...statements to help define whatever we are discussing such as theory, research study. e. Help to integrate unrelated phenomena into a hypothesis which creates research. Critical to have very defined concepts and the concepts needed to be created into hypothesis so that you had something to study. That is critical when we discuss concepts and research i. Phenomenon is any even that can be experiences via senses, it is observable and can be seen. ii. Proposition: closed sentence or statement 1. Like geometry: If A=B and B=C, then A=C 2. Tend to be true or false 3. Content of beliefs and or assertions of the theorists. You will see a lot of theoretical statements and propositions that define what are the beliefs and values of a theorists in designing their grand model or model of theory II. Theory? f. A set of multiple concepts, that have definitions and its their relationships among the concepts that present a systematic view of phenomenon g. What does that mean?...
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...Historical Perspective Essay 518 University of Phoenix December 16, 2012 Historical Perspective Essay The theory of adaption model developed over 40 years ago by nursing theorist Castilla Roy, is used in many fields of nursing especially areas of humanities and human science. Nursing theory provides the structural framework necessary for practice, and helps to further nursing knowledge providing an understanding of the scientific process, and the nurse’s role in the health care setting (Colley, 2003). According to Shosha and Kaladeh (2012) Roy’s model provided the nursing profession with a framework to help further model-based research with a methodological soundness not yet known to the profession. This short essay will explain why I believe that Roy’s early model of adaption has contributed to research and nursing development more than other theorists of her time and significantly helped to shaped nursing practice and the profession. Contribution to Research and Nursing Development From a historical perspective Roy’s Adaption Model (RAM) is one of the most useful conceptual frameworks backed by years of research that has guided nursing practice. According to Fawcett (2005) Roy’s model has provided the foundation for the survival of nursing practice and is used globally to further nursing research, practice, and education. RAM has helped to link the concept of the human element of response to stress and adaptation— that is an intricate part of the health...
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...Grand and Middle Range Theories Meriam Izobo Oakland University Grand and Middle Range Theories When one thinks of the word theory the next thought should be nursing because the foundations of nursing are built from nursing theories. The history of nursing holds a significance to theory in that theories help establish nursing as a profession (Smith & Liehr, 2014). Theories from the past in the Nightingale era and new theories today in the 21st century aid in the guidance of nursing practice and research (Smith & Liehr, 2014). In the twentieth century, nursing was not recognized as an academic discipline or a profession (Alligood, 2013). As theories such as the middle range and grand theories are being brought to the forefront of nursing education, nursing is being viewed now more than ever as a profession. The purpose of this paper is to compare and contrast the middle range and grand theories and discuss how they are relevant to nursing practice. A relevant and important concept for nurses to understand is that theory informs practice and research in the everyday world of nursing and that the existence of nursing is founded on theories (Smith & Liehr, 2014 ). Every procedure, assessment, and nursing intervention is related to and guided by nursing theory and it is every nurses obligation and responsibility to utilize theory into their practice. Theory is a key component in the history of nursing as an academic discipline and it is vital to the practice...
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...The purpose of this essay is to compare and contrast nursing metaparadigms formulated by Sister Callista Roy’s Adaptation Model and Dorothy Johnson: The Behavioral System Model. These two theorist are identified as grand theorist of the post-positivist era (1950’s-1990’s). The contrast and comparison is structured as Roy’s and Johnson definition of person, health, environment and nursing. Roy defines persons as an adaptive systems with cognation and regulatory subsystems working together to continue adaptation. Roy uses four modes of adaptation (physiological, self-concept, role function, and interdependence) that has to stay balance in order for the person to function at an optimal level. Johnson defines persons as behavioral systems with seven substructures (security, recognition, basic body supply, waste evacuation, sexual needs, defense, and fulfillment) needs to balance to prevent illness. Roy’s model is adaptive and Johnson’s theory of person is reactive to internal/external impulses. Roy defines environment as all conditions and all states of affairs in one’s life that affect development and behavior. Johnson explains environment as internal and external surrounding. Both theorist environments are influenced by one’s current situations that are fixed and those surrounding that are self-restrained. Johnson’s explains health as an adequate and capable function system. Johnson also defines health as observable system balance and security. Roy’s health is the state...
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...Florence Nightingale, the mother of nursing, is the creator of nursing theories in 1850s. Till 1950s, nursing practice was predominantly originated from social, biologic, and medical theories. Hildegard Peplau, the first lady who published nursing theory, started emphasizing on nurse-client relationship as the base of nursing practice with the publication of her book in 1952. This began a transformation in nursing. In 1950s and 1960s, it inspired many nurse theorists to deliver freethinking theoretical context for nursing education and practice. Their explanations of nursing and nursing models flourished from their personal, professional, and educational experiences sharing their opinion of ideal nursing practice. In late 1970s and early...
