Theory analysis for Pender’s health promotion model (HPM) by Barnum’s criteria: a critical perspective

Author(s):  
Zohreh Khoshnood ◽  
Masoud Rayyani ◽  
Batool Tirgari

AbstractBackground Analysis of nursing theoretical works and its role in knowledge development is presented as an essential process of critical reflection. Health promotion model (HPM) focuses on helping people achieve higher levels of well-being and identifies background factors that influence health behaviors.Objectives This paper aims to evaluate, and critique HPM by Barnum’s criteria.MethodsThe present study reviewed books and articles derived from Proquest, PubMed, Blackwell Databases. The method of evaluation for this model is based on Barnum’s criteria for analysis, application and evaluation of nursing theories. The criteria selected by Barnum embrace both internal and external criticism. Internal criticism deals with how theory components fit with each other (internal construction of theory) and external criticism deals with the way in which theory relates to the extended world (which considers theory in its relationships to human beings, nursing, and health).ResultsThe electronic database search yielded over 27,717 titles and abstracts. Following removal of duplicates, 18,963 titles and abstracts were screened using the inclusion criteria and 1278 manuscripts were retrieved. Of these, 80 were specific to HPM and 23 to analysis of any theory in nursing relating to the aim of this article. After final selection using the inclusion criteria for this review, 28 manuscripts were identified as examining the factors contributing to theory analysis. Evaluation of health promotion theory showed that the philosophical claims and their content are consistent and clear. HPM has a logical structure and was applied to diverse age groups from differing cultures with varying health concerns.Conclusion In conclusion, among the strategies for theory critique, the Barnum approach is structured and accurate, considers theory in its relationship to human beings, community psychiatric nursing, and health. While according to Pender, nursing assessment, diagnosis and interventions are utilized to operationalize the HPM through practical application and research.

2018 ◽  
Vol 17 (4) ◽  
pp. 11-18
Author(s):  
Bryan P. McCormick, PhD, CTRS, FDRT, FALS ◽  
David R. Austin, PhD, FDRT, FALS

Behavioral activation (BA) is an evidence-based brief and effective treatment for depression. This article explains BA, its procedures, and its relationship to recreational therapy (RT). According to BA theory, depression leads to lives reduced in ability to gain rewards from the environment. BA aims to activate clients to engage in activities that increase rewards, reduce negativity, and improve subjective well-being (SWB). This approach is consistent with RT practice, and expressly identified in Austin’s Health Protection/Health Promotion Model. BA has been shown to be effective in clinical depression programs across age groups, as well as in other diagnoses including post-traumatic stress disorder (PTSD), anxiety disorder, and substance use disorder. The basic BA orientation of engaging in activity and resumption of a pleasing and meaningful experiences is highly consistent with RT practice, and BA should be a tool in the RT modalities toolbox.


2021 ◽  
Author(s):  
Kamal Mirkarimi ◽  
Abdurrahman Charkazi ◽  
Alireza Heidari ◽  
Rahman Berdi Ozouni- Davaji

Abstract Background: Following the rapid urbanization, unhealthy diet, enhanced life expectancy, and sedentary lifestyle has led to an increase in the prevalence of CVD and its risk factors, such as hypertension. Self-care is introduced as “behaviors directed toward oneself or the environment to formulate one’s functioning in the interest of one’s life, and well-being. Can nutrition education improve the nutrition behavior and anthropometric indexes among patients with hypertension based on the Health Promotion Model?Methods: A quasi-experimental and single-blind study was conducted on patients with hypertension attended to the Health Houses of Gorgan city of Iran between June 2018 and February 2019. To collect information, 68 patients in the control and 68 ones in the intervention arm were investigated. Data were collected by distributing self-administered questionnaires about HPM constructs, and testing 3-day diet record. Education was just conducted in the intervention arm including six sessions during three weeks, and in final, measurement was run two and six months after intervention. Results: There was no difference between the two groups about constructs of the HPM, anthropometric indexes, systolic and diastolic blood pressure and nutritional behavior before education, while after education all variables were significantly changed in two and six months’ follow-ups. Conclusion: HPM-based education might be likely useful to improve nutritional behaviors in patients with hypertension and it can also be applied in the health system of Golestan Province.


Author(s):  
Dina von Heimburg ◽  
Victoria Cluley

Summary A complexity-informed approach has recently been proposed as a hopeful revolution for health promotion (HP), requesting appropriate ways of tackling the complexities of health, equity and well-being. In addition, co-creation has gained traction as an approach to tackle complexity. HP and co-creation are established concepts that have long been enacted in practice. Although each concept is premised on similar approaches to value-creation such as participation and collaboration, little has been done to link the two approaches. To advance complexity-informed HP, this scoping review presents findings from peer-reviewed articles, published in English, between 2009 and March 2020. Articles were identified through searches of academic databases. Twenty-seven articles met the inclusion criteria, explicitly linking HP and co-creation. Included articles were charted by descriptive information and main focus, and advanced by a thematic analysis. Four themes suggest a potential avenue for advancing complexity-informed HP: (i) dealing with complexity, (ii) value creation, (iii) the value of the values and (iv) benefits and challenges. While current links between HP and co-creation are scarce they are increasing and promising. Based on the findings from the review, propositions to advance complexity-informed HP is outlined and discussed. Overall it is argued that co-creation and HP are mutually beneficial concepts, providing a framework for participative, collaborative, context-sensitive and knowledge-based practice that reflects the complex nature of health. More research is needed to highlight potential and challenges of integrating co-creation in HP, especially related to health equity and sustainable development.


