...Katherine Kolcaba theory of comfort has created a new level of nursing. Promotion of comfort exists in all areas of nursing. Comfort is desired by patients of all ages and illnesses. There is a high importance in fulfilling comfort needs of the patient is order to achieve optimal health benefit and promote future health seeking behaviors. Keywords: Comfort, outcomes, quality, safety, and health promotion Comfort Theory was introduced by Katherine Kolcaba in 1994 (McEwen & Wills, 2014, pp 244). This theory gave the word comfort a whole new meaning. It explored comfort as a key element in nursing care. This mid-range theory identifies comfort as the means to achieving positive patient experience and outcomes. The concept follows...
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...Concepts and Theories in Nursing Module 8 November/2014 Running Head: EVALUATING THEORY7 C-BaC Model Evaluation The criterion-based critique model (C-BaC) was designed to assist in the identification of connections between nursing practice and various theories. The design of C-BaC is to utilize eight standards (or criteria) to help you make judgements about the value and use of a theory (Johnson & Webber, 2010). This paper will view the theory of self-transcendence using the C-BaC model. Pamela Reed’s Theory of Self-Transcendence focuses on enhancing well-being of the whole person in the context of health experiences by means of self transcendence(Parker & Smith, 2010). Phase One The Meaning is Clear and Understandable: The theory of self-transcendence was originally aimed at addressing phenomena related to the aging process of the older adult and was later expanded to address well-being across the entire lifespan. Reed’s theory proposes that when people face life-threatening illness or undergo health related disruptions that illuminates one’s limitations the potential to expand (or transcend) self-boundaries becomes evident enhance well-being (Parker & Smith, 2010). The theory of self-transcendence aligns with contemporaries such as Martha Rogers because of the concept of human-beings being an open system requiring interaction with its environment. Reed’s theory is more difficult to understand due to the fact that it was originally...
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...The Journey into Cultural Care and Diversity in Nursing: A Personal Framework I have had the opportunity to work in many different areas of nursing, and have learned a great deal regarding cultural care and diversity among patients and their families. I have used my past experiences in each different unit and healthcare facility to improve my communication and rapport with my patients and their families to improve the continuity of care. I have been exposed to patients from different countries, cultures, and religions on a daily basis. I believe that it is crucial for the nurse to build a trusting non-judgmental relationship with the patient and their families to show compassion. When caring for patients I listen to their concerns, decrease the stress levels and improve communication and recovery. As a nurse I must take in consideration the culture and religion in which they come from, and care for them appropriately to avoid upset and miscommunication. My goal and focus is to use holistic care to provide the patient with a successful recovery. My personal framework paper will be expressing my own personal journey as a bedside nurse and using my own personal beliefs, values, and philosophies related to caring for culturally diverse patients. Madeleine Leininger’s Cultural Care Diversity and Universality Theory, and the nursing metaparadigm will be discussed, and shown how it is incorporated into my daily nursing practice. Philosophy In McEwen and Wills (2011), Empiricism...
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...Watson’s Theory of Human Caring Nursing has a vast history, and throughout time nursing has adapted and grown to meet the needs of its people. There are some nurses whom are well known and even in history books. These nurses noticed something missing and attempted to fill that gap. Nursing theories came about to help close the gap. Because no two people are exactly alike the theories offer ways a nurse can identify and attempt to meet the needs of his or her patients. Jean Watson is one of those nurses who formed a theory to help fill in a missing piece and close the gap to help nurses assist patients with adapting to, and accepting changes in their health statuses. Jean Watson is not only a nurse, but a nursing instructor, and a published writer as well. She educated future nursing students at the University of Colorado. That is where she unintentionally formed her theory, the Theory of Human Caring, in order to be able to help her nursing students learn. She did not intend to become a theorist, but she has educated many nurses personally and now through her writings and her theory that the nurse is the main component of the patient’s environment (Alligood, 2010). The theory shows that the nurse should know his or her own perspectives and be open to the patient’s perspectives, thus building the caring nurse-patient relationship. The nurse can either help or interfere with the patient’s healing process. Watson will now help nurses much further than she ever imagined...
