- NURS 8123 Assignment 7.1 Theoretical Framework.
Integrating the Health Belief Model and the Theory of Planned Behavior to Enhance Health Promotion in Nursing Practice
Sensible models and theoretical frameworks are fundamental in nursing to offer a definite technique for describing, analyzing, and anticipating occasions in the discipline. These frameworks and models give the headway to the nursing practice, instruction, and research to properly organize information and important interventions (Foroughi et al., 2022). The ongoing outline discusses the proposed theoretical framework’s pertinence, the Health Belief Model (HBM).
The HBM is effectively used to detach health behaviors by considering factors, for instance, beliefs about health conditions, expected advantages of movement, and constraints. This study will outline the Theory of Planned Behavior (TPB), the middle-range theory related to the HBM (Huang et al., 2020). The TPB expands on the HBM by adding clear behavioral control, the principal for understanding health behaviors. Reviewing these frameworks will show their pertinence in nursing, especially in developing solid health promotion methods. This paper wants to underscore the potential gain of integrating the theoretical and sensible to enhance calm ideas and advance the nursing discipline.
Theoretical Framework: Health Belief Model (HBM)
Description of Framework/Model
The Health Belief Model (HBM) is a psychological model formulated during the 1950s by Hochbaum, Rosenstock, and Kegels, who worked with the U.S. Free Health Administration. The HBM was initially developed to address the shortfall of individuals in disorder balance and early district programs (Huang et al., 2020).
During that time, it expanded to include more than initially defined. At this point, it is one of the best-known models for portraying health-related behavior. According to the HBM, individuals’ beliefs about the conditions of unequivocal health convey the likely gains of performing a particular behavior, and the dangers related to this change influence the behavior. It emphasizes self-interpreted meanings and changes in behavior to reveal them as sensible in developing health initiatives and instructive activities.
Concepts and Propositions
The HBM contains several principal concepts and propositions that thoroughly understand health behavior.
• Seen weakness is how much an individual remembers they are at risk for contracting a disorder or disorder. It was spread out that the higher the sensible weakness, the more an individual will practice to minimize the bet (Akther and Nur, 2022).
• The irrefutable reality interfaces with an individual’s impression of the bet introduced by a particular infection, condition, and its ideas. Assuming an individual thinks the condition has risky outcomes, this individual will genuinely need to take preventive measures.
• Free benefits thought, uncovering accomplices with the individual’s viewpoint on the credibility of the urged improvement to bring down the bet or sincerity. In other words, the reasonable benefits enhance the likelihood of the predetermined behavior occurring.
• Seen limits are hindrances that hinder the undertaking of a new development. They can be physical, similar to cost or time, or psychosocial, similar to trepidation or humiliation. The fewer cutoff points, the higher the opportunity to perform the proposed advancement of the individual (Akther and Nur, 2022).
• The sign to improvement accepted is connected with outside supports that require express exercises from individuals. Potential signs may be through media or other individuals, such as reminder calls from a healthcare provider.
• Independence was incorporated into the HBM and added later. Independence is the level of certainty the individual has in acting on the behavior. Then again, higher self-sensibility could raise the probability of behavior change on a very basic level (Moey et al., 2021).
Propositions
The HBM maintains that an infection’s obvious end and treatment influence health behavior. This suggests that unmistakable shortcomings, genuineness, advantages, and limits influence the likelihood of engaging in healthy behavior.
Moreover, the model suggests that health-promoting behavior depends on signs of action that compel course and self-abundancy in performing the behavior. These concepts define the probability of practicing a healthy behavior (Moey et al., 2021). Analyzing the HBM in detail shows that enhanced information on this theory will allow healthcare professionals to foster health interventions further.
These interventions can be individualized to give input to the sensible and genuine incentives of the patients and the neighborhood, increasing the opportunity for behavior change and better health. The HBM articulates that healthcare behavior results according to beliefs and points of view on this theory, which is instrumental in health training and behavior change for developing healthier promotion moves close.
Middle-Range Theory: Theory of Planned Behavior (TPB)
Description of Theory
The Theory of Planned Behavior (TPB) is one of Ajzen’s middle-range theories, formulated in the last piece of the 1980s, based on the health belief model. The theory of planned behavior has been intended to explain serious areas of strength that influence behavior by relying on intention, the key factor (Park and Shin, 2021). Covering mindsets and precious norms moreover includes seen behavioral control, which offers an enhanced approach for analyzing individuals’ decisions about health behaviors. The TPB suggests that individual behavior is driven and influenced by three key factors: buzzword point of view on the behavior, saw norms, and command over the behavior. It has been applied broadly to expect health behavior change and contains an important model for developing health interventions.
