Nursing Theory
Nola Pender
&
The Health Promotion Model
By: Rachelle Snyder
Nursing 463
Nola J. Pender, PhD., RN, FAAN
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O
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Michigan State University Bachelors-1964 4
Michigan State University Masters-1965 4
Northwestern University, PhD.-1969 4
Co-founder of Midwest Nursing Research Society 4
Professor Emerita:
Division of Health Promotion & Risk Reduction,
Michigan State University School of Nursing 4
O Distinguished Professor:
Loyola University Chicago,
School of Nursing 1
O Health promoting studies:
mid 1970’s 1
O Health promotion model (HPM):
1982, revised in 1996 1
Health Promotion Model
Positive motivation vs. Negative 5
Intervene before disease state 3
Health promotion 2
Health Protection/
Disease Prevention 2
O Behavior motivated
O Behavior motivated
O Desire to increase
O Desire to avoid
well-being
O Approach to wellness
illness
O Early detection
O Maintain function if
illness exists
2
Individual Characteristics & Experiences 5
O Manifested by prior behavior
O Seeks to identify past behavior to assess
possibility of change
O Identify personal factors that need adjusting
O Formulates plan of action based on prior
behavior & personal factors
Behavior Specific Cognitions & Affect
O Perceived benefits/barriers of action
O Considers influences
O Planning /Considering reasons for potential
failure
O Identifies benefits of plan
O Identify steps to attain goals
5
Behavioral Outcome
O Commitment to plan of action
O Demands and preferences
O Nurse empowers patient
O Health promoting behaviors begin
5
Relevance of Health Promotion Theory
O Focus on well-being before illness/disease
O
O
O
O
exists/Prevention focused
Individual or community geared
Promotes well-being/healthy lifestyles
Geared towards any age group
Goal=Positive outcomes
Future incorporation to Nursing practice
O Use of the model relies
on both Nurse &
patient (also a
limitation)
O HPM has been used
since 1980’s
O Can be used in almost
any practice
O Preventative approach
will save $$
O Examples:
O Diet
O Exercise
O Screening
O Vaccine
O Wellness checkups
O BP monitoring
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, PhD, RN, FAAN
“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.” -Nola J. Pender,
PhD, RN, FAAN
“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.” -Nola J. Pender,
PhD, RN, FAAN
References
1
Miller, S., (n.d.). Professional background of theorist. Retrieved from
http://nolapender.weebly.com/background.html
2 Nursing
Theories. (2008). Health promotion model: heuristic device for health
care professionals. Retrieved from
http://nursingtheories.blogspot.com/search?q=nola+pender
3 Texas Woman’s University. (2014). Nursing Theorist. Retrieved from
http://libguides.twu.edu/content.php?pid=387632&sid=3179558
4
University of Michigan School of Nursing. (2014). Nola J. Pender. Retrieved
from http://www.nursing.umich.edu/faculty-staff/nola-j-pender
5
Williams, N., (n.d.). Critical elements of theory. Retrieved from
http://nolapender.weebly.com/critical-elements.html