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1. Historical Evolution of Nursing Theory
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Recommended: 1. Historical Evolution of Nursing Theory
Nurse Theories
A nursing theory is a innovative product of nurses who seek thoughtfully to explain the aspects of nursing in ways that could be studied, assessed, and used by other nurses (Sitzman & Eichelberger, 2010). Nursing theorists are people who are, or have been, nurses who have reflected about how one might describe the phenomenon of nursing (Sitzman & Eichelberger, 2010). Each theorist has then tried in their own way to document their thoughts and observations based on professional and personal experiences (Sitzman & Eichelberger, 2010). Theories are significant in the sense of providing structure and order for guiding and improving professional practice, teaching, learning activities and research (Sitzman & Eichelberger, 2010). Each theory is as unique as the individual(s) who developed it (Sitzman & Eichelberger, 2010). In this paper, nursing theorists Martha Rogers and Dorothea Orem are analyzed within the context of the their theory, questions, major assumptions and the four key concepts of the metaparadigm of nursing - person, environment, health and nurse (Meleis, 2011a). Each theorist will then be compared on similar and dissimilar components to their theory.
Martha Rogers
Theory Description. Martha E. Rogers, one of nursing’s leading analysts, was a loyal advocate for nursing as a fundamental science (Parker, 2001b). Rogers is known for the paradigm she introduced to nursing called, “The Science of Unitary Human Beings (SUHB)” (Parker, 2001b). The SUHB provided a revolutionary vision of nursing reality (Rogers, 1970). According to Rogers (1970), her framework provided a structure for nursing practice, education and research that promises a move away from the previously predominant medical model approa...
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Health. When addressing health, Orem stated health is “a state of physical, mental, and social well-being and not merely the absence of disease or infirmity” (p. 184, cited in Foster & Bennett, 2001). When referring to health, Orem uses the terms health, health state, and well-being (Fawcett, 2005)
Nursing. Nursing, as art through which the practitioner of nursing gives specialized assistnace to persons with disabilities of such a character that greater than ordinary assistance is necessary to meet daily needs for self care and to intelligently participate in the medical care they are recieving from the physician” (Orem, as cited by McLaughlin-Renpenning, 2002). It is actions deliberately selected and performed by nurses to help individuals or groups untruth their care to maintain or change condition in themselves or their environments (Hartweg, 1991).
Although many stipulations and expectations of the nursing profession are predetermined through regulatory authorities and organizations, there is a deeper meaning to this profession and the care that it provides. For decades, nursing theorists have had an impact on the care that this profession delivers; however, it is also important for every practicing nurse to explore themselves and their personal thoughts and feelings on the profession they have chosen. As a nurse, I have been able to search myself and determine what nursing means to me and apply it in my daily interactions with my coworkers, patients, families, and the community in which I serve. The nursing metaparadigm serves as a framework on discovering and exploring these thoughts and values as it introduces four concepts: nursing, health, person, and environment. Nursing care is a delicate and integral balance of various components within these concepts. Nurses provide care to others during some of the most difficult times of life. Because of this, it is imperative to understand the meaning and application of these concepts and be able to apply that knowledge to the care we provide as a profession. As a nurse, it is important to realize that the care we provide is an extension of what we learn from textbooks; nursing care encompasses an understanding and acceptance of others as well as a continual willingness to help and improve society.
Parker M. E., & Smith M. C. (2010). Nursing theories and nursing practice (3rd ed.).
A metaparadigm is an overarching framework that provides a comprehensive perspective of a discipline. In nursing, this framework serves to distinguish the profession intellectually, comprising of four concepts which provide a foundation to the content and context of nursing theory and scope of practice (Lee & Fawcett, 2013; Masters, 2014; Schim, Benkert, Bell, Walker, & Danford, 2007). Namely, these foundational concepts are: person, environment, health, and nursing. Hence, the intent of this essay is to describe the four main concepts that make up nursing’s metaparadigm and discuss how they are used in practice, education and research.
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
... middle of paper ... ... Fawcett, J. & Fawcett, J. (2000). The 'Secondary' of the 'Second Analysis and evaluation of contemporary nursing knowledge: Nursing models and theories.
The progress of nursing theories reflects the development of nursing science. Theories go beyond describing professional abilities, and aim for a synthesis which in turn becomes a reference to practitioners. This interplay between theory and practice currently mirrors specific features of our profession: its focus on the individual, the behavior, and the importance of the experiences, considered in a universal way. In consequence, the biological, psychosocial, cultural and spiritual connections of the human beings are the focus of the nursing discipline. This paper offers a nursing view, analyzing main concepts of the professional nursing roles.
In the history of nursing we have come a long way and this is because of the nurses before us. They wanted to learn, lead, teach and make a difference in the care of patients. There are 4 main nurse theorists in the second part of our text book. I am going show how they are alike and different from one another. What makes each one of them unique and the differences they played in the development of each nursing philosophy.
This paper is a first attempt at forming and articulating my own philosophy of nursing.
... practice of medicine, combined with addressing holistic needs of the patient and family, including the physical, psychological, cognitive, emotional, spiritual and social care as it relates to being competent in nursing.
In 2005 Fawcett stated “the metaparadigm of professional nursing incorporates four concepts: human beings, environment, health, and nursing” (as sited in Kearney, 2012, p. 4). This paper discusses my philosophy of nursing by stating my own personal definitions, values, and assumptions regarding each of the above mentioned concepts. My paper concludes with an exemplar from my own nursing practice and how I integrated my nursing philosophy into that particular clinical situation.
I consider my personal definition of a registered nurse to be an educated person working in the field of nursing, who cares, helps and advocates for individuals in need. This would include people with mental, physical, and emotional concerns. The sole purpose of nursing is to promote personal well-being for people in all levels of their existence at any stage of life. According to the International Council of Nurses (INC,2017) “Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people” (Par 3). Nurses play a vital role within the health care system in developing health policies and procedures, management, research, patient advocacy and providing education to their patients and at the community level, illness prevention ( INC, 2017). Being a nurse consists of more than the day to day tasks of administration of medication,
"Philosophy is an attitude towards life that evolves from each nurses’ beliefs" (Parker, 2001). It is the philosophy that underlies our practice what brings to life our desire to be nurses. Philosophy is essential because it is the natural extension of our interest in knowing the truth (Parker, 2001). A metaparadigm is the widest perspective of the discipline and a way to describe the concepts that concern the profession of nursing (McEwen & Wills, 2014). In this paper, my philosophy of nursing will be discussed through reflection on the four nursing metaparadigm concepts to determine if anything should be added or taken out.
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).
Around the 1960s, nursing educational leaders wanted to formulate a nursing theory that contained knowledge and basic principles to guide future nurses’ in their practice (Thorne, 2010, p.64). Thus, Jacqueline Fawcett introduced the metaparadigm of nursing. Metaparadigm “identifies the concepts central to the discipline without relating them to the assumptions of a particular world view” (MacIntyre & Mcdonald, 2014). Fawcett’s metaparadigm of nursing included concepts of person, environment, health, and nursing that were interrelated. The metaparadigm ultimately contributed to conceptual framework to guide nurses to perform critical thinking and the nursing process in everyday experiences in clinical settings.
Sieloff, C. L., & Raph, S. W. (2011). Nursing theory and management. Journal of Nursing Management, 19(8), 979-980. doi:10.1111/j.1365-2834.2011.01334.x