Author(s):  
Hsuan-Hui Chen ◽  
Pei-Lin Hsieh

Aging societies have garnered global attention regarding issues related to older adults’ health promotion. This cross-sectional study aimed to identify factors associated with older adults’ participation in community-based health promotion activities. The Older Adults’ Health Promotion Activity Questionnaire was developed to collect data, and a total of 139 older adults were recruited from a community care center in Taoyuan City. Participants’ mean age was 72.7 years (SD = 6.0 years), 74.8% were females, 64.7% were married, 59% had a lower level of education, 51.8% had lower income, 59% reported their health status not good, and 76.3% had chronic disease. Our findings indicated that age, perceived benefits, and self-efficacy were identified as significant predictors of participation in health promotion activities. Among them, perceived benefits were found to have the strongest association with participation in health promotion activities (β = 0.305; p < 0.05). The findings showed that the Pender’s Health Promotion Model is useful to provide information for predicting and detecting significant factors related to older adults’ participation in community-based health promotion activities. By using this model as a framework, researchers can design more specific studies that are directed towards improving healthy lifestyles and detecting the key components of health-related behaviors among different age groups.


Author(s):  
Tannys Helfer ◽  
Kathrin Sommerhalder ◽  
Jos M.G.A. Schols ◽  
Sabine Hahn

Background Nursing homes in many countries continue to follow a traditional medical model of care. This study explored health promotion approaches in the nursing home setting, partly in order to move away from a medical model and to improve the well-being of residents and staff. Methods A scoping study was conducted to review the scientific literature. The Integrated Model of Population Health and Health Promotion was adapted for utilization with the literature analysis. Result A total of 64 publications met the inclusion criteria and were analysed. Five main approaches were shown to have applied health promotion in nursing homes, although gaps were present in the usage of systematically applied health promotion. Conclusion A variety of approaches do exist for the nursing home setting which apply health promotion; however, their usage is fragmented. This study revealed that a framework designed to support nursing homes in the systematic usage of health promotion, could improve the well-being for both residents and staff.


Author(s):  
Nikola Sander ◽  
Guy J. Abel

Migration is a key means by which human beings act to preserve or enhance their well-being. Since Homo sapiens first emerged in Africa about 200,000 years ago, geographic mobility has been a prominent strategy for human adaptation and improvement (Cavalli-Sforza et al., 1994). In modern societies, people most commonly migrate to further their economic position or to join family members who migrated before them (Massey et al., 1993). Yet, many others move, both temporarily and permanently, with the more explicit purpose of reducing social, economic, political, or environmental vulnerability (Bardsley and Hugo, 2010; Hunter, 2005; Lundquist and Massey, 2005). All of these forms of human mobility frequently span international borders, oftentimes despite substantial barriers to transborder movement. Estimates of migration flows are the expression of these heterogeneous motivations. As the drivers of migration also vary conspicuously across nations (Clark et al., 2004; Massey and Sana, 2003) and evolve over time within countries (Lindstrom and Ramírez, 2010; Massey, 1990; Massey et al., 1994), they are particularly difficult to forecast. As we show in this chapter, even developing a homogeneous series of baseline estimates at a global level is very complex (Abel, 2013a), further complicating forecasting efforts. Reliable baseline estimates are hard to obtain, for instance, given differences in the definitions across countries of what is an international migrant (Kupiszewska and Nowok, 2008) and owing to the presence of sizable irregular or unauthorized flows in some nations (e.g. Passel et al., 2009). Notwithstanding these difficulties, international migration has increasingly become, and will remain, a crucial component of the population dynamics of many sending and receiving nations. While only 2 per cent of the world’s population lives outside of their country of birth, this figure is above 10 per cent for nationals of countries like Mexico and El Salvador. Foreign-born shares are also substantial relative to the population of many migrant-receiving countries, with levels above 10 per cent (in some cases well above) in North America, most of Western Europe and Oceania, and parts of South East Asia. At the extreme, this share has reached levels of 60–80 per cent in some age groups in the oil-producing nations of the Gulf Cooperation Council (GCC).


