Population Healthcare Nursing: Role in Patient Change Using TTM

This essay explores the role of a healthcare provider, specifically a nurse, in assisting patients to navigate the continuum of change using the Transtheoretical Model (TTM). The TTM, with its five stages (precontemplation, contemplation, preparation, action, and maintenance), provides a framework for understanding and facilitating behavior change. The essay emphasizes the importance of identifying risk factors, providing patient education, and implementing interventions to prevent chronic diseases, using type 2 diabetes as an example. It highlights the significance of patient participation in formulating their care plan and the value of nurse coaching in empowering patients to make informed decisions about their health. The essay also includes responses to two student peers, acknowledging their contributions and providing constructive feedback on their understanding and application of the TTM in population healthcare nursing.

RUNNING HEAD: POPULATION HEALTHCARE NURSING 1
Population health care Nursing
Name:
Institution:
Tutor:
Date:

POPULATION HEALTHCARE NURSING 2
Population Healthcare Nursing
MY ROLE AS A HEALTHCARE PROVIDER IN HELPING PATIENT MOVE A
LONG WITH THE CONTINUUM OF CHANGE
The Transtheoritical Model has been in place for over 35 years and it uses different
stages of change to incorporate theories of counselling and behavior change .The model has five
stages that include precontemplation, contemplation ,preparation, action and finally maintenance.
As a healthcare provider, I have the role of identifying risk factors, providing patient education
and interventions to prevent chronic diseases.
There are different ways in which I can incorporate the TTM and a good example is If I
come across a patient who is suffering from type 2 diabetes and he is overweight and does not
take part in physical exercise (Crittenden, Seibenhener, & Hamilton, 2017) .I will approach him and
ask him if he thinks that the being overweight and not participating in physical activities could a
risk factor for the type 2 diabetes .I would then ask him if he would consider improving on that
and some of the strategies that he would use. Since patients understands themselves more than
we do as healthcare providers, they are in a better position to come up with modifications about
their health status. Studies show that patient participation in the formulation of their care plan is
associated with better outcomes. That is why I will ensure that the patient himself participates in
the TTM (Jeon & Benavente, 2016). According to Jeon and Benavente, nurse coaching is an
essential tool and in this case, I feel it would be very important especially coaching the diabetic
patient on how to participate in physical exercise since the patient has the chance to get first-
hand information from the nurse.

POPULATION HEALTHCARE NURSING 3
Response to student one
The author has introduced very well the responsibilities of the nurse in integrating the
TTM. Some of the responsibilities mentioned is identifying risks and prevention of chronic
conditions .The author has also brought in evidence from readings about how behaviors by both
the nurse and patient affect the rate of morbidity and mortality. The author has also explained the
stages of the TTM that include precontemplation, contemplation etc. The author has also
illustrated how he would use the model in real life by asking an overweight patient how he feels
about his weight then participating with the patient to initiate change. The author has also talked
of how nurse coaching is useful when it comes to educating and supporting the patients.
Response to student two
Student two has done a commendable job. He has provided the subtopics within the essay
and this therefore makes it easier for the reader to know what exactly is being explained in the
subsequent sections. The author has provided a good explanation of the role of the provider in
assisting patients to move along with continuum of change. The author has also provided the
stages of TTM though he didn’t mention all of them. The author only mentioned
precontampletion stage. The author has also interconnected readings from the literature material
and real life experiences .Finally, the author has provided a good personal experience and the
importance of nurse coaching. This has been illustrated through empowering the patients to make
healthy choices.

POPULATION HEALTHCARE NURSING 4
References
Crittenden, D., Seibenhener, S., & Hamilton, B. (2017). Health Coaching and the
Management of Hypertension. The Journal for Nurse Practitioners, 13(5), e237-
e239. doi:10.1016/j.nurpra.2017.02.010
Jeon, S. M., & Benavente, V. (2016). Health Coaching in Nurse Practitioner–led Group
Visits for Chronic Care. The Journal for Nurse Practitioners, 12(4), 258-264.
doi:10.1016/j.nurpra.2015.11.015