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What are the theoretical influences on nursing practise
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Nursing knowledge guides nursing practice. Nursing knowledge advanced the health and well-being of individual clients, families, and communities. The rapidly increasing resources available for nursing research have opened numerous opportunities for studying essential issues in promoting health, ameliorating the side effects of illness and the consequences of treatments while increasing the health outcomes of our patients and their loved one. (Sue, 2000).There so many challenges that are facing the future of nursing practice, one of them is the presence of the wide gap between the theory and practice .one of the primary problem or concern is the difficulty of transferring available knowledge into clinical practice. According Sue (2000).No challenge …show more content…
I remember there was a time on my first few weak of orientation I felt like I didn’t belong the healthcare field. I was about to quit the nursing profession, but one of the experienced nurses who was working with me told me that you couldn't run away from yourself just hang in there you will figure it out you are not the alone. I could say there was a significant gap between theory and practice. In real life practice, I learned so many things through everyday training and experiences from working difference patients with the different case. In school, we learned the importance of evidence-based practice but to incorporate that knowledge in real life practice is a different problem. In nursing practices, we come across patients with various health issues that require a solution right then. From this vantage point, the student begins to learn the value of looking at what is perceived as pure clinical problems in a more significant context. (Ferrara, 2010). Not only has this brought the theory we have learned in school and what a nurse has experienced in clinical setting closing this …show more content…
Knowledge and practice issues have a long-standing history in nurse education and are a continuous source of controversy to which there is no easy or perfect solution (Hewison, A & Wildman, S., 1996). This tension between theory and practice and research which can be usefully exploited in teaching and research (Rafferty, Allcock, & Lathlean, 1996). Emphasizing the importance of the issue (Rolfe, 2003), states that the theory-practice gap is felt most acutely by student nurses. The student may find themselves torn between the demands of their tutor and the practicing nurses. They are faced with real clinical situations in which they are unable to generalize from what they have learned in theory. This gap creates the biggest challenge for most of the new graduate. If we don’t step up and fix this problem of the theory-practice difference, it can cause a huge problem because the principles of practice established in curricula are not well aligned with the principles operating in the workplace. If this problem is not deeply addressed, it may be another factor on why new nurses are leaving the practice
A critical analysis of the four fundamental patterns of knowing in nursing is essential for nurses to be able to grasp the complicated nature of the nursing practice. Barbara Carper (1978) lists the four patterns of knowing as: empirics, esthetics, personal knowledge, and ethics or moral knowledge (p.14). The science of nursing is called empirics and the connection of art to nursing is referred to as esthetics (Carper, 1978, p.14). These patterns are four very complex areas of nursing that every nurse must consider in order to be as successful as possible in providing care. In this evaluation the author will discuss how these concepts affect present learning and practice.
This discussion review recruited selected studies to serve the purpose of this discussion. It was not systematic review that reviewed all nursing relevant studies guided by one or more knowledge translation theories, models, and frameworks. The search was in Pubmed data base only, and the qualities of the studies were not evaluated.
It is important that students have the ability of being competent in a clinical setting. To be deemed competent in skills according to nursing regulations and requirements. This is a challenging factor for many students, as they enter transition period. This is due to students feel they do not have the desired clinical competency that promotes the skills and authorities of a registered nurse (Harsin, Soroor & Soodabeh, 2012). Clinical research studies have found that students do have the required expected levels of knowledge, attitude and behaviour’s. However, the range of practical skills aren’t sufficient for the range of practice settings (Evans, 2008). This research has also found that other evidenced based studies found that competency in nursing skills is still lacking (Evans, 2008). These skills are lacked by students and newly graduated nursing how are in the first or second year of
The nursing profession is considered both an art and a science. An example of the science of nursing is the theory and evidence based practice guidelines (EBP), which influence a nurses practice. The art of nursing is fluid of bringing science and patient care into nursing practice. Nurses in all levels of nursing educational programs should study nursing theory. According to Eun-Ok (2015) theory evaluation has declined and it is essential to developing nursing knowledge; which, leads to the development of nursing discipline. Nursing theory should be continually evolving as current health care trends evolve. The best way to accomplish this is through incorporating theory in academia and nursing
According to Orem, nursing science is a practical science, in that knowledge is developed for the direct purpose of nursing practice itself (Barbara, 2011). The goal of nursing science is to look for an understanding of the actual realities that are concerning to nurses and the nursing practice (Orem, 2001). We can do this through both research and producing scholarly articles. “Nursing science is the science of which knowledge is developed for the sake of the work to be done” (Barbara, 2011, p. 44). Without the nursing science as the backbone of nursing, the nursing practice would seize to exist, or at least have difficulty staying alive. Nursing science offers nurses the knowledge, skills and competency to develop order and direction in their nursing care (Malinowski, 2002). Models of case studies, rules and standards of practice along with the various
... middle of paper ... ... Fawcett, J. & Fawcett, J. (2000). The 'Secondary' of the 'Second Analysis and evaluation of contemporary nursing knowledge: Nursing models and theories.
