Design Theory And The General Systems Theory

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

Nursing theories play an integral role in guiding practice, education, and research. Many different theoretical perspectives are maintained in the field of nursing due to the diversity of the field, no single theory is able to account for all nursing knowledge. The purpose of this paper is to compare and contrast two nursing theories that have produced a profound impact on nursing practice. The theories being compared are Dorothea Orem’s Self Care Deficit Nursing Theory (SCDNT) and Sister Callista Roy’s Adaptation Model (RAM). Both theorists have profoundly influenced nursing science, research, practice, and education. Similarly, both of these theories fall into the category of Grand nursing theories which are the most complex theory level and explain broad areas of the discipline, as well as being the broadest in scope (McEwen & Wills, 2014).

Journal of Advanced Nursing 30(1), 74±82 The theory±practice relationship in nursing: the practitioners ' perspective Within contemporary scholarly discourse, there are a number of distinctive approaches to understanding the theory±practice relationship. Carr identi®es four principal approaches, each of which is sustained within

In order to develop nursing knowledge and establish evidence-based practice (EBP) in nursing, there needs to be a "concept model, one or more theories and one or more empirical indicators" (Fawcett & DeSanto-Madeya, 2013, p. 26). The theoretical framework can be advantageous in guiding and supporting the design and execution of an EBP change. Using a conceptual model (C) theory (T) and empirical research (E) provides the foundation for an intervention to an identified clinical problem. Known as C-T-E structure, the application of this system in nursing practice involves an elevated level of critical reasoning, which assists in knowing what data is important and how it relates to practice change (Chinn & Kramer, 2011; Fawcett & DeSanto-Madeya, 2013; Mazurek Melnyk & Fineout-Overholt, 2015). The doctoral level of nursing necessitates the need to combine the understanding and knowledge gained from using the C-T-E structure, and then integrate the concepts and theories into daily practice.

In order for any organization to be successful, they must find effective ways to change systems and policies that are ineffective in creating a successful environment. A system consists of four things, elements, attributes, internal relationships, and the system environment. The systems theory is transdisciplinary study of the abstract organization of phenomena, independent of their substance, type, or spatial or temporal scale of existence (Heylighen & Joslyn, 1992). The study investigates all the principals common to all complex bodies, and the models which can be used to describe them. Von Bertalanffy (1971) was the creator of the “system” concept, he developed this idea as an answer to the limitations of individual disciplines in addressing complex social issues (Mitchell, 2005). The underlining principal of this theory is that an organization consists of multiple, interdependent parts that collectively form more than the sum of their parts. Developed from the systems theory, are three separate theories with the basis of each being the systems theory. The activity theory considers the entire program versus just one single sector, it sees the operation as a whole instead of sub departments, it combines both micro and macro elements of the organization. The chaos theory does not mean a chaotic hectic situation, rather a situation where there appears to be little to no order, there really is a hidden underlying order. The complexity theory is

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,

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

     Other major developments of the model in the 1999 textbook include: expanding the adaptive modes to include relational persons as well as individual persons and describing adaptation on three levels of integrated life processes, compensatory processes, and compromised processes. Roy has also outlined a structure for nursing knowledge development based on the Roy Adaptation Model and provided examples of research within this structure. Roy remains committed to developing knowledge for nursing practice and continually updating the Roy Model as a basis for this knowledge development.

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.

Creasia, J.L. & Friberg, E. Conceptual Foundations: The Bridge to Professional Nursing Practice. (5th Ed.). Page 109. Mosby Elsevier

Roy’s behavior may be explained using the cognitive perspective and the biological perspective. The cognitive perspective is the study of our mind and reasoning. In this perspective, emphasis is placed on mental processes involving perception, memory, language, problem solving and reasoning. The biological perspective focuses on genetics, hormones, brain chemistry, heredity and evolutionary psychology.

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.

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.

Nursing theory is the backbone of nursing. It is very important in the application of evidence-based practice (EBP). The functions of a theory are to narrow and provide specific information for the analysis of initially confusing behaviors, situations, and events (Fawcett & Madeya 2013). Moreover, nursing theory helps to improve not only the quality of care that we are providing to our patients but, they also help us make better clinical decisions. As a matter of fact, nursing theory gives the nurse a framework for organizing and analyzing information as well as a base for identifying with their patients throughout the nurse-patient relationship (Schick, 2015). I am very much interested in all the theories. The one that I relate to the most is Hildegard Peplau’s theory. It is a middle range theory that focuses on interpersonal relations. This theory teaches us about how to interact with our patients so that they feel more in control of their treatment. In this paper, I will be talking about the importance of nursing, the summary of Peplau's theory, and how as future nurse practitioners, we can apply it.

As a result, it allows us to create an intervention applicable for that particular situation for the better health of the patient. APN should not only use nursing theory but also incorporate theories from other professions (Kenny, 2013). Some of the theories of other disciplines are Piaget’s cognitive development theory, Erikson’s stage of development, health promotion or disease prevention models etc. All these theories have been applied to nursing. APN who are aware of theories of different discipline along with nursing will be able to utilize the model appropriate for the clients based on their illnesses and context (Kenny, 2013). I agree with the statement because health belief model, transtheoritical model and stages of change, social cognitive theory are the common public health theory which is applied in nursing as well. For instance, stages of changes are frequently used in smoking cessation patient. Also, APN can either use some or all of each theory. Whenever we are learning about theory for the first time, it might create confusion, anxiety and