The Theory-Guided Practice Paper Assignment provides you the opportunity to identify and present an actual practice experience, retrospectively evaluated through the lens of middle-range theory. You will describe nursing and borrowed middle-range theory and discuss the application of each theory to the identified practice experience. You will evaluate selected theories for substantive foundation, structural integrity, and functional adequacy. Furthermore, you will discuss the implications of the selected theories on nursing practice within the Christian worldview.

The grading rubric serves as a guideline for the Theory-Guided Practice: Paper Assignment.

Actual practice experience

Alfredo is a 45-years-old Hispanic man rushed to hospital after collapsing at work. His vital signs show elevated blood sugar levels and obesity. According to his wife, he was diagnosed with type 2 diabetes mellitus (T2DM) one year ago.

Outline

1. Daily Lifestyle- Alfredo works two jobs- a waiter and cleaner at night. According to the wife, they have three children, and Alfredo spends his income taking care of the different family needs, like household bills and school fees.
2. Medication Compliance- due to the enormous responsibility burden on Alfredo’s shoulders, he has not bought the recommended medications for two weeks. The money he had set aside for the prescription purchase was used to pay the house’s water bill.
3. Middle-Range Nursing Theory- Nola Pender’s Health Promotion Theory.
4. The theory’s primary objective is to promote Alfredo’s health through behavioral changes (Karataş & Polat, 2021).
5. There is the need to examine Alfredo’s pat actions attributed to the onset of T2DM (Karataş & Polat, 2021). It also includes personal factors, such as psychological, sociocultural, and biological variables.
6. The next step is identifying specific aspects that limit medication compliance, including perceived action barriers, self-efficacy, situational and interpersonal influences.

• The analysis, as mentioned above, will help determine his commitment to any developed behavior change intervention plan.

1. Most importantly, an examination of competing demands and preferences must be performed (Khoshnood et al., 2020). The analysis will aid in identifying the behavioral outcomes.
2. Borrowed Theory – The social cognitive theory (SCT) by Albert Bandura
3. a) The theory describes a person’s health behaviors through various aspects, such as personal experiences influence, other people’s actions, and environmental variables (Luszczynska & Schwarzer, 2015).
4. Self-efficacy- Alfredo must display a belief that he has control over any behavior, including health promotion habits (Luszczynska & Schwarzer, 2015).
5. Behavioral Capability- Alfredo needs to apprehend and have the skills required to perform health promotion behavioral changes.

• Self-Control- The patient must regulate and monitor their behaviors.

1. The theory’s four stages comprise attention, retention, reproduction, and motivation; they will help Alfredo develop and integrate health-promoting behaviors in his daily life to help manage T2DM.

• Evaluation of Selected Theories- both theories align with the need to adjust Alfredo’s behavior to help manage T2DM’s negative symptoms. They also incorporate various biblical worldviews.

1. Nola Pender’s HPM
2. The paradigm describes various factors supporting or hindering Alfredo’s health promotion behavior change. Most inherently, any identified barrier is mitigated through incorporating ideal interventions.
3. The theory aligns with various ideologies in the bible. For instance, different bible quotes describe the need to adopt healthy behaviors. In 1 Corinthians 6:19-20, Apostle Paul explains that Christians’ bodies are the Holy Spirit’s temple (Mackie, 2013). Therefore, they must maintain a healthy lifestyle to ensure their bodies are well, consequently honoring God.
4. SCT
5. The concept also highlights facilitators and barriers to health promotion behavioral change in Alfredo’s life.
6. The Psalms and Proverbs describe different scriptures emphasizing changing habits to align with God’s laws and commandments. More so, they describe how community, including friends, influences a person’s behavior.
7. Implications to Nursing Practice- both theories, directly and indirectly, impact advanced nursing practices.
8. Nola Pender’s HPM
9. The theory describes crucial health determinants that advanced practice registered nurses (APRNs) must understand, primarily because they offer community-based setting services (Khoshnood et al., 2020). Thus, they can modify their routine operations to cater to the health determinants, leading to high-quality patient care and health outcomes in society.
10. SCT
11. APRNs have continually adopted the paradigm to promote health outcomes through teaching new habits to patients with chronic ailments (Desbiens et al., 2012). Hence, the model enables the emergence of unique lifestyles that lead to the nursing profession’s transformation by promoting health outcomes.

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