Theoretical Foundation in

Nursing

Group 11:

Queenie Macion

John Andre Castro

Juviely Premacio

Princess Villafañe
 I. Learning Content
a. Topic: Nola J. Pender (The Health Promotion Model)
b. References: (Gonzalo, NursingTheories, 2011) retrieved from
http://nursingtheories.weebly.com/nola-pender.html

II. Learning objectives

After 30 to 45 minutes of learning activities, the Level I students will be able to:
a. Define the theory of Nola Pender (The Health Promotion)
b. Recognize the content of health promotion and distinguish are the difference
of the theory to other theories.
c. Plan nursing care using the concepts of Health Promotion Model

III. Topic Outline

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.

a. Personal biological factors

Include variable such as age gender body mass index pubertal status, aerobic capacity,
strength, agility, or balance.

b. Personal psychological factors

Include variables such as self-esteem self-motivation personal competence perceived health

status and definition of health.

c. 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.

Perceived Barriers to Action

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.

Interpersonal influences include: norms (expectations of significant others), social

support (instrumental and emotional encouragement) and modeling (vicarious
learning through observing others engaged in a particular behavior).

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

IV. Learning Procedure

a. Pre Lesson
1. Each of the groups (10) person per group (this is per table) given sets of letters
and/or words that are jumbled and they are going to arrange it to make a word
and/or a phrase related to Nola Pender's theory.

Words

1. Behavioral demand

2. Health protection

3. Illness prevention

4. Behavioral outcomes

5. Health promotion
 1. Just because you're not sick doesn't mean you’re healthy.

2. Health is like money, we never have a true idea of its value until we lose it.

3. From the bitterness of disease man learns the sweetness of health.

4. Health and cheerfulness naturally beget each other.

5. Your body is a temple, but only if you treat it as one.

2. The facilitators will be the timer for the groups. Time allotted for the activity will be 5
minutes.

3. The first group to finish arranging their given sets of jumbled words/letters will
have extra credit, if and only if they can say something about the words/ phrases
related to nursing or to the theory.

b. Lesson Proper

1. The facilitators will provide handouts to each of the group containing the topic and
information or the topic outline.

2. The groups will be instructed to make a slogan of what they have read about Nola
Pender's Health Promotion Theory. For this activity the facilitators will give 10minutes
only.

3. These will be done by making a creative a slogan they are free to write anything to
their provided long bond paper.

4. These will help the facilitators determine if they have learned something from the
lesson given.

c. Post Lesson / Evaluation

Questions.

1. It is a behavior motivated by the desire to increase well-being and actualize human

health potential? (Health Promotion)

Enumeration 2-4

What are the three factors that are predictive of a given behavior and shaped by the
nature of the target behavior being considered?

(. Personal biological factors, Personal psychological factors, Personal socio-cultural

factors)

5. A factor that is categorized as biological, psychological and socio-cultural. (Personal

Factors)

Enumeration 6-9
Give some 2 sub concepts & 2 major concepts of Nola Pender.

Sub concept (Personal Factors, Perceived Benefits of Action, and Perceived Barriers to
Action, Perceived Self Efficacy, Activity Related Affect, Interpersonal Influences,
Situational Influences, and Commitment to Plan of Action, Immediate Competing
Demands and Preferences)

Major concept (Individual characteristics and experiences, Behavior-specific cognitions

and affect, Behavioral outcomes)

10. It is a result improved health & enhanced functional ability and better quality of life
at all stages of development. (Health promoting behaviors)