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• • Social Learning Theory (Bandura):
Behavior change occurs through observation, imitation, and modeling.
Example: New nurses adopt proper hand hygiene by observing experienced nurses.
Components: Environmental influences, personal factors, and behaviors.
Social Support Theory
Behavior is influenced by the support of others.
Types of support: Instrumental (help), informational (advice), emotional (empathy), and appraisal (feedback).
Relapse Prevention Model:
Focuses on maintaining behavior change and preventing regression into unhealthy habits.
Ecologic (Social Ecological) Model
Health behaviors are influenced by multiple levels (individual, interpersonal, organizational, community, and policy).
Example: Increasing childhood vaccination rates through education, community advocacy, clinic access, and policy enforcement.
Health Belief Model (HBM):
Developed in the 1950s around vaccination behavior.
Predicts health behaviors based on four key determinants: perceived susceptibility, severity, benefits, and barriers.
Transtheoretical Model (TTM):
Describes stages of change: Precontemplation, Contemplation, Preparation, Action, and Maintenance.
Used to tailor interventions based on readiness to change.
Health Education:
“A combination of planned learning experiences using evidence-based practices to help individuals acquire the knowledge, attitudes, and skills to maintain health behaviors.”
Health Promotion:
Activities aimed at enabling people to increase control over their health and improve it.
Examples: smoking cessation, balanced diet, routine exercise, responsible sexual choices.
Relationship Between Risk and Health Promotion Activities
Risk reduction is central to health promotion.
Example: Encouraging vaccination reduces risk of infectious disease.
Smoking cessation reduces cardiovascular and cancer risks.
Nurses identify risk factors in individuals and communities, then apply health promotion interventions to mitigate them.
Clinical Implications of Health Promotion
Nurses play a vital role in:
Assessment: Identify risks and readiness for change.
Education: Use teach-back methods, clear communication, and culturally appropriate materials.
Advocacy: Encourage health-supporting policies and community programs.
• Empowerment: Support patients in taking ownership of their health.
Goals of Health Education in the Community
Prevent health problems.
Enable individuals to attain optimal health.
Minimize disability and promote independence.
Help people make informed health decisions.
• Promote self-management and personal responsibility for health.
children devlopmental considerations
Involve parents but address the child directly
Encourage participation
Use concrete examples
adolecent developmental considerations
Provide honest, detailed explanations
Respect privacy and confidentiality
Encourage active involvement in care
adult considerations
Make education relevant to their life roles and responsibilities
Be time efficient and practical
• Encourage problem solving and self management
older adult considerations
Speak slowly, use large print and visuals, and repeat key info.
visual learner
earn thru seeing (note taking, videos, presentations)
auditory learner
thru listening (lecture, reading, discussion)
tactile/kinesthetic learner
learn thru doing (demonstration/ clinical/ lab)