Date of Award
Spring 2-15-2023
Degree Type
Dissertation
Degree Name
PhD Nursing
Department
Nursing
Advisor
Bonnie Sturm, PhD
Committee Member
Kathleen Neville, PhD
Committee Member
Joyce Maglione, PhD
Keywords
Health Promotion Behaviors, Patient Engagement, Nurse Practitioner- Patient Partnership, Nurse-Patient Partnership
Abstract
Individuals adopting health promotion behaviors benefit from improved health and reduced risk of chronic diseases. Trends in health care include promoting patient engagement and the development of a partnership between clinicians and patients to improve health and
health outcomes. The purpose of this descriptive, correlational study was to examine the relationships between patient engagement, the nurse practitioner-patient partnership and health promotion behaviors among adults in the primary care setting. Pender’s health promotion model and the recently created interactive care model provided the theoretical framework for this study.
Convenience sampling was used to recruit 85 participants from a nurse practitioner primary care practice in north New Jersey. Participants were asked to complete questionnaires that measured health promotion behaviors (Health Promoting Lifestyle Profile II), the quality of the nurse practitioner-patient partnership (Patient Reactions Assessment) and a person’s capacity to engage in their health care (Person Engagement Index). Results showed moderate correlation between the nurse practitioner-patient partnership and health promotion behaviors (r=.366, p<.001). There was a strong correlation between the nurse practitioner-patient partnership and patient
engagement (r=.494, p<.001) and a strong correlation between patient engagement and health promotion behaviors (r=.596, p<.001). In a multiple regression analysis only a person’s capacity to engage in health care significantly predicted health promotion behaviors (R2= .362, p<.001). This model explains 36.2% of the variance in health promotion behaviors. Improving health outcomes is an important goal in today’s health care system. Patient engagement is a significant predictor of health promotion behaviors. The Interactive Care Model can serve as a framework for nurse practitioners to build partnerships and support patient engagement.
Recommended Citation
Decelie, Irene, "Relationships Among Health Promotion Behaviors, Patient Engagement, and the Nurse Practitioner-Patient Partnership" (2023). Seton Hall University Dissertations and Theses (ETDs). 3061.
https://scholarship.shu.edu/dissertations/3061