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...Concept Comparison and Analysis Across Theories Julie McKay NUR/513 Theoretical Foundations of Practice December 06, 2014 Stephanie Vaughn Ph.D. R.N. CCRN A concept is a term that theoretically describes and names a fact or phenomenon, thus providing it with a separate identity or meaning. Nurses use theories to clarify the events through nursing practice. A concept analysis provides insight to nursing knowledge and understanding of the concepts allows nurses to determine nursing actions (George, 2011). Quality of Life Quality of life (QOL) is a contemporary phrase which was first heard after the Second World War and, since then, has been frequently used but not well explained (Meeberg, 1993). Most theorists have at least an unexpressed belief that human health and QOL are associated closely. It is the interest of most healthcare providers to promote QOL for those who are seeking help. However, nurses cannot work with clients to attain QOL if the goal is unclear (Meeberg, 1993). Both Virginia Henderson and Rosemarie Parse are influential nursing theorists that share a common concept of QOL. This paper will explore perspectives in regards to QOL between these two theorists. Henderson’s Theory Virginia Henderson believed humans have universal needs of water, air, and food for survival, and everyone plays a part of the contribution to the well-being of each other leading to the creation of a healthy society. Nurses care for patients, sick or well until they can care...
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...Building a Personal Framework I have spent most of career practicing nursing in the surgical setting. I was a staff nurse on an orthopedic surgical unit for the first two and a half years after graduating from an associate’s degree nursing program. I then went back to my home of the Operating Room (OR), previously working as an OR Assistant prior to going to nursing school. I joined the cardiovascular team in the OR during my orientation period and absolutely loved it. Four years later I began my journey in nursing leadership. My first leadership position was the supervisor of an operating room, and was promoted to a nurse manager a few years later. Looking back, I’m not sure how I remained in management, I had little to no mentorship or guidance. Since then I have developed a passion for mentoring nurses and helping them be successful in both staff and leadership roles. Performing both inpatient and outpatient procedures, I get to be involved in the care of healthy and ill adult patients undergoing surgery, endoscopic procedures, and pain management procedures. I have a holistic approach to nursing care, and place the patient in the center of the care they receive during their stay. Of course, there are times during a patient’s stay, the focus must be placed in a particular area, such as patient safety in the operating room. Another important focus while the patient is undergoing surgery is the patient’s family and loved ones. We adopted a standardized process for...
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...Nursing Philosophy and Comparison Paper A Comparison of Personal Philosophy and Sr. Callista Roy’s Adaptation Model September 14, 2011 Nursing Philosophy and Comparison Paper A Comparison of Personal Philosophy and Sr. Callista Roy’s Adaptation Model A personal philosophy is what one values for themselves as human beings. It reflects the many faceted realities of their self-concept and is influenced by: culture, spirituality, morals, values, and belief concepts. The relevance of one’s personal philosophy to nursing is significant. One’s philosophy directly affects the interpersonal relationship and care given to patients. For the purpose of this paper, the author will reflect and incorporate her nursing philosophy with the four nursing metaparadigms: person, environment, health and nursing, with the Roy Adaptation Model (RAM) and compare similarities’ and differences. Personal Philosophy The author’s personal philosophy is seeded in spirituality and seeing the world as interconnected with a divine source where all things are possible. She attempts to integrate the core concepts of her philosophy: intuition, altruism, holism, empathy, knowledge, compassion and advocacy into the nursing process. The author will define and demonstrate her nursing philosophy as applied to the metaparadigms. The person is viewed as a unique individual and energetic being (spirit) within a physical and integrated body system connected to a higher supreme source; environment:...
