...Nursing Theory Grid Nurse4682 NUR/403 February 12, 2012 Athena Brummett Theorist Selected: Ida Jean Orlando Description of Theory: Ida Orlando developed the theory of deliberative nursing process. The focus of this theory is on the patient determining their needs and how to meet their needs. She wrote about the interaction between the nurse and the patient's perception validation, and the use of the nursing process to produce positive outcomes. She wanted to define the function of nursing. She described nursing as unique and independent and the focus was on the patients need for help. This expressed need for help lead to a reaction in the nurse (Butts & Rich, 2010). Ida Orlando believed that her theory could be applied to patients with surgical, medical, obstetric, as well as psychiatric conditions and can be applied to both children and adults who are treated either at home, in the hospital, or clinic setting (Alligood, 2010). Theory's Historical background: Ida Orlando was born in the year of 1926. She earned her nursing degree in 1947 from a school of nursing at a hospital in New York. She went on to earn her B.S. in 1951 and her M.A. in mental health in 1954. While working as an associate professor in mental health at Yale University. She had a desire to learn about the role of nurses in mental health, where she received a grant to further...
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...Political Action Awareness Paper NUR 587 January 19, 2015 Dr. Cydney Mullen Political Action Awareness Paper The American Nurses Association is a professional organization that has a distinct voice in the political arena. It is recognized both at state and national levels. This organization is one of the very best to belong for the practicing nurse as they are at the center of many health care issues that affect nurses directly. Nurse Leaders and Political Organizations Regulation of nursing licensure in the United States has traditionally been a state-based function in which each state regulates the health care workforce within its geographic boundaries (National Council of State Boards of Nursing, 2015). Nurses practicing within a state or territory are required to be licensed by the jurisdiction in which they practice. However, with so many advances in technology, practice is no longer limited by these boundaries. The use of telephone triage and air transport nursing are just a few examples of how nursing practice is crossing state lines, either physically or via technologies (American Nurses Association, 2015). According to the American Nurses Association (2015), “In 1997, the National Council for State Board for Nursing (NCSBN), a private association of state regulatory agencies, proposed a mutual recognition model of nursing licensure, referred to as the Nurse Licensure Compact (NLC)”(para. 3). Political Actions and Awareness The model is an agreement between...
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...Patient Education Plan Paper NUR/427 2/26/12 MSN Patient’s description Patient is a 45 year old male that presented to the family physician office to follow up on his recent diagnosis of high blood pressure that was noticed during his annual physical examination at the company he is working for. He has a high pressure position at his job and he is expected to meet certain sale quota each month and admitted to feel stressed sometimes. Patient has a lot of responsibility due to his family dynamics and his aging parent. He is married for 18 years with three kids. He is a college graduate with an Associate degree in Business. Patient is slightly overweight and also has a family history of high blood pressure, which is his mother. He is a non smoker but drinks on occasional weekends; he also has a family history of high blood pressure as well. He is anxious about his disease because he has no knowledge about it. High blood pressure (Hypertension) “Hypertension is usually defined in adults as systolic blood pressure of 140 mm Hg or higher or diastolic blood pressure of 90 mm Hg or higher” (Chobanian AV et al 2003). It is when the pressure in the arteries is more than what it should normally be. High blood pressure affects men more than women. There are many factors that contribute to high blood pressure, lifestyle, diet, genetics and some of unknown origin. “In men, cardiovascular diseases...
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...University of Phoenix Material Professional Values for the BSN Student Complete the worksheet with a substantive response to each prompt. Define each term using the course textbooks or a peer-reviewed resource. Describe how you, as a BSN student, demonstrate each value as you interact with patients and other health care providers. Provide specific examples of how your values influence your attitudes and behaviors. Each response must be 100 to 150 words. |Value |Definition |Personal Demonstration | |Altruism |The ability to lead as well as motivate others. |I hold a position as charge nurse of my unit at a | | | |local community hospital in my area. It is my job to| | | |ensure all nurses as well as patients’ needs are | | | |met. I also have weekly meetings with my hospital | | | |Chief Nursing Officer to discuss patient | | | |satisfaction numbers as well as compliance of new | | | ...
