Clinical Nursing

Theory A theory encompasses a cluster of concepts which descried a set or pattern of reality (Taylor, Lillis, Lynn, 2011, p. 27). A set of concepts that follow a logical pattern makes up a model (Taylor, et al., 2011, p. 27). The model makes up a set of steps which follow a blue print that tells an individual what the next step should be (Taylor, et al., 2011, p. 27). Nursing theories are ones that are specific to the nursing career field and allows nursing to be established as its own professional entity similar to the medical doctor profession (Taylor, et al., 2011, p. 27). Nursing theories are used in research to determine the best means of improving care of patients in the health care system (Taylor, et al., 2011, p.27). These theories describe,

Middle Range Nursing Theory Middle range nursing theories are abstract, testable theories that contain a limited number of variables. According to Chinn and Kramer (2011), middle range nursing theories can lead to new practice approaches as well as examine factors that influence the desired outcomes in nursing practice. One beneficial and widely used middle range nursing theory is the theory of unpleasant symptoms, developed collaboratively by Lenz, Pugh, Milligan, Gift, and Suppe in 1995.

Applying Clinical Decision Making In Adult Nursing Ahh2036-N This assignment will critically analyse and justify the decisions based around a fictitious patient using a clinical decision making framework highlighting its importance to nursing practice. The chosen model will demonstrate clinical decision making skills in the care planning process. The patient’s condition will

Introduction Health promotion includes providing activities that improve a person’s health. These activities assist patients to “maintain or enhance their present levels of health. Health promotion activities motivate people to act positively to reach more stable levels of health” (Potter & Perry, 2005, p. 97). In order for nurses to assist patients in obtaining healthy lifestyles, they must first assess a patient’s perception of health. The World Health Organization defines health as a “state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity” (as cited in Potter & Perry, 2005, p. 91). There are many nursing theories that are based on an individual’s perception of health. This paper will

Comparison Between Two Theorists of Nursing Charles O. Ogongo University of Houston Clearlake Author Note Contact the author @ OgongoC8646@uhcl.edu for any questions October, 13, 2015 Nursing Theory: Dorothea Orem vs Virginia Henderson The importance of nursing theory to practice of nursing should not be overlooked or underrated. That is because, it’s understanding and application are essential in enhancing patient 's care, improving communication between nurses, providing education’ and guidance in research, (Robert T. Croyle (2005). It is equally important to know that currently, there are many theories that guide the practice of nursing. Two of the most prominent ones will be compared and will form the subject of this this discussion.

Nursing theories and their importance in nursing Jennifer J. Wilson Chamberlain College of Nursing NR 501: Theoretical Basis for Advanced Nursing Instructor Berens 1/12/15 Nursing Theory is often defined as,” an organized framework of concepts and purposes 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

As a provider of care, professional nurses depend on research, theories, and evidence based practice to guide the care they provide to patients. Nurses deliver care to their patients based on information they have learned through many years of school and training. Training for nurses and other providers of care is founded on theories, research, and evidence based practice in the healthcare field. Theories, research, and evidence based practice are all important for providing care to patients and each can be used in a different manner depending on the situation. Clinicians often use research based evidence to design and implement care that is high-quality and cost effective for patients. Evidence based practice can be used to provide care to patients in a steadily changing clinical environment. (PDF page 8-9). Nursing theories are frequently used as frameworks for establishing nursing care interventions and assessing

When reflecting on current trends of clinical practice, I feel that middle-range theories are more applicable. Middle-range theories are broad enough to incorporate in everyday clinical practice for the average floor nurse without being too narrow in scope as the situation-specific theories. Additionally, middle-range theories are less abstract than grand theories and are easier to relate to and put into practice (Liehr & Smith, 1999, p. 85).

