...Importance of Nursing Theory We can define nursing theory as a group of concepts that describe and present current knowledge in nursing. Nursing theory looks to provide an overall vision and understanding of the profession of nursing. It helps to organize knowledge obtained and advances the way a discipline is practiced (Shea & Cavan, 2014). Before this course I had little exposure to nursing theory and its application in the clinical realm. I knew things were done a certain way but truly did not know the origin of the ideas that influenced current nursing care. During the completion of my BSN degree, I grasped a basic concept of nursing theory and studied the major theorist involved. It has been very enlightening to view nursing theory in another dimension and study the clinical implication of its integration in practice during this course. In the following analysis I will seek to establish the importance of nursing theory and its application. I will discuss Virginia Henderson’s theory of need nursing and the application of its key concepts into practice. I will also establish important aspects of her theory and how they apply to the nursing metaparadigm. The analysis will also address the relationship between Henderson’s views and nursing informatics. Overall the influence of theory and its application in nursing will be thoroughly discussed. The Value of Nursing Theory Throughout time, the nursing profession has been influenced by nursing theory. Nursing theory has contributed...
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...APPLICATION OF NURSING THEORY TO CLINICAL PRACTICE: THE SELF-CARE MODEL OF DOROTHEA OREM Introduction The purpose of this paper is to discuss the application of Dorothea Orem’s Self-Care Model of Nursing to clinical nurse practice. The central thesis of the paper is that Orem’s theory has strong utility for application to modern day clinical practice and can be applied to most any case in order to attain the desired medical and caring outcomes. The presented discussion will support this perspective of Orem’s theory. The paper begins with a brief overview of the theory which is then followed by a delineation of a non-nursing theory that supports one or more of Orem’s self-care notions. The next section of the paper presents a historical overview of the evolution of Orem’s theory, a delineation of the concepts central to the metaparadigm, and an exploration of the theory’s usefulness in education and research. The final section of the paper applies the theory to a particular case. A model of the theory is presented in Appendix A. Orem’s Self-Care Theory Alligood and Marriner-Tomey (2001) state that conceptual or theoretical models of nurse practice are pivotal to the field, providing the profession with a guide to patient care and with a general frame of reference that connects the structural environment to the patters of behavior and relationships within the organization. The Orem Self-Care Model of Nursing (Orem, Taylor & McLaughlin, 2003) is one such model. According...
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...Transcultural nursing care/Culture Care Diversity and Universality Theory. Quynh Doan SCF- RN-BSN progrgram •Born in Sutton, Nebraska on July 13, 1925 •received her diploma in nursing from St. Anthony’s School of Nursing in Denver, Colorado in 1948 In 1950 •She earned her BS from St. Scholastica (Benedictine College) in Atchison, Kansas •She earned an M.S. in psychiatric and mental health nursing from the Catholic University of America in Washington, D.C., in 1954. •She received her Ph.D. in Cultural and Social Anthropology from the University of Washington in 1965 Referrence •Parker, M. E. (2005). Nursing Theories and Nursing Practice. Philadelphia: F.A. Madeleine M. Leininger Loading... •Madeliene Leininger recognized that the congruent of care and culture was the missing link in nursing. What lead her to recognized this phenomenon? •References •Parker, M. E. (2005). Nursing Theories and Nursing Practice. Philadelphia: F.A. Factors that shape the theorist •The main focus of cultural care frameworks is to assist nurses to avoid ethnocentric assessments, so that they can provide care that is responsive to the recipient’s cultural perspective. (Baker 1997.) Madeliene Leininger Loading... •It is the only theory explicitly focused on the close interrelationships of culture and care on well-being, health, illness, and death. •It is most holistic and multidimensional. •The theory focused on comparative culture...
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...University of Phoenix Material Nursing Theorist Grid 1. Theorist Selected: Ida Orlando Description of key points of the theory: Orlando's Deliberative Nursing Process has a framework that consists of five concepts. 1. Professional Nursing Function is the organizing principle- The patient is the focal point in nursing. The nurse must find out and meet the immediate need the patient. 2. Patient's presenting behavior- problematic situation. When the patient's equilibrium is offset he/she exhibits behaviors that draw the nurses' attention. 3. Immediate reaction- Internal Response is a proactive response that causes the nurse to have an automatic response that is cognitive and affective (Alligood, 2010). According to the nurse’s interpretation of the patient's behavior, therefore, the nurse need to assess the situation first to gain an understanding of the problem. 4. Deliberative Nursing Process-Reflective Inquiry views the patient and nurse as a functional unit that draws from each other. The nurse’s behavior affects the patient, and the patient's behavior affects the nurse. To better understand the patient the nurse must focus on the actuality of the problem instead of assuming what the problem may be. This part of the theory is deliberate because the nurse must separate their immediate observation, thoughts, and feelings from each other (Alligood, 2010). Orlando (Alligood, 2010) brings to our attention as nurses that we should not assume that we have corrected...
