week 6 assignment 36

Locate a scholarly journal article that uses either a health behavior theory or the Praxis Theory of Suffering as the basis for evidence-based research. Choose an article DIFFERENT than those provided in the weekly readings.

Summarize the research presented. How was the theory used? How do the research findings either support or refute the use of the theory in practice? How could you use the research in your own practice as an NP?

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DO not use these below

Butts, B. J. & Rich, L. K. (2018). Philosophies and theories for advanced nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning. Chapters 11, 24

eBook: Kaakinen, J. R. (2010). Family health care nursing : Theory, practice and research (4th ed). Philadelphia: F.A. Davis Company. pp. 70-76; 88-96; Appendix A. Available in Chamberlain Library


Barbdtm B. S. (2018). Death in trauma: The role of the ACNP in patient advocacy and familial support in end-of-life care decision-making. Journal of Trauma Nursing, 25 (3) 171-176.

Duhamel, F. (2017). Translating knowledge from a family systems approach to clinical practice: Insights from knowledge translation research experiences.  Journal of Family Nursing, 23(4), 461-487.

Friederichs, A> H. S., Oenema, A., Bolman, C. & Lechner, L. (2016). Motivational interviewing and self-determination theory is a web-based computer tailored physical activity intervention:  A randomized controlled trial.  Psychology & Health, 31(8), 907-930.

Mercer, J. C. (2015). The impact of non-motor manifestations of Parkinson’s disease on partners: Understanding and application of chronic sorrow theory. Journal of Primary Health Care, 7(3), 221-227.

Ostlund, U., & Backstrom, B., Saveman, B. I., Lindh, V. & Sundin, L. (2016). A Family Systems nursing approach for families following a stroke: Family health conversations. Journal of Family Nursing, 22(2), 148-171.

Osltund, U., Backstrom, B., Lindh, V., Sundin, K., & Saveman, B.I. (2015). Nurses’ fidelity to theory-based core components when implementing family health conversations – a qualitative inquiry. Scandinavian Journal of Caring Sciences, 29, 582-590.

Podlog, W. L. & Brown, J. W. (2016). Self-determination theory:  A framework for enhancing patient-centered care.  The Journal for Nurse Practitioners, 12(8), e359-e362. 

Health Behavior Theories

Health Belief Model

The health belief model [HBM] was developed by psychologists at the US Public Health Service in the 1950s (Glanz, Burke, & Rimer, 2018). The psychologists wondered why community members did not take advantage of tuberculosis screenings available free of charge. They theorized that beliefs about susceptibility to the disease, and perceptions about the benefits of prevention influenced the community members’ willingness to act on obtaining the screening (Glanz et al., 2018).

There are six constructs that theorists have identified as important in influencing patient decision making about whether or not to take action with health behavior modification. These include:

  1. Perceived susceptibility: patients must believe they are susceptible to the condition
  2. Perceived severity: patients must believe the condition has serious consequences if left unattended
  3. Perceived benefits: patients must believe that taking some kind of action reduces their susceptibility
  4. Perceived barriers: patients must believe that the benefits of acting are greater than the barriers perceived
  5. Cue to action: patients are exposed to something that causes them to act, such as an ad or discussion with a provider
  6. Self-efficacy: patients feel they can succeed when performing an action

(Glanz et al., 2018).

Transtheoretical Model of Behavioral Change

The transtheoretical model of behavioral change posits that patients have varying degrees of readiness to change behaviors to increase or regain health (Glanz et al, 2018). The model examines stages of change as a method of explaining patients’ readiness to comply:

Transtheoretical Model


According to the model, nurse practitioners must recognize the patient’s current stage of change; some patients may not be ready to begin thinking about a change, while others need help planning the execution of the healthy behavior.

Social Cognitive Theory

Social Cognitive Theory [SCT] includes a model that explains human behavior as it relates to the way that personal factors, environmental influences, and behavior interact in each individual (Glanz et al., 2018). One of the major tenets of SCT is that people learn not only through experiences, but also by observing others’ successes and failures.

Behavior modification is a major component of SCT. Behavior modifications can include interventions such as self-monitoring, setting goals, and contracting for behaviors (Glanz et al., 2018). In order to successfully implement behavior modification strategies, it is important to increase patients’ self-efficacy. Self-efficacy is one’s confidence in acting even in the face of obstacles to that action. Nurse practitioners can work with patients to increase self-efficacy by:

  1. Setting small goals that are achievable
  2. Contracting for behavior and including rewards for success
  3. Reinforcing and monitoring behaviors

  1. Integration of Evidence: The student post provides support from a minimum of one scholarly in-text citation with a matching reference AND assigned readings OR online lessons, per discussion topic per week.
    • What is a scholarly resource? A scholarly resource is one that comes from a professional, peer-reviewed publication (e.g., journals and government reports such as those from the FDA or CDC).
      • Contains references for sources cited
      • Written by a professional or scholar in the field and indicates credentials of the author(s)
      • Is no more than 5 years old for clinical or research articles
    • What is not considered a scholarly resource?
      • Newspaper articles and layperson literature (e.g., Readers Digest, Healthy Life Magazine, Food, and Fitness)
      • Information from Wikipedia or any wiki
      • Textbooks
      • Website homepages
      • The weekly lesson
      • Articles in healthcare and nursing-oriented trade magazines, such as Nursing Made Incredibly Easy and RNMagazine (Source: What is a scholarly article.docx; Created 06/09 CK/CL Revised: 02/17/11, 09/02/11 nlh/clm)
    • Can the lesson for the week be used as a scholarly source?
      • Information from the weekly lesson can be cited in a posting; however, it is not to be the sole source used in the post.
    • Are resources provided from CU acceptable sources (e.g., the readings for the week)?
      • Not as a sole source within the post. The textbook and/or assigned (required) articles for the week can be used, but another outside source must be cited for full credit. Textbooks are not considered scholarly sources for the purpose of discussions.
    • Are websites acceptable as scholarly resources for discussions?
      • Yes, if they are documents or data cited from credible websites. Credible websites usually end in .gov or .edu; however, some .org sites that belong to professional associations (e.g., American Heart Association, National League for Nursing, American Diabetes Association) are also considered credible websites. Websites ending with .com are not to be used as scholarly resources.
  2. Professionalism in Communication: The post presents information in logical, meaningful, and understandable sequence, and is clearly relevant to the discussion topic. Grammar, spelling, and/or punctuation are accurate.
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