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Importance of nursing theories in practice
Importance of nursing theories in practice
Importance of nursing theories in practice
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Roy's Adaptation Theory
Introduction
A person’s health is an ongoing process. A change in health and illness can be challenging for a person. As a nurse, our goal is to help the person to adapt with the changes and the challenges they may have. By using Roy Adaptation Model, nurses can help understand the demands that are causing the problems, how well the person is adapting to the problems and help the person develop effective coping skills.
Roy’s Adaptation Theory
Sister Callista Roy developed the Adaptation Model of Nursing. Roy’s Adaptation Model is one of the most useful conceptual frameworks that focuses on individual adaptation to a changeable environment. Roy sees the individual as a set of interrelated systems, which are biological, psychological and social. The individual strives to maintain a balance between these systems and the outside world to where he or she can cope adequately.
According to the model, adaptation is defined as the process and outcome in which thinking and feeling persons use conscious awareness to create integration between human perception and their environment. The major concepts of Roy’s Adaptation Model are person, health, environment and nursing. Roy’s model sees the person as an open, adaptive system which uses coping skills to deal with stressors and is in constant interaction with a changing environment. Environment is the stimuli, which is divided into focal, contextual and residual stimuli. Roy defines environment as all conditions, circumstances and influences that surround and affect the development and behavior of the person. Health is the process of being and the outcome of adaptation. In the concept of nursing, Roy’s goal is to promote adaptation and contribute to the pers...
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...ntributes significantly to nursing knowledge. This theory helps many nurses develop effective care plans, utilizing interventions that will assist the patients with adapting to their environment. By using Roy’s theory, nurses can help the patient adapt to changes and design an intervention that best suits the person.
References
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Rejeh, N., & Vaismoradi, M. (2010, March). Perspectives and experiences of elective surgery patients regarding pain management. Nursing & Health Sciences, 12(1), 67-73. Retrieved from www.ebscohost.com
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These four concepts play a very important role throughout the care in every single patient we are in contact with. The concept of person is used to represent each individual patient, such as a man or a woman (Chitty & Black, 2014). In the nursing profession, we know that every person is different in their own way from many different factors such as, genetics and environment. As a nurse, we incorporate the different factors that make a person who they are today. According to Chitty & Black (2014), the concept of environment includes all the influences or factors that impact the individual. The environment plays an important role in either promoting or interfering with the patient’s health. The environment can consist of many different systems, such as family, cultural, social and community systems. All these different systems can play a role in the patient’s health. The third major concept of the metaparadigm is health. The concept of health varies from person to person and day-to-day with many different factors included (Chitty & Black, 2014). Health includes every part that makes a person whole, which includes being able to perform their everyday tasks in life effectively. The last concept of the metaparadigm is nursing. Nursing, being the final concept includes all the previous concepts of person, environment and health to create a holistic approach (Chitty & Black, 2014). The holistic approach promotes the well-being of the mind, body and spirit in our
According to Kashyap, et al., (2014), resilience is a positive personal attribute buffers the impact of stress and helps maintain health. Research has identified personal characteristics of individuals that possess the capacity for resilience. During the hiring process, selecting candidates that possess the identified personal characteristics would increase the likelihood of successful acclamation to the ER environment. Resiliency characteristics include: creative thinking/or problem solving, decisive action, tenacity, interpersonal connectedness, honesty, self-control, and optimism (Tubbert, 2016). Resilience is the positive capacity of people to cope with stress (Kashyap et al., 2014). Resilient individuals have the ability to successfully cope during times of chronic stress (Kashyap, et al., 2014). Nursing in the ER is stressful, therefore teaching nurses how to manage the stress needs to be a priority for nursing administrations. The most important defense against stress is resilience (Kashyap, et al., 2014). Eliminating occupational stress from ER nursing is impossible, but resilience training can improve how nurses deal with the unavoidable stress. Resilience is an interaction between individual resources and current situational events (Goodman et al., 2017). Maintaining resilience requires diligence and continuous evaluation of the need for support. Resilience is not constant across time and context, rather it is dynamic in nature (Goodman et al., 2017). Resilience training will assist ER nurses in overcoming
Theory’s responsibility is to provide nurses with standards that reinforce practice, as well as, for future nursing understanding and delivery. Basically, it provides nursing professionals with a tested way of thought on how to handle certain situations with proven results. The importance of nursing theories to nursing research is the knowledge offered gives nurses the foundation for communicating with others and best practice. Middle range theory according to McEwen & Wills (2011, p 35) are theories that have concrete concepts, that are specific, incorporate a measured number of concepts and characteristics of the real world and are tested for accuracy.
