Wiedenbach Nursing Theory

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)

I personally define nursing as aiding in the recovery and survival of another person using the specialized knowledge, ability, and critical thinking skills attained through study and experience. The word nurse translates in Latin to nourish. This Latin translation reveals that nurses nourish when a person is in need. Angelo Gonzalo (2011) states, “Nursing is an art through which the practitioner of nursing gives specialized assistance to persons with disabilities which makes more than ordinary assistance necessary to meet needs for self-care” (Major Concepts section, para. 1). Nursing requires a diligent and hardy person to be able to assess the situation, access the appropriate knowledge and skills, and accordingly provide the care a person needs.

Theory is an arrangement of thoughts meant to describe something. These thoughts and ideas usually have basic principles that validate the purpose of the proposed theory. Nursing theory is a well thought out scholarly structure of concepts. These concepts are created to help guide nursing practice. They explain the fundamentals of nursing care. Multiple clinical decisions are based upon nursing theories. There are many different types of nursing theories developed primarily by nurses. Nursing theorist’s main goal is to examine nursing practice and explain the working or non-working parts

designed to guide the practice of nursing” (Medical Dictionary for the Health Professions and Nursing, 2012). Nursing theories can help patients, managers and other healthcare professionals to recognize what and how much that nurses do contribute to the healthcare field. I never did realize how important theories in nursing practice could be until I became a nursing student myself. Nurses use theories in their everyday practice, but never think about them as being

Levine defines nursing as patient advocacy, devotion to humanity and self respect of patients, perception and support for personal and individualized needs, compassion, commitment and protection ( Meleis, p 170, 2012)

70). This definition begins a departure from the Logical Positivistic Received View, in that it does not emphasize the structure of the theory. According to Meleis (1985) this definition of theory exemplifies the multiple usageof theory, an important issue in dealing with nursing practice, research, education and administration. The definition for use here is one adapted from Meleis (1985) and states that a nursing theory is a conceptualization of phenomena and relationships in or pertaining to nursing for the purpose of describing, explaining, predicting and/or prescribing nursing care. Many of the definitions of nursing theory proposed in the 1960s and ’70s derived their definitions from psychology and the social sciences.Nursing theories, according to Meleis (1985) “evolve from extant nursing reality as seenthrough the mind of a theorist who is influenced by certain historical and philosophical processesor events” (p. 29). Theory is not only a tool for the development of research propositions but is also a goal, in which findings becomemore meaningful (Meleis, 1985). One problem in nursing has been the lack of agreement on the definition of theory. Many authors have used the term theory as interchangeable with such terms as conceptual framework, conceptual model, model, and paradigm. Fawcett (1989) clearly states that “conceptual models and theories are clearly distinguished by their

The purpose of the nursing theories is to provide an interrelating framework focusing on the nursing practice. The defined nursing theories promote better patient care, improve the status of nursing profession, and improve the communication between the nurses, and provide guidance to the researches and education (Keefe, 2011). Not all nursing theories have the same meanings; however, they play the important role of explaining the key concepts and principles of nursing practice in understanding way.

I have read and utilized some of the following theories from some classic nursing theorists

The nursing theories assist the nurses to identify the limitations of nursing and advance the development of nursing as a unique profession. The theories help to explain the role of nursing in todays health care sector. It also gives the information on the basics of nursing practice and help to create more information in various aspects of patient care. The benefits of having the theory in nursing compromise the improved patient care, therapeutic communication among nurses, It also helps for the guidance for the research and education.( Application of theory in Nursing process”).Nursing was considered under medicine before the development of theories in nursing. Use of theory gives structure and organization to nursing knowledge. Theories make nursing more purposeful. It not only focuses on practice but also improves the rationale. Nursing theory also give the definitions and clarifications of nursing. It helps to differentiate nursing from other professions; It provides professional limits for practice in nursing. . (McEwen, &. Wills, 2014). Nursing theory helps nurses to clarify, explain and look for incidents in nursing practice. Serve to guide, evaluation and assessment of nursing practice.. It helps in professional communication between, coworkers and patients. It is very useful in doing researches. In the field of education role of nursing theory is very significant. It helps for the development of curricula, and helps in

Theory is an attempt to explain the world around us. It is defined as a set of concepts, definitions, and propositions that projects a view of phenomena by designating specific interrelationships among concepts for purposes of describing, explaining and predicting phenomena. In the world of healthcare the nurse through the understanding of theories attempt to explain why nurses do what they do. Nursing theories are the creative products of nurses who seek to thoughtfully describe relationships and interactions that exist within nursing practice (Ingram, 2009).

According to Pepau the goal of nursing is to help the patient find their felt problem. The nurse and patient work together therefore they develop relationship between each other’s. These two individuals with common aim have interpersonal relation. Nursing is therapeutic in that it is a healing art, assisting an individual who is sick or in need of health care ( Pepau 1952). Nurse plays several roles in this relationship. As a resource person, nurse gives adequate information that help patient understanding of issues. As a counselor: a nurse helps patient to incorporate the sense of current life change event, and provides advice for change. Nurse plays role of leader by making sure patient undertakes maximum engagement to achieve treatment goals.

“Nursing theory aims to describe, predict and explain the phenomenon of nursing” (Colley, 2003, p. 33); therefore, nursing theory is the scaffolding on which nurses stand to build and remodel nursing practice. This is a symbiotic relationship because nursing theory builds the nursing practice and as practice expands the scaffolding must, in turn, grow as well. As such, the investigation into practice and research keep informing the practice and profession of nursing. Ultimately this leads to more effective patient care utilizing evidenced-based

Given that nursing is a hands-on, professional 'practice,' to speak of nursing 'in theory' may at first seem like a contradiction in terms. However, nursing theory is an important tool, offering the practitioner in the field a way to better make decisions. Theory acts as a guide to practice. Of course, in nursing, theory is never subsumed to the specifics of a case. Unlike philosophy or literary theory, no theory can stand apart from the realities of the need to treat a patient effectively. But nursing theory can be helpful in dealing with unexpected situations. Nursing theories consist of "concepts, definitions, models, propositions and are based on assumptions" of deductive and inductive logic (Nursing theories: An overview, 2012, Nursing Theories).

Nursing science provides the basis for professional nursing practice. Nursing theories provide the critical thinking structures to direct the clinical decision- making process of professional nursing practice. The relationship between theory, research, and practice is circular in nature. As new knowledge and discoveries emerge in each of these realms, the cutting edge of the art and science of the discipline of nursing evolves.

Her definition of nursing still applies to contemporary nursing and it states "The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform