Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Uncertainty in illness theory mishel
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Theorist Merle Mishel was born in 1939 in Boston, Massachusetts. She has Bachelor of Arts from Boston University in 1961, Master 's degree in psychiatric nursing from UCLA in 1966, Master of Arts in 1976, PhD in social psychology in 1980. Her educational areas include adult Health, research, education. Currently she is working as Kenan Distinguished Professor of Nursing, Director of doctoral and postdoctoral programs, University of North Carolina at Chapel Hill. She has received various awards for her contribution in nursing. During her early career she has practiced as a psychiatric nurse in acute care and in community settings. She is faculty member in department of Nursing at the California State University at Los Angeles, professor …show more content…
Her phenomenological study was done by interviewing patients, family members, and nurses until data saturation was achieved. Previous qualitative, quantitative and mixed-method studies were included in the development of Cypress’s research. She clearly defines the theory of uncertainty as it relates to the patient and identifies three stimulus frame components related to uncertainty symptom pattern, event familiarity, and event congruence. In her research two variables cognitive capacity and structure providers are identified as influencing these stimulus. This study found uncertainty primarily among the patient and not among the family …show more content…
The theory of uncertainty of illness by Mishel can be used in practice to provide direction for nurse to support patients in understanding and coping with uncertainty in illness (Masters, 2015). If all nurses understand the theory of uncertainty in illness, they can better assist their patients to have the best outcome. Nurses should be educated on this theory to be able to use it in practice. The theory has been used to educate clinicians of all areas on the understanding of patients as a whole and their situations during times of uncertainty (Mishel, 2014).
Merle Mishel Uncertainty in Illness Theory Critique This theory critique uses the questions presented in the South University Theory Critique Checklist. It is broken down into four sections in which to examine the theory. The theory of uncertainty in illness by Merle Mishel was one that developed over a period of time. She first came up with her scale of uncertainty in illness. From that she created her first version of the theory and later she added portions to the theory. The reconceptialized theory made it to where it could be applied to patients with chronic illnesses.
These include inference, illusions, adaptation, view of life, and probabilistic thinking. First, inference is the ability to evaluate uncertainty based on previous experiences in life (Alligood, 2014). Second, illusions are beliefs formed out of life’s uncertainty (Alligood, 2014). Third, adaptation is how a person modifies his or her biological, psychological, or social behavior (Alligood, 2014). Forth, new view of life, is the individual’s acceptance of uncertainty of life (Alligood, 2014). Fifth, probabilistic thinking is the belief in a world in which an individual is uncertain and cannot always have a predicted outcome (Alligood, 2014). Each of these concepts can be used in various clinical situations and with different patient
The APRN listens and engages with the patient as care and compassion take place. As the nurse discerns what the patient’s needs are and considers obstacles to achieving optimal care the application of theory is necessary as the process is not always quantifiable. The APRN who does not learn nursing theory may focus primarily on EBP and miss this engagement opportunity with the patient. One may prescribe medication; however, if the patient does not take the medication, then the nurse assumes the patient is noncompliant. The application of Watson’s themes where appropriate helps the APRN discern how to help the patient become compliant. It is necessary to care for the patient outside of the idea of only providing care to understand the obstacle in that patients circumstances and reach improved patient outcomes to any disease
Watson, J. (1985). Nursing: Human Science and Human. Norwalk; CT: Appleton – Century – Crofts.
Health belief model is becoming aware of threat, if a person does not see a healthcare behavior as risky or threatening there is no encouragement to act. For example, when Sabrina swims at their summer lake every day, she doesn’t realize that she is at risk of skin cancer and will most likely to continue to swim at the infected lake. According to several search, there are two main types of perceived threats such as perceived susceptibility and perceived severity. Susceptibility refers to how much risk a person perceives he or she has. On the other hand, severity refers to how serious the consequences might be to effectively change health behaviors, most people however usually believe in both susceptibility and severity. Because both susceptibly
Fawcett, J. (2001). The nurse theorists: 21st-century updates - - Dorothea E. Orem. Journal of Nursing Science Quarterly, 14(1), 34-38. doi: 10.1177/08943180122108021.
