...Transcultural Nursing Model Transcultural Nursing Theory Transcultural Nursing Theory was developed by Madeleine Leininger. The theory first appeared in Leininger’s publication in 1991 but the theory itself was developed in the 1950s. Early in her nursing practice, Madeleine Leininger through observation, recognized that there was an important component of patient care that was missing. She noticed the lack of recognition and integration of patient’s cultural background into their plan of care. She recognized that patient’s cultural background influences their responses to health and illness and more importantly she believed that part of viewing the patient as a whole is taking into account their culture and cultural background in developing a plan of care. Her theory attempts to provide culturally competent nursing care through “cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are mostly tailor-made to fit with individual, groups, or institution’s cultural values, beliefs, and lifeways.” The goal is to improve health outcome for people who are of different cultural backgrounds. Transcultural Nursing Theory has 3 components to it, the assessment, nursing care plan and evaluation. Leininger believed that a culturally friendly care for the patient begins with a culturalogical assessment which take into consideration the cultural background of an individual patient in relation to his or her health experience. This assessment also require...
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...Professional Nursing Reflection M. Ott University of Wyoming Introduction to Higher Education in Nursing NURS 3010 April 14, 2013 Professional Nursing Reflection Nursing is a practice that has been described as a science an art. It has many definitions and many philosophies that guide its practice. Nursing lacks a singular, definitive theory or philosophy. Individual develop their own philosophies and theories based on their values, beliefs and professional identities. As registered nurses that are seeking to advance our education and become professional nurses, defined as a registered nurse with a Bachelor’s of Science Degree in Nursing (BSN), we need to be able to describe our current professional identities. We need to use the critical thinking skills that are so essential to the practice of nursing to analyze how we apply current theories and philosophies to our own nursing practice. How do our personal theories and philosophies compare to the current thoughts out there today and how can we develop a plan to continue to grow professionally as nurse leaders? We are simply applying certain steps in the nursing process to our way of thinking about our practice and future growth – assess, plan, and implement. I. Professional Identity – Knowledge, Theory and Philosophy I am currently a direct care provider in an emergency department at a Level I trauma center academic hospital. As an emergency room registered nurse (ER RN) I know that I am in...
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...The Virginia Henderson Need Theory Samantha Hodge Estrella Mountain Community College English 102 Professor Jason Guertin December 18, 2015 The Virginia Henderson Theory Nursing theories have been in existence for many years, however, the use of these theories in practice have been minimal (Younas & Sommer 2015). In many nursing schools however, students are mandated to apply nursing theories. Application of these have indicated improved organization in practice and higher quality of care, while in reality practicing nurses do not utilized these teachings (Younas & Sommer 2015). In this paper, Virginia Henderson Theory will be analyzed to show how it can be applied to the clinical setting. The components of this theory as it relates to human needs will be examined and the nurse’s role with regards to patient care. The Need Theory Henderson’s theory surrounds the concept of getting the patient to a state of independence, so as to promote continued wellness after hospitalization (Younas & Sommer 2015). The theory also grouped nursing care into fourteen components which are very similar to Maslow’s hierarchy of needs diagram. These needs range from physiological needs, which accounts for the first nine components to psychological needs which covers the tenth and fourteenth components (Younas & Sommer 2015). The eleventh component deals with the patient’s spiritual and moral needs, and the remaining two components are sociological...
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...Nursing Theory Plan of Care Nur/513 May 16, 2011 Introduction Nursing theories describe and explain the phenomena of interest to nursing in a systematic way in order to provide understanding for use in nursing practice and research. Nursing theories provide a framework for nurses to systematize their nursing actions: what to ask, what to observe, what to focus on and what to think about. They provide a framework to develop new and validate current knowledge. Researchers use nursing theories to define commonalities of the variables in a stated field of inquiry, guide nursing research and actions, predict practice outcomes, and predict client response. Analysis of the Congruence and Theoretical Statements Henderson define nursing as helping people, sick or well, in the performance of those activities contributing to health and its recovery that they would perform unaided if they had the necessary strength, will or knowledge (Fitzpatrick & Whall, 2005). It is the function of nurses to help people become independent as rapidly as possible. She saw how nursing could focus on the patient and on developing a good nurse-patient relationship. She believed that the patient-focused nursing was the most beneficial kind of nursing. Henderson emphasized the use of nursing care plan. To develop effective care plan, collection of necessary information is important. She developed the 14 Basic Needs in her Theory (Fitzpatrick & Whall, 2005) as basis of individualized nursing...
