Holy Angel University

School of Nursing and Allied Medical Sciences

NCM-102 (Health Education)

Individual Assignment Number 5

(Case Study: Compliance, Motivation, and Health Behaviors of the Learner)

Case Scenario:

“Keeping our employees healthy is not only the right thing to do, it is good for the bottom line.”
With this statement and a directive from the chief health officer, Dr. Marie Delos Santos, the staff of the
hospital developed a “Let’s Get Healthy” initiative for its 500 employees. Nicotine patches were offered
at 50% of cost, and gym memberships were provided at a significant reduction in price. The cafeteria
began offering healthy, low-calorie meals, and a walking club was started to support staff who chose to
exercise before and after work or during lunch hours. Staff who were willing to submit an individual
health plan and agreed to participate in one or more of the facility’s available health programs were
offered a 10% discount on their health insurance premiums.
One year after the start of Let’s Get Healthy, the initiative is in trouble. Although it initially met
with a great deal of enthusiasm, staff compliance has declined. Attendance at Weight Watchers and
smoking cessation classes is episodic, and yoga classes were canceled because of lack of interest.
Anecdotal information suggests that although the facility has renewed gym memberships for
approximately 20% of the staff, few are using them on a regular basis. Convinced that Let’s Get Healthy
is a good idea, the hospital has hired a health educator to evaluate the program and make
recommendations for improvement.

Questions:

1. Using one of the identified models and theories of adherence (health belief model, health
promotion model, self-efficacy theory etc.) provide a possible explanation for why the staff
members are not participating in the Let’s Get Healthy campaign.
-Staff members did not participate in the health campaign, the reason for this is well explained by
the theory of self-efficacy. Individuals with high self-efficacy continue to perform healthy
behavior over time. But individuals with low self-efficacy will only perform healthy behavior for a
short period of time, then it is difficult to maintain.
2. Which motivational strategies did the human resources staff use in the Let’s Get Healthy
initiative? Why do you think these strategies did not work?
Finding a community motivation strategy used in get healthy. This strategy did not work because a
group of individuals forms a community. The behavior of others influences other individual
behaviors. If it is assumed that the community does not have healthy ideas, it automatically affects
all individuals in the group. As a result, once one staff member has a negative idea in the
campaign, it automatically affects the other staff and thus continues to leave the campaign.
3. Do you think that if a health education campaign had been offered in conjunction with the Let’s
Get Healthy program, the results would have been different?
 Yes, I know people are always looking for motivation from outside. So, if health education is
offered, it has an impact on the individual, so they will continue to work on the campaign. It better
to give them idea first or what we called health education so that their attention will get caught.
4. What possible sections in the Article 3 of the Code of Professional Ethics for Nursing can be
applied in the case scenario?
Registered Nurses are aware that their actions have professional ethical, moral and legal
dimensions. They strive to perform their work in the best interest of all concerned. Doing their
best, not just for specific group but also for everyone.