A Predictive Model of Health Promotion Behavior in Nursing Students

Abstract

This study seeks to carry out a literary review of preceding studies and the health improvement model of Pender(1987) on university students majoring in nursing to explain the health improvement behaviors and identify the factors that affect their activities to provide a framework for developing a more effective nursing mediation method that promotes health improvement behaviors. The study subjects were 204 university students majoring in nursing who have had clinical practice experience. The period for data collection was from April 1to May 30, 2014 and a total of 204 copies of the questionnaire were used for analysis. For the collected data, frequency analysis, percentage, ANOVA, t-test and correlation analysis were conducted using SPSS, LISREL, and path analyss was done for hypothesis testing. The overall index of hypothesis model showed a good congruence as   = .06(p= .812), df=1,   =.000, GFI=0.97, AGFI= 1.0, SRMR=.002, NFI= 0.947, NNFI=0.957, RMSEA=0.016, CN=266. Looking at the verification of the hypothesis presented in the model, the variables that affect health improvement behaviors were perceived disability, perceived self-efficacy, perceived social support, while stress from clinical practice, perceived health status, persistence and perceived benefits did not affect health improvement behaviors.

What Causes Health Promotion Behaviors in College Students?

“…This implies that the subjective perception of health is an important variable affecting health behaviors. In addition, a higher level of self-esteem resulted in a higher level of health promotion behaviors, which was also consistent with the findings of previous studies [ 13 , 14 ]. College students with higher self-esteem were shown to have lower stress levels and a positive attitude towards their life, and they thus performed health promotion behaviors appropriately.…”

“…In addition, health perception-a subjective process of how health-related issues are understood-is presented as a variable affecting health promotion behaviors [ 7 ]. There are also several socio-psychological variables including socio-psychological health [ 10 ], self-efficacy, perceived benefit and disability, health status and importance [ 13 ], self-esteem, and social support [ 14 ]. Among these, low self-esteem contributes to disease, as low self-esteem decreases belief in the ability to influence one’s environment and situation, which in turn affects health promotion behaviors [ 15 ].…”

Factors Affecting Health-Promoting Behaviors among Nursing Students

“…Therefore, many studies are being conducted to analyze the factors affecting the health promotion behaviors of nursing students in order to enhance their health promotion efforts [ 13 ]. Variables affecting health promotion behaviors included marital status [ 4 ]; perceived disability, perceived self-efficacy, perceived social support, clinical practice stress [ 13 ]; and family function and health perceptions [ 14 ]. However, no strategies have been identified that can be used to effectively improve the health-promoting behaviors of nursing students.…”

Factors Affecting Nurses’ Health Promotion Behavior during the COVID-19 Pandemic Based on the Information–Motivation–Behavioral Skills Model

“…After social support, self-efficacy had the greatest influence on health promotion behavior, and the higher the self-efficacy, the better the health promotion behavior. Studies on nurses [37] and nursing students [38] have also reported similar results, confirming that self-efficacy is a major factor that promotes health promotion behavior. A study on the factors affecting health promotion behavior among shift workers [20] reported that those who received health-related education exhibited high self-efficacy.…”