Health Behavior Influences
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Questions and Answers

What is the primary goal of transcultural nursing practice?

  • To focus solely on medical interventions
  • To promote a universal healthcare model
  • To standardize nursing practices globally
  • To provide culturally congruent care (correct)
  • Which tenet describes the action or activity directed towards providing care?

  • Cultural Care Universality
  • Caring (correct)
  • Cultural Care Diversity
  • Culture
  • What does 'Cultural Care Diversity' refer to?

  • The universal health beliefs applicable to all cultures
  • The teaching of nursing care based on Western practices
  • The similarities in care practices across cultures
  • The unique and varied meanings and values in care between groups (correct)
  • What does the concept of 'meaning' refer to in human becoming?

    <p>Choosing personal significance in situations</p> Signup and view all the answers

    Which of the following best defines 'Cultural Care Preservation or Maintenance'?

    <p>Supporting clients in maintaining their core cultural care values</p> Signup and view all the answers

    What role does rhythmicity play according to the theory?

    <p>Cocreating rhythmical patterns of relating with the universe</p> Signup and view all the answers

    What do the 'Cultural and Social Structure Dimensions' encompass?

    <p>Factors influencing cultural responses to human activities</p> Signup and view all the answers

    How is health defined in the context of human becoming?

    <p>An open process of being and becoming</p> Signup and view all the answers

    In the context of nursing, what does 'World view' refer to?

    <p>An individual's perspective on life and existence</p> Signup and view all the answers

    What is the definition of 'Health' in this context?

    <p>A personal statement of well-being defined by one's culture</p> Signup and view all the answers

    What is emphasized in the nurse-patient relationship according to the described nursing model?

    <p>Seeing the patient as a whole person</p> Signup and view all the answers

    Which term describes nursing activities that help clients from various cultures negotiate with the healthcare community?

    <p>Cultural Care Accommodation</p> Signup and view all the answers

    What does transcendence in human becoming suggest?

    <p>Reaching beyond personal limits</p> Signup and view all the answers

    According to Rozzano Locsin, how is technology viewed in nursing?

    <p>As an extension of caring</p> Signup and view all the answers

    What central idea is emphasized in Locsin's perspective of nursing?

    <p>The concept of mutual knowing</p> Signup and view all the answers

    How does the theory define a person?

    <p>As an open being constantly evolving</p> Signup and view all the answers

    What is the primary influence on activity-related affect?

    <p>Stimulus properties of the behavior</p> Signup and view all the answers

    Which of the following factors is NOT a source of interpersonal influences?

    <p>Workplace policies</p> Signup and view all the answers

    Which element directly contributes to situational influences?

    <p>Immediate competing demands and preferences</p> Signup and view all the answers

    What effect does positive subjective feeling have on perceived self-efficacy?

    <p>It increases perceived self-efficacy</p> Signup and view all the answers

    What does Cultural Care Preservation or Maintenance primarily focus on?

    <p>Retaining and using core cultural care values</p> Signup and view all the answers

    How does modeling influence health behavior?

    <p>By vicarious learning</p> Signup and view all the answers

    What is considered a health-promoting behavior?

    <p>Engaging in regular exercise</p> Signup and view all the answers

    Which term refers to the actions helping clients adapt within the health care community?

    <p>Cultural Care Accommodation</p> Signup and view all the answers

    What is a major goal of Madeleine Leininger's Theory of Culture Care?

    <p>To provide culturally congruent holistic care</p> Signup and view all the answers

    Which of the following is a key component of culturally competent nursing care?

    <p>Incorporating client values into care plans</p> Signup and view all the answers

    Cultural Care Repatterning mainly aims to assist clients in what area?

    <p>Modification of personal health behaviors</p> Signup and view all the answers

    What population characteristic did Madeleine Leininger's framework lack emphasis on?

    <p>Individual experiences of health</p> Signup and view all the answers

    What is a primary goal of culturally competent nursing practices?

    <p>To ensure a holistic and culturally-based care approach</p> Signup and view all the answers

    Why do nurses face challenges regarding cultural diversity today?

