...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...
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...Historical Perspective Essay NUR 518 Jane Cash Historical Perspective Essay There are many nursing theorist that have influenced the development of nursing research. Nursing Theorist have provided the interrelated frameworks of ideas which focus on nursing practice. Through clinical application and information, nursing science adds relevance to the care of patients in health and disease. Nursing theories provide guidance to researchers and educate nurses (Keefe, 2011) to look at different approaches in caring for their patients. This paper will show how one theorist most influenced the development of nursing research. The 1990's was the decade for research and expanded nursing theory. This period elevated the use of evidence-based and best practices in nursing (George, 2011). Transcultural Nursing was introduced in 1992 by Madeline Leininger. Leininger’s theory says that the goal of nursing care is to” provide care congruent with cultural values, beliefs, and practices’ (Alligood & Tomey, 2010). The cultural and sociocultural factors of each person affects how they take on factors, meanings, and expressions of health and caring systems. This theory has wide applicability in different settings. The interest is focused on nurses becoming culturally competent so they can provide appropriate nursing care to a growing culturally/ethnically diverse patient population. Nursing paradigms show a clear relationship among the existing theoretical works in nursing. Leininger is the...
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...Historical Perspective Essay: Dorothea Orem Historical Perspective Essay: Dorothea Orem Introduction The foundation for the nursing profession that provides principles to generate knowledge defines nursing theory. Successful nurses must be rooted in theory and understand the philosophy that drives their actions. Dorothea Orem is a nurse with a vision that studied human behavior, with the core concept of self-care in the patient/nurse relationship. This paper seeks to explain Dorothea Orem’s Theory including the contribution of her research as it relates to nursing development and paradigms of nursing. Dorothea Orem Caring for one’s self, as Dorothea Orem believes, is the responsibility of each person. “Self care is a deliberate, learned action performed by a person who has the powers and developed capacities to regulate their own functions in order to contribute and maintain their personal well-being” (Seed & Torkelson, 2012, p. 394-395). Orem believes that the responsibility of care is the patient’s, although at times, nursing care will be necessary. “The goal of nursing practice is to assist patients to become adequately prepared to engage in their own care, and thus, have improved patient outcomes and a better quality of life” (Simmons, 2009, p. 419). Orem’s theory contains three different systems, or stages; wholly compensatory, partially compensatory, and educative stage. A person requiring complete assistance, such as being...
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...Application of Watson’s Caring Theory Name Institution Affiliation Application of Watson’s Caring Theory Human Caring Theory by Jean Watson contributes to the existential nursing. It concentrates on authentically caring concerning the whole patient. This caring involves the patient’s spirit, body and mind to facilitate the healing process to persist at an optimum level (Watson, 2011). Watson defined it as a caring model, which includes both science and art; providing a framework that intersects with and embraces science, art, spirituality, humanities, and new dimensions of spirit-body-mind medicine in addition to nursing. The essay describes the idea of Watson’s theory, the application of Human Caring theory in nursing practice connected to personal case, and the relevance of Human Caring theory in nursing leadership related to nursing problem. Watson supposes that the theory is ever changing and ought to be open to the evolving nursing practice as well as the human phenomena dynamics. Watson elaborates by explaining that caring art and science goes past an intellectualization of the subject luring us into endless, but timely space to re-examine the recurrent phenomenon of the human ailment. Using such abstract notions of faith, love, hope, caring, trust, and spirituality to nursing art and science could help stratify the human caring concept (Watson, 2011). The current nursing practice is incredibly affected by the theories designed by Dr. Watson. Various...
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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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...Comparison and Analysis Across Theories Comparison and Analysis 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...
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...and Analysis 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...
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...NM1704: Applying a model of nursing roper, logan and tierney model This essay explores the preoperative care provided to one patient in a London hospital during one shift. This care was influenced by the holistic perspective to health. Arsing from the Greek for ‘whole’ this acknowledges physiological, psychological and social factors impacting the patient’s condition. (McFerran & Martin, 2008) It seeks to offer treatment inclusive of these factors rather than treating physical symptoms of a diagnosed disease in isolation. This essay will examine this within a Model of Nursing used in my clinical placement area - the Roper, Logan and Tierney model. The identities of both hospital and patient have been altered to maintain confidentiality and comply with the NMC Code of Conduct. (Council, 2008) During my placement I worked on a coronary care unit where I cared for a patient herein called Peter, a 60 year old White British male. Peter was single, lived alone and unemployed. He had a history of low mood and was admitted to a neighbouring hospital suffering symptoms of acute alcohol withdrawal syndrome (acute confusion, delusions and tremors). This arises when an individual reduces or stops alcohol consumption after prolonged periods of excessive alcohol intake. This can lead to tolerance, physical dependence and physical disturbances upon withdrawal due to the central nervous system reacting in a hyper-excitable state. (About.com, 2010) He was transferred to my area...