Processes or Concepts
This attitude toward the behavior thought studies how much the individual has positive or negative insights towards undertaking the behavior. The character of points of view is determined by questions concerning the results of the behavior and the stakes given to them. In smarts, the potential outcomes performing a given health behavior are sensible going to be high if the individual holding the insight feels it will have a fair outcome (Gjicali and Lipnevich, 2021). The theoretical norms include examining the general people’s questions about the execution or non-execution of a particular development.
This thought comes from individuals’ judgment regarding sensible questions about their behavior for their family, buddies, mates, or society. If others who matter in the individual’s public actions enable the behavior, the individual will have an uplifting viewpoint toward performing it.
NURS 8123 Assignment 7.1 Theoretical Framework
Further, behavioral control can be defined as the level of the individual’s impression of the likelihood of performing the behavior. This acceptance is close to the self-efficacy of the HBM and suggests the sensible straightforwardness or difficulty of the behavior, considering prior experiences and expected difficulties (Ataei et al., 2020).
Enhancing clear behavioral control enhances the formation of a solid intention to perform the behavior. Behavioral intention is the core of the TPB model and depends on viewpoints, saw norms, and saw control. Intention proposes an individual’s willingness to participate in a particular behavior and is closer to behavior than demeanor. The more grounded the intention to perform a specific behavior, the higher the probability that the behavior will be shown.
Clinical Practice Application
The theory of planned behavior is valuable for understanding and predicting health-related behaviors in clinical settings. Minimizing the opening can be achieved by reducing the errors between intention points of view, seeing profound norms, seeing behavioral control of healthcare providers, and strong interventions to work on these areas (Ruler et al., 2020).
They can similarly actuate health promotion, make mindfulness, influence mindsets, enhance supportive perceived practices, and increase clear behavioral control. For instance, in promoting smoking discontinuance, interventions can be founded on gathering the health benefits of quitting (viewpoints) and support from family peers (precious norms). Increase the certainty to stop smoking by providing resources and training (saw self-plentifulness).
Behavioral clinicians decide to deal with patients’ viewpoints about healthy behaviors in counsel, understand the strain from social factors, and uncover legitimizations for why patients feel uncovered regarding certain health behaviors (Traina and Feiring, 2020). This approach gives express individual counseling to each steady and differences in the convincing practice pieces. The TPB can help plan and review health programs as it points to enormous factors of behavior change.
For instance, concerning a program promoting genuine work among patients with persevering infections, the TPB can be critical regarding the expected gains of action, pressures, social support, and security from exercising reliably. Assessing the improvements in these factors could help with understanding the sensibility of the program and a portion of the issues that exist to address(Traina and Feiring, 2020).
The TPB inspires to assessment of health results and improves clinical administration by identifying the principal determinants of health behaviors. For instance, the level of consistency with medicine may be improved by mindsets, social support, and control in patients with ongoing illnesses.
Analysis of Middle-Range Theory and Conceptual Model
Characteristics of Conceptual Model
The HBM and TPB are basic in understanding well-being conduct, yet the two hypotheses give it somewhat startlingly. The HBM pivots around the unquestionable characteristics of individuals regarding a particular well-being state. At the same time, the TPB underlines the chance of intention and is seen as a direct control (Qiao et al., 2021). A couple of pieces of the HBM can be distinguished within the TPB, showing that the two plans are associated and interdependent.
Notwithstanding anything else, the HBM saw delicacy and sincerity as are obsession with knowing why the individual is moved closer to embracing certain well-being approaches to dealing with behaving. The TPB moreover involves these examinations in its make of points of view. The definition of viewpoints best encloses shortcomings and the truth because they are an individual’s feelings about the results of a strategy for dealing with behavior. For instance, an individual’s viewpoint on exercising might be influenced by their conspicuous likelihood (shortcoming) and degree (sincerity) of contracting cardiovascular infections (Qiao et al., 2021).
Additionally, the sensible advantages and checks to development in HBM partner with an extraordinary degree to the points of view toward lead and saw control in the TPB. The reasonable advantages ought to be clear in the points of view belonging to TPB, and cutoff points to progression are covered by clear, direct control (Park and Shin, 2021). This theory spreads a position on the idea that thoughts are the fundamental determinant of intending to strong regions for continually performing. Self-exertion convictions direct the Sort A strategy for dealing with behaving.
