Theory Overview “Theories provide the base from which we seek to understand patients and their health problems and from which we plan interventions to help them” (Zaccagnini & White, 2017, p. 14). Theories are necessary for nursing research and practice. Utilizing a theory that is congruent with the program’s goal will help guide and provide structure to the project leaders throughout the implementation process. The nursing theory chosen for the osteoporosis program is the health promotion model (HPM).
The HPM was published by Nola Pender in 1982 and revised in 1996, incorporating theoretical considerations and research findings from past studies (Peterson & Bredow, 2017). Pender developed the model after witnessing providers intervening…show more content… The model’s application and effectiveness reported in previous studies dealing with a variety of health problem areas provides sufficient evidence to support its use in this project. Most studies pertaining to osteoporosis reference the Health Belief Model, which attempts to explain and identify health behaviors based on the beliefs and perceptions of individuals (University of Twente, 2017). While assessing patient perceptions is important in identifying barriers to screening or preventive measures, project leaders first require provider perceptions and an implemented program, as no current process is in place, to identify where the exact problem lies. Utilizing Pender’s model will help guide the development of an osteoporosis program that will impact health behavior. The streamlined process for all providers will assist in assessing and recommending appropriate health promoting interventions aimed at improving the patient’s health, quality of life, and overall state of well-being (Petiprin,…show more content… It is a 52-item self-administered questionnaire using a 4-point response format. Its composed of a total scale and six subscales measuring health-promoting behaviors: health responsibility, physical activity, spiritual growth, nutrition, interpersonal relations and stress management (Walker, Sechrist, & Pender, 1995). The instrument is available is three languages, Spanish, Japanese, and English (Peterson & Bredow, 2017). Reliability and validity are significant strengths of the instrument (Walker et al., 1995). While the osteoporosis program is intended to develop a streamlined screening process, the tool can be applied to analyze the targeted populations perception on overall health and wellness. In addition to risk stratification and disease identification, providers can also identify potential barriers to health promoting behaviors in which interventions are tailored to improve those