...Microscope Perspective Elizabeth Wiedman Chamberlain College of Nursing NR 501: Theoretical Basis of Advanced Nursing Practice Summer Semester 2011 How Theory Affects Education: A Microscope Perspective Nursing is a topic that covers a great deal of ground. It takes years to gain experience in nursing. The study of nursing theories helps one to take advantage of the experiences of others. The best way to examine something is under a microscope because it focuses one closely on the topic at hand. It can also show smaller parts of the whole. The microscope perspective is used to describe how theory functions in the nursing profession and in nursing education. It will also explain how nursing theory describes the nursing profession using this perspective. This perspective is important because it can help one to take a closer look at smaller parts of nursing. Examples are provided of how the Self- Care Deficit Theory views education from this perspective. The Self-Care Deficit Theory was chosen because it good framework for nursing school curriculum and helps to guide the author’s present nursing practice. Theory as a Microscope of Nursing Nursing theories contain concepts that take a closer look at the features of nursing related to nurses and clients. The relationships between and among the concepts form the structure of the theory. Theories are formed after concepts are named and validation occurs. Theory takes a closer look at the features of situations in nursing practice...
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...Family Health Nursing and a Healthy Environment Family health nursing provides the “conceptual foundations of family nursing across the life span” (Garwick, 2002, p. 284). “The Family Health Nurse (FHN) concept was developed by the World Health Organization (WHO) in Europe in order to provide a means to strengthen family and community-oriented health services” (West and Macduff, 2006). WHO defines family health nursing as presenting a “key contribution within a multi-disciplinary team of health care professionals in the attainment of the 21 health targets” produced by the World Health Organization 21-policy outline. Family systems frequently change as the members of a family adapt to the stress that is inherent to illness and/or injury. Families adapt to the stress, making use of family resources and capabilities, but they often need help in making these adjustments (Servonsky and Gibbons, 2005). In aiding families, nurses employ care that is culturally competent care that uncovers a family’s personal story that reveals both the strengths and the deficits of a family, illuminating where they require assistance within a specific health care system (Servonsky and Gibbons, 2005). Denham (2003) points out that a great deal of nursing concentrates on the individual. However, it is the family and the home that should garner more attention from healthcare professionals because it is within the home "where health is learned, lived, and experienced),” as well as being the "niche...
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...Concept Comparison and Analysis Across Theories Julie McKay NUR/513 Theoretical Foundations of Practice December 06, 2014 Stephanie Vaughn Ph.D. R.N. CCRN A concept is a term that theoretically describes and names a fact or phenomenon, thus providing it with a separate identity or meaning. Nurses use theories to clarify the events through nursing practice. A concept analysis provides insight to nursing knowledge and understanding of the concepts allows nurses to determine nursing actions (George, 2011). Quality of Life Quality of life (QOL) is a contemporary phrase which was first heard after the Second World War and, since then, has been frequently used but not well explained (Meeberg, 1993). Most theorists have at least an unexpressed belief that human health and QOL are associated closely. It is the interest of most healthcare providers to promote QOL for those who are seeking help. However, nurses cannot work with clients to attain QOL if the goal is unclear (Meeberg, 1993). Both Virginia Henderson and Rosemarie Parse are influential nursing theorists that share a common concept of QOL. This paper will explore perspectives in regards to QOL between these two theorists. Henderson’s Theory Virginia Henderson believed humans have universal needs of water, air, and food for survival, and everyone plays a part of the contribution to the well-being of each other leading to the creation of a healthy society. Nurses care for patients, sick or well until they can care...