Thirdly, the TPB doesn’t address signs of development, paying little mind to suggest the effect of outside pressures through profound standards. These standards propose the social influences and assumptions from splendid frills regarding certain behavior approaches (Park and Shin, 2021).
For instance, a specialist’s proposition or a general’s assistance could trigger the development of certification changes to a typical way of life. Fourthly, integrating self-abundancy into the HBM model embellishments most with the TPB’s prominent command over the strategy for dealing with behavior. The two plans pivot the individual’s obvious self-reasonableness in engaging in a way to oversee behavior. This closeness has centered certainty and control in stimulating enticing well-being approaches to dealing with behavior.
Comparison and Contrast
Both the HBM and TPB are relative in that they are both speculative models; they have unequivocal contrasts that influence their importance and worth in clinical settings. For any situation, it is essential to note that the HBM collects mainly the individual’s insights regarding certain well-being states and their results (Rosenthal and Shmueli, 2021). It comparatively investigates how such convictions determine one’s dangers for performing or not performing sound approaches to dealing with behaving. The TPB sets social intention as the nearest speculative determinant of that technique for dealing with behavior.
The TPB is generally more unflinchingly related to intention and genuine strategy for dealing with behaving than the TRA, considering the inclusion of seen social control. In addition, the TPB integrates social parts through exceptionally close standards, which isn’t tended to in the HBM (Rosenthal and Shmueli, 2021). This inclusion makes the TPB more complete in explaining apparent practices, strains, and backing for well-being and well-being approaches to behavior. For instance, a patient’s response consistency can be molded by whether their kin and mates think about this prompt right.
NURS 8123 Assignment 7.1 Theoretical Framework
Thirdly, lead control in the TPB is more unimaginably unavoidable than in the HBM. While saw obstacles are included in the HBM, TPB takes it further by considering the straightforwardness or inconvenience the individual feels about engaging in the way to oversee behavior (Foroughi et al., 2022).
This improvement draws the specialist to see better factors that can update or hinder lead changes. Fourth, the two models have extraordinarily informative and insightful validity for well-being approaches to dealing with behavior. For any circumstance, the TPB incompletely increases the range of components determining conduct by adding intention and social control. Shi et al. (2021) revealed that the TPB could foresee a more major level of progress in well-being approaches to dealing with behaving than the HBM, particularly for approaches to dealing with behaving. Visit tutors academy for your courses help.
Applicability and Utility in Clinical Practice
In clinical practice, the applicability of both the HBM and the TPB is essential for designing interventions and enabling change in well-being approaches to behavior. Their applicability could contrast depending on the specific situation and the Kind of lead being established. HBM, with basically no wavering, is basic while developing a structure to change individual feelings about well-being and conditions (Shi et al., 2021).
It may be utilized to convey messages that increase clarity and genuineness while gaining the benefits of preventive approaches to behavior. For instance, the well-being conviction model can be embraced in general well-being work to connect with vaccination by eliciting the client’s idea regarding the risks of not immunizing.
Second, TPB is basic for social counseling within clinical practice, as the model incorporates different mental inspirational parts influencing conduct. Self-report levels of the theory of arranged direct honor clinical thought suppliers to determine the patient’s disposition saw standards and saw control interventions. For instance, a smoking end program will embrace the TPB to increase self-proficiency for quitting smoking, maintain an uplifting viewpoint, and influence obvious social help (Małecka et al., 2022).
Thirdly, the two models can be utilized to propose and survey well-being programs. HBM is reasonable for screening viewpoints on the patient and barriers since it is mainly based on convictions. The TPB point-by-point provides assets on structuring interventions that can cover several parts affecting the technique for dealing with behavior. Evaluating the distinction in viewpoints, exceptionally close standards, and social control can be useful in determining the reasonableness of undertakings and identifying amazing sections for change.
Conclusion
In conclusion, the Well-being Conviction Model (HBM) and the Theory of Arranged Lead (TPB) are regular plans that help handle and anticipate well-being approaches to dealing with behaving. The HBM features self-information on well-being states, while the TPB includes clear lead intention and perceived control. The two models feature points like attitude, social convictions, and self-savvy instinct to instigate direct change.
When examining frameworks like those in NURS 8123 Assignment 7.1 Theoretical Framework, these models provide valuable insights for shaping nursing practices. The results of the practice of nursing would never be more fundamental. By applying these plans, escorts can make arrangements for interventions that intend to change the patients’ convictions, incite social help, and update self-sensibility, leading to practically 100 percent quiet well-being. Incorporating these speculations into clinical practice increases more proficient ways of improving well-being and patient training.
