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Application of a Shared Theory or Model to Primary Care Advanced Practice Nursing

American psychologist, Abraham Maslow in his theory of ‘Human Motivation,’ hypothesized that the decision-making of human beings is greatly influenced by the importance of their needs (Genkova, 2021). In his book ‘Motivation and Personality, Maslow proposes that the motivation behind human behavior is based on five important needs. Naming from the bottom of the hierarchy upwards, they include; psychological, safety, love and belonging, esteem, and self-actualization needs (Maslow, 1981). This paper seeks to highlight the application of the Maslow theory to the patient care problems in practice nursing areas, including young patients with sickle cell anemia and smoking cessation in older patients.

Human behavior is greatly influenced and motivated by the needs in individuals’ lives. Similarly, in an older patient, the decision to quit smoking may be based on the importance of their life needs. First, physiological needs that may motivate an individual to quit smoking include; sex, food, sleep, and drink (Stoyanov, 2017). Smoking harms the testosterone levels in both genders resulting in a reduced sex drive; thus, the desire for a good sex life could be a motivation to quit smoking. Also, smoking adversely impacts sleep, causing problems such as snoring and insomnia. To get adequate and proper sleep, an individual may be motivated to quit smoking. Secondly, safety needs may include; financial security, job security, and health and wellbeing. An individual may be motivated to quit smoking to secure their wellbeing and health from adverse consequences. Also, smoking may affect work productivity, thus endangering a person’s job security; therefore, smoking cessation would be motivated by the desire to secure their jobs.

Thirdly, the desire to belong could motivate an individual to cease smoking. Non-smokers are usually intolerant to smoking; thus, smokers may miss out on love, intimacy, and friendships due to their smoking. To foster relationships and friendships, an individual may be motivated to quit smoking. Also, the desire to get ahead and control their self-esteem could encourage smokers to quit smoking. Lastly, the desire to seek personal growth and peak in realizing one’s full potential may motivate an individual to quit smoking.

On sickle cell anemia in young adults, I will use Maslow’s theory in assessment, teaching, and counseling them. Also, this theory will be crucial in the management of symptoms. Sickle cell anemia is a genetic condition in which there are not enough red blood cells to transport oxygen adequately throughout the body (Williams & Thein, 2018). As a result, these patients experience both psychological and physiological adverse effects. First, an individual with sickle cell anemia lacks a basic physiological need: sufficient oxygen in the body that hinders the attainment of all other needs. Therefore, continuous medical therapy entailing blood transfusions should be included in the treatment regimen to address this. Secondly, individuals with sickle cell anemia are faced with various emotional challenges such as depression, increased anxiety, poor relationships, and aggression. Therefore, to address one of the safety needs, emotional security, the emotional wellbeing of a patient should be of importance. That entails incorporating psychological therapy.

Thirdly, with emotional security and other safety needs addressed, an individual can easily satisfy their love and belonging needs, fostering relationships with other people. Also, in incorporating mental health wellbeing, individuals with sickle cell anemia will learn to appreciate themselves more and help build their self-esteem. Lastly, by addressing all the above needs and psychological therapy, individuals are motivated to accomplish anything they would like to achieve in life. Therefore, they do not allow their condition to limit them in one way or another.


GENKOVA, D. (2021). Modeling the Human Needs: An Economic Interpretation of Maslow’s Theory of Motivation. WSEAS Transactions on Business and Economics18, 253-264.

Williams, T. N., & Thein, S. L. (2018). Sickle cell anemia and its phenotypes. Annual review of genomics and human genetics19, 113-147.

Maslow, A. H. (1981). Motivation and personality. Prabhat Prakashan.

Stoyanov, S. (2017). An Analysis of Abraham Maslow’s A Theory of Human Motivation. Macat Library.


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