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... 3 | 4. | Case Study | 3 | 5. | Conclusion | 6 | 6. | References | 7 | Introduction For this summative report, I will reflect upon an aspect of my professional practice on the care with particular patient I nursed recently. Reflection is important. According to Greenwood (2001), it is the process of creating and clarifying the meaning of experience in terms of self in relation to self and also to the world. For the purpose of the reflection, this essay shall be written in the first person. In accordance with the NMC (2002) code of professional conduct, confidentiality shall be maintained and all names have been replaced to protect identity. Case Study Janet is a 67 year-old lady admitted a week ago for chest infection. We also discovered that Janet had developed a mild form of Type II diabetes mellitus from the levels of sugar in her urine and her blood sugar levels were mildly elevated. Soon after she responded to the treatment, we discovered that Janet is suffering from a mild stroke leaving her with expressive dysphasia. For her plan, we referred her to physiotherapist for her mobilization, speech therapist for her dysphasia and dietician for her dietary control of her type II DM...
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...objectives of the Governments “Putting People First” programme for social care (DOH, 2007). The Coalition continues this commitment towards personalisation of care with its “Capable Communities and Active Citizens” document (DOH, 2010). One key area to ensure that care is delivered in a systematic person-centred way is through effective care planning that involves the patient in the process as a key stake holder. Several systematic models to nursing care are available that will facilitate practitioners in ensuring that all needs of the individual are identified and met. This essay will define what is meant by the term “person centred care”, will explore the systematic nursing models of care delivery and will highlight good practice in constructing person-centred care plans. This will be done using examples of an original care plan (constructed by the author for a real patient whose name has been changed) - and will draw upon information and evidence from a range of contemporary sources. It is appropriate in the context of this essay to firstly define a “person”. A person should not be viewed as a mere physiological entity but rather as an intricate composite of characteristics that make up an individual personality (AHMD, 2007). The National Health and Hospitals Reform Commission (2008) stated that person centred care is the first principle for guiding the delivery of health care. It describes this as health care that is responsive to...
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...Professional Studies Assignment Introduction For this essay I will be reflecting on an incident from practice, by drawing on developing knowledge, understanding and the application of professional studies. Reflection offers an opportunity to learn through an experience. This allows us to develop or sustain effective practice (Johns, 2000). I will be using the Gibbs (1988) reflective framework to structure my reflection (see appendix A). I find this framework very easy to follow, and as Clodagn (2003), explains it allows a person to implement alternative actions to an event, if followed. The incident will be described and the influence of key issues relating to ethical theories and decision-making, illness journeys and lay and professional perspectives will be explored. Principles of nursing models will be looked at and their contribution to individual patient care. I will also look at resource management, quality assurance and the role of evidence-based practice. For the purpose of this essay, to maintain confidentiality, the patient will be referred to as Mr Charlie Wood, (NMC code of professional conduct 2002; 5.1). Incident The incident occurred when I was a student on a medical ward. Mr. Wood, age 80 had been admitted to hospital following a stroke. From this he had lost the ability to mobilise and speak effectively. He was a very dependent gentleman and counted on the nurses to undertake all aspects of his care. His wife, whose name has also...
