Topic 5: Theory-Based Nursing Practice II

Topic 5: Theory-Based Nursing Practice II

Topic 5: Theory-Based Nursing Practice II

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Purpose of Applying Nursing Theory to Patient Care

Nurses provide care to patients based on certain guidelines and directions that emanate from existing nursing theories. Theory-based nursing offers a host of benefits for patients and the profession like allowing nurses to articulate what they will do to help patients and reasons behind these interventions. Theories consists of concepts, perspectives, propositions, and hypotheses used by different professionals to perform their functions and deliver services (Gunawan et al., 2022). A nursing theory contains concepts, definitions, relationships and propositions emanating from nursing models and other disciplines which project purposive, systematic view of phenomenon through designing certain links among ideas with a view of describing, explaining, prescribing and even predicting outcomes.

The purpose of using nursing theory in patient care is to improve quality of care and have certain directions on how to provide interventions to attain better outcomes. Nursing theories offer foundational knowledge that allows nurses to care for patients by guiding their actions and decisions (AliSher et al., 2019). The theoretical perspectives create guidelines for specific and broad nursing practices for a patient’s benefit. Nurses use theories to base their intervention upon evaluation of their evidence. They also provide nurses with the rationale to make effective decisions. Nursing theories are fundamental to nurses as they equip them with information and knowledge and allow them to develop effective communication as well as interactions with their patients in practice settings (Raile, 2018). For instance, Orem’s nursing system model assists nurses in determining how patients and providers can meet self-care needs while Nightingale’s environment theory demonstrates the effects of one’s setting or surrounding on their quality of care.

Nursing Theory in Current Practice

Before the development of nursing theories, nursing was not considered as a profession but a mere task-oriented occupation. Consequently, individual physicians trained their nurses. However, nursing theory is relevant to the current practice as it serves as the foundation of the profession. Nursing theory is important to the current practice since it helps nurses to understand their purpose, their mission and roles in the healthcare system (Raile, 2018). For instance, Watson’s human caring model emphasizes the need for nurses to integrate different aspects of care to attain healing. Nurses use theories like Orem’s model to empower patients and even populations to take control of their health.

Nursing theory directs nursing research and education, training and practice. Through research and education, nurses have formulated nursing theories to improve care provision and the nursing practice (Raile, 2018). Nursing theory plays a critical role patient care as illustrated by the development of the nursing process. The nursing process evolved through a theory developed by Lydia Hall in 1955. The process entailed observation, administration and validation. The development of this process led to updates by professional entities like the American Nurses Association (ANA). Today, the nursing process is used universally as a management approach with five steps; assessment, diagnosis, nursing goals or desired outcomes, intervention, implementation and evaluation. The implication is that nursing theory is very relevant to care provision today.

Application of a Nursing Theory before Planning and Provision of Care

Nursing theories do no only focus on planed care provision in current practice. These models are essential in promoting primary care in healthcare settings and practices. Before planning and offering care in the present practice, nurses use theories to interpret different contexts of dealing with patients. For instance, nurses use theories to develop possible care interventions when they have patients with certain conditions and peculiarities. A nursing theory can be used to formulate a standardized care management plan based on the five stages identified earlier. Nurses can also use these theories to help patients and individuals in communities to supplement their efforts and focus on primary care interventions (Younas & Quennell, 2019). Orem’s self-care model helps nurses to plan ways of assisting patients to have increased control over their health through education and awareness activities and provision of a better environment to enhance personal development.

Topic 5: Theory-Based Nursing Practice II

Theory Reflecting Personal View on Nursing

Nursing theories allow nurses to establish best practices and predict possible clinical issues and ways to manage them. The nursing theory that reflects my personal view about the essence of nursing is the human caring theory by Jean Watson. According to Watson, nursing entails humanistic aspects intertwined in scientific knowledge and nursing practice. Watson’s theory contends that caring reinvigorates life energies and possibilities of one’s capabilities. Caring is the core component of nursing and is mutually benefiting to both patients and nurses (Younas & Quennell, 2019). The theory is helpful in planning and providing care to my patients as it implores me to develop a positive approach in care delivery. The theory emphasizing the need for nurses to share caring moments that transcend their current situation; whether disease or nurse’s occupational roles and responsibilities.

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Conclusion

Effective professional writing is essential for nurses to communicate and share findings from their research and interventions to manage patients. The use of nursing theories in nursing is essential as it offers foundational knowledge and approaches to care aspects. The implication is that nurses should use these theoretical models to enhance the provision of care in their settings.

References

AliSher, A. N., Atta, S., Yasin, I., & Sohail, M. A. (2019). Clinical application of nightingale’s

theory. International Journal of Nursing Care, 7(1), 13. https://doi.org/10.5958/2320-8651.2019.00002.4

Gunawan, J., Aungsuroch, Y., Watson, J., & Marzilli, C. (2022). Nursing Administration:

Watson’s Theory of Human Caring. Nursing Science Quarterly, 35(2), 235-243. https://doi.org/10.1177/08943184211070582

Raile, M. A. (2018). Nursing theorists and their Work. 9th ED. St. LOUIS, Mo:

ELSEVIER.

Younas, A., & Quennell, S. (2019). Usefulness of nursing theory‐guided practice: an integrative

review. Scandinavian Journal of Caring Sciences, 33(3), 540-555.

DOI: 10.1111/scs.12670.