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...received her nursing diploma from “Lewis-Gale School of Nursing” in Roanoke, VA, in 1961. She went on to complete her undergraduate and graduate studies at the University of Colorado. She obtained a “PhD” in educational psychology and counseling in 1973. Her primary work has been in the psychiatric field of nursing. Dr. Watson has taught many nursing courses through the years as well as did research and wrote numerous books and articles. Most of her work since 2000 has been on her theory and philosophy of caring. She has traveled and lectured across the world, studying and lecturing on her theories on nursing. In 1980, Watson and her associates started the “Center for Human Caring” at the University of Colorado (Alligood & Toomey, 2010, p. 92). Watson wrote her first book on the philosophy and science of nursing in 1979. She developed “10 carative factors”, which Watson describes as being the main ideas of nursing. The carative factors consider the persons involved in practice of caring. She believes in instilling faith and hope and being sensitive to self and others. Watson’s carative factors also are based on developing a trusting relationship with the person or patient. The creation of a healing environment that respects the wholeness and dignity of the person is a carative factor. Watson also looks at the human beings as a whole, consisting of body, mind and soul. She also believes in spirituality of all human beings. She believes in “transpersonal nursing-caring healing”...
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...Jean Watson's Theory of Caring In partial fulfillment of the requirements for the course N207-Theoretical Foundations in Nursing at University of the Philippines Open University. This blog is dedicated to fellow nurses, to our patients, to our classmates, and to Miss Jean Watson who gave us inspiration in caring. * Caring: What is it? * Caring In Action * Jean Watson * Metaparadigm * Philosophy and Science * Analysis * Acceptance * Group H Acceptance Acceptance in the Nursing Community Margaret Jean Watson’s model or theory of caring can be considered as a foundation of our profession. It suggests the consideration of nursing as both a science and an art, and caring as a key factor in the human phenomena of nursing. Practice Jean Watson’s Philosophy and Science of Caring could be applied to the practice (a) as an organization or (b) as an individual. As an organization, Watson’s theory on caring could be utilized as a framework in the delivery of nursing service in a medical institution. When utilized as basis of nursing in a hospital, nurses are made to focus on the value of care and on the integration of the carative factors in patient encounters. “The Journey to Integrate Watson’s Caring Theory with Clinical Practice,” an article by Linda Ryan, presents the process of integration of Watson’s theory to the pattern of health care delivery in a clinical setting. On the other hand, it is also remarkable to take note that Watson’s...
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...Nursing Theory Paper Nurs/403 March 7, 2011 Jacqueline DePaulis Nursing Theory Paper Many different nursing theories have been developed by leaders in the nursing field over the past 40 years. I chose the nurse theorist, Ida Jean Orlando because of my lack of knowledge of Ms. Orlando and her theory, The Deliberative Nursing Process. She was one of the first nursing theorists to write about the nursing process based on her own research. This theory involves interpersonal processes occurring between a patient and a nurse that will identify an immediate need of that patient (Mosby, 2010). Ms. Orlando believed nurses should have more input in a patient’s care than was allowed by the constraints of policies, job description, and protocols. This theory is used in education, nursing, and nursing practice today. Similar to all theories, The Deliberative Nursing Process defines what part the environment, health, person, and nursing roles assume. Background of Ida Jean Orlando Ida Jean Orlando was born in 1926, a first generation of Italian Americans. She received a nursing diploma from New York Medical College. Her first job was at a maternity hospital. Feeling less than challenged as a nurse in her decision making, she went on to receive her Bachelor’s of Science in Pubic Health from St. John's University in Brooklyn, New York. She went into pubic health hoping to find more autonomy but was disappointed to find it consisted of policies and protocols in which the nurses...
