... usually including sets of concepts, definitions, and propositions. Nursing theories are known to evolve instead of being purposely made. “Nursing theories are the creative products of nurses who seek to thoughtfully describe the many aspects of nursing in ways that could be studied, evaluated, and used by other nurses” (Sitzman & Eichelberger, 2011). Virginia Henderson’s theory will help to explain the different concepts of nursing and how they are critiqued. “Maintain or restore the independence of the individual so that he can satisfy himself and his effortless 14 basic needs” (Potter and Perry, 1992) Analyzing the role and function of the nurse and enjoying the wide clinical experience, Virginia Henderson offers early 1960 a conceptual model based on fourteen basic needs. Before arriving there, she participated in the publication of a reference book on the principles and practices of nursing which included everything you needed to know at the time when we were nursing. It is also noted here, and among other things, the importance of nutrition, elimination, rest, cleanliness, a body temperature and Recreation regarding the sick. (Schmidt, 1972) For Virginia Henderson, the satisfaction of these needs has become increasingly essential. It in helping to satisfy, in addition to or in assisting the individual, family or group, helping to recover the capacity to do so, or preventing further loss of capacity that would make it difficult to meet the needs. Thus, the fourteen needs...
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...HCAIs, and discusses the relationship between compliance with hand hygiene guidelines and stress among nursing professionals in one German hospital (Knoll, Lautenschlaeger, & Borneff-Lipp, 2010). This paper explores the factors associated with hand hygiene compliance of nurses during routine clinical practice. The purpose of this research was to clarify whether external factors such as ward capacity, or level of nursing intensity had an influence on nursing staff compliance with hand hygiene guidelines. The research questions in this study are; does hand hygiene between healthcare workers decrease healthcare associated infections (HCAIs)? Does exterior factors influence on nurses compliance with hand hygiene guidelines? The hypothesis of this study is; workload factors like maximum ward capacity, severity of patient cases, have an influence on nurse’s compliance with proper hand hygiene guidelines. Study Variables A total of nine variants were used in this paper. Records from the descriptive interviews were used as dependent variables. The ward-specific workloads considered on one side as the rate of used ward capacity, and on the other as the degree of nursing intensity which were distinct as independent variables. Conceptual Model\Theoretical Framework Acquiescence with good hygiene practice, depend on the nursing intensity and used ward capacity were evaluated. These two threat factors were checked for their connection to ‘objectionable behavior’...
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...Ambiguity in Nursing Practice Kalli Stilos, RN, MScN, CHCPN(C), Shari L. Moura, RN, MN, CONC(C), CHCPN(C), and Frances Flint, RN, MN Current nursing literature recognizes the need to honor the concept of ambiguity. Nurses experience uncertainty with handling or honoring complexity and ambiguity when confronted with times of struggle. Traditional models of care fall short as patients and families define their expectations of the healthcare system. Nurses bear witness to the discomfort caused by the unknown in their daily practice. They are challenged to address their feelings, unsure of what to anticipate, what to say, or how to respond to their patients. Uncertainty diminishes the opportunity for meaningful dialogue between nurses and other people. Nurses attempting to ease the discomfort of ambiguity by providing patients or families with reassurance, offering advice on how to fix problems, or avoiding talking about situations often express dissatisfaction. Nurses should be invited to explore ambiguity and seek understanding through dialogue and nursing knowledge. Encouraging nurses to define the meaningfulness in nursing practice that embraces human science theory will help relieve some of the ambiguity that exists in current practice. This article will explore the concept of ambiguity, highlight how nursing theory based on human science can support practice, and propose recommendations for practice. urrent trends in the healthcare system call for nurses to build the capacity to practice...
