...Comparing Jean Watson’s Theory of Human Caring And The Neuman Systems Model Jayanna Volm Concordia University Comparing Jean Watson’s Theory of Human Caring And The Neuman Systems Model Nursing frameworks and conceptual models are imperative as a foundation for nursing practice. These frameworks provide recognition, understanding, and the ability to manage phenomena in which nursing comes into contact. These frameworks also provide the nurse with a systematic approach to interventions and goal attainment. The purpose of this paper is to compare Neuman Systems Model to Jean Watson’s Theory of Human Caring. According to Alligood and Tomey the Neuman Systems Model is classified as a nursing conceptual model. “Nursing conceptual models are concepts and their relationships that specify a perspective from which to view phenomena specific to the discipline of nursing. Different conceptual models provide various perspectives or frameworks for thinking critically and making nursing decisions” (Alligood & Tomey, 2010, p. 223). The nursing conceptual models are comprehensive and define the metaparadigm according to their framework. Tourville and Ingalls categorize the Neuman Systems Model as a systems model. They define a systems model of nursing as viewing “the person as a multidimensional being who reacts continually to a world of stressors” (2003, Systems Model, para. 1). Systems may be organizations, communities, businesses, or social structures. Within the large...
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...to encompass the breadth of the phenomenon. Stress also comes in the form of burnout. The burnout phase can begin at the point of psychological strain in response to chronic work stress. (Greenhaus 263) Burnout is a psychological strain in response to chronic work stress. Although initially it was thought that burnout was primarily associated with jobs with a high degree of human interaction, such as those in the social services and health care sectors, it is now recognized that burnout is more widespread and can appear in many occupations and industries. Burnout has been likened to job depression since emotional exhaustion is a symptom. Burnout has also been considered a problem of motivation because individuals suffering from this condition exhibit low engagement in their job. This essay will look at some of the major components of stress and burnout, as it relates to career management. I researched two articles found in the business source database, and my goal is to discuss some of the industry expert’s thoughts, opinions, as well as ways to cope and handle these emotional defeats of one’s career. This article explains the process up until when an employee reaches the phase of burnout. The authors examined the pattern of burnout change over time depending on career transition type. The authors challenged existing burnout theory by articulating how the 3-burnout dimensions should differ in their pattern of change over time as a result of their career transition types for...
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...Final Project: Case Study Jennifer is 29 years old she is married to Antonio who she met four years ago. They now live in Nebraska. Antonio works as an engineer for the county’s transportation department. Jennifer is an administrative assistant and has to travel an hour to get to her marketing office. Jennifer and Antonio have tried for over a year to have a baby. Jennifer had a miscarriage eight months ago. Antonio’s parents try to encourage Jennifer to focus on trying to get pregnant again by asking her if she is expecting again. Jennifer’s mother passed away two years ago. Now she is faced with the probability of placing her father in a nursing home in a few months because his health is deteriorating rapidly. While at work Jennifer is very dedicated. She is organized and prepares lists to assure that everything is done according to schedule. Everyone counts on Jennifer and she takes pride in never letting people down. Over the past six months Jennifer has been suffering from headaches, backaches, and indigestion. She has gone to the doctor many times for her symptoms. Jennifer insists that she is happy and is not feeling stressed, yet she finds herself making more mistakes at work, unable to keep up with housework, and feeling tired and overwhelmed. She has begun to question her effectiveness as an employee, wife, daughter, and potential mother. Her pains seem to be increasing, but her doctor cannot find a physical cause for her discomfort. 1) What are the causes of...
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...Application ORIGINAL XXX 1541-5147 ARTICLES International of Orem’s Self-Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman With Diabetes IJNT Malden, USAJournal Inc Blackwell Publishing of Nursing Terminologies and Classifications Application of Orem’s Self-Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman with Diabetes This paper aims to illustrate the process Coleen P. Kumar, RN, MSN, CNS, is Assistant Professor of Nursing, Kingsborough Community College, Brooklyn, New York. Introduction As the average lifespan is extended, more individuals are coping with chronic illnesses such as diabetes, which has reached epidemic proportions with more than 20 million people in the United States having this diagnosis (Gordois, Scuffham, Shearer, Oglesby, & Tobian, 2003). The American Diabetes Association (ADA) estimates that a million people will be diagnosed of diabetes every year (2004). Long-term complications of diabetes are costly to both the individual and the healthcare system. Over the past decade, diabetes research has focused on pharmacological approaches and lifestyle interventions to the illness (Odegard, Setter, & Iltz, 2006). Recent evidence in the forum of diabetes care revealed a need for healthcare professionals to assess and empower individuals in the self-management of this illness. For the purposes of this case study, health assessment by nurses was defined by Fuller and Schaller-Ayers (2000) as a process...
