In-Depth Theorist Presentation, Nola J. Pender
Health Promotion Model
Jennifer D’Andrea
Description of the theory
The Health Promotion Model (HPM), designed by Nola J. Pender, describes the multidimensional nature of persons as they interact within their environment to pursue health while increasing their level of well-being. Pender offers a theory that places importance on behaviors that improve health through a lifetime. The HPM offers insight into how influencing factors experienced by an individual and their interactions with the environment affect the pursuit of health. HPM remains applicable as health promotion and illness prevention continue to be as important as the treatment of disease.
Health is an active state in which constant efforts are made by the individual, in their environment, to achieve and maintain health. The patient has a distinct set of factors influencing their actions to attain health. The success of the HPM is based on the assumption that an individual is willing and able to play an active role through health promoting behavior (Alligood & Tomey, 2010).
Internal evaluation and analysis of the theory
Identify assumptions, both explicit and implicit. Assumptions are statements that are understood to be true without proof or demonstration. They are beliefs about phenomena one accepts as true.
Pender’s assumptions of the Health Promotion Model are explicit and testable. Explicit assumptions are statements that are clearly defined and eliminate (remove any) ambiguity. Due to the explicit nature, this model has been used as the basis of many research studies, both nursing and non-nursing.
The explicit assumptions of Pender’s theory include:
1) Persons seek to create conditions of living through which they can express their unique human health potential. 2) Persons have the capacity for
References: Alligood, M.R. & Tomey, A. M. (2010). Nursing theorists and their work (7th ed.). Missouri: Elsevier. Esposito, E. & Fitzpatrick, J. (2011). Registered nurses beliefs of exercise, their exercise behavior and their patient teaching regarding exercise. International Journal of Nursing Practice, 17, 351-356. George, J. B. (2002). Nursing theories: The base for professional nursing practice. Upper Saddle River, N.J: Prentice Hall. Kelley, J., Sherrod, R., & Smyth, P., (2009). Coronary artery disease and smoking cessation intervention by primary care providers in a rural clinic. Online Journal of Rural Nursing and Health Care, 9(2): 82-94. Pender, N. J. (1996). Health promotion in nursing practice (3rd ed.). Connecticut: Appleton & Lange Stanford. Tang, Y & Chen, S. (2002). Health promotion behaviors in Chinese family caregivers of patients with stroke. Health Promotion International, 17(4): 329-339.