References
Akther, T., & Nur, T. (2022). A model of factors influencing COVID-19 vaccine acceptance: A synthesis of the theory of reasoned action, conspiracy theory belief, awareness, perceived usefulness, and perceived ease of use. PLOS ONE, 17(1), e0261869, Pg 1-20. https://doi.org/10.1371/journal.pone.0261869
Ataei, P., Gholamrezai, S., Movahedi, R., & Aliabadi, V. (2020). An analysis of farmers’ intention to use green pesticides: The application of the extended theory of planned behavior and health belief model. Journal of Rural Studies, 81(3), Pg 1-11. https://doi.org/10.1016/j.jrurstud.2020.11.003
Foroughi, Z., Ebrahimi, P., Aryankhesal, A., Maleki, M., & Yazdani, S. (2022). Toward a theory-led meta-framework for implementing health system resilience analysis studies: A systematic review and critical interpretive synthesis. BMC Public Health, 22(1), e287, Pg 1-13. https://doi.org/10.1186/s12889-022-12496-3
Gjicali, K., & Lipnevich, A. A. (2021). Do you have a math attitude? (In)direct effects of student mathematics attitudes on intentions, behavioral engagement, and mathematics performance in the U.S. PISA. Contemporary Educational Psychology, 67(1), e102019, Pg 1-12. https://doi.org/10.1016/j.cedpsych.2021.102019
Huang, X., Dai, S., & Xu, H. (2020). Predicting tourists’ health risk preventative behavior and traveling satisfaction in Tibet: Combining the theory of planned behavior and health belief model. Tourism Management Perspectives, 33(2), e100589, Pg 1-10. https://doi.org/10.1016/j.tmp.2019.100589
Małecka, A., Mitręga, M., Mróz-Gorgoń, B., & Pfajfar, G. (2022). Adoption of collaborative consumption as sustainable social innovation: Sociability and novelty seeking perspective. Journal of Business Research, 144
(1), Pg163–179. https://doi.org/10.1016/j.jbusres.2022.01.062
Moey, S.-F., Che Mohamed, N., & Lim, B.-C. (2021). A path analytic model of health beliefs on the behavioral adoption of breast self-examination. AIMS Public Health, 8(1), Pg15–31. https://doi.org/10.3934/publichealth.2021002
Park, S., & Shin, H. (2021). An analysis and evaluation of the theory of planned behavior using Fawcett and desanto-madeya’s framework. Advances in Nursing Science, Publish Ahead of Print, 44(4), Pg141-154. https://doi.org/10.1097/ans.0000000000000365
Qiao, X., Ji, L., Jin, Y., Si, H., Bian, Y., Wang, W., & Wang, C. (2021). Development and validation of an instrument to measure beliefs in physical activity among (pre)frail older adults: An integration of the health belief model and the theory of planned behavior. Patient Education and Counseling, 104 (10), Pages 2544-2551. https://doi.org/10.1016/j.pec.2021.03.009
Rosental, H., & Shmueli, L. (2021). Integrating health behavior theories to predict COVID-19 vaccine acceptance: Differences between medical and nursing students. Vaccines, 9(7), e.783, Pg 1-13. https://doi.org/10.3390/vaccines9070783
Shi, H., Wang, J., Huang, R., Zhao, J., Zhang, Y., Jiang, N., Tanimoto, T., Ozaki, A., Shao, C., Wang, J., He, X., & Xu, X. (2021). Application of the extended theory of planned behavior to understand Chinese students’ intention to improve their oral health behaviors: A cross-sectional study. BMC Public Health, 21(1), e2303, Pg 1-9. ( https://doi.org/10.1186/s12889-021-12329-9
Sultan, P., Tarafder, T., Pearson, D., & Henryks, J. (2020). Intention-behaviour gap and perceived behavioral control-behaviour gap in the theory of planned behavior: Moderating roles of communication, satisfaction, and trust in organic food consumption. Food Quality and Preference, 81(81),e103838. Pg 1-33 https://doi.org/10.1016/j.foodqual.2019.103838
Traina, G., & Feiring, E. (2020). “There is no such thing as getting sick justly or unjustly” – a qualitative study of clinicians’ beliefs on the relevance of personal responsibility as a basis for health prioritization. BMC Health Services Research, 20(1), e497, Pg 1-13. https://doi.org/10.1186/s12913-020-05364-6