Adolescent Behavior

For centuries the development of nursing knowledge has been influenced by numerous theorists and their respective theories. These theories have influenced, and continue to influence, nursing education, practice and research. (Johnson & Webber, 2005)

The purpose of this paper is to compare and contrast nursing theorists from the four categories which are identified by Meleis as: Needs, Interaction, Outcome and Caring. (Meleis, 2012, Chapter 9) I have chosen Faye Abdellah, Imogene King, Myra Levine and Jean Watson as the grand theorists that I would like to explore for this study in contrast and comparison. This decision was made, in part, due to the fact that all of these theorists were born and educated in the twentieth century and I felt that their theories might be more applicable to my nursing practice. The information contained in the tables was obtained from several sources in an

Nursing theories have been a fundamental tool used to explain, guide and improve the practice of nursing. Theorists have contributed enormously to the growth of nursing as a profession. The four grand theorists I chose are Virginia Henderson, Peplau, Myra Levine and Jean Watson. These theorists have contributed tremendously in the field of nursing through their theories, and research. One thing the theorists have in common is that they are patient centered. They are all concerned on ways we can improve our responsibility to the patients, their families and the environment. They have different ideas but they are all aiming towards achieving the same goal, which is patient satisfaction and safety. Their differences are in their areas of

Only when it is absolutely necessary should a catheter be inserted into a patient. Every patient is assessed for the need for a Foley catheter. If the Foley is inserted, assessments are also then done daily to see if the need is still valid. If the reason is not justifiable the catheter must be removed from the patient (Joint Commission releases new NPSG for CAUTI, 2011). Nurses must follow guidelines while inserting indwelling catheters as well. Aseptic technique is critical to maintain during this process. The use of sterile equipment and a sterile procedure helps to reduce the risk of CAUTI. If in any way the catheter becomes contaminated during the process of insertion, the nurse should discard of the entire catheter and start with a new, sterile kit. Proper hand hygiene is very important before and after contact with indwelling catheters to decrease risk of infection. Maintenance of a close drainage is system is also important that way bacteria are not able to get in and cause infection (Revello & Gallo, 2013). Decreasing the number of times Foleys are inserted and how long they stay in for can help reduce the risk of CAUTI since the longer a Foley stays in, the higher the risk of infection becomes. Nurses must keep the catheter line patent, with no kinks to allow urine to flow freely through into the collection bag. When a urine sample must be obtained it must be done in a sterile

CAUTIs are the most commonly reported HAI in the US. Although morbidity and mortality from CAUTI is considered to be relatively low compared to other HAIs, the high prevalence of urinary catheter use leads to a large cumulative burden of infections with resulting infectious complications and deaths ("Prevention of CAUTI-Acute care settings," 2011, p. 1). In addition, bacteriuria frequently leads to unnecessary antimicrobial use, and urinary drainage systems may serve as reservoirs for MDR bacteria and a source of

After an initial search of scholarly databases, a total of fifteen articles was selected for their application to the PICO question. An appraisal of each article uses the following format:

The patient and their families must be aware of the infection, the source of infection, signs and symptoms, treatments, and measures to apply at home to decrease their risk of receiving an infection. Because geriatric patients are incontinent they may need a catheter in place to help remove their urine. Nurses must perform aseptic technique, wearing proper gloves when inserting or removing device. Another way to help reduce the risk of elderly urinary tract infections would be to avoid or remove catheter soon as possible. Once patients are cleared for discharge they must be aware of the steps to take to insure proper bladder

The purpose of this paper is to analyze and summarize the philosophy of nursing and how nursing theory guides this nurse’s practice. Information used to do this paper was retrieved from the online database, Nursing and Allied Health Source and CINAHL through the SJR State Library. Our textbook, The Conceptual Foundations and the Merriam- Webster Dictionary website was also used. Some of the search phrases used were Jean Watson theory of human caring, philosophy of nursing, and Watson’s philosophy and theory of human caring in nursing on the online database. The word philosophy was also searched on the Merriam- Webster Dictionary website. There was an abundance information throughout my research on

