Authors :
Dr. Wafia S. Sajili
Volume/Issue :
Volume 11 - 2026, Issue 7 - July
Google Scholar :
https://tinyurl.com/mu8epnnh
Scribd :
https://tinyurl.com/mvmbr2f9
DOI :
https://doi.org/10.38124/ijisrt/26jul312
Note : A published paper may take 4-5
working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and
ResearchGate.
Abstract :
Through the utilization of the Modeling and role-Modeling Theory, this clinical study was developed to monitor
the four domains of client’s care namely, self-care knowledge, self-care resources and health care actions, affiliatedindividuation and adaptive potential to answer her hypertension problem. Nursing Care Plans and a Health Teaching Plan
were formulated and implemented to the patient for ten (10) consecutive days. In the implementation phase, the progress
of client's adaptive response after each intervention were documented, counterchecked by the Public Health Midwife of
the community for authenticity and reliability, and then evaluated using the evaluative scale as follows: 0-1.0 score as low;
1.1-2.0 as below average; 2.1-3.0 as average; and 3.1-4.0 as high. Utilizing the Assessment Tool based on Erickson’s
Modeling and Role Modeling Theory and the statistical mean. The findings were: In the initial assessment, the client
obtained a mean score of 1.89 that showed a below average level of Adaptation. Based from the identified priority
problems in the initial assessment, nursing interventions were formulated. After the implementation of the nursing
interventions, the client obtained a mean score of 3.47 in the Final Assessment that showed a High Level of Adaptation A
mean difference of 1.58 was obtained by the client that indicates an improvement in the level of response to the
intervention from below average to high. Based on these findings, the study recommended for the use of Helen Erickson’s
Modeling and Role-Modeling Theory in the nursing process particularly in the care of clients with hypertension is effective
in increasing the level of Adaptation, hence, effectively managing the hypertension. This study is useful to nurses as it
guides them in the care of clients with hypertension using the individualized assessment tool of Helen Erickson’s Modeling
and Role Modeling Theory.
Keywords :
Hypertension, Self-Care, Assessment, Nursing, Intervention.
References :
- Erickson, H. et.al. 2019. Modeling and Role-Modeling: A Theory and Paradigm for Nursing. Publisher: Prentice-Hall. Unlimited Books. ISBN: 978-0-9763385-0-5
- Gutierrez, M. M., & Sakulbumrungsil, R. (2021). Factors associated with medication adherence of hypertensive patients in the Philippines: A systematic review. Clinical Hypertension, 27(1), 19. https://doi.org/10.1186/s40885-021-00176-0
- Loreto, L., Linares‑Jimenez, F. G., de Zeeuw, J., et al. (2025). Health literacy and hypertension‑related multimorbidity: Unravelling the mediating role of self‑management — Insights from the Lifelines cohort study. BMC Public Health, 25, 1234 https://pubmed.ncbi.nlm.nih.gov/40275236/
- Mina, A. B. C., et.al. (2024). May Measurement Month 2021: an analysis of blood pressure screening results from the Philippines. European Heart Journal Supplements, 26(Suppl 3), iii75–iii78. https://doi.org/10.1093/eurheartjsupp/suae066
- Morka, E. O. (2025). Health Information and Informed Decisions in Managing Hypertension among Non-Teaching Staff of University of Delta, Agbor. Uniuyo Journal Of Communication Studies (UCJS), 6(1). https://uniuyofcms.com/wp-content/uploads/2026/01/HEALTH-INFORMATION-AND-INFORMED-DECISIONS-IN-MANAGING-HYPERTENSION-UJCS.pdf
- Ojangba, T., Boamah, S., Miao, Y., Guo, X., Fen, Y., Agboyibor, C., Yuan, J., & Dong, W. (2023). Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: A review. Journal of Clinical Hypertension, 25(6), 509–520. https://doi.org/10.1111/jch.14653
- Pragna, S., Swathi, G., & Ramesh, Y. (2025). Impact of lifestyle modifications on blood pressure control in hypertensive patients: A prospective cohort observational study. Student’s Journal of Health Research Africa, 6(6), 8. https://doi.org/10.51168/sjhrafrica.v6i6.1847
- Roth, G. A., Mensah, G. A., Johnson, C. O., et al. (2020). Global burden of cardiovascular disease and risk factors, 1990–2019: Update from the GBD 2019 study. Journal of the American College of Cardiology, 76(25), 2982–3021. https://doi.org/10.1016/j.jacc.2020.11.010
Through the utilization of the Modeling and role-Modeling Theory, this clinical study was developed to monitor
the four domains of client’s care namely, self-care knowledge, self-care resources and health care actions, affiliatedindividuation and adaptive potential to answer her hypertension problem. Nursing Care Plans and a Health Teaching Plan
were formulated and implemented to the patient for ten (10) consecutive days. In the implementation phase, the progress
of client's adaptive response after each intervention were documented, counterchecked by the Public Health Midwife of
the community for authenticity and reliability, and then evaluated using the evaluative scale as follows: 0-1.0 score as low;
1.1-2.0 as below average; 2.1-3.0 as average; and 3.1-4.0 as high. Utilizing the Assessment Tool based on Erickson’s
Modeling and Role Modeling Theory and the statistical mean. The findings were: In the initial assessment, the client
obtained a mean score of 1.89 that showed a below average level of Adaptation. Based from the identified priority
problems in the initial assessment, nursing interventions were formulated. After the implementation of the nursing
interventions, the client obtained a mean score of 3.47 in the Final Assessment that showed a High Level of Adaptation A
mean difference of 1.58 was obtained by the client that indicates an improvement in the level of response to the
intervention from below average to high. Based on these findings, the study recommended for the use of Helen Erickson’s
Modeling and Role-Modeling Theory in the nursing process particularly in the care of clients with hypertension is effective
in increasing the level of Adaptation, hence, effectively managing the hypertension. This study is useful to nurses as it
guides them in the care of clients with hypertension using the individualized assessment tool of Helen Erickson’s Modeling
and Role Modeling Theory.
Keywords :
Hypertension, Self-Care, Assessment, Nursing, Intervention.