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...Analysis across Theories UOP Theoretical Foundations of Nursing NUR/513 Concept Comparison and Analysis across Theories Nursing theory is relatively new and as such, it continues to evolve as new knowledge is gained. There are numerous theories of nursing, each of which took years to develop and most of which continue to evolve and adapt. There are commonalities between and among the existing theories although each may focus more heavily on different aspects of responsibilities. It has to do with the philosophical foundations for each theory. Moore, (Moore, 2008) reported a nursing metaparadigm of four basic concepts: "person, health, environment, and nursing." Another author suggested the core concepts of nursing theory and practice are caring, assessment, teaching and learning, collaboration, managing care, communication and professional behaviors, (Opperman Med Law Consulting, 2008). These core concepts as identified by these authors can be found in some fashion in all nursing theories. Orem commented that nurses could do nursing but they could not explain what nursing is (Hartweg, 1991). She was also interested in what conditions had to exist for a person to seek help from nurses (Hartweg, 1991). The first answer she determined was that people sought help when they could not care for themselves (Hartweg, 1991). Orem's work was inspired by those she considered big thinkers, like experts in philosophy, metaphysics and action theories as well as the...
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...Concept Comparison and Analysis Jo Ann Tyler Green NUR/513 10/15/2012 Michelle Johnson Concept Comparison and Analysis The concept, quality of life, as used in nursing theories, is presented in a historically situated context. This approach to concept analysis was selected to illuminate the subjective, contextual, and fluid nature of the concept. Based on this review, quality of life is defined as an intangible, subjective perception of one’s lived experience. From a review of Peplau’s, Rogers’, Leininger’s, King’s, and Parse’s conceptualizations of quality of life, it is concluded that it may be viable to replace health with quality of life as a meta-paradigm concept for nursing. There are numerous definitions of quality of life that exist. Described as experiences of life (Meeberg, 1993), satisfaction with life, and well-being (Ferrans, 1996; Haas, 1999; (Meeberg, 1993), the definition of quality of life lacks precision and specificity. Consistency is important because “differences in meaning can lead to profound differences in outcomes for research, clinical practice, and allocation of health care resources” (Ferrans, 1996, p. 294). Nurses have made important contributions to understanding this concept. The quality of life has been examined in groups of people experiencing a particular illness or health deficit, such as cancer or heart disease (C. R. King, 1998). Quality of life concept analyses have focused on existential aspects of the concept. However, these...
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...Virginia A. Henderson’s Nursing Theory Critique Gaylinn Breeze Maryville University Abstract This paper aims to provide an in depth critique of Henderson’s Nursing Theory using Fawcett’s framework for analysis and evaluation of nursing models. This paper will provide an analysis of the theory based on its scope, context and content. Secondly, the paper will provide an evaluation to unearth its significance, internal consistency, testability, as well as provide empirical and pragmatic adequacy. Lastly, the paper will give a detail of its assumptions and limitations. Virginia A. Henderson’s Nursing Theory Critique Virginia A. Henderson was considered a mother of nursing in the advent of modern day nursing. Her contribution to the nursing system was widely considered as a tool for transforming the nursing practices in health facilities. She gave elaborate guidelines and drew attention of nurses towards what an effective nursing practice would require of them. In her own setup, she carried out research and formulated a theory. Her theory of nursing focused on providing patients with factors that would enhance independence for the patients. In her efforts to transform the patient’s care approach, she acknowledged that basic needs were of primary concern in enabling a functional nursing approach. Her relationship between nursing care and basic needs propagated the ‘Needs Theory’. Scope and...
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...Describe the definition of nursing as put forward by the American Nurses Association. How does it address the metaparadigm theories of nursing? Nursing Theorist Select Months Select Categories * Adventist Health System (3) * Adventist University (2) * All Bahasa Indonesia (12) * All Downloads (1) * Best Nurses Profile (1) * Best Online Learning (7) * Campus News (1) * Continuing Education (5) * Current Issues in Nursing (10) * Employment and Career (19) * Graduate School Library (1) * Healthcare Technology (3) * Inspirational (72) * Nursing-Advanced Sub (66) * Community Nursing (12) * Family Nursing (6) * Geriatric Nursing (1) * Maternity Nursing (2) * Med-Sur Nursing (46) * Cardio, GI & Respi (18) * Communicable (3) * Critical Care (2) * Emergency (2) * Metabolic & Endocrine (8) * Renal, Genito, Repro (5) * Sensory & Neuro (7) * Pediatric Nursing (2) * Psychiatric (1) * Nursing-Biomedic Subjets (30) * Anatomy and Physiology (4) * Biochemsitry (15) * Biology (7) * General Chemistry (3) * Micro and Parasitology (1) * Nutrition and Diet (4) * Patophysiology (1) * Pharmacology and Drugs (1) * Nursing-Core Subjects (46) * Basic Nursing Skills (16) * Ethics and Law (2) ...
