Individual behavior predominantly determines an individual’s health status (Schneider & Schneider, 2017). This factor should be factored in by public health nurses (PHNs) to impact health behaviors through psychosocial dimension interventions, thus promoting health (Zaccagnini & White, 2017) through the use of theoretical frameworks as their guide (Schneider & Schneider, 2017).
The PRECEDE-PROCEDE model facilitates analyzing psychosocial, behavioral, environmental, epidemiological, and educational dimensions in establishing and evaluating health education interventions to impact positive health outcomes. The PRECEDE component facilitates the analysis of factors influencing health, while the PROCEDE component enables evaluation of the intervention (Green & Mercer, 2006). Wang et al. (2017) report the success of the model in reducing depression and improve the quality of life among patients with chronic heart failure.
The Ecological Model of Health Behavior theoretical framework guides community public health interventions to promote health and factors influencing health behaviors (Schneider & Schneider, 2017). It describes five levels of changing health-associated behaviors (Schneider & Schneider, 2017). A trial by Rich et al. (2018) on intervention promoting physical activity in financially challenged senior centers indicates the success in applying the model.
This week’s discussion offered an opportunity to a Doctor in Nursing Practice (DNP) professional to apply Essential I, by using nursing science and knowledge and scientific theories to note influencers of human behaviors towards promoting health (American Association of Colleges of Nursing [AACN], 2006). Also, applying Essential VII: Clinical Prevention and Population Health for Improving the Nation’s Health compels using skills to evaluate and apply concepts related to community health, incorporating environmental, economic, and psychosocial components of health to promote wellness and prevent illness (AACN, 2006).
References
American Association of Colleges of Nurses. The Essentials of Doctoral Education for Advanced Nursing Practice, American Association of Colleges of Nurses, Washington, DC (2006).
Green, L. W., & Mercer, S. L. (2006). PRECEDE-PROCEED model. In L. Breslow & G. Cengage (Eds.), Encyclopedia of public health. Retrieved from http://www.enotes.com/precede-proceed-model
Rich, P., Aaron, G. A., Takemoto, M., Cardenas, V. Crist, K., Bolling, K., Lewars, B., Castro-Sweet, C., Natarajan, L., Yuyan, S., Full, K. M., Johnson, E., Rosenberg, D. E., Whitt-Glover, M., Marcus, B., & Kerr, J. (2018). Implementation-effectiveness trial of an ecological intervention for physical activity in ethnically diverse low-income senior centers. BMC Public Health, 18(29), 1-12.
Schneider, M., & Schneider, H. S. (2017). Introduction to public health. Burlington, MA: Jones & Bartlett Learning.
Wang, Q., Dong, L., Jian, Z., & Tang X. (2017). Effectiveness of a PRECEDE-based education intervention on quality of life in elderly patient with chronic heart failure. BMC Cardiovascular Disorders, 17(262), 1-7.
Zaccagnini, M., & White, K. (2017). The Doctor of Nursing Practice Essentials: A New Model for Advanced Nursing Practice, 3rd ed. Jones & Bartlett Learning. Chapter [VitalSource Bookshelf]. https://online.vitalsource.com/#/books/9781284115673/