Re: Topic 5 DQ 1

Preventing workplace violence (WPV) is an issue my organization is very actively involved in and is working to create a healthy work environment. The World Health Organization (WHO) defines WPV, “Incidents where staff is abused, threatened, or assaulted in circumstances related to their work, including commuting to and from work, involving an explicit or implicit challenge to their safety, well-being, or health” (Stephens, 2019). Both physical and psychological harm, including verbal abuse, attacks, bullying, and racial or sexual harassment is considered WPV.

According to a study in the New England Journal of Medicine, four types of violence occur in the workplace, with the second type of violence, that in which the assailant is a customer, patient, or employee of the workplace, is the most prevalent against healthcare workers (Stephens, 2019). A hospital can be a stressful environment and violence is not always criminal. Sick patients may become emotionally volatile. Family members can be stressed and lash out. Psychiatric and behavioral issues are prevalent in our settings, especially the emergency departments. Unfortunately, I have seen confused dementia patients become more aggressive towards staff with interventions that have successfully deescalated other situations.

Neuman Systems Model (NSM) focuses on interactions between patients and their environments and the prevention of negative stressors. Prevention counteracts negative stressors, which reduces a defensive response from the stressor (Casavant, 2020). Betty Neuman’s model can be adapted to many different situations and was based on the patient relationship to stress and reaction to it, making it the best theory to use. Each patient is unique, and a holistic approach and stress prevention is the primary intervention.

The nurse will need to assess for actual or potential patient stressors, lines of defense, and resistance, along with coping factors. Establishing a good interpersonal relationship between the nurse and patient will allow for discussion and goal setting, aligning prevention interventions surrounding patient-perceived stressors.  Caregiver self-care is essential and must be accepted and promoted by the healthcare organization. Caregivers that can recognize and identify their stressors are best aligned at prevention for their patients. We should all feel safe at work but more work is needed.

References

Casavant, S. G. (2020, June 12). At the intersection of science and theory: How the Nurse Role Integration Model reconciles the conflict. International Journal of Nursing Sciences. https://www.sciencedirect.com/science/article/pii/S2352013220300867.

Stephens, W. (2019, May 12). Violence Against Healthcare Workers: A Rising Epidemic. AJMC. https://www.ajmc.com/view/violence-against-healthcare-workers-a-rising-epidemic.

RESPOND HERE (150 WORDS, 2 REFERENCES)

I concur with you Barbara that WPV is incidents that threaten, abuse, and assault people at their workplace. The violence may be physical, verbal, and psychological. However, any form of harm at the workplace interferes with individual performance (Mento et al., 2020). Sexual or racial harassment is a common incident in most workplaces. Therefore, preventing WPV protect vulnerable workers from any form of harm. Hospitals attend to different patients with multiple health complications.  Unfortunately, some patients due to their conditions become abusive and assaultive. Nurses are supposed to handle these chaotic patients a task that may be frustrating. The WHO does not consider abusive patients as orchestrators of WPV since they are mentally unstable (Xu et al., 2019). Healthcare facilities observe patients’ situations to avoid putting nurses at risk. Thus, chaotic patients are restrained when receiving medical attention. Despite handling abusive patients, some nurses interact with rude nurse-leaders who exert pressure on workers. As a result, employees become unproductive due to working under duress.

References

Mento, C., Silvestri, M. C., Bruno, A., Muscatello, M. R. A., Cedro, C., Pandolfo, G., & Zoccali, R. A. (2020). Workplace violence against healthcare professionals: a systematic review. Aggression and violent behavior, 51, 101381.

Xu, T., Magnusson Hanson, L. L., Lange, T., Starkopf, L., Westerlund, H., Madsen, I. E., … & Rod, N. H. (2019). Workplace bullying and workplace violence as risk factors for cardiovascular disease: a multi-cohort study. European heart journal, 40(14), 1124-1134.

Description

Objectives:

1. Discuss relevant theories applicable to advanced nursing practice for individuals, families, communities, and special populations.
2. Relate nursing theories to your personal worldview.

Study Materials

Advanced Practice Nursing: Essential Knowledge for the Profession

Description:

Review Chapters 19 and 23 inAdvunc:ed Pruc:tic:e Nursing: Essential Krwwledgefor the Profession.

The Living Tree of Nursing Theories

Description:

Review ”The Living Tree ofNmsing Theories,” by Tou1ville and Ingalls, from Nursing Forum (2003).

Competencies Create Expert, Accountable Nurses Delivering Quality Care

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource

Description:

Review “Competencies Create Expert , Accountable Nurses Delivering Quality Care,” by Pi.rschel, from ONS Voice

(2017).

A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Frameworks

Description:

Review “A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Frameworks ,” by Beckstead and Beckstead , from International Journal of Nursing Studies( 2006 ).

II Tasks

Course Code Class Code Assignment Title Total Points

NUR-513 NUR-513-O502 Worldview and Nursing Process Personal Statement 220.0

Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)

Personal Worldview, Including the Religious, Spiritual, and Cultural Elements That Most Influence Personal Philosophy of Practice and Attitude Towards Patient Care 20.0% A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is not included. A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is present, but it lacks detail or is incomplete. A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is present. A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is clearly provided and well developed. A comprehensive discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is thoroughly developed with supporting details.

Specific Nursing Theory in Line With the Personal Philosophy of Practice and Approach to Patient Care, Including Similarities and How the Nursing Theory Reinforces the Approach to Care 15.0% A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is not included. A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is present, but it lacks detail or is incomplete. A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is present. A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is clearly provided and well developed. A comprehensive discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is thoroughly developed with supporting details.