Nurses are uniquely positioned to implement behavior change interventions. Yet, nursing interventions have traditionally resulted from nurses problem-solving rather than allowing the patient to self-generate possible solutions for attaining specific health outcomes.
PURPOSE
The purpose of this review is to clarify the meaning of possible solutions in behavior change interventions.
METHODS
Walker and Avant's method on concept analysis serves as the framework for examination of the possible solutions.
CONCLUSION
Possible solutions can be defined as continuous strategies initiated by patients and families to overcome existing health problems.
IMPLICATIONS FOR NURSING PRACTICE
As nurses engage in behavior change interventions, supporting patients and families in problem-solving will optimize health outcomes and transform clinical practice.
AlemiF.NeuhauserD. (2005). A thinking person's step by step guide to changing your lifestyle. Bloomington, ID: Strafford.
2.
AlemiF.NeuhauserD.ArditoS.HeadrickL.MooreS.HekelmanF.NormanL. (2000). Continuous self-improvement: Systems thinking in a personal context. Joint Commission Journal on Quality Improvement, 26(2), 74–86.
3.
AlemiF.PawloskiL.FallonW. F. (2003). System thinking in personal context to improve eating behaviors. Journal of Healthcare Quality, 25(2), 20–25.
4.
American Nurses Association (2010). Nursing: Scope and standards of practice (2nd ed.). Silver Spring, MD: American Nurses Association.
5.
AtheyE. (2014). The quest for an effective adherence intervention: A DOT-cART case study. Journal of the Association of Nurses in AIDS Care, 25(6), 682–686.
6.
BaasL. S. (2012). Patient- and family- centered care. The Journal of Acute and Critical Care, 41(6), 534–535.
7.
BoisvertS.Proulx-BelhumeurA.GoncalvesN.DoréM.FrancoeurJ.GallaniM. C. (2015). An integrative literature review on nursing interventions aimed at increasing self-care among heart failure patients. Revista Latino-Americana de Enfermagem, 23(4), 753.
8.
BoltonL. B.DonaldsonN. E.RutledgeD. N.BennettC.BrownD. S. (2007). The impact of nursing interventions: Overview of effective interventions, outcomes, measures, and priorities for future research. Medical Care Research and Review, 64(2), 123S–143S.
9.
ChangE. C.D'ZurillaT. J.SannaL. J. (2004). Social problem solving: Theory, research, and training. Washington, DC: American Psychological Association.
10.
ConnV. S.RupparT. M.EnriquezM.CooperP. (2016). Medication adherence interventions that target subjects with adherence problems: Systematic review and meta-analysis. Research in Social and Administrative Pharmacy, 12(2), 218–246.
EröZkanA. (2014). Analysis of social problem solving and social self-efficacy in prospective teachers. Educational Sciences: Theory & Practice, 14(2), 447–455.
13.
FoxxR. M.FawG. D. (2000). The pursuit of actual problem-solving behavior: An opportunity for behavior analysis. Behavior and Social Issues, 10, 71–81.
14.
FrichL. M. H. (2003). Nursing interventions for patients with chronic conditions. Journal of Advanced Nursing, 44(2), 137–153.
15.
HerrinJ.HarrisK. G.KenwardK.HinesS.JoshiM. S.FroschD. L. (2016). Patient and family engagement: A survey of US hospital practices. BMJ Quality and Safety, 25(3), 182–189.
16.
HoodK. K.HilliardM.PiattG.Ievers-LandisC. E. (2015). Effective strategies for encouraging behavior change in people with diabetes. Diabetes Management, 5(6), 499–510.
LauverD. R.WardS. E.HeidrichS. M.KellerM. L.BowersB. J.BrennanP. F., … WellsT. J. (2002). Patient-centered interventions. Research in Nursing & Health, 25(4), 246–255.
19.
MartinL. R.Haskard-ZolnierekK.DiMatteoM. R. (2010). Health behavior change and treatment adherence: Evidence-based guidelines for improving healthcare. New York, NY: Oxford.
20.
McEwenM.WillsE. M. (2014). Theoretical basis for nursing (4th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
21.
MeleisA. I. (2007). Theoretical nursing: Development and progress (4th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
22.
MiddletonK. R.AntonS. D.PerriM. G. (2013). Long-term adherence to behavior change. American Journal of Lifestyle Medicine, 7(6), 395–404.
23.
MooreS. M.JonesL.AlemiF. (2016). Family self-tailoring: Applying a systems approach to improving family healthy living behaviors. Nursing Outlook, 64, 306–311.
24.
NezuA. M. (2004). Problem solving and behavior therapy revisited. Behavior Therapy, 35(1), 1–33.
25.
NezuA. M.NezuC. M.D'ZurillaT. J. (2013). Problem-solving therapy: A treatment manual. New York, NY: Springer.
26.
PenderN.MurdaughC.ParsonM. A. (2015). Health promotion in nursing practice (7th ed.). Boston, MA: Pearson.
27.
PriestS.GassM. (1997). An examination of “problem-solving” versus “solution-focused” facilitation styles in a corporate setting. Journal of Experiential Education, 20(1), 34–39.
28.
ProchaskaJ. J.ProchaskaJ. O. (2011). A review of multiple health behavior change interventions for primary prevention. American Journal of Lifestyle Medicine, 5(3), 1–21.
29.
ReisinhoM. D.GomesB. P. (2016). Nursing interventions in monitoring the adolescent with cystic fibrosis: A literature review. Revista Latino-Americana de Emfermagem, 12(24), 1–8.
30.
RiceV. H.HeathL.Livingstone-BanksJ.Hartmann-BoyceJ. (2017). Nursing interventions for smoking cessation. Cochrane Database of Systematic Reviews(12), 1–89.
31.
RyanP. (2009). Integrated theory of health behavior change: Background and intervention development. Clinical Nurse Specialist CNS, 23(3), 1–16.
32.
SharpL.TishelmanC. (2005). Smoking cessation for patients with head and neck cancer. Cancer Nursing, 28(3), 226–235.
33.
VermochK. L.BuntingR. F. (2010). Benchmarking patient- and family- centered care: Highlights from a study of practices in 26 academic medical centers. Journal of Healthcare Risk Management, 30(2), 4–10.
34.
WalkerL. O.AvantK. C. (2011). Strategies for theory construction (5th ed.). Boston, MA: Prentice Hall.
35.
WinboltB. (2011). Solution focused therapy for the helping professions. London: Jessica Kingsley.
36.
ZüstR.TroxlerP. (2006). No more muddling through: Mastering complex projects in engineering and management, The Netherlands: Springer.
