At first when I read this discussion question, I panicked. Having graduated nursing school 31 years ago, I have no idea what theorist the program was based upon, nor do I recall my theory class. Fortunately, I was able to search for my schools nursing program and was please to discover my answer. The nursing program was and still is based on the major concepts of Orlando’s Nursing Process, Maslow’s Hierarchy of Basic Needs, Erik Erikson’s theories of development, and therapeutic communication (www.chaffey.edu). At this point, some of it started to come back to me but not much. Erikson’s theories of development were based on Freud’s psychosocial studies of children but expanded to include teens and adults (George, 2011). It included 8 phases …show more content…
It teaches nurses to deliver holistic, patient-focused care by running through a 5 step process: Assessment, Diagnosis, Outcome/Planning, Implementation and Evaluation. I recall hearing the term “Nursing Process” not only in clinical training but as I was learning how to make Nursing Care plans which were a major emphasis of my training (www.NursingWorld.org) Lastly, Maslow’s Hierarchy of Basic Needs is a model theory composed of a 5-tiered pyramid diagram. The lowest level address’ one’s basis needs and progressing to the top level with complex needs. The top level is self-actualization, where an individual grows and develops as a person to achieve distinct potential. I believe that a nursing school should center its learning and curriculum on a model or theory that best helps the nurses in their program form a solid foundation. This foundation provides the frame work for them to study and practice. It becomes a launching point for the nursing student to discern the many theories encompassing the nursing profession. I realize after reviewing the theories that Chaffey Community College Associates Degree in Nursing based their curriculum, that I have utilized these theories my whole career. The concepts were imbedded into the training, reemphasized regularly so as to help form my practice. I regularly use the Nursing Process when I interact with my emergency department patients and at a patient’s bedside, Maslow’s
A nursing theory that has influenced my professional nursing practice is Jean Watson’s Theory of Human Caring. In this theory she addresses how nurses care for their patients. Caring is the essence of the nursing profession and is a relationship formed between the nurse and the patient. In Watson’s theory she believed that caring could assist the patient to gain control in their own health care, become educated, and in the end find health. Watson focused on the patient’s mind, body, and soul and this is the aspect of her theory that I try to use in my professional practice. As a new nurse straight out of nursing school I focused more on protocols and procedures to make sure I was doing everything right. My patients had good outcomes but I was amazed when I started thinking about the patient as a whole and not just thinking about the illness they had and how to treat it. Many times just treating the patient’s
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.
In reality, everyone has a set of beliefs and ideals about the nature of how things work and how things should be viewed. This personal philosophy of life is unique for everyone, interrelates directly with their philosophies of nursing. It happens that these beliefs and ideals are very imperative for nursing practices, and are serving as a guidance and directions for the day to day processes of nursing and influence professional behaviors as well. As a nurse, I have established my own ideas about nursing and will continue to develop its base on education, experience, and reading. Unintentionally, those beliefs are examined and clarified by nursing theories and models. Models are said to depict an organizational structure of nursing phenomenon than philosophy, whereas theories are the actual description of a concept as well as forecasting an outcome (Chitty & Black, 2011). Butts and Rich (2015) defined nursing philosophy as “some ideas and thoughts about nursing and are used as a basis for thinking and acting”. The use of nursing philosophies and theories are the building block for nursing practice, which ensures that nursing knowledge is used in the clinical settings. The purpose of this paper is to describe the author’s personal and professional philosophy of nursing and how it relates to the four
Nursing theory perspective Yvette Dolbee NSG/416 7/31/2017 Diane Balog Nursing Theory Perspective I often consider myself to be a follower of Nightingale’s environmental theory however, as my nursing has evolved towards more of an administrative position and away from direct patient care, I have found Orem’s theory to be more suited to my nursing practice. Orem’s “theoretical framework has served as a general blueprint, not only in the development of nursing knowledge through nursing research, but also as a basis for developing nursing practice and for organizing nursing practice from a nursing administration perspective in order to provide nursing to persons in healthcare institutions and community health programs.” (Clarke, Allison,
Nursing theory is the skeleton on which the profession and practice of nursing rests. It is a construct of concepts specific to nursing that shapes and guides nursing practice. Nursing theory can guide nursing practice by giving a particular focus to nursing practice (Algase, 2015). Nursing theory provides the foundation from which from which evidence-based practice arises. It is nursing theory that promotes best nursing practice whether it has to do with scholarship, education, literature, and/or bedside nursing. Further, nursing theory guides nursing practice by providing a wellspring of best scientific information whereby nurses may glean pertinent data in order to critically think, thereby implementing evidence-based practice for positive patient outcomes (Clement, 2015). In the paper, nursing theorist Dr. Betty Neuman and her systems model from the grand theory category will be used for discussion. Dr. Neuman’s theory will be discussed relevant to four different sections in this paper: 1) The importance of nursing theory, 2) Summary of the selected theory, 3) Application of specific nursing theory to selected profession nursing practice area (i.e. Education, Leadership, Informatics, Healthcare Policy, and Nurse Practitioner), and 4) the Conclusion.