    <p>Because of an increasing number of immigrants and refugees</p> Signup and view all the answers

    What aspect does caring play in culturally competent nursing?

    <p>It is the core of nursing practice</p> Signup and view all the answers

    What is a benefit of practicing culturally competent care for nurses?

    <p>Greater job satisfaction and rewards</p> Signup and view all the answers

    What is a defining characteristic of the transpersonal caring relationship in Watson's theory?

    <p>It emphasizes a union with another person.</p> Signup and view all the answers

    Which of the following is NOT one of Watson's 10 carative factors?

    <p>Complete physical health restoration</p> Signup and view all the answers

    How does Watson define 'caring occasion'?

    <p>A focal point in space and time for human caring.</p> Signup and view all the answers

    What does transpersonal imply in Watson's framework?

    <p>Going beyond one's own ego and the present moment.</p> Signup and view all the answers

    What is the goal of a transpersonal caring relationship according to Watson?

    <p>To enhance and preserve the patient's dignity and wholeness.</p> Signup and view all the answers

    Which of the following best describes the 'allowance for existential-phenomenological forces'?

    <p>Acceptance of the patient's spiritual influences.</p> Signup and view all the answers

    What is emphasized by the concept of caregiver consciousness in Watson's theory?

    <p>Awareness of one's own consciousness in a caring moment.</p> Signup and view all the answers

    Which statement best represents Watson's view on the development of a helping-trust relationship?

    <p>It is central to effective nursing care.</p> Signup and view all the answers

    Study Notes

    • Subjective feeling that occurs before, during, and after a behavior based on stimulus properties of the behavior itself.
    • Influences perceived self-efficacy: positive affect increases feelings of efficacy.
    • Increased feelings of efficacy can generate further positive affect.

    Interpersonal Influences

    • Primary sources: families, peers, and health care providers.
    • Includes:
      • Norms: expectations of significant others.
      • Social Support: instrumental and emotional encouragement.
      • Modeling: vicarious learning through observing others.

    Situational Influences

    • Personal perceptions and cognitions of any given situation or context.
    • Can facilitate or impede behavior.
    • Include perceptions of:
      • Options available
      • Demand characteristics
      • Aesthetic features of the environment
    • May have direct or indirect influences on health behavior.
    • Commitment to a plan of action: intention and planned strategy lead to implementation of health behavior.
    • Immediate competing demands and preferences:
      • Demands: alternative behaviors with low control due to environmental contingencies (work, family care).
      • Preferences: alternative behaviors with high control (choice of snack).

    Health-Promoting Behavior

    • Endpoint or action outcome directed toward positive health outcomes:
      • Optimal well-being
      • Personal fulfillment
      • Productive living

    Madeleine Leininger

    • Transcultural Nursing
    • Born July 13, 1925, Nebraska; died August 10, 2012, lung failure.
    • Developed the “Theory of Culture Care: Diversity and Universality”
    • Goal: provide culturally congruent holistic care.
    • Provides care measures in harmony with individual or group's cultural beliefs, practices, and values.
    • Coined the term "culturally congruent care" in the 1960s.
    • Primary goal of transcultural nursing practice.

    Culturally Congruent Care

    • Possible when the following occurs within the nurse-client relationship:
      • Care: assisting others with real or anticipated needs to improve a human condition.
      • Caring: action or activity directed towards providing care.
      • Culture: learned, shared, and transmitted values, beliefs, norms, and lifeways of a specific individual or group.
      • Cultural Care: multiple aspects of culture that influence and enable a person or group to improve their human conditions.
      • Cultural Care Diversity: differences in meaning, values, or acceptable modes of care within or between groups.
      • Cultural Care Universality: common care of similar meanings evident among many cultures.
      • Nursing: learned profession focused on care phenomena.
      • World view: how people look at the world or universe.
      • Cultural and Social Structure Dimensions: factors related to religion, social structure, political/legal concerns, economics, education, technology, cultural values, and ethnohistory.
      • Health: state of well-being culturally defined and valued by a designated culture.
      • Cultural Care Preservation or Maintenance: nursing care activities to retain and use core cultural care values related to health care concerns.
      • Cultural Care Accommodation or Negotiation: creative nursing actions to help people adapt or negotiate with others in the health care community for optimal health outcomes.
      • Cultural Care Repatterning or Reconstructing: therapeutic actions by culturally competent nurse(s) or family to enable or assist a client to modify health behaviors while respecting cultural values.

