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Evolution of the nurse's role
The roles of the nurse in the community
How the role of the nurse has changed
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Interpretive paradigm supports different ways of viewing the world and acknowledges reality has multiple meanings. In addition, knowledge can be derived from other sources than senses (Monti & Tingen, 1999). In contrast to the empirical paradigm, the interpretive paradigm investigation is on human experience through the eyes of people in their lived situations (Weaver & Olson, 2006). The interpretive paradigm supports holistic nursing practice and “embraces esthetic, ethical and personal knowledge inherent in nursing which are patterns of knowing” essential to nursing practice (Carper 2012; Monti & Tingen, 1999 pp. 71). The contribution to nursing is essential within this paradigm as it looks at subjective experience instead of objective …show more content…
Katharine Kolcaba comfort theory is a middle range theory. Comfort theory developed to look at health practice, education and research. Kolcaba (1990) described comfort as existing in three forms relief, ease and transcendence. Holistic comfort is defined as the experience of being strengthened through having the needs for relief, ease and transcendence met in four context the physical, social, psycho-spiritual and environment (Kolcaba, 2010). The theoretical structure of Kolcaba’s comfort theory contributes to nursing by guiding the work and thinking of all health care providers (March & McCormack, 2009). The comprehensiveness of this theory will benefit nursing practice in theory development and …show more content…
Research and advantages It is advantageous to advocate for change in order to create liberation from social inequalities and oppression. Social critical theory is based on critical and self-reflection which allows increased knowledge of individuals and this knowledge will provide the tools to confront powers of domination and achieve results of emancipation (Mosqueda-Diaz et al, 2014). Butterfield (2013) supports “upstream approach in nursing to understand how the health of individuals are influenced by societal factors. Nurses can contribute by advocating for change with areas of ethics and social injustice. Theory application Feminist theory is an important example of the application of the critical paradigm. It is thought of as situation-specific theory as it applies to intervening with a specific clinical situation that produces a nursing action. Wuest, (2012) notes that the nursing profession has been primarily female dominated through history and the goal of the feminist theory is to eliminate women’s oppression, domination and to enact for social change resulting in empowerment. Furthermore, this is relevant and applicable to the nursing profession since the interest of knowledge discussed above within this paradigm can help create tools for
Nursing theories are based on four meta-paradigms which are commonly accepted in the nursing profession. These include nursing, person, health, and environment. These meta-paradigms are represented in Dr. Barnard’s Nursing PCI
Critical thinking and knowledge are the foundation of nursing practice, and the most essential elements in providing quality nursing care. Nu...
Since its establishment as a profession more than a century ago, Nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore it is in a constant process of being redefined.
This paper is a first attempt at forming and articulating my own philosophy of nursing.
This paper explores the personal philosophy I have as a nursing student and what I intend to convey throughout my nursing career. A philosophy is “an analysis of the grounds and concepts expressing fundamental beliefs (Merriam-Webster’s online dictionary, n.d.). Before entering into any profession it is important to evaluate your personal philosophy about the profession, as it pertains to values and principles in which believe in to guide your practice. The field of nursing is more than treating a physiological ailment, but it involves providing quality care for the individualized needs of each patient, hence being client centered. My philosophy of nursing integrates the importance of knowledge base practice of medicine, combined with addressing holistic needs of the patient and family, including the physical, psychological, cognitive, emotional, spiritual and social care (Scottish Intercollegiate Guidelines Network, 2010). Additionally, a vital aspect of nursing is effective interpersonal relationships with other healthcare professionals to promote quality patient care. Moreover, my philosophy includes the importance the client-nurse relationship to aid in health promotion to prevent illness and increase the level of health of clients.
I still believe that this profession revolves around the nursing metaparadigm, which involves the aspects of nursing, health, the person, and the environment (Bender & Feldman, 2015), but I now see that it is also grounded in critical thinking. This critical thinking allows for nurses to gain a deeper understanding into each aspect of the metaparadigm and without this aspect or lack thereof, Arli, Bakan, Ozturk, Erisik, and Yildirim (2017) believes that the care being provided could be negatively affected. Moreover, while reflecting on what my philosophy entails, I first inquired into what I believe nursing to be. For me, nursing is a profession unlike any other and contrary to what I used to believe in first year, only those who are registered under the College of Nurses can be a part of this profession. It is important to remember that although anyone can help bandage a cut, this does not mean that they are a nurse or part of the profession. The difference between how nurses bandage a cut and everyone else is that nurses do so in a way that is more therapeutic and patient-centred. Next, while exploring my beliefs on the concept of health, I noticed that they parallel the beliefs I had during my first year. To me, health is a holistic concept that will always convey a different meaning for each person. As a result of these differences, nurses must engage in conversation with patients about their perception(s) of their current state of health and what health means to them so that care can be guided accordingly. From here, I thought about the concept of the person and how I originally believed that a patient could only be a single, holistic individual who has specific needs that must be cared for. Despite still agreeing with this, my definition of who the person is has expanded to also encompass the patient’s family and even their community if either/or are said to be within the
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
Nursing theories are actions care that a nurse provides to a patient to prevent a sickness, maintain and promote health. Many of the theorists contribute to a frame work or a blueprint of how nurses should provide care to patients. Many these theories are part of nursing care and most of them they go hand in hand. Nursing theory aims to describe, predict and explain the phenomenon of nursing (Chinn and Jacobs1978).Nursing is apprehensive with laws and principles governing the life processes and functioning of sick or well human beings. Nursing theories are beneficial in understanding the knowledge of nursing and its application (Smith and Liehr, 2008).