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...Professional Nursing Reflection Professional Nursing Reflection Nursing is a practice that has been described as a science an art. It has many definitions and many philosophies that guide its practice. Nursing lacks a singular, definitive theory or philosophy. Individual develop their own philosophies and theories based on their values, beliefs and professional identities. As registered nurses that are seeking to advance our education and become professional nurses, defined as a registered nurse with a Bachelor’s of Science Degree in Nursing (BSN), we need to be able to describe our current professional identities. We need to use the critical thinking skills that are so essential to the practice of nursing to analyze how we apply current theories and philosophies to our own nursing practice. How do our personal theories and philosophies compare to the current thoughts out there today and how can we develop a plan to continue to grow professionally as nurse leaders? We are simply applying certain steps in the nursing process to our way of thinking about our practice and future growth – assess, plan, and implement. I. Professional Identity – Knowledge, Theory and Philosophy I am currently a direct care provider in an emergency department at a Level I trauma center academic hospital. As an emergency room registered nurse (ER RN) I know that I am in a unique role as a provider of care. The American Nursing Association has recognized emergency nursing as a specialty...
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...Applying Orem's theory to care for patients with neurogenic bladder INTRODUCTION The core of nursing is theory guided practice. Nurses uses concepts, principles and theories of nursing to meet the health needs of the patients. Nursing practice is the art and science of caring and healing. In order to provide holistic and effective interventions, nurses use the theories to develop plan of care. Nursing is a combination of theories and it always guides practice. Theory-based nursing practice is the “application of various models, theories, and principles from nursing science and the biological, behavioral, medical and sociocultural disciplines to clinical nursing practice” (Kenney, 2013, p. 333). As one of the oncology and rehab nurse we come across many patients who suffer from neurogenic bladder problems. The importance of this paper is to educate about self-care for the patients with neurogenic bladder, with emphasis on Orem’s theory. The intent of this paper is to show how nurses use the theoretical principles in practice. Neurogenic bladder problems are seen in spinal cord injury patients. An article from the Journal of Nursing stated that each year about 11,000 people are affected by spinal cord injuries in United States. A number of cases have spinal tumors which may cause compression of the spinal nerves and cancer patients who have undergone sacrectomies, all end up with neurogenic...
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...Theory Congruence with Current Nursing Standards The Texas Board of Nursing (TX BON) states “A professional nurse is responsible for providing safe, compassionate, comprehensive nursing care to patients and their families with complex healthcare needs” (Practice- Registered Nurse n.d.). One of the standards set forth by TX BON is “the maintenance of health, or prevention of illness”. Leininger’s theory says when an individual’s cultural expectations are not met or overlooked can delay progress or lead to worsening health. A nurse is not able to maintain health or prevent illness if he/she is faced with the obstacle lacking cultural knowledge and awareness. Therefore, nurses must approach each patient encounter uniquely with what is learned through literature and from clinical experiences in developing a nursing care plan. Another scope of practice defined by TX BON is the supervision and...
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...Jean Watson’s Caring Theory Nurses’ responsibilities to their patients are continually changing with the 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...
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...How Theory Affects Education: A 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...
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...Imogene King-Conceptual System and Theory of Goal Attainment Sharon Bilbrough Wesley College Theory and Evidence Based Practice NR507 Dr. Denise Morris November 11, 2014 Abstract Many people decide to pursue a career in nursing because they want to be instrumental in helping patients get healthy. In order to accomplish this, it is necessary to set health goals with the patient, and then take steps to achieve these goals. Imogene King’s Theory of Goal Attainment focuses on this process to aid nurses in the nurse-patient relationship, helping their patients meet the goals they set for their health. As a recognized global leader, Imogene King truly made a positive difference for the nursing profession and had a significant impact on nursing’s scientific base. She used three interacting systems in her Theory of Goal Attainment; the personal system, the interpersonal system, and the social system. According to King, the goal of the nurse is to help patients maintain health so they can function in their individual roles. The nurse’s function is to interpret information in the nursing process, to plan, implement, and evaluate nursing care. She was one of the first nurse theorists to link academic theory to evidence based nursing practice. Imogene King-Conceptual System and Theory of Goal Attainment Theorist Imogene M. King developed the theory of goal attainment, and was born January 30, 1923, in West Point, Iowa. During her early high school years, she decided...