Based on this theory, it is focuses on individuals who are in poor health and under the physician’s care. She believes that major concern in nursing is resolving individual’s need for help by using an interactive discipline process that is gained through training. Orlando (1990) observed that her interpretation of nursing process is wider than the one usually advocated in undergraduate nursing curriculum. This theory give large impact on nursing education in North America and globally, although the emphasis on the process itself may have detracted from wider intent of theory to improve the interaction between client and nurses. She defines the actual role of nurses is to perceive the client as an individual. Nursing students are unaware that original intent of Orlando’s theory was to provide a theory of efficient practice and not an instrument to guide the nurse’s
Nursing is a growing and constantly changing profession, making a bigger impact in healthcare with every turn. In fact, it was not so long ago that nursing was not even thought of as a profession and we have come a long way since the pioneer days of Florence Nightingale. Nursing is steadily evolving in terms of opportunities, educational requirements, professional recognition, and the advancement of nursing theories. These theories influence the environment, the patient, health, and overall nursing. Nursing theories will continue to evolve and guide as we continue to explore and learn new ways to improve overall nursing practice not only for the sake of the patients, but also for the future of nursing as a whole. However, when one looks to the future of nursing, they must also remember where it started; the basics of Florence Nightingale and that “Were there none who were discontented with what they have, the world would never reach anything better” (Nightingale, 1859).
The article was complicated, but it helped address the learning patterns and what a nurse needs to know in their practice to better themselves and provide the best care for a patient. By acknowledging the patient as a person, applying science based practice, using artful skills, and ethically providing care to a patient, the nurse extends their patterns of knowing and forms their knowledge base.
Thorne, S. (2010). Theoretical Foundation of Nursing Practice. In P.A, Potter, A.G. Perry, J.C, Ross-Kerr, & M.J. Wood (Eds.). Canadian fundamentals of nursing (Revised 4th ed.). (pp.63-73). Toronto, ON: Elsevier.
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.
Utilizing nursing theory can help nurses develop a more focused and individualized plan of care for their patients. By understanding the nurse’s metaparadigm and how to apply theory to each concept, nurses can develop increased insight on their patients and promote interventions that are more likely to produce a greater quality of care for the patient.
As mentioned by Hunter and Arthur (2016), one of the main reasons I could maintain and improve my practice was due to clinical placements. During clinical placements we are frequently being assessed and taught in dealing with real situations. Feelings As learning is a lifelong process, I’m sure there are many things I need to improve and learn to better myself. However, the lessons I learned during the course as a nursing student shall always remain as a bedrock for my future development.
Nurses use evidence based practice and research to develop knowledge needed to practice in the nursing profession. Nurses use practical knowledge and theoretical knowledge in the many roles that nurses perform. As a provider of care and manager of care, nurses should use evidence based practice, research, and theoretical knowledge to ensure the best possible outcome for the patient. Lifelong education in nursing is necessary to keep up with the changes in nursing practice and to reinforce ethical knowledge and the core values that nurses use in their everyday practice. The professional value of caring as a nurse is one of the most important values. The caring attitudes of nurses will carry over to all other values that nurses should possess,
These views imply that real life experiences test theoretical foundation, allowing for an individual to gain what is referred to as practical knowledge. This knowledge consists of a combination between theory and practice, allowing for a more holistic approach to patient care. Benner credits her differentiation of “knowing how” and “knowing that” to the ideals of philosophers Kuhn and Polyani. The premise of “knowing how” is related to nursing practice, whereas the basis for “knowing that” is associated with nursing theory. Due to the complex circumstances surrounding different clinical situations, theory alone would be inadequate for providing proficient patient care. Because of this, the importance of examining nurse practice is invaluable to further the development of nursing theory (Alligood,