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...Personal Impact: Multiple Sclerosis Nbiyea N. Conley University of Phoenix NUR/427 Multiple Sclerosis Multiple Sclerosis or MS is a chronic as well as progressive disease of the central nervous system. MS effects primarily women, between the ages of 20 and 40. MS is not a curable disease and the exact cause is unknown. It has been shown that Multiple Sclerosis has a major connection with genetics, environment, pathogens and vitamin D deficiencies. There are four types of Multiple Sclerosis relapsing remitting multiple sclerosis, secondary progressive multiple sclerosis, primary progressive multiple sclerosis, and progressive relapsing multiple sclerosis. My sister whom is 20 years old was diagnosed with multiple sclerosis in January of 2015. She simply took a shower one day and couldn’t determine the temperature of the water on her right side. She has never been one to complain so there was a definite concern from my entire family. Her gait remained steady, she has not has any falls at home. So my mother and I which are both nurses wrote it off as just general fatigue cause by her college final exams. After visit to the emergency room, spinal taps, MRIs and series of other test it was confirmed she had Multiple Sclerosis. I can remember the day the neurologist confirmed the diagnosis and that she had lesions on her brain. She looked at my mother and said “I have always tried to be a good person, why is this happening to me”. Since her diagnosis a series of things...
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...Student ID no. Programme: BSc (Hons) Nursing (Adult) Course : NURS 1418 Psychosocial Perspectives of Health Cohort: 09/14 Month/Year: 2014-2015 Coursework Assignment Submission Time/Date 23rdApril 2015 By 5am Word count: 2027 Introduction The World Health Organization defines health as being ‘a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’. (WHO, 1948) This conveys that although the function of the body is important, there are other contributing factors such as a healthy mind and meaningful relationships which also pertain to an individual being of good health and well-being. In the first instance, this essay will shed light on the diet, why it is important and the damaging effects it can have on the body. As an individual who has been labelled as clinically obese, I am interested in the nutrition that the body requires, the quality of the food being consumed and whether certain dietary elements have addictive traits. I will then go on discuss how the social factors, poverty and housing influence health before exploring how the psychological factors, stress and behaviour also impact on health. Diet Diet refers to a balanced selection of foods that we regularly consume for nutritional purposes, however the term has become associated to a restrictive dietary regime that an individual has adopted to lose weight, usually for health or aesthetic reasons. From a sociological perspective...
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...Evolution of Community and Public Health Nursing. Jessica Pham Date: May 26, 2016 Instructor: Diane Schlicke University of Phoenix Material Evolution of Community and Public Health Nursing Identify a minimum of three major events (or influences) in the evolution of community and public health nursing and describe how each event led to advancement of the field. For each event, describe the following: • Key health issues at the time • Perspectives and goals of community and public health nursing • Roles and functions of community and public health nursing • Community and public health partnerships at the time |Event or Influence: | |Key health issues |Key health issues and maternal deaths: Poor health care in rural Appalachian mountains. Increased number of | | |child due to lack of care and services. | |Perspective/goals |In 1925 Mary Breckenridge started the Frontier Nursing Services. The goal was to provide obstetrics to the | | |people who lived in rural settlement areas. | |Role/functions |She went to train...
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...Determination of the current influences of research utilization in practice The use of research-based practice has helped establish nursing as a profession and preserved its credibility. It is imperative for current nurses to utilize research in their practice. Although the use of research-based practice has grown, there are many barriers described by nurses as to why it is not always incorporated into practice. Responses as to why it is not always used include, “a lack of awareness of relevant research findings, lack of knowledge of the research process and the skills to access, understand, critically evaluate and implement research findings, insufficient time to read, evaluate and implement research findings and not enough support from the organization and from other healthcare professionals as well as a lack of autonomy and authority to change practice” ("Use of research findings in nursing practice | Practice | Nursing Times," 2007). With all of the research conducted in the nursing field, it is imperative to educate nurses on the importance of its use. Not only will the use of research improve the care for our patients, but also the quality of the care received. Quality of care is of great importance in the medical field, with insurance providers requiring evidence-based practices for reimbursement purposes it should be top priority for facilities to provide the appropriate resources necessary for research to be applied. Where research is being used, evidence as to the effectiveness...
