NURS 810: Evaluation of Theorists in Healthcare Agency Form

This presentation is a systematic evaluation of a healthcare agency's utilization of nursing theorists, specifically as reflected in their admission/history form. The presentation begins with an introduction to the importance of theorists in healthcare, highlighting models such as the Ecological Model, Health Belief Model, and Stages of Change Model. The assignment then presents the agency's form, detailing its components and purpose. It evaluates how the form reflects the aforementioned theorists, discussing the application of each model and identifying relevant sections. The discussion includes an in-depth analysis of how the Ecological Model, Health Belief Model, and Transtheoretical Model are used within the form. Revisions to the form are suggested and evaluated based on their alignment with the ecological model, considering factors like intrapersonal, interpersonal, institutional, community, and public policy influences. The conclusion summarizes the form's adherence to the ecological theory and its overall comprehensiveness. References to supporting literature are also included.

SYSTEMATIC EVALUATION OF
ONE HEALTH CARE AGENCY’S
USE OF THEORISTS,
REFLECTED IN
ADMISSION/HISTORY FORM
NURS 810 Nursing Theory
Presentation

OVERVIEW OF THE
PRESENTATION
 Introduction
 Agency Form
 Evaluation of theorists
 Discussion
 Revision
 Evaluation of Revisions
 Conclusion
 Reference

INTRODUCTION
 Health care agencies make use of theorists for
health promotion and disease prevention (Willis,
Reynolds & Keleher, 2016).
 The theories and models enable program
planning and explain health behaviour for
identifying, develop and implement
interventions.
 There are several theories that are currently in
use for health promotion and prevention of
diseases. Some models are Ecological model, the
health belief model, stages of change model (or
transtheoritical model), social cognitive theory
and theory of reasoned action or planned
behaviour (Chinn & Kramer, 2011).

AGENCY FORM

AGENCY FORM

AGENCY FORM
 The healthcare agency form obtains
details regarding the whereabouts of the
patient.
 It takes account of past medical history
in a detailed manner.
 The form undertakes administrative
details.
 All these details provide insight
regarding the patient’s condition and is
a protocol that healthcare centers
follow.

EVALUATION OF
THEORISTS
 The health care agency makes use of 3
pertinent theorists, such as;
 Ecological Models
 Health Belief Model
 Stages of Change Model

DISCUSSION
 The Ecological model aims to identify
multiple levels of impacts on health
behaviours (Straus, Tetroe & Graham,
2011).
 The form thus aims to identify the
following as per the model;
 Intrapersonal or individual factors
 Interpersonal factors

DISCUSSION
 The Health Belief model is a theoretical
model that is used directly for
preventing disease and promotion of
health (Valentine, 2011).
 The model makes use of health
behaviours for predicting individual
changes in health behaviour.
 The model’s key elements include
identifying individual beliefs regarding
health. In the form, there is a section
where such record is maintained.

DISCUSSION
 The Transtheoritical model, the
individual’s readiness to change their
behaviour is identified (Bourke,
Humphreys, Wakerman & Taylor, 2012).
 It identifies the process of behaviour
change as taking place in stages.
 The form includes identifying pre-
contemplation through the patient
history section in the form.

REVISION
 The agency’s form is consistent
ecological model.
 The ecological model analyses the
interaction amongst the
interdependence of factors through all
levels of health problem.
 It includes people’s interaction with
their sociocultural and physical
environments.
 The model identifies multiple levels of
impact on health behaviours.

REVISION
 Intrapersonal/individual factors are the
influences behaviours which includes
attitudes, knowledge, personality and belief
(Free et al, 2013).
 Interpersonal factors encompasses
interaction between other people that
enables social support. It develops barriers to
interpersonal growth which promotes healthy
behaviours.
 Institutional and organizational factors that
has rules, policies, regulations and informal
structures that restrict or towards promoting
healthy behaviours.

REVISION
 The community factors that encompasses
informal and formal social norms existing
amongst individuals, groups or organizations
which can enhance or limit healthy
behaviours. However it is not reflected
adequately reflected in the agency form
(McCormack et al, 2013).
 The public policy factors that encompasses
local, state, and federal policies and law
conducts to support health actions. Practices
for preventing diseases such as early
detection, management and control is not
adequately reflected in the agency form.

EVALUATION OF REVISION
 The revision strengthen the form, as the
details provided enabled the various
criteria or parts of the ecological theory
being covered.
 The individual / intrapersonal factors
along with history of the patient is
discussed adequately.

CONCLUSION
 The agency’s form has reflected various
theories within fields.
 It has abided by the ecological theory,
where all the details of the individual
and intrapersonal factors is
encompassed.
 The agency’s form is well detailed and
covers various aspect of the patient
health discussion in a comprehensive
manner.

REFERENCES
 Bourke, L., Humphreys, J. S., Wakerman, J., & Taylor, J. (2012).
Understanding rural and remote health: a framework for
analysis in Australia. Health & Place, 18(3), 496-503.
 Chinn, P. L., & Kramer, M. K. (2011). Theory and nursing:
integrated knowledge development (8th ed.). St. Louis, MO:
Mosby.
 Free, C., Phillips, G., Galli, L., Watson, L., Felix, L., Edwards, P.,
Patel, V. and Haines, A. (2013). The effectiveness of mobile-
health technology-based health behaviour change or disease
management interventions for health care consumers: a
systematic review. PLoS medicine, 10(1), e1001362.
 McCormack, B., Rycroft-Malone, J., DeCorby, K., Hutchinson,
A.M., Bucknall, T., Kent, B., Schultz, A., Snelgrove-Clarke, E.,
Stetler, C., Titler, M. and Wallin, L.(2013). A realist review of
interventions and strategies to promote evidence-informed
healthcare: a focus on change agency. Implementation
science, 8(1), 107.

REFERENCES
 Straus, S. E., Tetroe, J. M., & Graham, I. D.
(2011). Knowledge translation is the use
of knowledge in health care decision
making. Journal of clinical
epidemiology, 64(1), 6-10.
 Valentine, K. (2011). Accounting for
agency. Children & Society, 25(5), 347-
358.
 Willis, E., Reynolds, L., & Keleher, H.
(Eds.). (2016). Understanding the
Australian health care system. Elsevier
Health Sciences.

Thank You

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