Evidence-Based Nursing Practice

Social Cognitive vs. Health Belief

Social Cognitive vs. Health Belief

Identify two middle-range theories that could be used to view the phenomenon of interest. Compare and contrast how the phenomenon would be shaped by each theory.

Social Cognitive vs. Health Belief

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Social Cognitive vs. Health Belief

Middle-range theories are frameworks that are more focused than grand theories, offering specific insights into particular phenomena without being too broad or too narrowly focused. These theories are particularly useful in applied research and practice because they provide a clear, testable framework for understanding specific aspects of human behavior or social interactions. Below, I identify two middle-range theories that can be used to view the phenomenon of interest (e.g., social behavior, healthcare interaction, or organizational dynamics) and compare how each would shape the understanding of this phenomenon.

1. Social Cognitive Theory (SCT)

Developed by Albert Bandura, Social Cognitive Theory emphasizes the role of observational learning, imitation, and modeling in behavior change. It integrates the influence of individual, environmental, and behavioral factors, which are often referred to as the triadic reciprocal model.

Key Concepts of SCT:

  • Observational Learning: People learn by observing others and imitating their actions.
  • Self-Efficacy: A person’s belief in their ability to succeed influences how they approach tasks.
  • Reciprocal Determinism: Behavior, environment, and personal factors all interact and influence one another.

How SCT Shapes the Phenomenon:

When applied to the phenomenon of interest (e.g., patient behavior in healthcare), SCT would focus on how the individual’s environment (e.g., family, peers, media) influences their behavior through modeling. For example, if a person observes others engaging in healthy behaviors (e.g., exercising, eating healthy), they are more likely to adopt similar behaviors. The theory would emphasize the importance of self-efficacy, meaning if a person believes they can achieve a goal (e.g., controlling their health), they are more likely to engage in the necessary actions to achieve that goal.

In the context of healthcare interactions, SCT would suggest that if patients observe healthcare professionals effectively communicating and providing support, patients are more likely to engage in treatment and adopt recommended behaviors. Furthermore, patients’ self-efficacy plays a significant role in whether they trust the healthcare system and follow through with…