    Cultural Competency in Nursing

    • Nurses who understand and value cultural competency can effect positive changes in health care practices.
    • Sharing a cultural identity requires knowledge of transcultural nursing concepts, principles, and research findings.
    • Clients' beliefs and values must be thoughtfully and skillfully incorporated into nursing care plans.
    • Caring is the core of nursing: culturally competent nursing guides the nurse to provide optimal holistic care.
    • These practices help the client care for themselves and others within familiar, supportive, and meaningful cultural contexts.
    • Continual improvement and expansion of modern technologies and nursing knowledge are integrated if appropriate.
    • Nurses face daily cultural diversity due to increasing numbers of immigrants and refugees.
    • Commitment to learning and practicing culturally competent care offers great satisfaction and rewards.

    Rosmarie Rizzo Parse

    • Human Becoming Theory
    • Focuses on the lived experience of humans.
    • Key concepts:
      • Meaning: choosing personal meaning in situations; reality given meaning through experiences.
      • Rhythmicity: cocreating rhythmical patterns of relating with the universe; person and environment cocreate in rhythmical patterns.
      • Transcendence: reaching beyond limits; person is constantly transforming.

    Human Becoming Theory: Metaparadigm

    • Person: open being, more than the sum of their parts.
    • Environment: inseparable from the person; complementary and evolving.
    • Health: process of being and becoming; involves synthesis of values.
    • Nursing: human science and art using abstract knowledge to help people.

    Human Becoming Theory: Nursing Practice

    • Creates a stronger nurse-patient relationship by viewing the patient as a whole person within their environment.
    • Gives the nurse the ability to see the patient's perspective.
    • Allows the nurse to be “with” the patient and guide them toward health goals.
    • Nurse-patient relationship cocreates changing health patterns.

    Rozzano Locsin

    • Technological Competency as Caring in Nursing
    • Aligns with the simultaneity paradigm.
    • People are believed to be more than the sum of their parts even when sick or using technology.
    • Nursing is not about fixing but about knowing the patient fully.
    • Technology is an extension of caring that enables a greater sense of knowing.
    • Knowing is a mutual process between the nurse and the person being nursed.
    • The person being nursed is unique and necessitates creative ways of being cared for.
    • Modern technologies have created innovative ways to care for these individuals.

    Jean Watson

    • Theory of Human Caring
    • Main elements:
      • Carative factors: humanistic-altruistic system of values, faith-hope, sensitivity to self and others, helping-trust relationships, promotion and acceptance of positive and negative feelings, systematic use of scientific problem-solving, interpersonal teaching-learning, supportive environment, assistance with human needs, allowance for existential-phenomenological forces.
      • Transpersonal caring relationship: special kind of human care relationship; union with another person; high regard for the person.
      • Caring occasion/caring moment: focal point in space and time when the nurse and another person come together for human caring.
      • Caring healing modalities: spiritual practices.
      • Caring consciousness: being present and aware.

    Jean Watson: Key Components

    • Transpersonal caring relationship: foundation of the theory; a union with another person with high regard for the person.
    • Transpersonal: going beyond the ego, reaching deeper spiritual connections.
    • Goal of the relationship: protect, enhance, and preserve the person's dignity, humanity, wholeness, and inner harmony.
    • Caring occasion: the moment when the nurse and another person come together to create an occasion for human caring.
    • Nurse’s consciousness: awareness of their own consciousness and authentic presence in a caring moment with their patient.

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    Description

    This quiz explores the various influences on health behaviors, including activity-related affect, interpersonal dynamics, and situational factors. Understand how subjective feelings, social support, and environmental perceptions can impact health-related decisions and actions. Test your knowledge on these crucial components of health psychology!

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