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...A BRIEF STUDY OF NURSING THEORIES ACCORDING TO FLORENCE NIGHTINGALE, JEAN WATSON AND MADELEINE LEININGER TOLULOPE ADEDIWURA MINOT STATE UNIVERSITY ABSTRACT Nursing as a profession is based on concrete (scientific, philosophical, behavioral, social, and humanities among others), concepts and theories by past and current nursing theorists. These theorists have helped shape the profession from 19th century till date. New theories are emerging due to advance in health care, as off-shoot of previous theories and also as addition to suit present day application. This paper shall look at the works (theories) of Florence Nightingale; Environmental theory, Jean Watson; Human caring theory, and Madeleine Leininger; Culture care diversity and universality and how it relates with Minot State University’s mission statement and philosophy. In addition, the paper will venture into the merits and demerits of these theories. These nursing theorists viewed nursing differently but, have a common goal in aiming to deliver service to clients using different methods. This adds to the dynamism inherent in nursing profession and provides platform upon which improvements are made. Nightingale focuses on manipulating the environment to cater for health needs of patients and prevention of illnesses. Jean Watson presents a care approach view at nursing. She ultimately support the value of caring relationship in dealing with clients. While Madeleine Leininger stress the importance of cultural understanding...
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...Nursing theory is assumed as the body of information, which is used to assist the nursing practice. Nursing models are created with theories and perceptions. They are used to assist nurses assess, plan and implement patient care by delivering an outline within which to work. Nursing models also assist the nurses to accomplish consistency and unified care. This presentation shall examine the importance of Dr. Jean Watson’s theory of caring in today’s nursing practice, its relation to metaparagidm concepts and how the theory help us to improve the current nursing practices. Watson delivers many valuable impressions for nursing practice. •Watson ties different theories together which are frequently being used in clinical nursing practice. •The comprehensive explanations of the care factors which can provide direction to the nurses who desire to train as a bedside nurse or do nursing research. “Her accomplishments are the following - Recipient of numerous awards counting: an international Kellogg Fellowship in Australia, a Fulbright Research Award in Sweden and six Honorary Doctoral Degrees, including 3 International Honorary Doctorates (Sweden, United Kingdom, and Quebec) She was the 1993 recipient of the National League for Nursing Martha E. Rogers Award, which identifies a nurse academic who has made substantial donations to nursing information that advances the science of caring in nursing and health sciences. New York University recognized her as a Distinguished Nurse...
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...Applying Orem's theory to care for patients with neurogenic bladder INTRODUCTION The core of nursing is theory guided practice. Nurses uses concepts, principles and theories of nursing to meet the health needs of the patients. Nursing practice is the art and science of caring and healing. In order to provide holistic and effective interventions, nurses use the theories to develop plan of care. Nursing is a combination of theories and it always guides practice. Theory-based nursing practice is the “application of various models, theories, and principles from nursing science and the biological, behavioral, medical and sociocultural disciplines to clinical nursing practice” (Kenney, 2013, p. 333). As one of the oncology and rehab nurse we come across many patients who suffer from neurogenic bladder problems. The importance of this paper is to educate about self-care for the patients with neurogenic bladder, with emphasis on Orem’s theory. The intent of this paper is to show how nurses use the theoretical principles in practice. Neurogenic bladder problems are seen in spinal cord injury patients. An article from the Journal of Nursing stated that each year about 11,000 people are affected by spinal cord injuries in United States. A number of cases have spinal tumors which may cause compression of the spinal nerves and cancer patients who have undergone sacrectomies, all end up with neurogenic...
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...emergency. Accident and Emergency Nursing, 13(1), 9-14. This article discusses the nurse-patient relationships in the accident and emergency. It looks into nursing theory and research about three distinct experiences from the author. I found the article to be of interest in regards to the topic of barriers in forming the nurse-patient relationship in the emergency setting. Being an ER nurse I can relate to the authors thinking. It can be difficult to establish a relationship due to the limited time spent with the patient. Most relationships can be viewed as “superficial” or “if existing at all”. The nurse could also experience a short but memorable and intense relationship in the emergency setting. The author discusses three distinct relationships and examines them using nursing theory. Cara, C. (2003). A Pragmatic View of Jean Watson's Caring Theory. International Journal for Human Caring, 7(3), 51-61. The article discusses essential components of Watson’s caring theory and the use in the clinical setting, application, and show how to apply it to the practice setting. It gives a brief overview of the caring theory and gives background information about Jean Watson. The author goes over a clinical scenario and applies nursing theory. The author wants to help other nurses understand and apply nursing theory into their nursing practice. Foster, R.L. (2006, October). A Perspective on Watson's Theory of Human Caring. Nursing Science Quarterly, 19(4), 332-333...