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...registered nurses. Nursing schools are struggling to expand capacity to meet the needs of the rising demand for care given the national move toward health care reform ("Nursing Shortage", 2014). Registered nurses compromise the largest group of health care professionals. The nursing shortage has caused adverse effects in health care, and nurses are often working long hours under stressful conditions causing them to become burnt-out, injured and fatigued. Patient safety is at risk along with poor quality of care due to the nurses being tired, and they become more prone to making mistakes and medical errors. Demand The request of registered nurses is not new in the health care industry; it has been here for decades. In 2000, the supply of registered nurses was about 1.89 million while the demand was approximately 2 million, causing a shortage of 110,000 ("Nursing Shortage", 2014). The request for nurses is expected to continue to increase and by 2015 quadruple. The lack of nurses is not just limited to the United States but is worldwide. Registered nurses compromise the largest group of health care professionals. Demand versus supply continues to be an issue with the increasing shortages of registered nurses (RN) and the growing demand for health care services. Due to the increase in population, baby boomers aging, and an increase in chronic disease is causing this higher demand for registered nurses. Nursing schools are struggling to expand capacity to meet the needs...
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...The State of Oregon’s Nursing Schools and the US Nursing Shortage Analysis by Bridget Nickerson Introduction * The United States has been aware of an impending shortage in the qualified nursing staff of US hospitals since the late 1990’s. Oregon actively began addressing the problem in the early 2000’s. The state of Oregon has Sixteen Associate degree programs for Registered Nurses, and six baccalaureate degree programs (offered at 10 universities). There are currently four universities that offer RN to BSN completion programs; however, only Portland State University and Oregon Health Sciences University (OHSU) offer advanced degree programs (MSN & PhD). * I have a long-term career goal of breaking into the field of public health administration. From my experience working at OHSU I’ve gotten firsthand knowledge of how interconnected a health system is with the education and research institutions. I believe that it is this symbiotic relationship that will creates excellent care providers and in turn leads to exceptional patient care. Therefore, I chose this topic as I believe the relationship between Oregon healthcare providers and Oregon educational institutions is vital to the analysis and search for solutions to the current healthcare crisis facing the US. The Problem The United States is currently experiencing a Nursing shortage that will get exponentially worse in the next 10 years. The state of Oregon is no exception to this trend. There...
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...The law is a system of rules that a particular country or a community acknowledges and enforces, in addition to regulates the actions of its members though the imposition of penalties. Nursing is a profession full of legal issue. A person must give their permission prior to any type of medical treatment or examination by a medical professional (NHS, 2014). Nurses have to follow the nursing midwifery code, which states nurses should “make sure appropriate informed consent is given and documented before carrying out any action” (NMC,2015). Therefore, prior to any treatment given, the person must give consent for the nurse to carry out the treatment. In order for consent to be valid, it must be voluntary. The person must have come to the decision themselves, with no influence from medical staff, family or friends (Griffith et al, 2013). The consent must be informed, the person must have knowledge and understanding about the what the treatment involves, including risks and benefits or alternative treatments and what will happen if the patient does not have the treatment. For the consent to be valid the person must have mental capacity, meaning they are able to understand the information given and make an informed decision based on the information given to them. Consent can be written, however, signing a form is not valid consent. The person need to have the opportunity to gain knowledge about the treatment, as well as ask a medical professional, with the correct knowledge, any...
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...h Nursing Leadership Theoretical Perspectives of Change The question of leadership in nursing education is one that has been examined extensively in the past literatures. In this paper, various dimensions and aspects related to change in nursing leadership will be discussed in the following assignment. After the discussion of principles related to change, it will be then followed with an analysis of actions and strategies used in a capacity building project aimed at developing novice nurse academics' research skills. Theories of transformational leadership, and contingency theory of leadership, highlighted, in relation to the processes used, thus illustrating the application of theory to the practice of nursing leadership in the academy. Kurt Lewin was one of the first social psychologists who developed a way to observe the change that has proven skilled for managers and action-oriented employees. His approach was called Force Field Analysis, and, said that any situation can be considered in a state of equilibrium resulting from the balance of force that pushes each other constantly. To initiate change someone has to act to change the existing balance of forces which are: 1. To increase the force for change 2. By reducing the intensity of the forces that resists and total removal of them becomes necessary. 3. With the change in the direction of a force that transforms a resistance to pressure for change (Courtney, 2004). Strategies used...
