...have axiological and epistemological assumptions that are considered distinct. This paper, therefore, seeks to identify some research components within a research project, and evaluating the results of these projects by assessing the studies strengths and weaknesses of the study articles, within the qualitative and quantitative paradigms. The two principal articles of this study include; Impact of a smoking cessation educational program on nurses interventions, and the conceptualizations of culture and cultural care among undergraduate nursing students. Overview of Quantitative Article Vandenberg & Kalischuk (2014) in their article titled, “Conceptualizations of culture and cultural care among undergraduate nursing students”, pursues the audience of their readers by giving insights into the culture and cultural care. These authors depict the reasons why these elements have significantly become necessary within the nursing and healthcare industry. According to them, the values that underlie the conceptualization of these approaches differ, a factor that has resulted in critical analysis...
Words: 2212 - Pages: 9
...419218 zak / Research IssuesNursing Science Quarterly NSQXXX10.1177/0894318411419218Florc Research Issues Research Based on the Roy Adaptation Model: Last 25 Years Nursing Science Quarterly 24(4) 312–320 © The Author(s) 2011 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/0894318411419218 http://nsq.sagepub.com Callista Roy, PhD; RN; FAAN1 Abstract Two key events lead to the prominence of links among Roy’s grand theory, derived middle-range theories and the design of research. The author in this column describes this work in two formats. Essential details of two areas of research are presented in episodic form—the first is work on secondary analysis of Roy model-based research over 40 years and the author’s study of persons’ cognitive recovery from mild head injury.The second is a project on re-conceptualizing coping and adaptation processing in sequential detail within the context of work in the field and the significance of on-going work for nursing practice. Keywords adaptation, coping, middle-range theory, research, Roy adaptation model The story of research based on the Roy adaptation model (RAM) can be told in many ways. When asked to write about research based on the RAM in the past 25 years I considered the major events of those years and also how to organize a description of the resulting research. First, I considered that it was 20 years ago that the first group presented a synthesis and critique...
Words: 6607 - Pages: 27
...An increasing number of educators have begun to discuss how leadership evolves to match this quickly changing world. Usually people believe good leaders should have outstanding charisma and skills in order to lead successfully. This essay, however, will examine the servant style of leaderships which, rather than relying upon command and control, is structured from the bottom-up. That is, servant leaders approach the organizational goals by establishing the organization’s norms to help people who is in need.(Tiaki, 2014). Servant leadership is of 3 core elements: listening, conceptualization and stewardship. This essay will discuss these three elements and demonstrate how they work in action by examining the life and exploits of Martin Luther King. When discussing about the servant leaders, the ability of listening can be emphasized at the very beginning. That is more than just listening. This is where making conscious efforts to hear not only the words that another person is saying but, more importantly, try to understand the complete message being sent. According to Nichols(2009),good listeners try to understand and realize what speakers say to them and no judgment will be delivered. So good listeners not only make speakers perceive that what they are talking about is interesting to the listeners but also to get information, understand and learn at the same time. For examples, If students can pay more attention and patience to listen to what teachers say in the lectures obviously...
Words: 1997 - Pages: 8
...Importance of Theory Paper THE ROY ADAPTATAION MODEL Kandace Wood Chamberlain College of Nursing Course Number: N501 March 2015 Introduction: Theories and models despite not being synonymous are used interchangeably in nursing. In general a theory is considered to be a speculative statement that is concerned with some elements of reality that are not yet proven. There are a number of theories in the field of nursing also which are used to support practice and decision making. In this regard, Viki Burges writes, “The application of individual nursing practice is based on a combination of scientific, medical, philosophical, psychological, sociological, and nursing theories. There is no one theory that fits every situation, area of practice or practitioner” (Burges, 2009). There are a number of grand theories in nursing of which one is the Roy adaptation model. This model was developed by Sister Callista Roy as a framework for theory, practice, and research in nursing. An important fundamental assumption in the Roy Adaptation model is that the person is a bio-psycho-social being who is in constant interaction with a changing environment. Despite being considered a complex model, it has been used widely and several research studies have highlighted its importance and effectiveness in health care settings. Basic Assumptions of the Roy Adaptation Model: The basic assumptions of the Roy Adaptation model have been discussed...
Words: 1239 - Pages: 5
...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...
Words: 1936 - Pages: 8
...Kolcaba’s Comfort Theory Katherine Kolcaba is the founder of the comfort theory in nursing. She was born in Cleveland, Ohio; where she has spent most of her life. In 1965 she became a graduate of St. Luke’s school of nursing obtaining a nursing diploma. After working for many years in the areas of medical surgical nursing, long-term care, and home care. She had a promotional offer that required an academic degree. After completing the required prerequisites she went to Case Western Reserve University and in 1987 graduated in the first RN to MSN class with specialty in gerontology. During her years of work as a head nurse, she began to see comfort in a theorical context. She advanced her education and in 1997 obtained a PhD in nursing from Case Western University. Dr. Kolcaba is an associate professor at the University of Akron, Ohio, where she teaches an undergraduate course titled Nursing Care of Older Adults and graduate courses in research, theory, professional roles, and domains of nursing knowledge. Her areas of expertise include gerontology, end- of- life, long-term care interventions, comfort studies, instrument development, nursing theory, nursing research, and magnet status. (Kolcaba, Tilton, & Drouin, 2006, p. 648). Components of the theory The back bone of the comfort theory is the taxonomic structure grid of 12 cells. It intercalates the three types of comfort with the four contexts of human experience. The three types of comfort are; relief is the state of...