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...Running head: THE DEVELOPMENT OF A NURSING PHILOSOPHY The Early Development of a Professional Nursing Philosophy: The Art of Caring University of Texas at Arlington In partial fulfillment of the requirements of N3645 Professional Nursing Mary Alice Wise, RN, MSN/Ed November 16, 2013 Online RN-BSN The Early Development of a Nursing Philosophy: The Art of Caring “A philosophy is a set of beliefs about the nature of how things work and how the world should be viewed” (Chitty & Black, 2007, p. 329). Chitty & Black also state that the most vital nursing knowledge is based on person, environment, health, and nursing. These are the foundation on what the theories of nursing were built off of. My personal philosophy builds on the foundation and encompasses Virginia Henderson’s philosophy. I believe a nurse should be someone who is caring, shows compassion, advocates for the patient, shows empathy, knowledgeable, and does whatever it takes to improve patient care/outcomes. Choice of Nursing Unlike most people, when I was only five years old I already knew what I wanted as a career later on in life. My grandparents were always in and out of the hospital for various different health problems, and my parents would usually take me to visit them. I enjoyed being involved in my grandparents care and was always asking questions to the nurses’ and wanting to help with anything I was able to. My grandfather was battling cancer, and when we were...
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...ROPER-LOGAN-TIERNEY TUESDAY, JUNE 26, 2012 THEORY GROUP A PRESENTS One draw of the field of nursing is the ability for nurses to individualize their care plans for their patients. In order to ensure that unique patients are able to get healthy, they need nursing care plans as unique as they are. This means assessment and evaluation of each patient before and during care. Nancy Roper's desire to become a nurse started in childhood, and as a result of her experiences and education, she, along with two of her colleagues, developed the Roper-Logan-Tierney Model of Nursing to assess patients' level of independence and provide the best individualized care for them. COMPONENTS/CONCEPTS OF THE MODEL Living is a complex process which we undertake using a number of activities that ensure our survival. The current model seeks to define 'what living means, and categorizes these discoveries into Activities of Daily Living (ADL). According to Roper, in a given circumstance, people are able to perform daily activities of living independently but when disease or hindrances occur, the nurse can use these activities of living to be able to assess the patient and identify interventions that can support independence in areas that may prove difficult or impossible for the individual on their own. The model assesses the individual's relative independence and potential for independence in ADLs,(considering their lifespan, development, and the five key factors on a continuum ranging from...
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...Contemporary Nursing Theories NUR513/Theoretical Foundation of Practice June 4, 2012 Lisa Ousley Contemporary Nursing Theories Introduction Nursing is a profession that employs the use of the combination of physical science, social science, nursing theory, and technology in the provision of care to others (Sigma Theta Tau International). Nursing theories serve as the groundwork for the practice of the profession. It guides every nurse on how to do things effectively and competently. This paper endeavors to give emphasis on contemporary nursing theories specifically focusing on a variety of aspects, such as definitions, concept statements, metaparadigms, philosophies, and conceptual models. Moreover, this paper also aims to tackle one particular nursing theory in relation to its application in practice. Contemporary Nursing Theories Early nursing theorists aimed in defining what is nursing; conversely, contemporary theorists discussed the metaparadigm concepts in more depth, gave high regard to nursing actions in particular, and attempted to provide the rationale about when is nursing necessary (Daniels, 2004). The works of contemporary theorists like Myra Levine, Dorothea Orem, and Sister Callista Roy as highlighted by Daniels (2004), serve as the theoretical basis for a variety of interventions in current nursing practice. Core Concepts In the theories formulated by Sister Callista Roy, which is known as the adaptation theory and in the -self-care theory by Dorothea...
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...Two Vulnerable Populations and Their Theories Quanisha Hobley Winston Salem State University Abstract Vulnerability is when an individual loses the ability to fully make informed decisions on his or her own. This paper will discuss the vulnerable population of people with mental illnesses, and the elderly. There are many groups of people that fit the “vulnerable population” category, to include: mentally disabled, socioeconomically disadvantaged, those with physical limitations, children, and the elderly population. Nursing theories should coincide with nursing care. Orem’s self-care deficit theory supports the elderly population. Peplau’s interpersonal theory supports those that suffer with mental illnesses. When I think of a vulnerable population, many population groups come to mind. Any individual that due to conditions, either acute or chronic, who has his or her ability to make informed decisions diminished is considered part of a vulnerable population. Vulnerability is a result of uncontrollable individual factors over which the patient has no influence (Creasia & Friberg, 2011). According to de Chesney & Anderson, Vulnerability is a general concept meaning “susceptibility” and has a specific connotation in health problems (2012). Individuals can become vulnerable at any time of their life because of change in circumstances, placing them at increased risk. One group considered to be a vulnerable population is the elderly. For many years, society...
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