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...Running head: THE CONCEPT OF SERENITY 1 Serenity and the Importance to Nursing Practice THE CONCEPT OF SERENITY 6 References Beckstead, J.P., Conley, C.E., Kruse, B.G. (2005). Psychometric Properties of the Serenity Scale: Journal of Hospice and Palliative Nursing, November/December Volume 7, 337-344. Chinn, P.L., Kramer, M.K., (2004). Empiric Knowledge Development: Explaining and Structuring. Yvonne Alexopoulos. Melissa Boyle , Kristin Hebberd (6th Edition), Integrated Knowledge Development in Nursing (pp.54-90). St. Louis, Missouri. Dictionary.com, (2010). An Ask.com Service. Retrieved on January 25th, 2010 from http://dictionary.reference.com Get Palliative Care, (2010). What is Palliative Care. Retrieved on January 25th, 2010 from http://www.getpalliativecare.org/home/ . THE CONCEPT OF SERENITY 2 Incorporating the concept of serenity within nursing practice has been proven to be very beneficial when applied to patient care. The concept of serenity can have different meanings to different people. How one goes about obtaining serenity may vary greatly with each individual. The idea of serenity, of inner peace is desired...
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...The Nursing Metaparadigm Concepts Presented to Dr. Peck GNRS 5373 By Fatema Bandookwala, Irene Cotten, Amanda Garcia, Elizabeth Mbutu-Lomeli, Hawa Samson-Metzger, Alexandria Thomas On September 25, 2013 The University of Texas Medical Branch School Of Nursing THE NURSING METAPARADIGM CONCEPTS The nursing metaparadigm concepts described by Fawcett (as cited in McEwen & Willis, 2011), are a primary phenomena of interest to a discipline, which identifies globally by ways in which, nursing can deal with those phenomena in a distinctive and applicable manner. The functional aspects of the meta-paradigm according to Kim (as cited in McEwen & Willis, 2011), involve a combination of intellectual and social missions of nursing as a discipline in which boundaries are placed on the subject matter. The concepts of person, health, environment, and nursing as the meta-paradigm are formalized by Fawcett (as cited in McEwen & Willis, 2011) to be the dominant phenomena within the science of nursing. The dominant phenomena person is the individual personality of a human being (McQuiston &Webb, 1995). It is a dynamic pattern of energy and an open system to interaction with the environment (McEwen & Wills, 2011). It is critical to have an interpersonal relationship between nurses, patients, family members, and other hospital personnel. Hildegard Paplau originally taught the importance of relationships between nurses and patients (Tourville...
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...JAN DISCUSSION PAPER JOURNAL 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...
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...Concepts Analysis Paper Demis Rey BSN Theoretical Foundations of Advanced Nursing Kaplan University March 10, 2014 The concept of Quality has a close relation with nursing practices. Higher quality healthcare is the common goal of all healthcare team and improving healthcare quality has become the common focal point of all healthcare organization. Quality has become an important issue for healthcare facilities facing a changing of healthcare environment (Tsai, & Wu, 2013). Quality is derived from the Latin “quails” and is defined as essential character of nature…an inherent or distinguishable attribute or property, a character “trait” and is defined as superiority of kind and degree or grade of excellent (Wicks, & Roethlein, 2009). Every quality expert defines quality somewhat differentially, and there are a variety of perspectives than can be taken in defining quality. The most widely concept of quality is the Industrial Organization Society (IOS) definition as “the degree to wish a set of inherent characteristics fulfill requirements” (Wicks, & Roethlein, 2009, p. 85). The psychological concept is closely aligned with the dictionary definition when quality relates to logic: “quality is the positive or negative character of a proposition” (The Merriam-Webster Dictionary, 2014). Quality is a set of characteristics or properties, as supported by the multidimensional definitions of quality. Quality can focus on excellence or can be viewed as the degree of a...
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...Emmanuel Okoroafor. Educational Preparation. Grand Canyon University January 2013 Educational Preparation * BSN means Baccalaureate of Science in Nursing and ADN means Associate Degree in Nursing. Both degrees will qualify a student to take the same NCLEX exam for a practicing license. There are different competency levels in these two programs. BSN is a four year university program with focus on knowledge, theories, research and clinical and an overall emphasis on the entire field of nursing. The program tend to expose the student to human diversity, global perspective, ethical, legal, health promotion, spiritual perspective, political, and social influences using liberal arts for a complete understanding of the field(Punturi,2010)The ADN is a two year program with focus on the clinical skills and more task oriented. The ADN program does not go into too much details of different aspects of health sector like leadership, political, ethical, policy and other global perspectives. BSN prepared nurse posess the following competency according to leddy and Peppers Conceptual Bases of Professional Nursing(Lucy J Hood,2010)provide direct care with different nursing diagnosis using nursing process, within allowed parameters, and independent nursing decisions. * A mentored clinical learning situation in both classroom and practice setting helps nurses to apply theoretical knowledge with actual event(Field,2004) In a study by Benner, on competency of nurses the study highlighted...