There are three types of nursing theories, when it comes patient well-being all three types
The uncertain nature of chronic illness takes many forms, but all are long-term and cannot be cured. The nature of chronic illness raises hesitation. It can disturb anyone, irrespective of demographics or traditions. It fluctuates lives and generates various inquiries for the patient. Chronic illness few clear features involve: long-lasting; can be managed but not cured; impacts quality of life; and contribute to stress. Chronic illnesses can be enigmatic. They often take considerable time to identify, they are imperceptible and often carry a stigma because there is little sympathetic or social support. Many patients receive inconsistent diagnoses at first and treatments deviate on an individual level. Nevertheless, some circumstances require
Wilkin P & Baker P (2004) “The Craft of Caring” Psychiatric and Mental Health Nursing, Arnold Press, London page 26-33
Holism is the epicenter of Ericson, Tomlin and Swain’s theory of Modeling and Role-Modeling. A newer theory development in nursing, published in 1983 has been integrated into many different university nursing programs as well as in clinical settings (Marriner-Tomey & Alligood, 2006). The theory while simple in concept has a complex combination of other well-known theories in psychology. The theory integrates Abraham Maslow’s higharchy of needs, Erik Erickson’s stages of psychosocial development, Jean Piaget’s cognitive development theory, and Selye and Engle stress response theory (Marriner-Tomey & Alligood, 2006). These theories cover the internal aspect of the person, which Ericson, Tomlin and Swain deemed necessary in treatment of the whole patient.
McEwen, M., & Wills, E. (2011). Theoretical Basis for Nursing (3 ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Toomey, A., & Alligood, M. (2006). Nursing theorists and their work (6th ed.). St Louis, MO:
Health psychology is a relatively new concept rapidly growing and could be defined as the biological and psychological influences affect ones behaviour also bringing in social influences of health and illness (MacDonald, 2013). Biological determinants consider genetic and biological factors of an illness whereas psychological determinants focus on the psychological factors such as why people behave the way they do when dealing with issues such as anxiety and stress. Models such as the Health Belief Model and Locus of Control were developed in attempt to try and explain psychological issues around a chronic illness such as breast cancer (Ogden, 2012). Sociological factors can cause an enormous amount of pressure for one to behave in a certain way for example gender roles in society and religious considerations when dealing with health beliefs. Health Beliefs can be defined as one’s own perception to their own personal health and illness and health behaviours (Ogden, 2012). There are also theories and models used to explain pain and coping with diagnosis such as Moos and Schaefer (1984) Crisis theory and Shontz (1975) cycle of grief people go through when being diagnosed with a serious illness.
Based on Henderson’s theory, we can critique the clarity, generality, simplicity, empirical precision, and derivable consequences. The clarity of Henderson’s theory is great. She provides the information in a way that is clear and to the point. There is no information that is unnecessary or not relevant to her definition. The generality of the theory is high. Henderson’s definition is broad and therefore can be applied to almost all nursing situations. The simplicity of the theory is also high. It is easy to read and understand. The empirical precision of the definition is great as well. It serves its purpose as a basis for basic nursing care and goals for the health of a patient. Lastly, the derivable consequences, or importance, is also great. It provides nurses with a basic understanding of nursing and allows them to have a base to build upon with other nursing
The definition of the theory in Theoretical Nursing: Development and Progress (Meleis, 2012) is that “Theory is an organized, coherent, and systematic articulation of a set of statements related to significant questions in a discipline and communicated as a meaningful whole.” The purpose of theory is to provide a meaningful foundation for the development of nursing practice and guiding further studies. The functions of a theory are guiding nursing profession to form the
Meleis, A. I. (2007). Theoretical nursing: Development and progress (4th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.