Health Promotion Models in Community Nursing
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Questions and Answers

What is the ultimate goal of advocacy by community health nurses?

  • To enable clients to act independently. (correct)
  • To increase the number of health care professionals.
  • To provide healthcare services directly to individuals.
  • To gather data on community health problems.
  • Which activity is not associated with community empowerment?

  • Community Mobilization
  • Individual Health Assessments (correct)
  • Community Development
  • Community Organizing
  • What does community competence refer to?

  • The skills and training of health care professionals.
  • The resources available in the community.
  • The ability of individuals to access healthcare.
  • The ability of the community to engage in effective problem solving. (correct)
  • Which of the following best defines community empowerment?

    <p>An enabling process allowing individuals or communities to take control of their lives.</p> Signup and view all the answers

    Community capacity is related to which of the following?

    <p>The behaviors, values, and abilities that enable individuals and groups to achieve objectives.</p> Signup and view all the answers

    Which of the following best describes health promotion?

    <p>A process that enhances people's ability to improve their own health.</p> Signup and view all the answers

    Which model focuses on the stages of adopting a health-related behavior?

    <p>The Precaution Adoption Process Model</p> Signup and view all the answers

    What is stage 3 in the Precaution Adoption Process Model?

    <p>The person decides whether to adopt a health-related behavior.</p> Signup and view all the answers

    Which of the following is NOT one of the six distinct approaches to public health?

    <p>Behavior modification</p> Signup and view all the answers

    What role does public policy formation play in health promotion?

    <p>It helps create supportive environments for health improvement.</p> Signup and view all the answers

    The Theory of Reasoned Action primarily involves beliefs about what?

    <p>Expected consequences of the behavior</p> Signup and view all the answers

    Which model emphasizes community action as part of health promotion?

    <p>Pender's Health Promotion Model</p> Signup and view all the answers

    In which stage of the Precaution Adoption Process Model does an individual start to take action toward a health behavior?

    <p>Stage 6</p> Signup and view all the answers

    Which belief is likely to lead to engaging in exercise based on perceived outcomes?

    <p>Behavioral belief</p> Signup and view all the answers

    In the Theory of Planned Behavior, which type of belief influences behavioral intention?

    <p>Control beliefs</p> Signup and view all the answers

    What is a key component of the Health Belief Model?

    <p>Perceived severity</p> Signup and view all the answers

    Which belief might hinder one’s decision to quit smoking despite positive support?

    <p>Control belief</p> Signup and view all the answers

    What do normative beliefs relate to in the context of the Theory of Planned Behavior?

    <p>Social influences</p> Signup and view all the answers

    What is a potential barrier in the Health Belief Model?

    <p>Demographic variables</p> Signup and view all the answers

    What premise involves believing that taking action will yield more benefits than costs?

    <p>Perceived benefits</p> Signup and view all the answers

    Which example illustrates perceived susceptibility in the Health Belief Model?

    <p>Believing you could get chickenpox due to lack of exposure</p> Signup and view all the answers

    What factor is mentioned as being associated with lower rates of participation in health promotion activities?

    <p>Fatalisms</p> Signup and view all the answers

    What is a perceived benefit to action regarding varicella immunization?

    <p>Virtual elimination of chickenpox risk</p> Signup and view all the answers

    Which element influences behavior according to Pender's Health Promotion Model?

    <p>Individual characteristics</p> Signup and view all the answers

    What is the significance of health literacy in health promotion?

    <p>It affects a person's ability to make informed health decisions.</p> Signup and view all the answers

    What might a healthcare provider's negative attitude towards health promotion result in?

    <p>Lower participation in health promotion activities</p> Signup and view all the answers

    According to the information provided, what is a key factor that determines if a person will engage in health behavior change?

    <p>Their readiness for change</p> Signup and view all the answers

    Which of the following describes the type of knowledge that enhances engagement in health behaviors?

    <p>Behavior-specific knowledge</p> Signup and view all the answers

    What is a common barrier individuals might perceive in relation to getting vaccinated?

    <p>Time lost due to travel to the clinic</p> Signup and view all the answers

    What is the primary purpose of social marketing in relation to physical activity?

    <p>To enhance personal motivation to engage in physical activity</p> Signup and view all the answers

    Which of the following best describes case management?

    <p>A process of coordinating health services to meet needs</p> Signup and view all the answers

    What is an advantage of case management for healthcare systems?

    <p>Minimization of hospitalization</p> Signup and view all the answers

    Which component is NOT a part of population health management?

    <p>Establishment of exclusive health facilities</p> Signup and view all the answers

    Which role do community health workers play in promoting healthy behavior?