A nurse is able to achieve this great balance, with the patient and self, by being conscious of the environment that surrounds them and through self awareness. For example, in the scene of an emergency, first and foremost, a nurse must check the environment before started emergent care. Both the patient and nurse must be safe for treatment to be effective. The environment is what surrounds us; our workplace, home, communities, issues we think about, the people we interact with, and the emotions associated with these interactions. The nurse knows that all of these components play an integral role in maintaining stability in a person’s life and health. The nurse assumes care of not just a disease process but of a human being as a whole; a family, a livelihood, a spirit, a person. A nurse knows that in order for holistic care to be effective, the care taker themselves should be at a point of stability as well. A true nurse knows that in order to excel you must know your limits and understand that while your main goal is to help the patient regain their strength, identity, and independence, that goal does not have to be achieved by compromising your own self, identity, and
There are many models available including Roper Logan Tierney (RLT) (1996).The RLT model, which my portfolio is based, offers a framework for nurses to be able to ensure that individuality is taken into account when undertaking nursing care. In order to ensure that all aspects of an individual's life are integrated into an effective plan of care, Roper at al (1996) uses a problem solving approach and the nursing process in conjunction with their model for nursing.
The development of nursing theories has provided a perspective in which one can define the purpose of nursing, when nursing is required, and establish the parameters and goals of therapeutic nursing activities (Ahmed,2001). A nursing theory is defined "as concepts, definitions, relationships, and assumptions derived from nursing models or from other disciplines and project a purposive, systematic view of phenomena by designing specific inter-relationships among concepts for the purposes of describing, explaining and predicting the phenomena of nursing” (Boxer & Jones, 2010). In addition, nursing theories provide frameworks through which nurses can examine various situations. As nurses encounter new situations, these frameworks provide a structure for organization, analysis, decision making and communication (Ahmed, 2001). The following paper will discuss the middle range nursing theory of Family Stress and Adaptation by Geri LoBiondo-Wood, and how it relates to patient care and guides nursing practice.
The nurse needs to be aware of the nursing process of the chronic illness trajectory, in order to apply this theory into practice. The nursing process consists of six phases such as: assessment, diagnosis, outcomes, identification, planning, implementation and evaluation (George, 2011). All of which are successful while caring for patients no matter the severity or phase they are in on the illness trajectory
Mary Stewart defines the domain of person in having” the ability to think and conceptualize, the capacity to interact with others, the need for boundaries, and the use of language” (Masters, 2017 pp. 105). I believe the person is the center of the domains within the conceptual model and that they are the receivers of the care. The second domain being environment is the surrounding in which the person domain resides in. Stewart suggests the importance for nurses to look beyond the person but towards the surroundings (Masters, 2017). Reasons to looking beyond the person are because the environment does many times have an influence on the quality of life; with that being said making a difference in a person’s environment can overall create a different outcome. For example, a homeless man who is sick from a cold from having no shelter. Change the environment of that homeless man with a shelter and he has a better chance of not being sick or cold. The third domain being the health domain is a domain that is totally unique and has a subjective meaning depending on the person. One person might describe their health as not being ill but to another having their chronic diabetes under control. There is no one standard of health baseline because everyone’s perception of health is different; so this concept of health is an individualized focused domain of the person’s state. The last domain nursing, Stewart describes the meaning provided by the American Nursing Association as “the protection, promotion, and optimization of health and abilities, preventing illness and injury, alleviation of suffering through the diagnosis and treatment of human response” (Masters, 2017, pp.106). I believe this final domain is the basis and foundation of nursing, so it is the nurse’s action towards the plan of care to the patient’s health
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 purpose of this theory is very specific to nursing and caring. Watson focused the purpose of this theory to the core concepts of nursing keeping both the patient and environment in mind. Each concept addressed in the theory focusing to promote, prevent, and restore health. The purpose of the theory applies to each of the concepts, assumptions, and factors. Watson implies that caring can assist the person to gain control, become knowledgeable, and promote health
Nursing theory is, “the principles that underpin practice and help to generate further nursing knowledge” (Colley, 2003, p. 33). Nursing theory is important in nursing practice. The two theorists that are relevant to my nursing practice are Florence Nightingale and Hildegard Peplau. Florence Nightingale theory was about the patient having a clean and healing environment (Smith & Park, 2015, p. 51). The theory that Hildegard Peplau created was the importance of nurse-patient relationships (Smith & Park, 2015, p. 68). Both of these theories put the patient’s safety and care first. When I am at work I try to form a healthy and healing relationship with all my patients. I also make sure the environment that they are in is conducive to healing,
Tomey, A.M., & Alligood, M.R. (2006). Nursing theorists and their work (6th ed.). St. Louis, MO: Saunders Elsevier.
The world is constantly changing, and nursing practices have to adopt and adapt to these changes. Both the scope as well as the role of nurses has tremendously changed as compared to a few decades ago. Nursing theories, models, and frameworks have been the centerpieces that have helped drive and direct the profession through previous changes, and continue to do so even today. In nursing, theories represent conceptualized ideas of some aspects of the practice that are utilized to explain, describe, predict, and/or prescribe nursing care (Koutoukidis, Lawrence, & Tabbner, 2009). Models and frameworks, on the other hand, are representations of the relationships
Nursing theories are critical for education and practice. The theories suppose to provide a foundation for general knowledge and assist in practice. Thus, healthcare professionals, managers, and patients recognize the unique healthcare service. However,