RNSystematic ReviewRevista brasileira de enfermagem2025

Use of the Health Promotion Model by Nursing in Primary Care: an integrative review.

Mayara Góes Dos Santos, Nathália Ivulic Pleutim, Andreia Insabralde de Queiroz-Cardoso and 3 others

PMID 40105510

WHAT IT FOUND

Health-promotion work guided by Pender's model was reported in eight primary care nursing articles to be associated with self-efficacy, breastfeeding support, and healthy behaviors, but the review did not prove the model works in routine nursing workflow.

Key findings

01This integrative review analyzed eight articles that used Pender's Health Promotion Model in primary care nursing.

02Included studies reported better breastfeeding self-efficacy, infant growth and health, knowledge, attitudes, or health-promoting behavior scores.

03The authors state these results are not sufficient to affirm the model's effectiveness in the nursing workflow in primary care.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The review analyzed eight articles. Some articles were excluded because full-text access was unavailable. The included studies measured outcomes in different ways, so comparison is limited. Not all articles used all categories of the model. The review synthesized results descriptively rather than pooling them.

Declared interests

The supplied text reports funding by the Federal University of Mato Grosso do Sul and CAPES; the publication types list non-U.S. government research support.

The easy way to misread this

Do not read this as proof that Pender's model works by itself. The review included eight articles, the interventions were delivered within broader nursing care, and the authors state the evidence is not sufficient to affirm effectiveness in primary care nursing workflow.

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