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...and theory of goal attainment: past, present, and future. Nursing Science Quarterly, 15(2), pg. 107-112. This article explains King’s theory of goal attainment from the 1960’s to the 21st century. In 1964, King’s focus was to organize existing knowledge in nursing and to expand the knowledge base for nursing practice. In the 1970’s, King published a conceptual framework for nursing organized around personal, interpersonal, and social systems. In the 1980’s, King published a more formalized framework. This is also when the theory of goal attainment was introduced. In the 1990’s, King’s purpose for the conceptual system was to identify essential concepts for nursing as a discipline and provided the structure. In the 21st century, the King International Nursing Group (KING) was formed and its primary goal is to increase the knowledge development for nursing based on the conceptual system and the theory of goal attainment. The membership of nurse scholars interested in King’s conceptual system, theory of goal attainment, and related theories from the conceptual system continues to grow. Husband, A. (1988). Application of King's theory of nursing to the care of the adult with diabetes. Journal of Advanced Nursing, 13(4), pg. 484-488. This article is about Imogene King’s nursing theory associated with adults with diabetes. Husband discusses the relevant components of King’s theory. The components consist of system, health, nursing and assumptions. The application of Kings’...
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...OF ADVANCED NURSING The use of theory in qualitative approaches to research: application in end-of-life studies Hung-Lan Wu & Deborah L. Volker Accepted for publication 24 July 2009 Correspondence to D.L. Volker: e-mail: dvolker@mail.nur.utexas.edu Hung-Lan Wu PhD RN Nursing Instructor Meiho Institute of Technology, Pingtung, Taiwan Deborah L. Volker PhD RN AOCN Associate Professor The University of Texas at Austin School of Nursing, Austin, Texas, USA W U H . L . & V O L K E R D . L . ( 2 0 0 9 ) The use of theory in qualitative approaches to research: application in end-of-life studies. Journal of Advanced Nursing 65(12), 2719–2732. doi: 10.1111/j.1365-2648.2009.05157.x Abstract Title. The use of theory in qualitative approaches to research: application in end-of-life studies. Aim. This paper is a report of an analysis of the use of theory in qualitative approaches to research as exemplified in qualitative end-of-life studies. Background. Nurses researchers turn to theory to conceptualize research problems and guide investigations. However, researchers using qualitative approaches do not consistently articulate how theory has been applied, and no clear consensus exists regarding the appropriate application of theory in qualitative studies. A review of qualitative, end-of-life studies is used to illustrate application of theory to study design and findings. Data sources. A review of theoretical literature was carried out, focusing on definitions and use of theory in qualitative...
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...Viewpoints on Nursing Theories Name Institution Viewpoints on Nursing Theory Middle-range theories comprise of fewer numbers of concepts and propositions. These theories are more concrete and address specific issues more precisely (Fawcett, 2004). The three most common are deliberative nursing process by Orlando, the theory of interpersonal relations by Peplau and theory of human caring proposed by Watson. Fawcett provides three types of the middle-range theories that include; descriptive, explanatory and predictive theories (2004). Middle-range descriptive theories describe a given phenomenon and put it into categories such as mutually exclusive, overlapping hierarchical, and sequential. The explanatory theories will tell more of any relationships that exist between two or more concepts. The predictive theories, on the other hand, seek to verify the effects on one or more concepts when some other related concepts are varied. Evidence-based nursing practice is the deliberate application of theories on human beings related experiences in an effort to guide actions involved in the nursing process. The primary goal of embracing evidence-based practice is to ensure that the healthcare system provides results that are quality and cost-effective. The evidence-based practice are developed from the merging of best research evidence with clinical expertise and the patient needs (Burns and Grove, 2011). In the act of practicing nursing, middle-range theories play an...
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...NORTHWESTERN COLLEGE COLLEGE OF NURSING AND MIDWIFERY SY 2011 SUMMER NURSING INFORMATICS COURSE SYLLABUS Course Description: Integrates nursing science with computer technology and information science to identify, gather, process, and manage information. Emphasis on technology based health applications which support clinical, administrative, research, and educational decision making enhancing the efficacy of nursing endeavors. Course Purpose: This course provides an overview of nursing informatics for all student nurse. Focus is on developing an understanding of concepts relevant to health care informatics. Current trends and issues in using, designing, and managing heath care information systems will be examined. Students, applying knowledge from assigned readings, will analyze the design and implementation of health care information systems. The course includes email, electronic discussion forums, computer applications, worldwide web, and internet assignments. Course Objectives: 1. Identify key trends and issues in nursing informatics and the impact on health care information systems. 1.1 Describe the historical perspectives of nursing and computers 1.2 Discuss the term nursing informatics. 1.3 Define basic terms related to hardware, software, World Wide Web, and the Internet. 1.4 Identify informatics visions for the profession of nursing. 1.5 Discuss technology applications utilizing speech recognition, genomic...
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