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...Theories The purpose of the nursing theories is to provide an interrelating framework focusing on the nursing practice. The defined nursing theories promote better patient care, improve the status of nursing profession, and improve the communication between the nurses, and provide guidance to the researches and education (Keefe, 2011). Not all nursing theories have the same meanings; however, they play the important role of explaining the key concepts and principles of nursing practice in understanding way. Dorothy Orem’s Self-Care Deficit Theory and Sister Callista Roy’s Adaptation Model are considered as grand nursing theories. The grand nursing theories are a conceptual model, which identifies the focal point of nursing inquiry and guide the development of mid-range theories that will become useful to nurses and also to other health professionals. According to Walker and Avant (2011), these theories contributed in “conceptually sorting the nursing from the practice of medicine by demonstrating the presence of distinct nursing perspectives.” In this essay, Orem’s Health Care Deficit Theory and Sister Callista Roy’s Adaptation Model are compared and analyzed for their importance in nursing. Orem’s Self-Care Deficit Theory Orem’s Self-Care Deficit Theory is one of three grand theories written by Dorothea E. Orem. According to Orem, nursing becomes necessary when an individual can no longer care for him or herself. Nursing provides care through acting, guiding, supporting...
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...Concept Analysis Healing Matilda Linares-Cornejo Chamberlain College of Nursing Theoretical Basis for Advance Nursing Practice NR 501 Lizabeth Vincent March 25, 2016 Concept Analysis Healing Advance practice nursing encompassed a mosaic of knowledge. These knowledge is acquire through years of formal educational and preparation, through the development of a deeper mode of critical thinking, through life experiences, through the desire to achieve and provide the best one can offer, and through the final understanding that one does not have all the answers or the power but one can help others to alleviate their pain. Advance practice nursing preparation is a journey that takes the nurse through different paths designed to provide understanding to how nursing science has developed and continues to evolve. Nursing science has made great advances-this thanks to the many theorists that thought their theories have guided, provided, and developed essential concepts now use in nursing care delivery. The following will be a discussion about concept analysis and how this lead to the development of theories. The concept of healing will be discussed as it applied though Barbara Dossey’s Theory of Integral Nursing. Third, the concept will be evaluated using the concept analysis process, and the conclusion will be a summary of how the healing concept is utilized within the broad scope of advance nursing practice. Concept Introduction Healing is Barbara Dossey’s Theory of Integral...
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...efficiency and quality of care, and also state that in the health care context, the “definers […] are usually the client, purchaser, payer or provider” (p. 84). Hall (2011) analysis outcome in the medical perspective, and defines it as a target or endpoint that enables the judgment if an operation, a drug or some form of therapy was successful. Hunter, Corcoran, Leeder and Phelps (2012) also give a definition for Outcomes in medicine, but these authors considered outcomes in the patients’ perspective, and it includes physical, mental, social and spiritual health, quality of life, life satisfaction, lifestyle, and the process of the health intervention. Other author (McAuliffe, 1998) also describes the definition of outcomes as the patient’s perceptions, and as results of the care received, considering symptom severity, functional capacity and quality of life. Some of those statements can also be applied to the nursing...
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...Marilyn. Nursing Theories and Nursing Practice. Philadelphia: F.A. Davis Company, 2005. Parker's book offers detailed information about nursing theorists and their work towards developing nursing theories. She intends to honor the work of the theorists by emphasizing the significance of the theories in the field of nursing and its development as a profession. she includes illustrations and statements that are very helpful in understanding the theories. Each chapter was developed having different pattern depending upon the context and its scientific perspective. It aims to give an encouragement for contributors and to make each chapter complete and interesting. This book offers assistance to nursing students in exploring and appreciating nursing theories and their use in nursing practice and scholarship. Rather than a practical handbook to producing and/or publishing, this book is indispensable because of its honest perspective and its encouraging approach. This book is very useful in making concept analysis because every concept is clear and organized in a way that it can easily be understood. Moreover, its content are very detailed and extensive which made it very favorable. Walker, L.O.,& Avant, K.C. Strategies for Theory Construction in Nursing(3rd ed.). Norwalk, CT: Appletion & Lange, 1995. The book of Avant and Walker offers detailed and easy-to-understand information about constructing theories in nursing and a very detailed step in analyzing concepts. Each chapter...
