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400    UNIT IV  Nursing Theories

            MAJOR CONCEPTS & DEFINITIONS—cont’d
            Commitment to a Plan of Action               exert  relatively  high  control,  such  as  choice  of  ice
            This commitment describes the concept of intention   cream or an apple for a snack.
            and identification of a planned strategy that leads to
            implementation of health behavior.           Health-Promoting Behavior
                                                         A  health-promoting  behavior  is  an  end  point  or
            Immediate Competing Demands                  action  outcome  that  is  directed  toward  attaining
            and Preferences                              positive  health  outcomes  such  as  optimal  well-
            Competing demands are alternative behaviors over   being,  personal  fulfillment,  and  productive  living.
            which  individuals  have  low  control,  because  there   Examples of health-promoting behavior are eating a
            are  environmental  contingencies  such  as  work  or   healthy  diet,  exercising  regularly,  managing  stress,
            family care responsibilities. Competing preferences   gaining  adequate  rest  and  spiritual  growth,  and
            are  alternative  behaviors  over  which  individuals    building positive relationships.



                   COGNITIVE-PERCEPTUAL       MODIFYING FACTORS        PARTICIPATION IN
                         FACTORS                                  HEALTH-PROMOTING BEHAVIOR




                      Importance of health   Demographic characteristics



                    Perceived control of health   Biological characteristics




                     Perceived self-efficacy   Interpersonal influences



                      Definition of health      Situational factors   Likelihood of engaging in
                                                                     health-promoting behaviors


                     Perceived health status    Behavioral factors
                                                                         Cues to action


                      Perceived benefits of
                   health-promoting behaviors



                      Perceived barriers to
                   health-promoting behaviors


                   FIGURE 21-1   Health Promotion Model. (From Pender, N. J. [1987]. Health promotion in nursing practice
                   [2nd ed., p. 58]. New York: Appleton & Lange. Copyright Pearson Education, Upper Saddle River, NJ.)
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