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...Calgary Assessment of the Fournier Family Danielle Fournier Elmira College Abstract Assessment, the first step in the nursing process, is a concept that must grasped in order for nurses to possess the solid foundation required to develop a plan and provide optimal care to their patients. This assessment is significant not only to individual patients, but their families, who are becoming increasingly recognized for their significance to the health and well being of individual family members. Nurses use a variety of tools in family nursing, and one of the most significant includes the Calgary Family Assessment Model (CFAM), developed by Wright and Leahey. CFAM is an integrated conceptual framework used for interviewing and making assessments of families. It consists of three major categories, structural, functional and development, and each category contains its own subcategories. This paper will demonstrate the assessment of my family, the Fournier Family, using the Calgary Family Assessment Model. Strengths and weaknesses of the family will be determined, information which is necessary for the development of three significant nursing diagnosis applicable to the family. Interventions to meet the outcomes of these diagnoses arise through collaboration between the nurse and family, as they develop strategies to promote, improve, and sustain effective family functioning. Through the use of this model, assessment, diagnosis and interventions will each be identified and applied...
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...Research and Theory for Nursing Practice: An International Journal, Vol. 25, No. 1, 2011 A Process of Decision Making by Caregivers of Family Members With Heart Failure Julie Sanford, DNS, RN University of South Alabama, Mobile Judith Townsend-Rocchicciolli, PhD, RN James Madison University, Virginia Annie Horigan, MSN, RN Duke University, North Carolina Pat Hall, PhD, CRNP Diagnostic Medical Clinic, Mobile, Alabama Heart failure (HF) is a major cardiovascular problem and the number of people living with HF continues to climb. Throughout the illness continuum, patients and their family caregivers are involved in decision making. As the illness worsens and patients can no longer make decisions, decision making becomes the responsibility of their caregivers who may have little preparation for the role. The purpose of this grounded theory study was to examine how caregivers of family members with HF make decisions. A nonlinear decision-making process consisting of several actions was identified, which included actualizing; seeking input, information, or support; reflecting; choosing; evaluating; and validating the decision. Keywords: decision making; heart failure; caregiving; grounded theory eart failure (HF), a complex cardiovascular syndrome, is increasing in incidence throughout the world. In 2003, the World Health Organization (WHO) noted that cardiovascular disease accounted for more than 16.7 million deaths (29.2%) of all deaths worldwide with 7.2 million...
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...knowledge and skills in wound identification, management, treatment and prevention. This, along with other factors, creates poor patient care and vast costs to the pertinent facilities. The solution is to have interprofessional collaboration. The utilization of current advanced practice nursing staff as a resource for floor nurses and other involved healthcare workers is a must. This would obtain certification in wound care and be responsible for the ongoing continued education for wound prevention, monitoring and maintenance. The staff will be educated and trained at quarterly intervals on wound identification, staging, prevention, maintenance and monitoring. Key words: wound care, evaluation, pressure ulcers, multidisciplinary, specialist, evidence The Significance of Having a Multidisciplinary Team 4 Problem Identified The Centers for Medicare & Medicaid Services (CMS) declared in October of 2008 that it will no longer provide reimbursement for hospital acquired pressure ulcers (HAPUs) because it is a preventable occurrence (CMS, 2014). Even though the percentages of occurrences have declined since then, HAPUs continue to cause financial strain on institutions (estimated $9.1- $11.6 billion dollars loss annually) (Leaf Healthcare Inc., 2014). Nurses are in a position to decrease these numbers but barriers remain. Staff nurses in acute care settings, as well as hospital based transitional units provide care for patients with...