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...comparison. Accuracy and consistency are essential when providing patient care and it should be displayed within nursing practice, communication, and documentation. Institute of Medicine reports that there are over 98,000 deaths caused by preventable errors (1999). The purpose of this paper is to respond to a peer reviewed concept analysis article, describing the method of analysis, the steps of the process, results for each step and to apply the concept to a practice situation. Concept Analysis The Electronic Health Record (EHR) improves the exchange of patient data, accuracy, and quality of patient care. Poor communication and technology can impede a positive outcome for the patient. A core competence of nursing is documentation of patient’s response to nursing interventions and effectively communicating the care given. In the article Concept Analysis of Similarity Applied to Nursing Diagnoses: Implications for Educators the author uses the Walker and Avant concept analysis of similarity. In nursing, concept analysis clarifies unclear concepts and gives a mean to common understanding within nursing practice. “The purpose of a concept analysis is to describe the concept well enough so that defining characteristics can be determined and used to distinguish “likeness or unlikeness” between concepts” (Walker & Avant, 2005, p. 64). Wilson developed an 11 step process in 1963 that defined the concepts to improve communication and comprehension of the meanings of terms in...
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...another job as a medication assistant at Austin Community College (ACC). This job allows me to collaborate with a nursing instructor by educating level one nursing students in a hospital setting in medication administration safety, basic nursing skills, critical thinking skills, evidence-based practice, core measures, and providing effective and holistic nursing care. My goals as a nurse is to build a trusting relationship with my patients and promote the patient’s sense of control in order to attain quality, holistic health. These goals are very similar with my ACC students. As I assist in teaching them how to reach their potential as a future nurse, I want us to trust each other, and I want them to be autonomous in researching answers themselves to provide quality care. My nursing care before this class was more focused on evidence-based practice since I did not consciously incorporate theory into my bedside practice. This personal framework paper will review my personal values, beliefs, and nursing philosophy in relation to my bedside nursing practice and medication assistant position. I will describe Erickson, Tomlin, and Swain’s Modeling and Role Modeling Theory (MRMT) and how it applies to the nursing metaparadigm and my nursing practice. I will further compare and contrast the theory of Modeling and Role Modeling to my philosophy and approach to nursing, and describe a situation in which my framework could have been applied. Philosophy Empiricism is a philosophy...
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...Theories The purpose of the nursing theories is to provide an interrelating framework focusing on the nursing practice. The defined nursing theories promote better patient care, improve the status of nursing profession, and improve the communication between the nurses, and provide guidance to the researches and education (Keefe, 2011). Not all nursing theories have the same meanings; however, they play the important role of explaining the key concepts and principles of nursing practice in understanding way. Dorothy Orem’s Self-Care Deficit Theory and Sister Callista Roy’s Adaptation Model are considered as grand nursing theories. The grand nursing theories are a conceptual model, which identifies the focal point of nursing inquiry and guide the development of mid-range theories that will become useful to nurses and also to other health professionals. According to Walker and Avant (2011), these theories contributed in “conceptually sorting the nursing from the practice of medicine by demonstrating the presence of distinct nursing perspectives.” In this essay, Orem’s Health Care Deficit Theory and Sister Callista Roy’s Adaptation Model are compared and analyzed for their importance in nursing. Orem’s Self-Care Deficit Theory Orem’s Self-Care Deficit Theory is one of three grand theories written by Dorothea E. Orem. According to Orem, nursing becomes necessary when an individual can no longer care for him or herself. Nursing provides care through acting, guiding, supporting...
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