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...History of Community Nursing Matrix Historical Time Period Nursing Role in Community Major Health Issues Partnerships Used Watson’s Theory Past Period 1 1800-1900 (America’s Colonial Period) In 1800-1900, during America’s colonial period and the new republic, public health committee was concerned about the health and care of individuals in the community; in the early years of 1800, the care for sick people and the ideas of public well-being were influenced by the traditions of British immigrants. That was the motive for establishment of a system to care for sick, poor, aged, mentally ill and dependent patients based on the English model. Using the Law of 1601was a great medical privilege for poor communities, blind individuals, and those who did not have families. At that time, the problems surrounding poor communities included death, birth defects, and many other kinds of sicknesses; that was also the beginning of the industrial developments and mechanizations and population growth, which contributed to increased incidence of disease. In 1856, Florence Nightingale organized hospital nursing practice and nursing education, emphasized the benefits of public health nursing, and highlighted the job of nurses which includes health promotion and disease prevention. (Dieckmann, 2008, p. 21) In the early 1800s, nurses were responsible for providing care at home and mostly focused on ethical improvements rather than illness or disease prevention. The year 1813 was the starting point...
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...Emerging Standards of Care The Office of Minority Health defines the term “cultural competency” as “a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations” (“What is Cultural Competency, n.d.). Health care providers have begun focusing on ways to create culturally appropriate and effective health care policies. These policies will lead to culturally sensitive care provided to patients. The diversity within the world’s population is changing hastily and impacting health care globally. Although, many organizations have provided their definitions of cultural competence regarding health care, all organizations, health care providers, and patients have their own vision of what cultural competency entails. It is important that all providers use their individual understanding of the term to analyze ways to meet the standards of nursing care. With standards in place, organizations can develop tools which measure individual patient needs as well as measuring the effectiveness of the organization’s culturally diverse practices. As populations become more diverse, it is imperative that the gap in disparities of health care be closed. To ensure these differences are addressed, health care providers and patients must discuss the concerns without cultural differences hindering the discussion (What is Cultural Competency, n.d.). All categories and specialties within...
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...University of Phoenix Material History of Nursing Research Worksheet There have been many influential publications, agencies, and people in the field of nursing research. Write 1–3 sentences in each cell of the table below to describe the importance, goal, or influence of each item. Publications | First publication date and importance: | Nursing Research | First published: “1952” (Burns &Grove, 2011, p. 11). Importance: To report finding by using clinical research in health and illness (“Nursing Research”, 2012). | Sigma Theta Tau Journal published by this organization is now called Image—The Journal of Nursing Scholarship | First published: “1967” (Burns &Grove, 2011, p. 11). Importance: To provide information based on research improve nursing care to people worldwide (“Journal Of Nursing Scholarship”, 1999-2012). | Research in Nursing and Health | First published: “1978”(Burns &Grove, 2011, p. 11). Importance: A research journal to provide nursing and health care providers theories and research to improve health care (“Research In Nursing And Health”, 2000-2012). | Western Journal of Nursing Research | First published: 1979 (Burns &Grove, 2011, p. 11).Importance: The Western Journal of Nursing Research circulates information on research, debates, and books. It also maintains ongoing debates related to nursing (“Western Journal of Nursing”, 2012). | Scholarly Inquiry for Nursing Practice | First published: 1987 (Burns &Grove, 2011,...
