1
APPLICATION OF A GRAND THEORY
Shy Clanton
Nurs 600 Discussion Board 3.1
Review and comparison of Nicely and Mefford articles
An article in Progress in Transplantation examines how Bruce Nicely applies Virginia Henderson's principles and practice of nursing theory to organ donation after brain death. Virginia Henderson's theory discusses the importance and impact of patient and family focused healthcare. The article suggests that family and patient support during the organ donation process is a necessity. The nurse becomes an advocate for the patient donating the organ and their family, as well as, the recipient of the donated organ and their family. Henderson's theory belongs to the needs theory school of thought. Virginia Henderson believed that nurses assist patients with 14 specific activities or problems identified through nursing assessment. Resolution of the identified problems aids in
…show more content…
Myra Levine's theory suggests to the outcome theorist school of thought. Levine's approach focuses on (1) the performance of quality nursing care, (2) what nursing actions are necessary to perform the care, (3) what are the identified goals for the actions performed and (4) how patient outcomes will have a positive impact. The author evaluates the care given to the infants through the identification of the infant's adaptive competencies at birth. The consistency of caregivers and increasing intensity of nursing care identifiable nursing actions. The article displays the goals of the noted nursing interventions, and an outcome of improved health and wellness is noted. Levine's theory primary focus was continuous nursing care that encompasses the patient and family holistically and implementation of holistic and patient specific nursing interventions that promote health and wellness (Mefford,
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
There has been a lot of debate concerning brain death within organ donations. This means whether the person is actually alive or dead when the doctors decide to harvest the organs. Some people and even organizations argue why it is they believe an individual is alive during the process while others argue why the donor isn’t alive. This essay shows the different positions of people and organizations regarding brain death.
Nurses are both blessed and cursed to be with patients from the very first moments of life until their final breath. With those last breaths, each patient leaves someone behind. How do nurses handle the loss and grief that comes along with patients dying? How do they help the families and loved ones of deceased patients? Each person, no matter their background, must grieve the death of a loved one, but there is no right way to grieve and no two people will have the same reaction to death. It is the duty of nurses to respect the wishes and grieving process of each and every culture; of each and every individual (Verosky, 2006). This paper will address J. William Worden’s four tasks of mourning as well as the nursing implications involved – both when taking care of patients’ families and when coping with the loss of patients themselves.
Fugen, Goz, Mustafe Goz, Medine Erkan. "Issues in Clinical Nursing." Knowledge and attitudes of medical, nursingm dentistry and health techniciian students towards organ donation: a pilot study (2005).
Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia, PA: Lippincott Williams & Wilkins
This interactive grand theory is grounded in humanist philosophy, which expresses the belief that humans are unitary beings and energy fields in constant interaction with the universal energy field. This model guides the nurse who is interested in “physiologic” and “psychological” adoptions (McEwen & Wills, 2014, p. 177). This model views the nurse as holistic adaptive system constantly interacting with different stimuli. And also explains how different sets of interrelated systems maintain a balance between various stimuli to promote individual and environmental transformation (Alkrisat & Dee, 2014). This model creates a framework to provide care for individuals in health and “in acute, chronic, or terminal illness” (Shah, Abdullah, & Khan, 2015, p. 1834). It focuses on improving basic life processes of individuals, families, groups of people; nurses see communities as holistic adaptive systems. It consists of three basic assumptions: philosophical, scientific, and cultural. And it also contains many defined concepts about the environment, health, person, goal of nursing, adaptation, focal, contextual, and residual stimuli, cognator and regulator subsystem, and stabilizer and innovator control processes (McEwen & Wills, 2014, p.
As defined as a discipline, profession, and area of practice, nursing is based upon the maintenance of a patient’s health and recovery, from mental or physical illness or injury. Nurses aid an individual or individuals sick or well. There are four major principal characteristics that further define nursing care: phenomena that concern nurses, theories for nursing intervention, nursing action taken, evaluation of the effects about phenomena. This research paper will help me to learn more about this perspective field of healthcare. Throughout this research paper, I will discuss their education, duties, work environments, job outlooks, and their pay.