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...times. Jean Watson formed the “caring theory” to convey the significance and emphasize nursing as a diverse health profession. Using the Jean Watson’s caring theory enables nurses to maintain their perspective on caring for patients when overwhelmed with increased acuity, responsibility and workload. With the increase of patients and their needs, nurses often replace the caring attitude with an attitude of arrogance and hurried tasks, leaving patients and family members with belief that nurses believe they are here just to perform a job. By applying the Watson caring theory in caring for patients, “it allows nurses to practice the art of caring, to provide compassion to ease patients’ and families’ suffering, and to promote their healing and dignity but it can also contribute to expand the nurse’s own actualization” (Cara, 2003, p 2). Watson believes it is crucial that nurses apply caring values to their practice because it is essentially a byproduct in discovering the meaning of the nursing profession (Theory of Human Caring, n.d.). The foundation of this paper is to expound on the caring theory Jean Watson designed “to bring meaning and focus to nursing as a distinct health profession” (Cara, 2003, p 2). Description of the Theorist In the 1940’s, Jean Watson was born in West Virginia in a small town in the Appalachian Mountains. In 1961, graduated from the Lewis Gale School of Nursing, furthering her career at the University of Colorado in Boulder in 1964, received a bachelor’s...
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...Grand Theory Nursing theory is determined by a combination of ideas, explanations, relationships, and premise developed by nurses to describe nursing care and practices (Application Theory, 2012). Nursing theories provide knowledge and direction towards the guidelines of how to improve and perfect nursing care (Application Theory, 2012). There are three categories of nursing theories: grand theories, middle-range theories and situation-specific theories (Meleis, 2012). Grand theories focus on a wide range of “experiences, observations, insights, and research findings” (Meleis, 2012, p. 33). These theories are developed over many years of practice and study and are not subjected to empirical testing (Meleis, 2012). Middle range theories have a more limited focus and concentrate on more of a specialized situation in the nursing practice so they are subject to empirical testing (Meleis, 2012). Situation-specific theories concentrate on a specific situation and are limited to that subject matter (Meleis, 2012). The intention of this paper is to explore grand theories. Grand theories are divided into four sub-groups: needs, interaction, outcome and caring (Meleis, 2012). Some of the issues grand theorists concentrate on include the development of the patient to nurse relationship, a patient’s ability to adapt to environmental challenges, and self care deficits (Smith & Parker, 2010). To provide more insight into the specifics of grand theory, 4 theorists were...
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...across 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...
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...across 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...
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...is known as the “mother of modern nursing.” Her intelligence, classical education, religious beliefs as a Unitarian, and her family’s social status were all attributes that stimulated her drive to begin what nursing is currently. Nightingale’s Environmental Model is one of the earliest grand theories. It connects the concepts of the patient, the nurse, the environment, and health. Florence Nightingale pioneered the theory that the environment affects an individual’s health and illness, and that nurses can influence health by controlling environmental factors such as light, temperature, noise, sanitation, cleanliness, and diet. Florence Nightingale’s Environmental Model is still one of the most utilized theories today. It is known as a grand theory, but can also be used at the practice level. Keywords: Florence Nightingale, Environmental Model, environment, grand theory Florence Nightingale: Environmental Model Florence Nightingale was a pioneer of her time. She has had a great influence on what Nursing is today. Many nursing schools all over the world have been named after her and base their teachings after her original thoughts and theories. She was one of the first to inspire ideas such as equality for each patient, independent of their religion, sanitation regulations, and the idea that the environment can influence a patient’s health and illness. Florence Nightingale is known as the “mother of modern nursing.” She defined nursing as putting patients in the, “best...
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...The Historical Development of Nursing Timeline University of Phoenix Theoretical Foundations of Practice NUR/513 Alexandra Winter December 7, 2013 The Historical Development of Nursing Timeline The nursing profession continues to develop and transform in practice and roles mostly due to the development of nursing models and theories that promote evidence based practice. Nursing remains a profession of caring and service. The pioneers of this profession revolutionized this career and have allowed nursing to evolve while concurrently finding ways to provide better care. The earliest nurses did not attend nursing school; they were often women who provided care for the poor, sick or homeless without family support. In the middle ages, nurses who were affiliated with religious organizations, and they managed hospitals. In the 18th and 19th centuries, nursing expanded to include caring for soldiers wounded in war. The Civil War laid the foundation for a professional nurse. Their work changed the public's opinion about women in health care. Avant and Walker state that, “… during the mid-twentieth century and the years that followed, nursing leaders in the United States saw theory development as a means of firmly establishing nursing as a profession, and not just a task-oriented occupation with little autonomy” (Walker & Avant, 2011, Chapter 1). The historical development of nursing can best be explained using a timeline. Grand Theories – Broad Scope, General Concept...
