Grand Theory Critique

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

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 profession of nursing has, in recent years, been trying to further develop, test and use proposed nursing theory. To utilize theory appropriately, in all domains of practice, education and research, it is important to know how to describe, analyze and evaluate

“Nursing has evolved as a scientific discipline and is emerging into professional status. From Florence Nightingale's

Dorothy Orem’s Self-Care Deficit Theory and Sister Callista Roy’s Adaptation Model are considered as grand nursing theories. The grand nursing theories are a

I will methodically analyze all parts of the study to assess the validity of the article, by contrasting and comparing the information provided, with previous literature. I will try to make sure that recommendations provided by the authors are congruous with nursing practice and beneficial to the advancement of it. I will as much as possible provide in depth detail of previous studies on the same topic that either support or contradict the analysis provided by this study and its authors.

The two theories that have helped to form my personal perspective on nursing are Erickson; and Rogers. Helen Erickson’s model is based on caring for an individual patient based on their own unique needs and perspective (Nursing Theories and Models, 2017). Erickson’s model took concepts from several other theorists such as Maslow, Padget, Seyle, and Lazarus and combined them to create a nursing model that takes care of each individual patient based on their needs ( Reed, 2017). This theory helps me to be more cognizant of the individual needs of my patient, not all patients regardless of disease process are the same. Each patient may have different underlying factors or circumstances that affect their health and current situation. Rogers’ theory is broader, viewing nursing as both an art and science, promoting health and wellbeing to patients regardless of where they are (Nursing Theories and Models, 2017). The science of nursing involves the knowledge and research of nursing, and the art is applying that science for the betterment of the patient. This theory views an individual as part

Marx (1976) declared: “if there is no way of testing a theory, it is scientifically worthless, no matter how plausible, imaginative or innovative it may be”. Several research guided by theory of interpersonal relation were done. For instance, in 1961, Hays D. researched “the phases and steps of experimental teaching to patient of a concept of anxiety” base on Pepau’s theory. He found that when taught by experimental method, the patients were able to apply the concept of anxiety after the group was terminated. Hence, Poplar’s theory has produced undoubtable hypotheses. It introduced a reasonable standardized way of view nursing. Pepau included

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.

According to the text, King based her original thoughts on the von Bertalanffy General Systems model (McEwen & Wills, 2014). This theory, penned in 1950 by a biologist states that the value of a system is greater than all of the parts of the system added together. King thought that nursing is such a system.

Theory is a journey to uncover the past and improve the future. By uncovering and analyzing a discipline’s theoretical journey, insight and self-awareness are gained. According to Meleis (2012), “Theories are reservoirs in which related knowledge is articulated and organized into meaningful wholes” (p.33). By implementing and analyzing theories, empowerment and guidance for the future is obtained.

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

“The basic concept of the theory is that the nurse and patient communicate information, set goals together, and then take actions to achieve those goals. It describes an interpersonal relationship that allows a person to grow and develop in order to attain certain life goals. The factors that affect the attainment of goals are roles, stress, space, and time” (Nursing Theory, 2011).   King desired to advance the profession of nursing by developing a framework and theory that can be understood and used by all nurses, in any situation. She not only developed the theory but she always remained active in the profession and availed herself to nursing students around the clock to aid with their knowledge and application of the theory right up until her sudden death in 2007.

In my practice experience, I used to apply the theory of Elizabeth R Lenz. She

This theory explains, describes, guides, and supports nursing practice. It gives language to the unspoken beliefs and perspectives of the nursing profession. This allows the nursing professionals to better envision, realize, and articulate their unique role in healthcare (Green & Robichaux, 2009). Human caring is the basis of therapeutic relationships between human beings (Wade & Kasper, 2006)