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...Family Running head: Family Assessment My Sister’s Keeper Assessment of the Fitzgerald Family SBSN 360P Professor D. Hoitt, MSN, RN 21 March 2013 Abstract The purpose of this paper is to provide a selective assessment of the functional status of the Fitzgerald family. This premise of this assessment is to define areas of strength and or weakness is the family system. Due to the limited amount of contact with its members, this evaluation is not to be viewed as a comprehensive and exhaustive list of findings for this social unit. This is merely a limited overview of the family’s ability to cope and grow in spite of the chronic condition of promyelocytic leukemia in the eldest daughter. Identifying Data “My Sister’s Keeper” film adaptation revolves around the Fitzgerald family. Sickness causes the Fitzgerald family to stray from the traditional nuclear family model and become and extended family. The extended family includes at least one parent, at least one child, and at least one other non- parent/sibling member. (Hockenberry & Wilson, 2009)The story chronicles the events surrounding the life of Kate Fitzgerald, who is suffering from promyelocytic lymphoma. The story is told mainly from the perspective of Kate’s eleven year old sister, Anna Fitzgerald, who was genetically engineered for spare parts. We also get brief glimpses at the perspectives of her parents, Brian and Sara Fitzgerald. Very little time is spent portraying her brother, Jesse...
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...Advance concept of nursing I Unit 1 Nursing process The nursing process is an organized sequence of problem solving steps used to identify and to manage the health problems of clients .The nursing process is the framework for nursing care in all health care settings.When nursing practice follows the nursing process, clients receive quality care in minimal time with maximal efficiency. The steps of nursing process 1)Assesment 2)Diagnosis 3)Planning 4)Implementation 5)Evaluation Assessment An RN uses a systematic, dynamic way to collect and analyze data about a client, the first step in delivering nursing care. Assessment includes not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors as well. For example, a nurse’s assessment of a hospitalized patient in pain includes not only the physical causes and manifestations of pain, but the patient’s response—an inability to get out of bed, refusal to eat, withdrawal from family members, anger directed at hospital staff, fear, or request for more pain mediation. Diagnosis The nursing diagnosis is the nurse’s clinical judgment about the client’s response to actual or potential health conditions or needs. The diagnosis reflects not only that the patient is in pain, but that the pain has caused other problems such as anxiety, poor nutrition, and conflict within the family, or has the potential to cause complications—for example, respiratory infection is a potential hazard...
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...FOR THE DEGREE OF MASTER OF ARTS IN NURSING MAJOR IN NURSING MANAGEMENT BY: CONCHITA BRANZUELA BERGADO CHAPTER I THE PROBLEM INTRODUCTION: Quality of life among healthcare providers will matter on the quality and safety of patient care. Today the proportion of acute patients entering the health care system through emergency departments continues to grow and the number of patients in the Intensive care unit also increasing. In emergency room department, the Emergency medical services (EMS) workers are primary providers of pre-hospital emergency medical care and integral components of disaster response. The potentially hazardous job duties of EMS workers include lifting patients and equipment, treating acute injuries or life-threatening illnesses, handling hazardous chemical and body substances, and participating in the emergency transport of patients in ground and air vehicles. These duties create an inherent risk for EMS worker occupational injuries and illnesses. Healthcare workers in the Emergency medicine has evolved to treat conditions that pose a threat to life and have a significant risk of morbidity. Work-related stressors in which Emergency Department nurses encounter are numerous as a result of the hectic and chaotic environment in which they work. The main work stressors included the large number and continuous influx of patients, the increased patient acuity, and the lack of skilled nursing staff....
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...INTRODUCTION THE PROBLEM Nursing school is an exciting, challenging adventure that will demand much of nursing students in terms of time and energy. Because nursing is a discipline comprising knowledge from many related fields, student nurse will be asked to learn to think critically, synthesize information, and then apply it to situations involving live people. (Dewit, 2003) A student may face many challenges and stressors. However, nursing students are likely to experience even “more stress” than their friends and colleagues enrolled in other programs. To support this statement, a study comparing the stress levels of various professional students found that nursing students experience higher levels of stress than medical, social work and pharmacy students (Beck, et al.1997). Even more poignant, another study showed that “one third” of nursing students experience stress severe enough to induce mental health problems such as anxiety and depression. (Pryjmachuk, 2004). One source of stress of nursing students is their Learning Experience. The related learning experience is a series of planned activities in the community that would prepare students technically and professionally should they decide to pursue higher education in the health profession. Specifically, in a selected College of nursing, BSN students spend a maximum of 24 hours a week for their duty wherein they engage in activities such as nurse-patient interaction, nursing procedures, construction of...