Nursing theory is vital to the nursing profession because it provides a foundation and framework which is reflected in nurses’ caring ideals and practice (William, 2015). Theory provides an understanding of a nurse’s role within the healthcare system. The first nursing theory, formed by Nightingale, was observations of interventions that improved patient outcomes (Mackey & Bassendowski, 2016). Nurses can improve quality of care by implementing theory into their practice (Mackey & Bassendowski, 2016). This paper will discuss the importance of nursing theory, Florence Nightingale’s Notes on Nursing: What It Is and What It Is Not, and the application of this theory in the nurse

Similar quality improvement project was designed to evaluate the effectiveness of a nurse-driven removal protocol on the incidence and duration of indwelling urinary catheter use as well as CAUTI rates in hospitalized adults at a 150-bed community hospital in the Mideastern United States (Mori, 2014). A multidisciplinary team of clinical nurse specialists, infection control staff, and physicians developed a practice standard based on the recommendations provided by the CDC. Several conditions were outlined as warranting the use of urinary catheter: 1) perioperative use for selected surgical procedures; 2) urine output monitoring in critically ill patients; 3) management of acute urinary retention and urinary obstruction; 4) assistance in

Florence Nightingale’s vision of nursing in the mid-1800s began an evolution of nursing philosophies and theories that encouraged the progression and development of nursing knowledge, quality of care, and the advancement of nursing from a vocation to an academic discipline and profession (Alligood, 2013, pp. 3-7). As nursing knowledge and theory flourished, it became necessary to structure nursing theories into an integrated system. Jacqueline Fawcett’s proposal of four global nursing concepts “as a nursing metaparadigm served as an organizing structure for existing nursing frame-works and introduced a way of organizing individual theoretical works in a meaningful structure” (Alligood, 2013, p. 4). The four concepts of the metaparadigm of nursing include: person, environment, health, and nursing. By understanding the history of nursing development and the metaparadigm of nursing, one can explore this author’s personal philosophy of nursing in respect to the four concepts of the metaparadigm of nursing.

It is also important to keep accurate record of Liam’s fluid balance chart, and assess Liam’s capillary refill, skin turgor, fontanel condition and mucous membranes every shift, as they provide information about the infant’s hydration status (Axton & Fugate 2009). Urine analysis may be performed to provide information on hydration status and/or determine if Liam has urine tract infection (UTI) (Axton & Fugate 2009; Crisp, Taylor, Douglas, & Rebeiro, 2013). Management of dehydration would be one of nursing interventions if urine sample shows a high urine specific gravity, and antibiotics would be administered if a bacterium is detected in the urine sample (Axton & Fugate 2009). Feeding ability should be assessed in order to determine the route of fluid intake (i.e. oral, nasogastric or intravenous fluids) (PMH, 2013).

Theory is a cluster of concept or ideas that propose a view concerning a phenomenon to guide nursing practice (Chitty, 2005). The four concepts basic to nursing that are incorporated in this paper are nursing, person, health, and environment (Cherry & Jacob, 2005). The goal of this paper is to describe the core concept of nursing shared amongst Dorothea Orem and Virginia Henderson’s theories. The comparison and analysis of concept definitions between these two theories will also examined. Finally Henderson’s theory of concept statement, metaparadigm and her philosophy will be explored.

Each question concerning the urinary symptoms allows the patient to choose one out of six answers indicating increasing severity of the particular symptom. The answers are assigned points from 0 to 5. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic).

Virginia Henderson gave a fundamental knowledge for nursing students today with her theory of nursing care. It gave students a clear definition of what nursing should look like, mostly focused on patient care. The basic approach is essential for all health care workers and is a vital learning tool for all nursing students. Henderson not only gave a principal definition of nursing but also provided fourteen primary activities that the patient should achieve. In this essay, I will consider Henderson’s life, her nursing theory and go through the fourteen activities of patient care. I will also discuss how her theory can be applicable in modern nursing.