N108: Transition to the Registered Professional Nurse Role Study Guide Nola Pender Pender’s theory is known as the Pender Health Promotion Model. The theory emphasizes the lifestyle changes that make patients healthy. She categorized the patient’s health promotion behavior as: • Cognitive/perceptual factors: o The importance of health to the individual o Perceived control of health o Perceived health status o Definition of health o Perceived self-efficacy o Perceived barriers to health-promoting behaviors o Perceived benefits of health-promoting behaviors • Modifying factors that influence these include: o Demographic characteristics o Interpersonal influences o Biological characteristics o Situational factors o Behavioral factors The third factor is determined by the cognitive factors plus the modifying factors. The third factor is participation in health-promoting behaviors. Pender believes the nurse’s priority should be the patient’s perceptions and situations, strategizing to modify those perceptions and environment, and evaluating the patient’s increase in health-promoting behaviors. Dorothy Johnson Johnson is a system theorist. Her system is a behavioral system model , which says that the client is actually involved in one or more behavioral systems, interacting with the environment. The nurse’s role is to foster correct behavioral function in the client to prevent illness, as well as during and following illness. Johnson’s priority is the patient’s behavior, strategizing to correct the patient’s behavior, and evaluating his behavior. Florence Nightingale Nightingale’s theory involved putting the patient in the best condition for nature to act upon him. She defined nursing as “the act of utilizing the environment of the patient to assist him in his recovery.” She believed there were five environmental factors that affected the patient’s health: pure water, fresh air, sunlight, cleanliness, and efficient drainage. Nightingale believed that the nurse’s priorities were the environment, strategies to change the environment, and evaluation of whether the environment assisted the patient.