    <p>They utilize their influence to motivate the population</p> Signup and view all the answers

    What is one key element highlighted in the definition of case management?

    <p>Quality and cost-effectiveness of services</p> Signup and view all the answers

    Which advantage of case management relates to patients navigating the healthcare system?

    <p>Assistance in negotiating a complex healthcare system</p> Signup and view all the answers

    What does population case management focus on?

    <p>Health needs of a specific targeted population</p> Signup and view all the answers

    Study Notes

    University, College, and Stage Information

    • University: University of Kirkuk
    • College: College of Nursing
    • Stage: Four

    Approaches to Community Health Nursing

    • Three approaches: Health Promotion, Case Management, Community Empowerment

    Health Promotion

    • Defined as a process to improve health by increasing control over determining factors (WHO, 1986)
    • More than educating people to change behavior, also includes:
      • Public policy formation
      • Developing environments that support health
      • Promoting community action for good health

    Models of Health Promotion

    • Several models developed to guide health promotion practice:
      • Precaution Adoption Process Model
      • Theory of Reasoned Action
      • Health Belief Model
      • Pender's Health Promotion Model
      • PRECEDE-PROCEED Model
      • Health-Illness Continuum Model
      • Agent-Host-Environment Model

    The Precaution Adoption Process Model

    • A stage model describing decisions to adopt or not adopt health-related behaviors.
    • Stages:
      • Stage 1: Unaware of the health issue and need for action.
      • Stage 2: Aware of the issue but unengaged.
      • Stage 3: Deciding whether to act or not.
      • Stage 4: Deciding not to act.
      • Stage 5: Deciding to act but not yet taking action.
      • Stage 6: Acting.
      • Stage 7: Behavior becomes routine.

    The Theory of Reasoned Action

    • Based on two types of beliefs:
      • A. Behavioral beliefs: person's attitudes toward the expected consequences of the behavior.
      • B. Normative beliefs: subjective norms influenced by others' attitudes toward a behavior.
    • Intention to act based on these perceptions of others and their judgments.
    • Action also influenced by ability to control behavior.

    The Health Belief Model

    • Concerned with what people perceive to be true about their health.
    • Elements:
      • Individual perceptions of susceptibility and severity
      • Modifying factors (demographic, sociopsychological, and structural/environmental variables)
    • Perceptions of benefits and barriers to action, cues to action.
    • Used in research and program development for health promotion.
    • Based on four premises:
      • Susceptibility to a health problem
      • Seriousness of the health problem
      • Preventability of the health problem
      • Benefits outweigh the costs of action.

    Pender's Health Promotion Model

    • Behavior influenced by individual characteristics, behavior-specific cognitions, and affect.
    • Individual characteristics: personal, psychological, and sociocultural factors (age, gender, self-esteem).
    • Behavior-specific knowledge and affect include beliefs about positive outcomes and skills to engage in healthy behaviors and being affected by interpersonal influences.

    Factors Influencing Health Promotion

    • Fatalism (belief that events are predetermined)
    • Readiness for change
    • Health literacy (ability to function in society)
    • Attitudes of health professionals

    Strategies for Health Promotion

    • Health education: Provides information and skills for effective decisions.
    • Social marketing: Enhances motivation with branding and tailoring.
    • Legislative action: Mandates health promotion activities (e.g., helmet use).
    • Community health workers: Utilise trusted community members

    Case Management

    • A process of identifying needs and arranging, coordinating, monitoring, and evaluating quality and cost-effective services to achieve outcomes.

    • Collaborative process between case manager and client/family.

    • Key elements: quality and cost-effectiveness.

    • Levels: individual and population case management.

      • Advantages to clients:

        • Better care coordination
        • Negotiation assistance in complex systems
        • Access to acceptable/affordable services
        • Attention to multiple needs
        • Improved health outcomes
        • Continuity of care and consistent assistance
      • Advantages for Health care systems:

        • Reduced cost
        • Minimized hospitalization
        • Re-hospitalization prevention
        • Service duplication elimination
        • Easier transfer among agencies
        • Improved communication
        • Increased access to services
        • Reduced paperwork
        • Reduced authorization time

    Community Empowerment

    • Nurses act on behalf of those who can't act for themselves.
    • Nurses' ultimate goal is for clients to act independently (empowerment).
    • An enabling process to give individuals/communities control over their lives/environment.
    • Activities include: development, organization, mobilisation and building of the community

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    Description

    Explore the various models of health promotion within community health nursing. This quiz covers essential approaches like Health Promotion, Case Management, and Community Empowerment, including the Precaution Adoption Process Model and others. Test your knowledge of these concepts and their significance in improving community health.

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