Family Centered Health Promotion

Family Centered Health Promotion

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Instructor’s Name


Family Centered Health Promotion


Bandura’s 1977 Self-Efficacy Theory of behavioural change is a suitable framework to adopt in instances where the underlying medical conditions requires individual competency for effective management. The theory focuses on helping the patient become competent in shaping their medical outcomes (Williams & Rhodes, 2016). The theory claims that three factors, namely the patient’s behaviour, cognitive factors and environment, influence medical outcomes. The focus on the interplay of the three factors empowers the patient to become more in control of their decisions. One key factor in Bandura’s Self-Efficacy theory is its use of individual motivation to generate long-term behavioural commitments that promote overall health.

Numerous factors can impede the patient’s ability to learn and become competent. External factors, including culture, language, access to resources and household income can impede effective learning. Individual factors can include a lack of emotional support, cognitive impairment, stress, pain and nutrition. Scientific research outlines that the factors interplay at different societal levels, which is why nurses have to assess individual patient learning needs (Whitney, 2018). A patient has to be willing and ready to learn for behavioural changes to be positive and permanent. An analysis of learning needs also includes an estimation of the patient’s willingness to learn to justify the education interventions.

A variety of internal and external circumstances will influence the patient’s readiness to learn. As established, any psychological, physical or psychosocial discomfort, such as pain, fear, anxiety, stress, depression, fatigue and a lack of family support will directly impact the patient’s ability to learn (James et al. 2020). A patient being open to new information and new behaviours is the best platform for inducing permanent behavioural changes. Therefore, nurses have to integrate patients throughout the development of individualized care plans to improve the odds of patient engagement and acceptance of recommended practice.


James, S., McInnes, S., Halcomb, E., & Desborough, J. (2020). Lifestyle risk factor communication by nurses in general practice: Understanding the interactional elements. Journal of Advanced Nursing, 76(1), 234-242.

Whitney, S. (2018). Teaching and learning styles. In Health promotion: health & wellness across the continuum. Grand Canyon University.

Williams, D. M., & Rhodes, R. E. (2016). The confounded self-efficacy construct: conceptual analysis and recommendations for future research. Health Psychology Review, 10(2), 113–128.

Peer Responses

Shalynn Lamb

The author selects a suitable behavioural model for health conditions that require preventative lifestyle approaches. The Trans-Theoretical Model of Nursing (TTM) is cited as effective in determining patient eagerness to change particular behaviours. Therefore, the change model is suitable for specific behavioural outcomes as opposed to generic ones (Bridges et al. 2022). I agree with the assertion that the choice of behavioural model should be dependent on the patient’s stage of change. Massive behavioural transformations should not be demanded if the patient is still in the contemplation stage. The author should research other factors that influence a person’s willingness to change. The function is complex and multivariate, necessitating the adoption of more than one perspective. I believe the implementation of TTM would benefit from an understanding of which factors influence behaviour at different change stages.


Bridges, A. J., Mapes, A. R., Scafe, M., & Guzman, L. E. (2022). Primary care behavioral health patients’ stage of change: Correlates and relation to follow-up session attendance. Families, Systems, & Health40(1), 60–69.

Annia Hernandez

            The post is brief, concise and detailed, providing an insightful understanding of patient behaviours. While I do advocate for the selection of Pender’s Health Promotion Model, my research found it to be more applicable in promoting public wellbeing than stimulating individual-level behavioural changes. According to Krebs et al. (2018), the Pender promotion model facilitates the identification of individual experiences and characteristics that influence behaviour-specific cognition. I would use the framework in the identification of patient learning needs and the development of individualized care plans instead as the basis for permanent behavioural change. My response does not negate the use of the model in stimulating behavioural transformation. It asserts the model’s utility is greater in the design stage of the behavioural interventions.


Krebs, P., Norcross, J. C., Nicholson, J. M., & Prochaska, J. O. (2018). Stages of change and psychotherapy outcomes: A review and meta-analysis. Journal of Clinical Psychology74(11), 1964-1979.

Teacher Response

The coronavirus crisis led to noticeable changes in nursing education practice. Since the pandemic, nurses and clinicians at our facilities have been educating patients on the benefits of adopting telehealth technologies. We anticipate family members and family caregivers to be using digital technologies to enhance interactions with medical professionals. The approach allows the doctor or nurse to collect more specific information about the patient’s home situation, culture and other factors that influence medical outcomes (Bridges et al. 2022). Telehealth technologies are effective in providing more points of contact between the patient and the clinician, including out-of-hospital consultations. Health requires holistic approaches, which is why contemporary practice should stop emphasizing hospital visits for simple medical conditions. Using technology to enhance patient education is a feasible way to ensure healthcare is affordable and sustainable at the household and national levels. Health institutions should identify ways to promote the adoption of telehealth technologies to motivate patient commitment to health seeking behaviours.


Bridges, A. J., Mapes, A. R., Scafe, M., & Guzman, L. E. (2022). Primary care behavioral health patients’ stage of change: Correlates and relation to follow-up session attendance. Families, Systems, & Health40(1), 60–69.

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