Words: 1414 - Pages: 6
...A large hospital has hired the services of a performance management consultant to provide one-day workshop training to their nurse supervisors. A new model of nursing requires the performance appraisals to be conducted to ensure the implementing of this new model. This six month based performance appraisal requires evaluating the nurses and interviewing the nurses to discuss the future improvements. This training program had failed poorly and any positive outcomes from training were next to nothing. I will analyze the short comes of this training and discuss of ways to make it better with the help of various learning and motivation theories. Analyzing this case with Gagne’s learning outcomes can show us what is learned from this training program and what was not learned. Gagne's classified the learning outcomes in five general categories. According to him, training programs are usually focused on one or more of these learning outcomes. In this case, the expected learning outcomes of the training program and what trainees learned are as following: * Verbal Information – declarative knowledge Administration wants to bring in a training program for the nurse supervisors to get the information, knowledge and principles to conduct the performance appraisals bi-annually. * Intellectual Skills – procedural knowledge Procedural knowledge was an essential part of this training as the participants were informed of the concepts, rules and procedures to conduct performance...
Words: 2104 - Pages: 9
...making decisions about the care of individual patients.”3, p. 3 The National Quality Forum’s report A National Framework and Preferred Practices for Palliative and Hospice Care Quality is a consensus report that is a first step toward introducing evidence-based measures into palliative practice on a formal, national level.4 The Agency for Healthcare Research and Quality (AHRQ) supports organizations in their efforts to improve the quality and efficiency of healthcare by facilitating the use of evidence-based research findings in clinical practice.5 The nursing discipline has also embraced evidence-based practice over the past 25 years, initially through its support of “research utilization,” the integration of research into nursing curricula, and the education of nurse scientists. Sigma Theta Tau International, the Honor Society of Nursing, considers evidence-based nursing “as an integration of the best evidence available, nursing expertise and the values and preferences of the individuals, families, and communities who are served.”6...
Words: 1545 - Pages: 7
...defined as symbiotic relationship between nurses, doctors, paraprofessionals, patients, and insurance companies. This multifaceted symbiotic relationship has each involved party complementing and enhancing the other for reasons that often independent of each other. Nurses often act as the intermediaries between doctors and the families of patients, while also servicing patients to insure a return to health along with being held accountable to the facilities who employ them. Nursing, meets the generally accepted definition of a profession based on the above listed standards: Although there is no overall consensus as to what constitutes the proper attributes of a profession, the following characteristics are commonly noted: a unique body of knowledge, altruistic service to society, a code of ethics, significant education and socialization, and autonomy in practice, i.e. reasonable independence in decision-making about practice and control of the work situation and conditions. While it could be argued that nursing meets many of these criteria, it is clear that it does not now and never did have autonomy, understood as the ability to control its own work – a major characteristic of a profession. (Liaschenko & Peter, 2004) Sweeping federal laws have recently been passed that offer universal health care of citizens of the United States on a scale that has never been attempted before. The bill expressly excludes coverage for individuals who are in the United States illegally...
Words: 1338 - Pages: 6
...to examine the concept because unhealthy stress can cause multiple effects on the caregiver and patient. Positive forms of stress can be beneficial to practice, and negative forms of stress can put practice in danger. A conceptual analysis of stress will strategically define the concept, explore antecedents, and pinpoint consequences associated with stress. The mental and physical effects of stress will be examined, and the link between effects and antecedents will be established. The antecedents of stress are essential to identifying the underlying problem, and prevention methods can be implored once those problems have been identified. In addition, cases will be presented reflecting the use of stress to educate the reader with knowledge and recognition of the concept. A model case, related case, contrary case, and borderline case are given in the text as examples to illustrate the concept of stress. A Conceptual Analysis of Stress Stress is a concept that derives from strain placed on a human being. Dictionary.com (2012) defines stress as “mental, emotional, or physical strain or tension”. Positive and negative aspects of stress exist depending on the particular incident or situation. Stress can be activated when a student is nervous about presenting a speech, or a supervisor is worried about his first day on the job. There is no real danger present, but the person experiences feelings of anxiety and hesitation. This type of stress is considered positive, because it is designed...
Words: 2283 - Pages: 10
...Family values paper Health begins at home, if family adapts healthy life styles, eat healthy meals, and involve exercise regime, then it benefits every member of the family. Applying this principle of family health to nursing practice, gives us a concept of family nursing. In this set up nurse develops care plan which revolves around client and his family. Involving family in care helps patient and family members bond better during the critical times and it also results in improved patient outcomes. Nurses can use multi-disciplinary team approach to educate family members and introduce them to different aspects of patient needs post discharge. Family members can be educated regarding dietary needs, swallowing and aspiration precautions, mobility issues and patient transfers, assistive devices and lastly and most importantly medication regimen. This education can be further classified into categories such as wound care, tubes and drain care. Community resources and community services need to be included in plan. Resources such as community health services and public health clinic are added value to family nursing. As these services work for not just the client but the welfare of the whole family and they help prevent hospital visits and ER visits. Family nursing is relatively new concept in patient care but it is showing growth in the patient care area. Since we have new healthcare restructuring in process, this has introduced rapid growth of managed care systems. Part of this...