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...Theory is educating a patient on their diabetes so they can be independent about taking care of their diabetes and outcomes. Education to the patient is very critical. Eventually the nurse set s goals set by the patient and evaluates the results of the plan. #11. Your “Self Care Theory” is considered a grand nursing theory, which is reflective of personal insights, useful practices designed by empirical testing, therefore one may considered this biased, would you agree why and why not? What do you consider to be the differentiation of your theory over some others classified under the same “Grand Theory” Category? No I don’t feel my Self Care Theory is biased because it’s a requirement of every person, not just a certain age group. Every person can benefit from my theory. My Self Care Deficit theory is said to be one of the Grandest Theories because it is most complex and has the broadest scope of all the nursing theories. My theory is also different because I did not stress mental health on this theory. #12. Since grand theories consist of conceptual systems and broad perspectives for practice, what other theorist would you consider to be the closest to your nursing perspectives? I consider Virginia...
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...Chamberlain College of Nursing Instructor Jodi Protokowicz 7/16/15 A nursing theory provides a view or window into the reality of nursing (CCN, 2015). Nursing theories are basic concepts that define nursing practice and provide the explanation to why nurses do what they do. I have given no thought to the use of nursing theory until taking this nursing class and this assignment is proving very difficult to follow. I have utilized nursing theory in my everyday work of nursing. A nurse will use multiple nursing theories during the scope of their day. These theories guide how nurses treat their patients, how tasks are performed and assessments or interventions are carried out. Critical thinking skills start by studying nursing theory. Nursing theory is theoretical practices to gain insight and knowledge on a particular concept. The theory I have selected to use is the Roy adaptation model which is a grand theory. The purpose of this assignment is to identify a nursing theory which is the Roy adaptation theory, analyze the importance of the selected theory to the nursing profession and summarize key concepts and relationships among the concepts of the selected nursing theory. I will analyze how the Roy Adaptation Theory relates to nursing education. Importance of Nursing Theory Nursing theories were developed to help define the unique practice of nursing as its own separate profession. If it wasn’t for early theorists like Florence Nightingale, the nursing profession wouldn’t...
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...Importance of Theory Paper Robert Costello Chamberlain College of Nursing NR501: Foundational Concepts and Applications March 2016 Importance of Theory Paper The nursing philosophy is a group of concepts that help provide a method for treating and caring for patients. Nursing theory also can be an instrument of effort that emphasizes scientific facts, it will also show the trends of views of the wellbeing -disease course of action and the practice of healing care. The different nursing theories that have been planned contain ways in which patients should be treated. Principles of nursing theories require the nurse to assess the patient and understanding how the patient will respond to the cost of his or her illness. Theory is defined as "a belief, policy, or procedure proposed or followed as the basis of action". Nursing theory is "an organized framework of concepts and purposes designed to guide the practice of nursing (Nursing Theory, 2015)". Nursing philosophy helps guide nurses in their everyday nursing routine to help give their patients the best quality care. The three types of nursing theories in nursing are, nursing practice, grand theory, and middle range theory. Research and Studies results show, that nurses who incorporate nursing theory in their practice, give the best care to their patients. I will explain how Orem’s nursing theory on self-care helps patients achieve the goal of taking care of themselves with the help and guidance of the nurse....
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...Five Stages of Nursing Theory and Philosophy NU 500 UNIT 1 June 6, 2012 Jeanne Greer, RN Saint Joseph's University Five Stages of Nursing Theory and Philosophy Nursing has made phenomenal achievement in the last century that has led to the recognition of nursing as an academic discipline and a profession. According to Fawcett (1980), a move towards theory-based practice has made nursing meaningful (p. 10). When talking about nursing theory development, it is important to identify the stages that nursing theory development has gone through to define and guide nursing practice. It is widely believed that the use of theory offers structure and organization to nursing knowledge. George (2002) defined theory as “a set of concepts, definitions, relationships, and assumptions or propositions derived from nursing models or from other disciplines and project a purpose, systematic view of phenomena by describing, explaining, predicting, and/or prescribing”(p. 3). Theory development seeks to help the nurse understand the practice in a more complete and insightful way and provides a method of identifying and expressing key ideas about the essence of practice. Theory development is a complex, time consuming process that covers a number of stages or phases from inception of concepts to testing of theoretical propositions through research (Taylor & Renpenny 2011) Kidd and Morrison (1988) described five stages of nursing theory development (McEwen &Wills...
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