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...Bibliography Parker, Marilyn. Nursing Theories and Nursing Practice. Philadelphia: F.A. Davis Company, 2005. Parker's book offers detailed information about nursing theorists and their work towards developing nursing theories. She intends to honor the work of the theorists by emphasizing the significance of the theories in the field of nursing and its development as a profession. she includes illustrations and statements that are very helpful in understanding the theories. Each chapter was developed having different pattern depending upon the context and its scientific perspective. It aims to give an encouragement for contributors and to make each chapter complete and interesting. This book offers assistance to nursing students in exploring and appreciating nursing theories and their use in nursing practice and scholarship. Rather than a practical handbook to producing and/or publishing, this book is indispensable because of its honest perspective and its encouraging approach. This book is very useful in making concept analysis because every concept is clear and organized in a way that it can easily be understood. Moreover, its content are very detailed and extensive which made it very favorable. Walker, L.O.,& Avant, K.C. Strategies for Theory Construction in Nursing(3rd ed.). Norwalk, CT: Appletion & Lange, 1995. The book of Avant and Walker offers detailed and easy-to-understand information about constructing theories in nursing and a very detailed step in analyzing...
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...Jean Watson’s Theory of Human Caring NRS/403 Theories and Models of Nursing Practice 27 November 2011 Candace Cane Abstract Due to the ever changing health care system nationally and the increase need for qualified nurses worldwide, nursing responsibilities and patient load have intensified. Nurses are expected to care for higher acuity patients in more complex health care situations. Despite increased hardships in the work place, nurses must continually try to find ways to preserve their caring approach. Jean Watson’s caring theory can be seen as indispensable to this goal. This paper will explain the background behind the theory and take a personal approach in showing how it can be applied to every day nursing care. Jean Watson Nursing theorist Jean Watson of West Virginia, graduated with a Bachelor of Science in Nursing from the University of Colorado in 1964. She continued her nursing education at her alma mater and received a Masters of Nursing with a focus in psychiatric-mental health in 1966 and PhD of educational psychology and counseling in 1973. Dr. Watson holds the title of Distinguished Professor of Nursing; the highest honor accorded its faculty for scholarly work. In 1999 she assumed the Murchinson-Scoville Chair in Caring Science, the nation’s first endowed chair in Caring Science, based at the University of Colorado Denver & Health Sciences Center (Dr. Jean Watson, 2011). She has previously served as the Dean of Nursing at the University Health...
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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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...Historical Development of Nursing Timeline NUR/513 - THEORETICAL FOUNDATIONS OF PRACTICE DOLORES DIEHL University of Phoenix March 10, 2014 Nursing science was defined in 1978 by Donaldson and Crowley as “principles and laws that govern life process, well- being, and optimum functioning of human beings-sick or well…; patterning of human behavior in interaction with the environment in critical life situations… and process by which positive changes in health status are affected (Donaldson, S. K. & Crowley, M. 1978 p. 113). The definition of nursing science was recently noted by U. S. National Institutes of Health which wrote that the “ ultimate intent of the knowledge generated through nursing research is to provide information for guiding nursing practice; assessing the heath care environment, enhancing patient ,family, and community outcomes; and shaping health policy” ( U. S. National Institutes of Health, 2005, p. 72). These definitions are all stepping stones from the very first person that said there is a need for better care delivery for those who are sick. The founder of nursing was Florence Nightingale’s and she wrote a book titled “What it is and what it is not. Florence‘s book outlined the bases for nursing practice in a time when the simple rules of health were only beginning to be known. The topics were of vital importance not only for the well-being and recovery of patients, when hospitals were riddled with infection, when nurses...
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