NU 631 Discussion 2: Time to Dissect Research Studies

Sample Answer for NU 631 Discussion 2: Time to Dissect Research Studies Included After Question

In Cyphers’ article, “The Relationship Between Religiosity and Health-Promoting Behaviors in Pregnant Women”, the theory used is the Health Promotion Model (Cyphers, 2016). It is a middle-range theory that is borrowed from psychology. It is based on the combination of the expectancy-value theory and the social cognitive theory (Cyphers, 2016). This theory describes how a person’s behaviors are impacted by their expectations of how tasks affect achieving success (Expectancy-Value Theory – an Overview | ScienceDirect Topics, 2011). It also encompasses how interactions with others and their environment in a social context influence their behaviors (The Social Cognitive Theory, 2019).

The article used this theory to explain how religion affects the health behaviors of pregnant women. The premise was that if women took part in religious practices or were a part of religious groups, they were more inclined to practice safer health behaviors such as avoidance of substances (Cyohers, 2016). Throughout the article, the author describes the use of the theory by relating participation in religion to overall health.
Another theory that could have worked well in this article is the Behavioral System Model by Dorothy Johnson. This theory has four assumptions, the first is that humans have a drive that directs their behaviors to achieve certain goals. Secondly, behavior is a choice. Third, the behavioral system is structured by goals, choice, and action. Lastly, there are interactive and interdependent subsystems that maintain a balance.

References: 

Cyphers, N. A., Clements, A. D., & Lindseth, G. (2016). The Relationship Between Religiosity and Health-Promoting Behaviors in Pregnant Women. Western Journal of Nursing Research39(11), 1429–1446. https://doi.org/10.1177/0193945916679623

Expectancy-Value Theory – an overview | ScienceDirect Topics. (2011). Science Direct.Com. https://www.sciencedirect.com/topics/psychology/expectancy-value-theory
McEwen, M., & Wills, E. M. (2021). Theoretical Basis for Nursing 5th Edition (5th ed.). Wolters Kluwer.

The Social Cognitive Theory. (2019, September 9). Sphweb.Edu. https://sphweb.bumc.bu.edu/otlt/mph-modules/sb/behavioralchangetheories/behavioralchangetheories5.html

A Sample Answer For the Assignment: NU 631 Discussion 2: Time to Dissect Research Studies

Title: NU 631 Discussion 2: Time to Dissect Research Studies

The Relationship Between Religiosity and Health-Promoting Behaviors in Pregnant Women is a descriptive and correlational study. It examines the correlation between religiosity and the health-promoting behaviors of pregnant women at Pregnancy Resource Centers (PRCs). This study was guided by Pender’s health promotional model. (Cyphers, et al., 2017). 

Nola Pender’s model is a theoretical framework focused on the integration of nursing and behavioral science and the influence on health behaviors. This model is used as a guide to examine the biopsychosocial processes that motivate an individual in engaging in health promotion. Factors that contribute to this model are the individual’s perceived benefits of the action, barriers to action, self-efficacy, activity-related affect, and interpersonal or situational influences. This framework is borrowed from psychology but integrates nursing in relation to the behavioral sciences. (McEwen and Willis, 2019, p. 229). 

Using Pender’s model, this study examined the behaviors of a sample of pregnant women and their correlation with health-promoting behaviors. The goal of the study is to promote health behaviors in pregnancy by identifying the factors that may affect a woman’s adherence. The authors specifically examined the effect of religiosity on the health related behaviors during pregnancy. The health promotional model was revised to focus on personal factors and interpersonal influences to examine the relationships between these factors and the outcome for health-promoting behaviors. Religiosity had not been included in previous studies involving pregnancy with the health promotional model as the theoretical framework. Since religion is a personal factor, the authors decided it would fit the model and could be the focus of the study. 

The authors referred to the model multiple times throughout the paper. It is discussed in the abstract, introduction, and discussion portions of the paper. 

Another nursing theory applicable to this study would be Bandura’s self-efficacy theory. Self-efficacy is defined by Peterson and Debrow 2020 as “an individual’s judgment of his or her capabilities to organize and execute courses of action.” This theory is based on the idea that an individual’s preconceived outcomes of an action influences their actions to accomplish any given task. (Peterson & Debrow, 2020, p. 92). This theory would work as a theoretical framework for this model because it would examine the pregnant woman’s cognitive barriers or influences on health-promoting behaviors. If a woman does not believe that her actions will be successful, she will be less likely to adhere to those behaviors. For example, if a pregnant woman is diagnosed with gestational diabetes but does not understand the implications of prolonged hyperglycemia and the effect on her health and the baby’s, she may not adhere to a diabetic diet. There could be varieties of reasons why a woman’s preconceived notions about the results of her actions could affect her adherence or motivation regarding health-promoting behaviors. 

References

Cyphers, N. A., Clements, A. D., & Lindseth, G. (2017). The Relationship Between Religiosity and Health-Promoting Behaviors in Pregnant Women. Western Journal of Nursing Research, 39(11), 1429–1446. https://doi.org/10.1177/0193945916679623

McEwen, M., & Wills, E. (2019). Theoretical basis for nursing (5th ed.). Wolter Kluwer.

Peterson, S. J., & Bredow, T. S. (2020). Middle range theories: Application to nursing research (5th ed.). Wolters Kluwer Lippincott, Williams & Wilkins.