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...Running Head: Self-Care Deficit Theory Concept Analysis: Self-Care ABSTRACT Dorothea Orem’s Self-Care Deficit Nursing Theory has been used as a basis for nursing care since she first proposed the theory in 1959. The focus of this paper is to define the Self-Care Theory in broad terms and to analyze the concept Self-Care Deficit Nursing Theory using the Chinn and Kramer “Integrated Theory and Knowledge development in Nursing” process. The SCDNT is an important theory in nursing and helps to guide the nursing process and improve patient care with measurable results. It is also an important theory for developing curriculum in nursing schools and has proved invaluable to care providers when performing self-care for others. 1 In 1959 Dorthea Orem, a nurse from Baltimore, Maryland, developed the theory of Self-Care defined as a condition that “in an adult is the absence of the ability to maintain continuously that amount and quality of self-care which is therapeutic in sustaining life and health, in recovering from disease or injury, or in coping with their effects. With children, the condition is the inability of the parent (or guardian) to maintain continuously for the child the amount and quality of care that is therapeutic “(Orem, 1995, p.53-54). Orem posited that to determine if people need nursing care then it is “ the inability of persons to provide continuously for themselves the amount and quality of required self-care because of situations of personal health” (Orem...
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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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...This week was much aprendizage, remember something learned in the progam RN and was the best to recount what has meaning for Florence Nightanle nursing career. I can say that I'm starting to see the difference in knowledge of a nurse with a BSN nurse with a regular partner. Learn what it means if the Evidence-Based Nursing, concept mapping, nursing process and learn from the theories in nursing. Knowing how important it is The Evidence-Based Nursing is a new movement That is based on the conceptual foundations of the Evidence-Based Medicine, it Arises as a Means for better nursing professionals to meet the challenges of Their Work,: such as the existence of a huge volume of scientific information Constantly evolving, the need to offer high...
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...family nursing that has developed into a fundamental aspect of nursing. Research of nursing has shown that individual poor health affects the entire family and not only an individual, plus, the effectiveness of health care is improved when emphasis is placed on family (Harmon & Hansen, 2001). There was no conceptual theoretical framework that was found in family nursing. Friedman, Bowden and Jones (2003), discussed the lack of a complete family nursing theory with their proposal “nurses must draw upon multiple theories to work effectively with families” (p. 62). This particular subject matter will discuss the family system and theories related to the up-and-coming to unite with family nursing. This will also portray stratagem to integrate nursing theories in the practice of family nursing. This includes family work as a system, concept of area of nursing practice, most helpful area in my nursing of practice, chosen concept of family and why is it helpful, theories conducive in the area of my practice and last, the conclusion. Family work as a system Family must first define themselves to have a better understanding on how to work as a family nursing system. In real life family is composed primarily mother, father, single, and married children. Family must have unity to function well. Each member of the family should first learn themselves how to become aware of their own characteristics in functioning within the family system. Family systems theory suggests...
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...of regulatory agencies and the nursing practice is regulated by the California Board of Registered Nursing (BRN). BRN is a state government agency that was established to regulate the practice of registered nurses. The BRN is responsible for implementation and enforcement of the Nursing Practice Act: the laws related to nursing education, licensure (NCLEX), practice, and discipline. BRN is responsible for issuing and renewing the licenses of nurse practitioners, register nurses, and licensed vocational nurses, along with setting standards for nursing programs and approving nursing program. (Board of Registered Nursing - What is the Board of Registered Nursing?, 2015) BRN related to our nursing practice for example “No person shall engage in the practice of nursing, as defined in Section 2725, without holding a license which is in an active status issued under this chapter except as otherwise provided in this act.” (Board of Registered Nursing - Business and Professions Code, 2015) On the other hand, a professional nursing organization like American Nurses Association (ANA) is the only nationwide nursing organization which represents the entire registered nurse population. ANA advances the nursing profession by fostering high standards of nursing practices, promoting the economic and general welfare of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the...
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