Words: 1531 - Pages: 7
...to examine the concept because unhealthy stress can cause multiple effects on the caregiver and patient. Positive forms of stress can be beneficial to practice, and negative forms of stress can put practice in danger. A conceptual analysis of stress will strategically define the concept, explore antecedents, and pinpoint consequences associated with stress. The mental and physical effects of stress will be examined, and the link between effects and antecedents will be established. The antecedents of stress are essential to identifying the underlying problem, and prevention methods can be implored once those problems have been identified. In addition, cases will be presented reflecting the use of stress to educate the reader with knowledge and recognition of the concept. A model case, related case, contrary case, and borderline case are given in the text as examples to illustrate the concept of stress. A Conceptual Analysis of Stress Stress is a concept that derives from strain placed on a human being. Dictionary.com (2012) defines stress as “mental, emotional, or physical strain or tension”. Positive and negative aspects of stress exist depending on the particular incident or situation. Stress can be activated when a student is nervous about presenting a speech, or a supervisor is worried about his first day on the job. There is no real danger present, but the person experiences feelings of anxiety and hesitation. This type of stress is considered positive, because it is...
Words: 2278 - Pages: 10
...Calayan Educational Foundation Inc. Maharlika Highway, Red-V, Lucena City College of Nursing ------------------------------------------------- Sugay/Edades/Suayan/Ramirez/Catausan: REPORTERS Objectives: 1. To identify the main characteristic of grounded theory. 2. ------------------------------------------------- To critically evaluate the methodology of grounded theory. Grounded Theory Grounded theory was developed in 1960’s by two sociologist, (Glaser and Strauss, 1967) one of whom (Strauss) had strong theoretical training in symbolic interaction. One of their earliest studies was grounded theory on dying in hospitals in which the prime controllable variable was characterized as “awareness context”. Definition of Grounded theory Glaser and Strauss(1967) • GT is the discovery of theory from data systematically obtained from social research. • The strategy used in this discovery process is method of constant comparative analysis. • The purpose of GT is to explain the data (concepts) (Strauss and Corbin 1990) • GT is inductively derived from the study of the phenomenon it represents (instead of starting out with a theory and proving it) • Data, analysis and theory are constantly interacting (having a “dialogue” with each other not isolated but are parts of a conversation) • The purpose of using GT method is to develop a theory from the data being examined (theory fits what is seen in the data) Grounded theory is a type of qualitative research...
Words: 1341 - Pages: 6
...literature. Other reasons included: to provide a definition of the terms; and to help both educationalists and students interpret the concepts involved. Nurse educationalists and nursing students lack a clear understanding of the critical processes and this could severely diminish the profession’s ability to articulate issues that are imperative to the advancement of nursing practice in the future. This article recommends a model of critical analysis that can be used by students and educationalists. It suggests that critical thinking and analysis are interrelated and complementary, but not synonymous. It gives examples of the model’s components in order to clarify their meaning. The model will hopefully give students a premise on which to base their assignments, and nurse educationalists will be able to incorporate it into their teaching practice. It will also provide an element of reality to critical analysis which will prevent it from becoming so abstract and idealistic as to render it impracticable. ANALYSIS OF THE TERMS Abstract The purpose of this article is to propose a model for critical analysis which can be incorporated into nurse education to enhance nurses’ understanding of the concepts and to assist students in undertaking academic assignments. It provides a definition and conceptualization of critical thinking and critical analysis, and highlights the...
Words: 6508 - Pages: 27
...Virginia Board of Nursing The Use of Simulation in Nursing Education Introduction This document provides information and guidance to schools of nursing (both PN and RN) in Virginia on the use of simulation in lieu of direct client care hours in the fulfillment of the clinical hour requirements for nursing education programs. As of April 2008, all RN nursing education programs approved in Virginia shall provide a minimum of 500 hours of direct client care supervised by qualified faculty, and all PN nursing education programs approved in Virginia shall provide a minimum of 400 hours of direct client care supervised by qualified faculty [18 VAC 90-20-120.E]. This document will outline the essential components and major concepts that are necessary when using simulation in lieu of direct client care. Background in Simulation Technological innovations are advancing practice across all domains of education and industry, and the same is true in nursing education. Simulation is gaining popularity as a means to provide innovative learning experiences and foster a richer understanding of didactic content. As nursing programs prepare to integrate simulation into nursing education, the Virginia Board of Nursing has prepared this outline of major concepts that need to be addressed when preparing and integrating simulation into nursing curricula. Simulated experiences provide the student with the opportunity to be involved in patient care experiences they may otherwise...
Words: 2175 - Pages: 9
