Assignment 3.1: Grand Theory Written Assignment Assignment 3.1: Grand Theory Written Assignment Nursing theory gathers specific information regarding aspects of nursing and utilizes these findings to communicate and describe nursing phenomena. Theories provide a framework for nursing practice and processes. Grand nursing theories are broadest in scope and provide generalizations regarding nursing situations. Grand nursing theories consist of four schools of thought. Nursing theorists bring a unique definition, approach, and focus to these specific schools of thought. The first school of thought includes theories that reflect an image of nursing as meeting the needs of patients (Meleis, 2012). When a patient is unable to meet …show more content…
The grand theory school of thought that is most congruent with my nursing practice is the outcomes theory. I believe that every patient responds to health issues differently. I assess what they need, what their deficits are, and how I can enable their coping mechanisms. I work at a busy trauma center and we have emergency surgeries frequently. Many of these are suction dilatation and curettages. Each woman handles this differently. So I sense and assess what they need to have the best outcome possible. Some want to leave right away, some want to stay a while, some want to see their family and some don’t. It might not be the norm to keep one of these patients for three hours, but I will keep them until they are ready to leave. I believe in patient advocacy on an individualized basis. Please refer to Table 1. Grand Theorist Information for theorist comparison. Table 1. Grand Theorist Information Theorists | Educational background | Philosophy of nursing | Definition of nursing | Goal/purpose of theory | Needs:Henderson | Graduated from the Army School of Nursing at Walter Reed Hospital in Washington, D.C. in 1932. Earned Bachelor’s in 1932 and Master’s Degree in Nursing Education from Teachers College at Columbia University in 1934. | "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
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
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 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.
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).
Nursing was, for my sixteen year old self, taking care of the sick. Little did I know the complexities of that definition. Still, taking care of the sick was interesting enough to make nursing my major. I started practicing nursing years ago. However, I still struggle defining and explaining my profession to others. I usually start by differentiating nursing from medicine. Nurses see patients as humans rather than a disease that needs treatment (Zaccagnini & White, 2014, p. 15). However, as I advance my career, I must actively incorporate nursing theory into my practice. Nursing theory gives a foundation to understand patients and their health problems better. The use of nursing theory provides a framework to evaluate nurses’ interventions on a higher standard (Zaccagnini & White, 2014). Kenney described five steps to follow once the decision to include nursing theory has being made. This paper will explore the process of applying the Kenney’s five steps into my practice.
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
Nursing theory is defined as “a creative and rigorous structuring of ideas that project a tentative, purposeful, and
Developing a nursing philosophy is important to a nurse as it serves as a guide and is the foundation for personal nursing practice. Following a personal nursing philosophy can enhance your nursing career, make you a better nurse and improve patient outcomes. However, it is difficult to choose one nursing theorist, as there are viewpoints from several theorists that align with my personal theories. Choosing one theory is not only difficult, it is possible to change a theory during your nursing career or draw from various theories while working with patients and their families depending on the situation. Consequently, nurses are taught the foundation of multiple theorist and there does not seem to be one correct model. It is a matter of finding one that fits your
Meleis (2012) further classifies theories into distinct categories: grand theories, middle-range theories, and situation specific theories. Grand theories consist of the construction and synthesis of knowledge; which includes the mission of nursing, and the goals in nursing practice (Meleis, 2012). Grand theories are broad in range and consist of a framework for which to practice. Grand theories can be applied to all aspects of nursing and patient care. An example of a grand theory would be Dorothea Orem’s’ Self-Care Deficit Nursing Theory. The central aspect of this theory is that all humans want to thrive and care for themselves (Nursing theory.org n.d.). Middle-range theories have a more limited scope. The notable difference between grand theories and middle-range theories is that middle-range theories are based on scientific and empirical evidence (Meleis, 2012). An example of a middle-range theory is the theory or discussion of quality of life (Meleis, 2012). The final theory classification is
Nursing theories can be categorized considering their levels of perception, and the literature mentions that there are two kinds of concepts: grand theories and middle-range theories. Whether concepts are grand or mid-range (MR), we establish corrective intellectual and influence practice and investigation. By description, grand concepts are theoretical, complex, and detached from practice. We are not destined to be simply grasped or experienced. Associated with grand theories, MR theories enclose less perception and interactions, are adjustable to an extensive range of practice and knowledge, can be made from numerous sources, and are solid enough to be experienced. For these reasons, MR principles are predominantly persuasive as nursing science statements the encounters of the 21st period.
“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
Nursing theories form the supportive framework on which our patient care relies on (Alejandro, 2017). It is not only the foundation of the nursing discipline but, it defines of we practice. If nurses lack that foundation, new knowledge development within nursing will decline. They are very important for Masters and advanced practice nursing students who are preparing to
The purpose of this paper is to provide an introduction, purpose, and rational for selecting a nursing theory. I will describe the theory by identifying the purpose, concepts/definitions, relationships/structure, and assumptions. I will use the Chinn & Kramer evaluation criteria to critique this chosen theory. Finally I will describe a plan for implementing the theory into my practice setting, identifying any barriers and challenges.
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).
I found this theory particularly interesting because I think it is patient centered in a unique way; other theories point out what the nurse can do to offer themselves to a patient. This theory draws attention to all the many layers of a person and health is more than just the absence of illness. Humans are complex beginnings and this theory, by Rosemarie Parse, reminds us that nursing is a science and an art. I know for myself, I can become lost in tasks and I have to remind myself that each patient is a person that came from a completely different walk of life.