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?

Choosing personal significance in situations Signup and view all the answers

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

Supporting clients in maintaining their core cultural care values Signup and view all the answers

What role does rhythmicity play according to the theory?

Cocreating rhythmical patterns of relating with the universe Signup and view all the answers

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

Factors influencing cultural responses to human activities Signup and view all the answers

How is health defined in the context of human becoming?

An open process of being and becoming Signup and view all the answers

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

An individual's perspective on life and existence Signup and view all the answers

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

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

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

Seeing the patient as a whole person Signup and view all the answers

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

Cultural Care Accommodation Signup and view all the answers

What does transcendence in human becoming suggest?

Reaching beyond personal limits Signup and view all the answers

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

As an extension of caring Signup and view all the answers

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

The concept of mutual knowing Signup and view all the answers

How does the theory define a person?

As an open being constantly evolving Signup and view all the answers

What is the primary influence on activity-related affect?

Stimulus properties of the behavior Signup and view all the answers

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

Workplace policies Signup and view all the answers

Which element directly contributes to situational influences?

Immediate competing demands and preferences Signup and view all the answers

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

It increases perceived self-efficacy Signup and view all the answers

What does Cultural Care Preservation or Maintenance primarily focus on?

Retaining and using core cultural care values Signup and view all the answers

How does modeling influence health behavior?

By vicarious learning Signup and view all the answers

What is considered a health-promoting behavior?

Engaging in regular exercise Signup and view all the answers

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

Cultural Care Accommodation Signup and view all the answers

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

To provide culturally congruent holistic care Signup and view all the answers

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

Incorporating client values into care plans Signup and view all the answers

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

Modification of personal health behaviors Signup and view all the answers

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

Individual experiences of health Signup and view all the answers

What is a primary goal of culturally competent nursing practices?

To ensure a holistic and culturally-based care approach Signup and view all the answers

Why do nurses face challenges regarding cultural diversity today?

Because of an increasing number of immigrants and refugees Signup and view all the answers

What aspect does caring play in culturally competent nursing?

It is the core of nursing practice Signup and view all the answers

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

Greater job satisfaction and rewards Signup and view all the answers

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

It emphasizes a union with another person. Signup and view all the answers

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

Complete physical health restoration Signup and view all the answers

How does Watson define 'caring occasion'?

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

What does transpersonal imply in Watson's framework?

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

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

To enhance and preserve the patient's dignity and wholeness. Signup and view all the answers

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

Acceptance of the patient's spiritual influences. Signup and view all the answers

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

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

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

It is central to effective nursing care. 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!