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...Describe the definition of nursing as put forward by the American Nurses Association. How does it address the metaparadigm theories of nursing? The ANA defines nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” The above ANA definition of Nursing focuses on the holistic health care of individual, families , communities and population which is achieved through many therapies and techniques, that protects, promotes and optimizes health and abilities. With the wide availability of health care services, through proper diagnosis and treatment we can make a person fully perfect, functional or effective as possible. Health advocacy encompasses direct service to the individual or family as well as activities that promote health and access to health care in communities and the larger public. Advocates support and promote the rights of the patient in the health care arena, help build capacity to improve community health and enhance health policy initiatives focused on available, safe and quality care. Health Advocates are suited best to address challenge of patient-centered care in our complex healthcare system. This definition of nursing includes the four components of the other metaparadigm theories. A metaparadigm is a concept that is extremely...
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...Nursing Practice Name Instructor Course Date Nursing Practice 1. How is health promotion defined? Wellness showcasing is the study of craft of helping people changes their way of life to move to a state of greatest wellbeing; the most extreme wellbeing protection scope health being the parity of physical, enthusiastic, open, religious, and discerning wellbeing (Kudzma, Mandle and Edelman, 2010). WHO depicts wellbeing showcasing as, the procedure of permitting people to build control over, and to enhance, their wellbeing. It goes past concentration on individual conduct towards a mixed bag of open and natural medicines. In the journals examined, Health advertising at: a) Primary level permits women in Australia to clear a path of life progressions to anticipate heart diseases. b) Secondary permits school-matured children battle absence of activity and related sicknesses, for example, being overweight. c) Tertiary permits diminished the effect of being overweight and experiencing diabetes, call diabesity on children in the Dominican Republic. 2. What is the purpose of health promotion in nursing practice? The goal of health showcasing is to positively affect the health activities of people, regions, the living, and working circumstances that affect their wellbeing. With innovative development and utilization of mechanical advancement in the restorative forethought framework, nursing staff acquire the data and have entry to the most up to date and required...
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...Ageism. In this assignment I will discuss my learning outcome from the group discussion and the collaboration of the poster and mind mapping, I will also critically analyse and discuss the public attitude, and my personal perception towards ageism. To gain knowledge of different relationships and how ageism affects society, I will also discuss key concepts in relation towards the inequality and discrimination expressed towards this group of the population. I will examine how the health service and social care professionals conduct themselves towards care of the elderly, and the actions they take to resolve discriminatory practices to reduce social inequality in respect of the elderly. Patch1 After reflecting on my own attitudes regarding my understanding of the elderly, I found that I held similar views in that once an elderly person had reached a particular age they can be easily disregarded as a useful member of society, however my views were not based on any known facts or any valid experience that I had encountered, but rather on my personal interpretation and general stereotype towards the elderly, after our group discussion and after reading relevant literature concerning ageism my opinion has changed. Ageism was introduced by Robert Butler (1969) suggesting it was a process whereby an older person was systematically stereotyped with prejudicial attitudes directed towards them. This was deemed as discrimination. According to (McGlone...
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...Reflection Paper Name Institution Reflection Paper The profession of nursing has been one of the subject that has commanded the health sector around the world and its future. The eventual fate of nursing rely on upon various components; one is expanding the level of education and the other is consistent preparation of the nurse while proceeding with their profession, International Council of Nurses, (1954). I can see myself fitting into IOM fate of nursing as the recommendations went for achieving the vision 2020 are concerned. With the increment in the number of nurses with Bachelor's degree up to 80% till the year 2020, the likelihood of achieving the greater levels of quality administrations will be attained because of the reason that a number of the nurses being practicing will be holders of an academic degree. This will help oblige the perpetually expanding number of medical attendants who have accomplished a bachelor's level education by the year 2030. This additionally will prompt supplanting of attendants with lower levels of training with those with higher levels henceforth the nature of health care will be upgraded for a long period of time, Cherry & Jacob, (2011). The increasing number of nurses having a doctorate degree by the year 2020 will at the first stage uplift the image of nursing profession and will likewise build levels of experiences among the nurses. Nurses having doctorate level degree are known for their experience and learning of better...
