. He told me all the
things I needed to do and also gave me instructions to follow, which I
followed properly. Before I knew what was happening after one weeks the
HERPES that was in my body vanished. so if you are you are having
herpes or any kind of disease listed below
*DIABETES
*CANCER
*STROKE
*INFERTILITY
*HEART DISEASE
*HIV
*COLD SORES
*GENITAL WARTS
And you also want cure, you can also email him at: drohikhoboherbalcenter@gmail.com or through his WhatsApp + 1-740-231-2427

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Amelia Bethany said...

I am really happy that i have been cured from (HERPES SIMPLEX VIRUS) with
the herbal medicine of dr.chala, i have been suffering from this disease
for the past 2 years and 7 mouth without solution until i came across the
blog of this doctor who have cure so many people with his herbal medicine,
i also choose to give him a chance to help me 👍, he told me what
to do and i kindly did it, and he gave us his herbal medicine and direct me
on how to use it, i also follow his instructions for use and he ask us to
go for a check up after a week and some days which i did, to my greatest
surprise our result came out as negative, and ever since then, we have had
no more outbreak and we are healthy, we are really happy that there is
someone like this doctor who is ready to help anytime any day. he also
render cure to the following diseases below
.DIABETES
.CANCER
.HEPATITIS
.HIV/AIDS
.P COS4 contact him via what's app +2348165102815 or email dr.chalaherbalhome@gmail.com

Anonymous said...

I'm 30 years old female I tested genital herpes (HSV1-2) positive in 2014. I was having bad outbreaks. EXTREMELY PAINFUL. I have try different kinds of drugs and treatment by the medical doctors all to know was avail. Six months ago I was desperately online searching for a helpful remedies for genital herpes (HSV1-2) cure, which i come across some helpful remedies on how Dr David have help so many people in curing genital herpes (HSV1-2) with the help of herbal treatment because I too believe there is someone somewhere in the world who can cure herpes completely. As of the past 2 months, however, I've been following his herpes protocol Via (dr.davidherhalhomesolution@gmail.com) and it stopped all outbreaks completely! To my greatest surprise I was cured completely by following the protocol of his herbal medicine . Don't be discouraged by the medical doctors. There is a cure for HSV with the help of herbs and roots kindly contact him for more information Via (dr.davidherbalhomesolution@gmail.com)
or Whatsapp him on +2348118447344 He is capable of curing HIV/AIDS, HERPES, HPV, HSV1&2, CANCER of all kinds, DIABETES and so many other infections.

sarah rita said...

I have be living with Oral herpes for over 4 years now and it has be a big problem for me.I have been looking for solution because i can't leave with it, One day i came across a woman testimony on a forum saying she got cured of her Herpes with the help of Dr OBUDU an herbal doctor from African with herbal medicine. At first i did not believe because i was not sure herbs can really take this virus away,but i have no choice than to give it a try and contacted him with his emails, i explain my problems,.. then he told me not to worry that he will prepare the a cure with herbal mixture and send it to me, i got the medicine after 4 days delivery and i use as instructed. After 21 days when the herb got almost finished, I went to a medical doctor, i did a test and discovered that the virus was gone, and my test results were HSV 1%2 negative,i was so surprised and happy! Then I wrote to Dr OBUDU and thanked him for getting me cured from herpes. I advice you to contact this great herbal doctor OBUDU as he have cure for different kinds of diseases.i decided to share this testimony to let others who also suffer from herpes know about this and give hope to others, you can reach him via Email drobuduherbalhome@gmail.com also https://drobuduherbalhome.wixsite.com/welcometoobuduherbal WhatsAPP number +2349023428871

Scofio morgan said...


A miracle product..!I was cured from hsv1 with herbal drugs.. of Robinson.buckler@yahoo.com......

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