Behavior Change Research and Theory by Linda Little download in ePub, pdf, iPad
Thus, personal attitude and social pressure shape intention, which is essential to performance of a behaviour and consequently behavioural change. However, persons and their families are often not prepared to assume this responsibility. When verbal behaviour is established the organism can learn through rule-governed behaviour and thus not all action needs to be contingency shaped. Clinical nurse specialists apply theory in providing or directing patient care, in their work as consultants to staff nurses, and as leaders influencing and facilitating system change. Target behaviors that require of high cognitive resources may not be simple hence undesirable for behavior change.
Knowledge development and use are best when built on the success of the past. People and their families are taught how to manage chronic conditions. Each factor affects each of the others. During preparation, the individual begins his plans for change, and during the action stage the individual begins to exhibit new behavior consistently.
Using midrange theory can assist with the transfer, application, and evaluation of knowledge across individual and groups of patients. There is strong empirical evidence for the inclusion of each of the concepts, and it is the proposed relationship among the concepts that is new in this descriptive midrange theory. Among them one of the most widely used is Tailoring or personalization. The predictive effect of motivational self-efficacy on behaviour is assumed to be mediated by recovery self-efficacy, and the effects of intentions are assumed to be mediated by planning.
Such criticism illuminates the strengths and weaknesses of the theories, showing that there is room for further research into behavioural change theories. From precontemplation to contemplation, the individual begins thinking about changing a certain behavior. There is growing evidence that person-centered interventions are more effective than standardized interventions in facilitating health behavior change. Any behavior that incurs disrupting a routine is considered not simple. The five stages, between which individuals may transition before achieving complete change, are precontemplation, contemplation, preparation for action, action, and maintenance.
Outcomes that have been achieved in controlled research studies have not been realized clinically. Descriptive Midrange Theory and Advanced Practice Nurses In contrast to the grand theories of nursing, midrange or middle-range, theories are more concrete and more easily used to guide practice. The three most used mediators in tailoring are attitude, perception of performance and self efficacy. Changing Needs and Perspectives In the distant past, many acutely ill persons were encouraged and expected to assume a passive sick role.
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