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...Culture in the Midwest Amy Garland Blessing- Rieman College of Nursing Culture in the Midwest In the Midwest our culture seems to be somewhat simple, but definitely it has a modern twist. Work and education is a major part of our culture unlike many other cultures outside of the United States mainly due to the availability. School is mandated for the youth of our culture rather than a privilege as it is in other areas of our world. Women in our culture tend to work outside the home because that extra income is needed to survive in a society that money is a major part of survival. To start with the household, women are frequently employed outside of the household and may be the “bread winners”. This is pretty common in the United States since the woman’s rights movement’s years ago. Women not only work outside the homes, but are usually the caregivers of the children as well. It is common to see a single working mother more often than you see a family with both parents. This is mainly because the divorce rates are more than 50% of all marriages. Also more women are having children out of wed lock because the norm of having to be married before intimacy and children has been lost on a majority. This is not to say that it is completely lost, but has become the marginal crowd. Crime here tends to be expected rather than the shock that it should be. A crime in the Midwest and the United States for that matter has become an expected activity rather...
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...Newman's Theory of Health as Expanding Consciousness in Nursing Practice MAJOR CONCEPTS - Health of all persons regardless of the presence or absence of disease (Newman, 2010) - The nurse helps to understand people to use the power within to develop the higher level of consciousness. - signs and symptoms of the diseases vary on the individual so the pathology of the diseases occur before the symptoms appear therefore removing the disease symptoms do not change the individual. - if becoming sick is the only way an individual’s way of living can manifest itself than that is true for the health of that person. - human are not divided into parts - consciousness is a manifestation of an evolving pattern of person-environment interaction (Newman, 2010) INFLUENCE ON NURSING CARE Newman’s theory is used in patient care by allowing the nurse, once a relationship is established to allow the patient to be conscious of his environment, how it is effecting him, how he is interacting with it, and to make decisions about how to proceed in his developmental process. The nurse will work as a facilitator in helping the patient see his patterns and how some could be more effective in moving him toward a higher level of consciousness. NEWMAN’S THEORY IN ACTION A patient presents to the Emergency Department with shortness of breath. After the patient is given breathing treatments, steroids, and oxygen is applied, the patient has a chest...
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...An emergency occurs when a urgent situation takes place that can be detrimental to a person’s life. Emergencies are not a common occurrence; however do arise on occasion. The response and outcome of emergencies can be positively amplified with an organized plan or preparedness technique. In “The Neighborhood” community, there was an emergency, forest fires, which left the residents to experience unfortunate residual respiratory effects. The many that suffered include patients and staff in the hospital, senior center, school, and the Bley household. According to the community news in “The Neighborhood,” there have been forest fires “for over five days, while unable to contain.” The fire has been destroying the land for five days and is quite difficult to extinguish. There are many disadvantages to forest fires such as damaging the land, producing air pollution, and exacerbating respiratory distress in patients. “The smokey air conditions affect everyone but especially those with pre-existing lung problems such as chronic lung conditions.” The forest fires are creating stress on the hospital. There is an alarming increase in emergency room visits due to patients experiencing respiratory distress. The emergency department is requesting beds on the medical-surgical floor to admit patients, “but none are available, so there is pressure to get patients discharged.” It is distressing to the staff working on the medical-surgical floor because they are “kept very busy admitting new...
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...Ida Jean Orlando Ida Jean Orlando's Deliberative Nursing Process is set in motion by the behavior of the patient. According to the theory, all patient behavior can be a cry for help, both verbal and non-verbal, and it is up to the nurse to interpret the behavior and determine the needs of the patient. The Deliberative Nursing Process has five stages: assessment, diagnosis, planning, implementation, and evaluation. In the assessment stage, the nurse completes a holistic assessment of the patient's needs. The diagnosis stage uses the nurse's clinical judgment about health problems. The planning stage addresses each of the problems identified in the diagnosis. In the implementation stage, the nurse begins using the nursing care plan. In the evaluation stage, the nurse looks at the progress of the patient toward the goals set in the nursing care plan. This is the ADPIE that we use every day. Nursing care has to be flexible. Not only does a nursing care plan depend on the needs of the patient at the time of admittance, but it also needs to be able to change when and if any complications come up during the treatment and recovery process. Ida Jean Orlando's Deliberative Nursing Process directly addresses this need for flexibility, and helps nurses focus on the patient rather than simply sticking to a nursing care plan no matter what. Specialty areas Emergency Nurse- a. How to get there- ASN or BSN b. Pass NCLEX c. You need two years before you can take a licensure...
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