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Caring theory in nursing practice
Importance of nursing theory
Nursing theorist and their work
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Theory and Conceptual Models
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The profession of nursing has been transformed and redefined by preceding nursing theorists who pursued their efforts passionately to lay the groundwork of this profession. Parse (1997) defined a discipline as "a branch of knowledge ordered through the theories and methods evolving from more than one worldview of the phenomenon of concern (as cited in McEwen, M., & Wills, E.M., 2014)". A discipline made up of an ever-changing evolvement of information built upon an existing rooted body of knowledge, undeniably instrumental in defining the subject. Furthermore, the idea of conducting a systematic, purposeful inquiry, for the purpose of acquiring knowledge is the very essence of a theory
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The definition of theory described in one study seeking to understand the phenomena of suffering through an exploration of concepts such as disease, illness, and suffering (Gabrielsen , Naden , & Lindstrom, 2014 ). Theory can, therefore, be defined as a collection of concepts which render meaning and guidance. One important aspect of a theory is the ability to impact nursing care through the reliability and consistency of testing a theory with the application of the theory used in a clinical scenario (Connelly, 2014). Furthering elaborating on the definition of theory can be explained by authors (Gabrielsen , Naden , & Lindstrom, 2014) use of researcher Eriksson's theoretical perspective of caring and sub-categories of …show more content…
Whereas conceptual models differ from theories in their lack of a clear association or link between concepts (Connelly, 2014). Differences between theories and conceptual models are supported with an example of a study conducted by Parker (2014) in which the author tests an instrument resulting in a decision-making model for nurses to use when activating a Rapid Response Team. Parker (2014) purpose of the study was to "assess the relationship between the nurses' decision- making model and frequency of RRT team activation (p.161)". With the existing conceptual models making up the different decision-making models, the intention was to test the theory used to develop the conceptual models and analyze data into categories; thereby, supporting the validity of the instrument and conceptual models. A conceptual model allows further research to be conducted to test the validity of concepts and their relationship further, therefore proving its applicability in a clinical setting (Parker,
Ziegler, S.M. (2005). Theory-driven nursing practice. (2nd Ed.). New York, NY: Springer Publishing Company, Inc.
”Theories tell how and why things work; how and why one variable is related to another. Research findings that are theory based can be place in a framework that advances science further than findings that are unconnected to formal theory.” (O'Connell, 2009, p. 33).
In order to identify a more precise understanding of concept analysis, several articles were reviewed that utilized differing methods for analysis. The first article “Missed nursing care: a concept analysis” by Kalisch et al.
Nursing theories developed by scientists provide a framework for the process of establishing nursing as a profession with a specific body of knowledge including nursing language, and nurse is able to communicate inside in and outside of the profession. Theory supports and defines nursing practice and is used in practice situation to provide solution to the problem, provides guidelines in patient’s quality care, and helps to resolve nursing challenges. The benefits of middle-range theories found primarily in the research studies to address particular client population, in education, patient
The purpose of this paper is an overview of Jean Watson’s Theory of Caring. This theory can be taken into account as one of the most philosophicaly complicated of existent nursing theories. The Theory of Human Caring, which also has been reffered to as the Theory of Transpersonal Caring, is middle – range explanatory theory. (Fawccett, 2000) The central point of which is on the human component of caring and actual encounter between the client and the caregiver. Jean Watson has stated that her work was motivated by her search of a new meaning to the world of nursing and patient care. “ I felt a dissonnance between nursing’s (meta) paradigm of caring-healing and health, and medicines’s (meta) paradigm of diagnosis and treatment, and concentration on disease and pathology”. (Watson, 1997,p.49)
Does the theory reveal the extent to which it can guide the phenomenon of nursing? The theory does reveal that it can aid in the identification of causes of uncertainty and interventions that can be done by the nurse to help decrease uncertainty.
Walker, L. O., & Avant, K. C. (1995). Strategies for theory construction in nursing (3rd ed.). Norwalk, CT:
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
According to nursingjounrnal (2005) Middle range theories are applicable to each aspect of the nurse profession from administration, education, and direct patient care. Since middle range theory lie between grand theory and specific situation theory. Most nurses believed that middle range theory intervention are more specific on solving problem and if implemented at the bedside as intended they will always bring positive outcomes to the patients . The focus on improved patient outcome and patient satisfaction will be the future development in nurse theory and middle range theories lend to this development. Evidence based practice developed through the use of research studies and theory will lead the nurse in to the future practice. According to Meleis (2012) “Middle-range theories are at those levels of conceptualization that could inform nursing practice and research, and thus continue the cycle of advancing foundational knowledge and enhancing quality care”. To understand responses to health and
Nursing theories are the building blocks of education and practice in everyday patient healthcare. It is the basic concepts that explain why nurses do and provides explanations to their actions. Although many nursing theories do not ring a bell while a nurse is working, they are vital when one is looking to answer why a task is being done in a certain way. The nursing theories that are implemented today all have their roots embedded throughout history. Nursing theories came about as an explanation, reasoning or through research and practice as a way to explain and come up for procedures of healthcare.
According to Potter and Perry (2005), “a nursing theory is a conceptualization of some aspect of nursing communicated for the purpose of describing, explaining, predicting, and/or prescribing nursing care” (p. 62). Nurses use theory to assist in providing education and care to their patients. Utilization of nursing theories enhances the nurse’s ability to use concepts that have been researched and proven in the application of nursing care.
The short story, Piss, by Sara Middleton saddens me for many reasons. To begin with, it gave me a flashback to when I was young. What Sara went through, I went through; I know exactly how she felt. It was mentioned that Sara entered her 5th year in school this year; thus, I assumed her age was 9 or 10 years old, and she still peed herself every night. She got bullied from almost everyone around her. She felt lonely, miserable, and unwanted. On the other side, when I entered my 3rd year in school, I was 7 years old, and I used to still piss my pants every once in a while. To my mother, it was unacceptable that up until this day, I would piss; same as Sara, to her father, it was not okay to piss at this age.
Nursing is considered one of the most trusted professions in the world. It is an essential part in the caregiving of sick, injured, and even healthy individuals. Developing a philosophy with any profession is the beginning basis of any practice. The nursing philosophy is usually incorporated from the science of nursing. That is because the field of health care is constantly changing, which causes the need of better competence in the health field of providing caring (Flagg, 2015). With nursing it starts by the science behind it. Then along with knowledge and experiences, that is when the nursing philosophy is developed. Researching differences between new ideas and cultural differences can then expand the viewpoint into a bigger picture.
This type of theory is more concrete in nature. They are developed with the purpose to explain, predict and answer questions in regards to nursing. The concepts addressed often times bleed over from one field of nursing into another. (Meleis, 2012, chap. 3)
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