brrere PREDISPOSING FACTORS <«<4eeeeeeeeeay Biological Paychologleal Sociocultural 1 PRECIPITATING STRESSORS Nature Orin. | Timing Number APPRAISAL OF STRESSOR —— EE Cognitive Mfecive hysiologial—_sehavioral ¥ Figure 64 Soynersccd empsetsf th Sunt Stes Alon deo pric nig ceDiscipline Eticlogy Assessment Diagnosis Intervention Figure 4-5 Comparison af nursing and medical models of carejimmary of the Elements of th Eucmen Denarion Predisposing factors Risk factors that imfuence both the type and amount of Genewe background, ntlligence, elf-conces, resources the person can elicit to cope with stress age ethnicity, education, were, bie ste Precipitating stressors Stal cha the person perceives as challenging, threatening, Life events, mary, haste, scans ‘o demanding and that require excess eneray for copms Appraisal of sttesor An evaluation ofthe signifcance of stressor fora person's Handines, perceived serasness nsiety, ‘well-being, considering the tresioes meaning, intensiy attibution and importance Coping resources Aevaluion of person’ coping options ancl smregies Fiance, socal support, exo wnteity Coping mechanisms Any efor directed at stress management Problem soln, cempliance, delense smechanssns Comcinuum of edpmng A range of adaptive or maladaptive human responses oct] changes, physica spmpeons, emotion responses welkbemg Treaiment stage Range of nursing functions rele to treatment goal nursing Envitonment management, patient tehang activities assesment, musing intervention, and expected oarcome cle modeling, alvocacyFigure 4-7 The Sua Stes Adeplaton Modelo pchetn nang careArtoy oF All Possible Prevention ond Treatment O} Bost Pracices + Brood contensis ccund youes, odes, ils Inowedge, ond opproaches “+ begation ol sysns/providers/serviees lens aa Algorithms & Proiecols Figure 5-2 Teonory of bing los fo informed dcr Moat pedi sat of = ot heath aes ‘gan makngintehavorl heath assesment and eaten Nae icapes ‘decisions oh cor Masia execuneltyDazipive — Covlatonl fmentol_ Clea fete ect peer Figure 5-3 Revorsip aviong adic, theory and tesearchStructure Nurse Experience Kno Sills Heal Core Organization Staff mix Workload ‘Assignment pate Patient Health stotus: Nurses! indopendent Relo Potient/Health Outcomes ‘Asiessmant, diagnosis, intowention, op core Clinical/symptom control Freedom from complications Functional status/selF care [> _Norses’ Dependent Rele Knog of eos od is reiment Exoction of medial order, physiianialed reainen's Nurses Interdependent Role Commurication Case management Coordination of cara ontinuity/ monitoring and reporting Patient salsfocion Health care cosis > Adverse events Team functioning Figure 5-8 Model or sting nursing role elictnenes.