DNP-815A Topic 5 DQ 2 Health behavior change theories suggest behavior change as a process, not an event

Sample Answer for DNP-815A Topic 5 DQ 2 Health behavior change theories suggest behavior change as a process, not an event Included After Question

Topic 5 DQ 2

Health behavior change theories suggest behavior change as a “process,” not an “event.” Propose a health behavior change theory that corresponds to your DNP Project.

A Sample Answer For the Assignment: DNP-815A Topic 5 DQ 2 Health behavior change theories suggest behavior change as a process, not an event

Title: DNP-815A Topic 5 DQ 2 Health behavior change theories suggest behavior change as a process, not an event

Consider a situation in which you experienced a moral distress (i.e., in which you were unable, though no fault of your own, to do the right thing). What needs to happen so that the next time you in a similar you will not experience moral distress?

The ultimate success of effective preventive and treatment regimens depends on the patient’s willingness to initiate and maintain recommended behaviors. Behavioral scientists dedicated extensive effort to justifying and predicting any health-related decisions of patients, which has resulted in the development and widespread application of a number of individual-level behavior change theories. The theory of planned behavior proposes that intention is the best behavior predictor. Behavior change theories highlight the complexity of making and sticking to health-related behavior changes (Barley & Lawson,2016).

Hemodialysis patients experience a lot of issues in self-care behavior. Change in behavior can be effective in self-care behavior with educational intervention. There are several pieces of evidence that lack of knowledge and awareness in patients with self-care behavior, such as taking care of vascular access to prevent bloodstream infection, led to clinical outcomes resulting in different complications and death (Ramezani et al., 2019). Since hemodialysis is a long-term process, patients need to manage their disease properly. Increasing self-efficacy in hemodialysis patients decreases hospitalization and improves the quality of life. Self-efficacy theory is based on the person’s judgment about themselves in managing self-care activities, creating a bridge between self-care knowledge and behavior (Ramezani et al., 2019). Based on the study, it seems that the Self-Efficacy Theory is effective in making patients believe they can adopt self-care behaviors (Ramezani et al., 2019). The theory leads to an improvement in patients’ self-care behaviors promoting physical and mental health in hemodialysis patients.

References

Barley, E., & Lawson, V. (2016). Using health psychology to help patients: theories of behavior change. British Journal of Nursing, 25(16), 924–927.

https://doi-org.lopes.idm.oclc.org/10.12968/bjon.2016.25.16.924

Ramezani, T., Sharifirad, G., Rajati, F., Rajati, M., & Mohebi, S. (2019). Effect of educational intervention on promoting self-care in hemodialysis patients: applying the self-efficacy theory. Journal of education and health promotion, 8.

https://doi.org/10.4103/jehp.jehp_148_18

A Sample Answer 2 For the Assignment: DNP-815A Topic 5 DQ 2 Health behavior change theories suggest behavior change as a process, not an event

Title: DNP-815A Topic 5 DQ 2 Health behavior change theories suggest behavior change as a process, not an event

Nice and insightful post that you have here. In response to your informative post on the success of treatment and intervention programs as a coefficient of behavioral change, I have learnt over time that the actual success depends on the patient’s willingness to adhere judiciously to the lifestyle treatment and intervention recommended. Nurses use behaviorist theory to break habits that are inimical to health and design rehabilitation sessions for patients (Butts & Rich, 2017). The rationale for this the theory is premised on the ground that it provides the platform for programs designed for the modification of behaviors.

Thanks for sharing with us.

Reference

Butts, J. B., & Rich, K. L. (2017). Philosophies theories and for advanced nursing practice (3rd ed.). Jones & Bartlett Learning.

A Sample Answer 3 For the Assignment: DNP-815A Topic 5 DQ 2 Health behavior change theories suggest behavior change as a process, not an event

Title: DNP-815A Topic 5 DQ 2 Health behavior change theories suggest behavior change as a process, not an event

I enjoyed reading your post as the theory of planned behavior can be implemented in many healthcare settings. The planned behavior theory links a person’s beliefs to their actual behavior. The theory suggests that a person’s behavioral intentions are influenced by the likelihood that the behavior will have the expected outcome (Boston University of Public Health, 2019). In the example you provided this can have a direct correlation with treatment adherence in dialysis patients. One study showed that there is a decrease in medical complications and mortality due to a patient’s intention to improve adherence to treatment plans amongst dialysis patients (Sheikh et al., 2022). Therefore, applying this theory and taking the proper medications, adhering to the correct diet, and implementing other lifestyle changes play an important role in how well kidney disease is managed.

Reference

Boston University School of Public Health. (2019). Behavioral change models. The Theory of Planned Behavior. Retrieved August 10, 2022, from https://sphweb.bumc.bu.edu/otlt/mph-modules/sb/behavioralchangetheories/BehavioralChangeTheories3.html

Sheikh, V., Barati, M., Khazaei, S., & Jormand, H. (2022). Factors related to treatment adherence behaviors among old-age hemodialysis patients in Hamadan, Iran: The application of the extended theory of planned behavior during covid-19 pandemic. BMC Nephrology, 23(1). https://doi.org/10.1186/s12882-022-02694-x

A Sample Answer 4 For the Assignment: DNP-815A Topic 5 DQ 2 Health behavior change theories suggest behavior change as a process, not an event

Title: DNP-815A Topic 5 DQ 2 Health behavior change theories suggest behavior change as a process, not an event

Health behaviors are influenced by an individual’s personal beliefs, perceptions, and access to resources. When assessing the likeliness of a person to change their health behaviors a health behavior change theory can be used as a guide. The health behavior change theory that corresponds to my DNP project is the Transtheoretical Model (TTM). The project will determine if virtual reality decreases pain scores in hospitalized adults. The TTM Model of Behavior Change states that there are six stages of health-related behavior change that hold true in both physical and virtual settings (Carol et al., 2021). The six stages are: precontemplation where the patient is not considering taking any action; contemplation where the patient begins to recognize the behavior might be unacceptable; preparation is the stage that the patient is ready to take action; action is where the patient has made observable changes and they intend to keep moving forward with the change; maintenance represents sustainment of the change; termination is the final stage in which the patient has no desire to return to their previous state (Boston University, 2019).

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In reference to the DNP project clinicians only use pharmaceuticals to manage pain in the inpatient setting. In applying the TTM theory, the clinicians would progress through the six stages of change. In the beginning, they would need to accept or realize that pain management is a problem. They should also understand that virtual reality is a proven alternative approach to managing pain. Once this is done, they will likely be more susceptible to implementing virtual reality as an intervention for pain. If the patients consistently report decreased pain scores post implementation, then the clinicians will be able to see the benefits of including this alternative approach in the management of their patients. Clinicians could also spread this as a best practice to other patient populations and the new standard for pain management would be inclusive of virtual reality. Overall, this model shows that change is a process that happens over a period of time. It should also be stated that the time it takes for patients to progress through each stage will vary.

Reference

Boston University. (2019). Behavioral change models. The Transtheoretical Model (Stages of Change). Retrieved August 5, 2022, from https://sphweb.bumc.bu.edu/otlt/mph-modules/sb/behavioralchangetheories/behavioralchangetheories6.html

Carroll, J., Hopper, L., Farrelly, A. M., Lombard-Vance, R., Bamidis, P. D., & Konstantinidis, E. I. (2021). A scoping review of augmented/virtual reality health and wellbeing interventions for older adults: Redefining immersive virtual reality. Frontiers in Virtual Reality, 2. https://doi.org/10.3389/frvir.2021.655338

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