2020 ◽  
Vol 34 (2) ◽  
pp. 170-187
Author(s):  
Abdallah Abu Khait ◽  
Katherine Sabo ◽  
Juliette Shellman

Background and PurposeReed's theory of self-transcendence is a nursing theory originally derived from inquiry on well-being in older adults. It has since become a viable theory for promoting well-being in all age groups and health/illness experiences. The current theory analysis aimed to uncover the applicability of Reed's theory in promoting individuals' self-transcendence and enhancing well-being. Although there is a wealth of evidence supporting the usefulness of Reed's theory, little is known about how nurses can understand and apply the theory in clinical practice.MethodsThe authors of this current theory analysis adopted Meleis' (2018) approach to theory analysis and evaluation.ResultsReed's theory provides concepts that relate to nursing interventions, which foster the patients' ability to experience multi-level self-transcendence and, thus, enhanced well-being. Applying Reed's theory in clinical practice underpins professional enrichment and brings forth holistic care that assists in facilitating well-being.ConclusionReed's theory of self-transcendence propels the individual beyond constrictive viewpoints of self and the world. The theory is useful for patients at all life-stages and in many different contexts.Relevance to clinical practiceNurses can draw on Reed's theory to develop activities that enhance patients' environment in order to promote self-transcendence. These theory-based activities can expand healthy self-boundaries intrapersonally, interpersonally, transpersonally, and temporally.


2008 ◽  
Vol 23 (4) ◽  
pp. 164-168
Author(s):  
Edgar Voltmer ◽  
Ingolf Schauer ◽  
Harry Schröder ◽  
Claudia Spahn

Objectives: This study examined the behavior and experience patterns of orchestra musicians of different age groups and compared them with those of physicians. Health-relevant risk factors and resources should be identified. Methods: Professional orchestra musicians and physicians, at the beginning of their careers, were surveyed with the questionnaire “Work-related Behavior and Experience Pattern” (AVEM). Results from 238 musicians and 344 physicians could be analyzed. Results: Healthy behavior and experience patterns were found in about 60% of musicians. The healthiest pattern G was found to be much higher in musicians than in physicians (39% vs 17% in the group <35 yrs, and 27% vs 16% in the 35-49 yr group). For 21% and 27% of the musicians (vs 14% and 10% of physicians), it was a pattern of overexertion. The relation of resignation and a burnout-related behavior pattern was almost twice as high in physicians (24% and 32%) than in musicians (17% and 14%). At the single dimensions level, regarding professional commitment, resistance toward stress, and emotional well-being, there were also significant differences. Conclusions: Musicians and physicians differ significantly in work-related behavior and experience patterns. Specific interventions of health promotion should prevent the resulting strain and risk for illness that already commented in the course of this study.


2003 ◽  
Vol 8 (3) ◽  
pp. 131-147 ◽  
Author(s):  
Gian Vittorio Caprara ◽  
Mariagiovanna Caprara ◽  
Patrizia Steca

Three cross-sectional studies examined stability and change in personality over the course of life by measuring the relations linking age to personality traits, self-efficacy beliefs, values, and well-being in large samples of Italian male and female participants. In each study, relations between personality and age were examined across several age groups ranging from young adulthood to old age. In each study, personality constructs were first examined in terms of mean group differences accrued by age and gender and then in terms of their correlations with age across gender and age groups. Furthermore, personality-age correlations were also calculated, controlling for the demographic effects accrued by marital status, education, and health. Findings strongly indicated that personality functioning does not necessarily decline in the later years of life, and that decline is more pronounced in males than it is in females across several personality dimensions ranging from personality traits, such as emotional stability, to self-efficacy beliefs, such as efficacy in dealing with negative affect. Findings are discussed in terms of their implications for personality theory and social policy.


2013 ◽  
Vol 18 (3) ◽  
pp. 158-168 ◽  
Author(s):  
Emily Frankenberg ◽  
Katharina Kupper ◽  
Ruth Wagner ◽  
Stephan Bongard

This paper reviews research on young migrants in Germany. Particular attention is given to the question of how Germany’s history of migration, immigration policies, and public attitude toward migrants influence the transcultural adaptation of children and adolescents from different ethnic backgrounds. We combine past research with the results of new empirical studies in order to shed light on migrants’ psychological and sociocultural adaptation. Studies comparing young migrants and their German peers in terms of psychological well-being, life satisfaction, and mental health outcome suggest higher rates of emotional and behavioral problems among migrants of most age groups. With regard to adolescent populations between the ages of 14 and 17 years, however, the existence of differences between migrants and natives appears to be less clear. Research has also yielded inconsistent findings regarding the time trajectory of transcultural adaptation among adolescents. The coincidence of acculturation and age-related change is discussed as a possible source of these inconsistencies. Further, we provide an overview of risk and protective factors such as conflicting role expectations and ethnic discrimination, which may cause heightened vulnerability to adverse adaptation outcomes in some groups. Large-scale studies have repeatedly shown migrants of all age groups to be less successful within the German school system, indicating poor sociocultural adaptation. Possible explanations, such as the idiosyncrasies of the German school system, are presented. Our own studies contribute to the understanding of young migrants’ adaptation process by showing that it is their orientation to German culture, rather than the acculturation strategy of integration, that leads to the most positive psychological and sociocultural outcomes. The paper concludes by discussing implications for future cross-cultural research on young migrants and by suggesting recommendations for multicultural policies.


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