Nursing behaviors that improve patient comfort are as simple as positioning and repositioning, knowing patients special comfort habits, and advocating for family presence (Kolcaba & DiMarco, 2005). It is important to use a measurement tool to assess comfort and remember to reassess for a positive outcome or plan a new intervention. Comfort is associated with the pursuit of healthy behavior, increased patient satisfaction, and better cost-benefit ratios (Kolcaba & DiMarco, 2005). Although Watson’s caring model is a broad philosophy that applies to nursing practice in general, nurses utilizing this theory would find Kolcaba’s middle-range comfort theory aligns well within the framework those
McIntyre, M. & McDonald, C. (2014). Nursing Philosophies, Theories, Concepts, Frameworks, and Models. In Koizer, B., Erb, G., Breman, A., Snyder, S., Buck, M., Yiu, L., & Stamler, L. (Eds.), Fundamentals of Canadian nursing (3rd ed.). (pp.59-74). Toronto, Canada: Pearson.
The best way to look at nursing theories is like the foundational block. Nursing theories are important set the tone of how a nurse will practice. A nurse will use intuition, practice, past expertise and events, and couple with learned theories to work every day in order to give the best patient care. it is all the more important to appreciate what first advanced nursing beyond mechanisms of practice to becoming a knowledge-based force in healthcare: That force is nursing theory and the theoretical thinking and research that generate theory. The complexity and depth of nursing are reflected in its structure of knowledge, which includes discipline-specific components such as philosophies, theories, and research and practice methodologies”( Reed, 2006). Patient care is a wide topic, but a key role in a patient’s care is the patient themselves, an educated patient is vital to their well being and higher level of care.
This means that it seeks to offer an interpretation of the contextual meaning of phenomena in the world of clinical nursing. She wrote that, in a practice discipline such as nursing, the development of knowledge “consists of extending practical knowledge through theory-based scientific investigations and through the charting of existent 'know-how ' developed though clinical experience in the practice of that discipline” (Alligood, 2014). This is also in line with the hermeneutic approach, which is the analysis of meaningful phenomena in a manner meant to recognize their practical value without influence from prior theoretical assumptions (Alligood,
As a new nursing student with limited clinical experience, my philosophy of nursing is an area that I am quickly expanding upon each day. It is exhilarating to observe the core aspects that comprise my theory of nursing in practice, such as caring for the individual’s needs or the effects of the environment on a patient. Looking forward into the future, I am eager to add to my nursing philosophy as I continue to gain clinical
Nursing theory can be used to empower nurses by giving autonomy and improve skills. With the rise of healthcare, administrative decisions involving nurses could have a negative effect on patient care. There are four concepts that make up the nursing metaparadigm, person, environment, health and nursing and act as the model for nursing care. All theories in the nursing practice proves valuable within the profession but may vary between different theorists depending on what their beliefs are. Some theorists can view the same situation entirely different. Both Rogers and Neuman were theorist that developed theories for viewing and caring for patients but in two different ways. Professionalization, coherence, and enhanced communication are three arguments when determining the importance of theory in nursing. Multi-disciplinary nursing becomes necessary to achieve positive patient
Introduction Nurses have a vital role in the rapidly changing healthcare setting, which is characterized by critical care patients and shortages of nurses to meet the demands of patient care (Ning, Zhong, Libo, and Qiujie, 2009). Therefore, it is important to maintain a good working environment for nurses. Empowerment is seen as an effective method to advance a nurse’s satisfaction (Ning, Zhong, Libo, and Qiujie, 2009). Empowerment, as stated by Wittmann-Price (2004), is “the process of reaching a more positive state of being, a state of relative freedom in choice by first acknowledging an affective experience of oppression”. The purpose of this paper is to write a narrative about an experience as a student nurse practicing in a clinical setting where we felt oppressed due to class, race, cultural or gender biases.