Because these theory are known to have direct linkages to research and practice Most of these theory are developed from research, observation and experiences I do believe that Most nurses will agree with me if I say that the evidence based practice is a main engine for health well-being .Middle range theory signifies a growth of knowledge development in Nursing. Middle range theories offer valuable organizing frameworks for phenomena being researched by interdisciplinary terms. These theories are useful to nurses and persons from other discipline in framing phenomena of shared concern. (Archive, 2015).Middle-range theories are useful in addressing the problems of nursing, especially among vulnerable populations. Although middle-range theories address specific phenomena within nursing practice, the theories are broad enough to be applied to a variety of patient populations, and across many practice settings (Mareno, 2015). The language of middle –range theories is that used in nursing practice to deal with patient care phenomena such as pain ,unpleasant symptoms, empathy, uncertainty, comfort, change, lifestyle health promotion, relationships ,and deliberative planning for
Participant 4 stated, “I think just basically being there for the family as well…I think even just a cup of tea can go a long way with any family (McCallum & McConigley, 2013). Another theory that intertwines with Watson’s is Barbara Dossey’s Theory of Integral Nursing. Dossey articulates, “Healing is not predictable, it is not synonymous with curing but the potential for healing is always present even until one’s last breath,” (Parker and Smith, 2015, p. 212). Dossey believes that integral nursing is a comprehensive way to organize different situations in fours perspectives (nurse, health, person and environment) of reality with the nurse as an instrument in the healing process by bringing his or her whole self into a relationship with another whole self. In the HDU, the RN’s interacted with each patient while providing high quality care to create a healing environment for the patient and family even when their prognosis was otherwise. Patient 3 specified that “We still have to provide care...and make the family feel that they are comfortable and looked after” (McCallum & McConigley, 2013). These theories ultimately show the importance of a nurse through the aspects of caring to create and maintain a healing environment that is not only beneficial to the patient but to their loved ones as
Sampaio, C., & Guedes, M. (2012). Nursing process as a strategy in the development of
Certainly, every nurse carries their own duties and responsibilities. As well as neonatal nurse practitioner, in cooperation with other health care professional, are responsible for diagnosing and managing the care of new-borns with significant health problems. In addition, they also provide a safe, comfortable and therapeu...
Nursing theory can be applied to resolve nursing problems or issues, irrespective of the field of practice. A nursing theory benefits nurses and the patients that are in his or her charge. . Depending on the issue or problem that is needed to be solved determines what theory needs to be used. Nursing theory started with Florence Nightingale. She believed that a clean environment would promote better health. Virginia Henderson’s need theory emphasizes the need to ensure that the patient’s independence is being increased while in a health care facility. Ensuring that a patient can increase his or her independence allows for them to experience better outcomes upon discharge home. This is just two examples of nursing theories that were used
Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
She was able to identify individual’s needs, which carried forth in to her theory. She wanted to set standards and values that would meet the broad range of human needs, yet be able to recognize individual differences among patients (Anderson, 1999). Because Henderson was primarily a nurse educator, her theory focuses on the education of nurses. Her theory was created from both her education and practice, making her work appealing to both ends of the spectrum (McEwen & Wills, 2011). Her theory is focused on the needs of a patient but in Henderson also emphasizes the importance to continue education and research. She stresses the significance of constantly searching for the best solutions and practices for optimal patient care (Anderson,
Virginia Henderson helped nursing by providing a broad definition of what nursing is and giving a base for all nurses to build upon with other theories that will shape their nursing career. We learned through Henderson that nursing comes down to helping the patient. It is up to the nurse to assist and guide the patient to good health and independence. It is also important that we use other theories we agree with to gain even more knowledge about nursing and its