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...Mishel’s Uncertainty in Illness Theory Mark A. Seymour, II Millersville University How has nursing evolved? What are the components that have turned nursing into what it is today? We all ask these questions at some point in our career of nursing. The history of nursing can all be traced back to the very first theorist, Florence Nightingale. She helped begin to formulate the nursing practice describing, predicting and formulating the basis of what nursing would become. Several others have researched and developed their own theories of nursing, some which lead us to question even further thoughts, provoking new ideas or even developing better understandings as to why nursing is what it is today. But there are some things that still provoke uncertainty, which was described by Mishel, as the inability to determine the meaning of illness related events, occurring when the decision maker is unable to assign definite value to objects or events, or is unable to predict outcomes accurately (Mishel, 1988). This is what sparked the concepts of Mishel’s uncertainty in illness theory, which could...
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...Mapping Care Using Standardized Terminology BY Bolajoko Olagbaju American Sentinel University Introduction Knowledge deficit is a prevalent condition among patients, characterized by the lack of both cognitive information and psychomotor skills that are necessary for promotion and maintenance of health, and for a healthy recovery. The nursing profession is faced with the need to address this problem, whether in the hospital, in ambulatory care, or in-home setting. To address knowledge deficit, the learning process involves three domains: the psychomotor domain, the affective domain, and the cognitive domain. The involved nurse engages the patients in making vital decisions on what and how the patient will be taught. Addressing knowledge deficit in nursing care is necessitated by the high number of patients with inaccurate perception concerning their health statuses (Billay, Myrick, Luhanga, & Yonge, 2007). Misinformation and lack of information associated with knowledge deficit can culminate in psychological alteration, which manifests in anxiety and depression. NANDA Nursing Diagnoses, Definition and Classification As mentioned above, knowledge deficit is marked by lack of crucial cognitive information, which is related to specific health topics. This problem is classified as among the main health conditions inherent in patients who have suffered from chronic illnesses. The defining characteristics of knowledge deficit are inaccuracy in adhering to instruction...
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...should be to influence the quality of patients care through good nursing leadership. Effective nursing leaders are generally not born knowing how to positively affect people, their powers of persuasion are developed with a willingness to serve and old with fashion sweat equity. Attributes such as honesty, empathy, communication, flexibility, direction and conviction are some of the ingredients which comprise a phenomenal leader. During this interview I will refer to this leader as (CT) which are her initials. Henceforth, this is why I choose to interview this leader and ask the following question: Background and Role you have Today This nursing leader (CT) began her career with humble beginnings. She started out as a certified nursing assistant and worked in this capacity for a couple of years. Due to the limitations of her current job she was compelled to go to school to become a Licensed Practical Nurse (LPN). She worked for several years as LPN until her children were in middle school. Work as a LPN was rewarding, However, there were restrictions on her practice- depending on what facility she was working in. She stated, “I was smart enough to put in a heparin lock, but not competent enough to flush it”. This was frustrating at times and was the deciding factor for her to return to school to further her nursing career. Henceforth, she went to her local community college and obtain her associates in nursing degree (ASN). While, working as associated prepared nurse was rewarding...
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...The Future of Nursing: Leading Change, Advancing Health Charity Hathaway Grand Canyon University: NRS-430V July 1, 2013 The Future of Nursing: Leading Change, Advancing Health The world of nursing is constantly changing to meet the needs of health care in the United States. As it evolves, nurses are instrumental in this transformation process. According to the Institute of Medicine’s report on nursing’s future, nurses will play a critical role in providing quality care at a lower cost. As legislation is moving health care away from acute and specialty realms, there is a higher demand in primary care centered environments. (“Future of Nursing,” 2010). There is also a substantial aging population with the baby boomer generation that will need long term and palliative care. (“Future of Nursing,” 2010). According to three health care systems, Veterans Affairs (VA), Geisinger Health System and Kaiser Permanente, emphasis has been put on registered nurses and nurse practitioners to see if moving them into primary practice environments would assist in the delivery of their outcomes. The results from all three health systems showed impressive results with the end result being that of higher quality care and lower economic costs. (“Future of Nursing,” 2010). In order to achieve this outcome, patient to nurse ratios would need to be decreased to meet the demands needed by other disciplines to ensure that optimal care is being given to the patient. With a lower patient load, there...
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