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Importance of theory in nursing
The role of theory in nursing
The role of theory in nursing
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Per McEwen and Wills (2011), a concept is a word or term, developed by the impression of the human mind, based on their environment, to understand elements or components of specific phenomena. Concepts are the basic building blocks in construction of theories. To be described, explained, or predicted by all, concepts must be structurally and functionally sound. The purpose of a concept analysis is to examine the structure and function of a selected concept and clarify overused or vague concepts so that everyone that uses the concept will be speaking of the same idea. There are several methods to concept analysis available, however this paper will focus on the use of Walker and Avant’s 8 step method (Walker & Avant, 2011).
Concept Selection
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Empirical referents can be defined as instances of genuine phenomena that demonstrate the occurrence of the concept and can be used to measure the defining attributes (Walker and Avant, 2011). In the concept simulation, the defining attributes and empirical referents are identical as shown by the concept analysis (Bland et al., 2011). Identification of empirical referents are important in the development of concept measurement instruments as they prove content and construct validity (Walker and Avant, 2011).
Values of
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Walker and Avant was used by Bland et al., (2011) as a guide to analyze simulation as a learning tool for undergraduate nursing education. This concept is not final and will need further completion of research to help cultivate a more in-depth definition that is conceptually and operationally defined. Defining attributes and concept definitions will most likely change with advanced research and further concept analysis. Research will provide the ability for further antecedent and consequence development. With a more definitive definition of simulation, measurement tools can be developed and nursing language enhanced to include more global terms. With increased knowledge on what simulation is and what it means, the nursing science and nursing education practice will continue to advance
Across the nation many nursing programs are facing clinical site shortages for their students. The hardest hit population is the license vocational nursing (LVN) students. Many hospitals are trending toward achieving “Magnet Status” for their institutions. Therefore, LVN students are no longer allowed to complete their clinical training in several hospitals. This action forces many nursing programs to seek alternative methods of clinical instruction. In years past simulation training was used as an aid to facilitate learning. Today, for many nursing programs scenario based simulation is the only option for learning patient care.
Bachelor of Science in Nursing (BSN) programs strive to ready student nurses for the National Council Licensure Examination (NCLEX) that tests not only pure knowledge, but the reasoning and application of that knowledge. These programs provide student nurses with the necessary knowledge base and ability to apply knowledge in practice; especially since the introduction of Evidence-Based Practice (EBP) has been integrated into didactics. EBP, along with hours of clinical placement, benefit student nurses by arming them with the clinical judgment skills called for in the workplace. However, if student nurses accrue more focused clinical hours in their areas of specialty, they will be better prepared for the situations they will face in their careers for which simulation labs or nonspecific clinical settings fail to adequately prepare them. With more hours spent in specialty areas, student nurses will be able to establish higher degrees of mental preparedness and hands on experience as well as understanding of the difficulties and demands of working as a nurse in a specific field as opposed to shifting between various focuses of nursing.
conceptualization of the term/concept, and it also helps to show that the concept is indeed
Clarification of the research question is at the end of the opening section and states that the study was “designed to evaluate the use of a quantitative instrument to measure caring in the nursing simulation environment.” This question is consistent with the problem statement of evaluating the correlation between caring and nursing simulations.
On the 1st of November 2013, I performed my first simulation on the module, Foundation Skills for Nursing. This simulation was on checking for vital signs in patients particularly, measuring the blood pressure (BP) which is the force of blood vessels against the walls of the vessels (Marieb and Hoehn, 2010). We also measured the temperature, pulse and respiratory (TPR) rates of a patient. This simulation’s objective was to engage us in practising some basic observation techniques taken on patients in and out of hospitals and to familiarise us on some of the tasks we will be performing when in practise. I will be applying the “What”, “So what”, and “Now what” model of reflection in nursing by Driscoll (2000).
On the other hand, I learned new concepts and terms. Simulation repeats some essential aspects of patient situation so that the situation may be understood and managed when it occurs in real clinical practice. Students in the school of nursing use the simulation learning center to learn and get experience in the field. The simulation is an educational process that requires the learner to demonstrate procedural techniques, decision making, and critical thinking. I learned that a simulation experience allows students to critically analyze their own actions and reflect on their own skill set. As a nursing student, I learned you have to complete clinical hours and practice in the simulation learning center. To become a certified nurse there are many training courses, exams to pass, and in the field experience to complete. Health professionals such as a nurse,
Simulated based education is a method that can be used within the field of nursing to accomplish this goal. Forms of Simulated Nursing Education Simulated based education is training and an educational method that can use many different types of simulators. Dr. Broussard said, “A wide range of simulators are available to nurse educators. Models range from equipment that is used to teach a simple, single skill such as intravenous access to very advanced, realistic equipment that can be used to simulate reality-based scenarios in a clinical setting such as an intensive care unit.” (Broussard, L. 2009)
It prepares a novice to be able to perform basic skills throughout their career. Learning is related in the classroom by simulation labs and clinical instructors. Educators consider nursing education to be serious. Their role in preparing nursing students is to convey safe practice for patients. They focus on educating students to learn the knowledge of essential care for different patients. New graduates who learn the sufficient knowledge and skills will be able to understand aspects to protect and design for the nurse and patient. Students are taught to recognize safety threats and will understand the significance of reporting errors for future prevention.
To improve my understanding of maintaining my capability for practice as a RN, I set a goal to learn in depth from my classes, related units, and through interacting with my friends and tutors. There were many setbacks on the way, but as I became more acquainted with the matter I began understanding better. In this reflection I’ll use Gibbs reflective cycle (Gibbs, 1988) to address my experiences as a student nurse in fulfilling the maintenance and capability for practice. Description Through tutorials, lectures and simulation classes every semester, our practice is enhanced and maintained so that the skills and knowledge we learnt is always nurtured while new ones are gained.
This essay is going to reflect upon the nursing skills I developed during a period of placement simulations, placing emphasis on oral care, communication with a non-engaging patient and bed bath. It will outline the fundamental aspects of clinical nursing skills that I have begun to acquire. This will also highlight the learning processes which took place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using a variety of sources from current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these skills as well as identifying areas with scope for learning.
Pugh concept selection chart is a decision matrix method that predominantly used for concept selection purpose. Concept selection is a quantitative approach for making decision and used for comparing multiple concepts with respect to a reference or datum concept and determine the given concept better, poorer or equivalent as of their reference concept. AS we know that individuals excels in creating ideas where as a small group excels in selecting ideas.Hence, the concept selection is usually carried by design team after several rounds of scrutinizing and deliberation. The multiple concepts for a specific design is submitted for the pugh method should have passed through the absolute filters.
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
As a conclusion, concept check is an effective and important technique in language teaching. It is not simply about checking understanding; it is the heart of teaching the language. I am, as a teacher, now more aware of this technique and trying to apply it to my teaching.
This first phase in the research process is known as the conception phase. During this phase the researcher will not only decide on what the research will be based on, but also involve reading, thinking and theorising that particular area of interest. This includes the researcher identifying a problem, searching for relevant information relating to the problem, and then defining theoretical or conceptual framework. Carrying out these steps will enable the researcher to identify a problem, and then discover the focus, or intent
408), Each person perceives and interprets events by means of conceptual structure of generalizations or contexts, postulates about what is essential, assumptions as to what is valuable, attitudes about what is possible, and ideas about what will work effectively.