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...you culture, but a strong relation with other cultural patterns to help. VII. The importance of rituals, symbols, beliefs when negotiating with the Chinese culture, as example: the meaning of a gift VIII. Cross cultural management: the relationship between managers and employees in France compare to Australia. IX. Conclusion X. References INTRODUCTION INTRODUCTION According to Schön (1983), reflective practice enables people to involve in a process of continuous learning, by learning from experiences. This reflective report is important for personal development and improvement, by choosing six topics, I will bring together theories/concepts and practice within cultural differences and people management (McBrien, 2007). The main goal was to reflect on the theories/concepts that we have covered during the module, and apply them to personal experiences/thinking, to show what we learned about culture...
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...GOFF, ANNE-MARIE, Ph.D. Stressors, Academic Performance, and Learned Resourcefulness in Baccalaureate Nursing Students. (2009) Directed by Dr. David F. Ayers. 135 pp. Despite extensive research establishing that stress affects problem-solving ability and coping, and leads to decreased learning, academic performance, and retention in nursing students, a paucity of research explores specific factors that could enhance these learning processes and outcomes. This explanatory correlational study examines the mediating effect of learned resourcefulness, the ability to regulate emotions and cognitions, on the relationships of stressors—both personal and academic—to academic performance in baccalaureate nursing students. Gadzella’s Student-life Stress Inventory (SSI) and Rosenbaum’s Self-Control Scale (SCS), a measure of learned resourcefulness, were administered to 53 junior level baccalaureate nursing students (92.5% female; 84.9% Caucasian; 9.4% African-American or Black) at a large urban university in North Carolina. High levels of both personal and academic stressors were revealed, but were not significant predictors of academic performance (p = .90). Age was a significant predictor of academic performance (p < .01) and both males and African-American/ Black participants had higher learned resourcefulness scores on the SCS than females and Caucasians. Total stress scores on the Student-life Stress Inventory showed that male participants perceived less stress (N = 4, M = 116.5)...
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...FNP Role Development Katy Lehigh Concordia University Wisconsin FNP Role Development For five decades nurse practitioners have been providing safe, effective, quality primary care services to all ages and populations. As a testament to their commitment and excellence nurse practitioners are being chosen as provider of choice by millions of Americans. Becoming a skilled provider is a dynamic process that occurs over time. Effective role development is essential in becoming a dynamic, compassionate, and knowledgeable clinician. Political Perspective Not all threats to our nation derive from foreign enemies. Our nation suffers within our own borders due to chronic illnesses, rising medical costs, wasted resources, poor coordination of care, and a lack of nationalized healthcare. “America’s health care system is in crisis: It is a ‘sick care’ system, not a health care system” (Blumenthal, 2012). The current healthcare system is fragmented, mismanaged, and poorly financed. Americans receive healthcare insurance through various means, such as government run programs, like Medicare and Medicaid, privately through their employer, private pay, or the purchase through an open market. Regardless of the many healthcare options the United States has to offer, 14.7% of the population remains uninsured (Shi & Singh, 2015, p. 199). “The existence of multiple payers makes the system cumbersome” and poses a billing and collection nightmare for healthcare providers (Shi &...
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...developments of others Context of practice r Set and maintain professional boundaries that are sufficiently flexible for providing interprofessional care Leadership r Be an advocate for students to support them accessing learning opportunities that meet their individual needs – involving a range of other professionals, patients, clients and carers r Prioritise work to accommodate support of students within their practice roles The effective mentor 17 The many roles of the mentor According to Homer’s Odyssey circa 800 BC, Mentor was the name of the person Odysseus asked to look after his son whilst he was away. The word ‘mentor’ now means a guardian, advisor and teacher. According to the NMC (2006) the key responsibilities of nursing mentors include: r Organising and coordinating student learning activities in practice r Supervising students in learning situations r Providing constructive feedback r Setting and monitoring objectives r Assessing students skills, attitudes and behaviours r...
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