To this end, I believe middle-range theories are best suited to advance nursing knowledge and practice in the 21st century. “Middle-range theories are at those levels of conceptualization that could inform nursing practice and research, and thus continue the cycle of advancing foundational knowledge and enhancing quality care”, (Meleis, 2012). Middle-range theories were created to help the nursing profession realize its overall mission and goal, now and in the future; to alleviate pain, suffering and distress, as well as promote health-seeking behaviors which will lead to improved health outcomes and attainable goals. Because middle-range theories lie in the middle of grand theories and situation specific theories, they are directed more toward specific interventions that can be implemented at the ‘bedside’. As such, they are designed to provide frameworks to manage patients’ experiences with symptoms, as well as the ability to understand responses to health and illness phenomenon.

Application of Nursing Theory Nursing theory is what connects phenomenology of nursing science with nursing practice. Theory can be grand or most commonly middle range. Some theories are borrowed and they identify new thoughts or ideas related to patient care. Theories may not always be measurable; yet, theory can still describe what nurses do. According to McEwen & Wills (2014), “It is widely believed that use of theory offers structure and organization to nursing knowledge and provides a systematic means of collecting data to describe, explain, and predict nursing practice” (p. 25). Theory provides nurses expansion of knowledge through research and practice ultimately contributing to optimal patient outcomes. Theory and theoretical models contribute to the nurses critical thinking skills and decision-making process. Theory contributes to nursing values and effective ways of delivering patient focused care. Theory should be taught across all levels of nursing education. The Institute of Medicine (IOM) encourages nurses to be partners in healthcare, leaders of change given the demands of our changing health care system and technological advances and the American Nurses Association supports the incorporation of nursing science to advance the nursing profession.

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

The Concept Analysis of Health Promotion Abstract Health promotion (HP) is a multi-dimensional and complex concept which the researcher is frequently used and defined in different ways. One of the nursing roles for nurses is the promoter of health; therefore it would be useful to attempt to clarify the concept. This article develops a concept analysis is to clarify the meaning of an existing concept of HP using the process developed by Pender, Murdaugh, and Parsons (2006). The method suggested by Walker and Avant guided this concept analysis. Attributes, model cases, antecedents and consequences, and empirical references are described. The implications for further research are also described.

Nursing Theory Nursing is a unique profession which is built upon theories that guide everyday nursing practice. According to Taylor, Lillis, & Lynn (2015), “Nursing theory differentiates nursing from other disciplines and activities in that it serves the purposes of describing, explaining, predicting, and controlling desired outcomes of nursing care practices” (p. 27). Many nurses may unknowingly apply a theory or a combination thereof, along with critical thinking to get the best outcome for a patient. Theories are used in practice today because they have been supported by research and help the profession uphold its boundaries. Most nursing theories consist of four concepts which are the patient, the environment, health, and nursing. Each patient is at the center of focus and they have the right to determine what care will be given to them using informed

Throughout nursing, there are many theories that nurses may come across and use. Calista Roy’s and Betty Neuman are two theorists that use two different types of models to encompasses the health, person, and the environment. Callista Roy uses a theory that promotes adaptation to the stimuli a person may encounter. Betty Neuman uses a theory that promotes equilibrium in a time where a person will encounter stress. These theories allow the nurse to bring a knowledge to learn more about the person and the factors that influence their health. Although with any theory there are different approaches in how the nursing plan is done, but with the patient in mind, it makes the difference in care that is given and allows for better outcomes for the patient.

The health promotion model is a theory of nursing that was developed by Dr. Nola Pender. Her theory was first proposed in 1982 and then revised in 1996. Dr. Pender was influenced by the work of James Hall, who studied people’s behavior and its correlation to health. Her work is a middle-range theory, as there are specific concepts that are observable, that she designed to be a counterpart to models of health protection in which health is simply viewed as the absence of illness. Pender’s theory was critiqued using the criteria from Fawcett (2005). Although there are limitations to Pender’s health promotion model, her theory is the best to use in nursing as it focuses on the promotion of individualized optimal health and produces increased positive outcomes.