Throughout the development of the nursing profession, nurses have looked for a framework or guidelines to assist them in proper patient care. The development of nursing theories has provided the frameworks and guidelines needed for nurses to care for the patient in a holistic manner. These theories have developed and matured over time and continue to mature and become more patient-centered and closer to the bedside.
Abraham Maslow was a psychologist who created the concept of the 5 levels of needs, back in 1943. These 5 levels form a pyramid that is referred to as Maslow's Hierarchy of Needs. An Individual starts at the bottom of the pyramid, at physical needs, and then promotes him or herself up. Physical needs are the most basic yet vital needs for survival. These include things such as, food, water, shelter, etc. If a person is successful in accomplishing those needs, they can move up onto the next level of needs, known as safety needs. Examples of safety needs include health insurance, safe neighbourhood, as well as a good shelter. Next you move onto social needs. These are needs for belonging, love, and affection. After this, comes esteem needs.
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.
One of the concerns regarding the use of nursing theory within the profession would be the misconception that there is only one nursing theory, and nursing practice and interventions are based on that one theory. Nursing theory is important in the master’s program because it allows the
By outlining the focus and boundaries of the discipline nursing is able to highlight areas of study that are significant to nursing education and practice, all of which can be traced back to the fundamental concepts. These central ideas feature as integral to nursing development and continue to demonstrate their influence by shaping the way nurses learn and do. The concepts of person, health, environment and nursing are all interrelated, as are the concepts put forward by Newman, Smith, Dexheimer-Pharris and Jones (2008), and can be identified as prominent in nursing studies and the development of nursing theories. The nursing theories based on these fundamental concepts serve as the building blocks for all nursing knowledge and as Smith and Parker (2010) explain “the primary purpose of nursing theories is to further the development and understanding of nursing practice” (p. 8). The structure of knowledge as described by Smith and Parker provides a clear example of how nursing metaparadigms have implications for all levels of nursing theory, education and research from the most abstract or global concepts to the more concrete
Nursing process steps include assessment, analysis, planning, implementation, and evaluation (Duncan & DePew, 2011). Assessment is the first step in
Teaching is one of the most important jobs as the future of the country, and indeed the world, lies in the children of today. It is important that we as teachers provide an environment, day in day out, that encourages and enables the students to grow not only as learners but as individuals. I believe the environment that facilitates this, (1) includes a fair, enthusiastic and supportive teacher, (2) incorporates the students’ interests into the curriculum, and (3) includes continual assessment to ensure student progress and success.
Nursing theory is essential to the profession as it specifies a construct for decisions and practice for the discipline of nursing. It distinguishes what shapes the foundation of practice by plainly illustrating
Through out the course, we have explored many different concepts and theories that formulates and constructs to the phenomenon of what it truly means to be a nurse. I’ve come to the realization, how crucial conducting research and developing theories are in the advancement of nursing practice. As a nursing student, many different theories have helped enhance my critical thinking, self-awareness, challenged me to be open-minded. Moreover, it as influenced me to care for the biopsychosocial being of the client. According to Peisachovich, (2016) reflection-beyond-action permits professionals with the capability and understanding to “view practice as a holistic approach to care” (p.10). As I reflect on my previous nursing theory and everything that I have encountered this semester, many thoughts, feelings, values have changed as I take a unitary approach to nursing.
The application of nursing theories to the nursing care practice promotes the structure of care. It intensifies the importance of an individual in need and facilitates the environment of healing. By integrating the major nursing theories into the daily nursing routine in the hospitals or the community, and understanding their meaning, nursing profession flourishes as a unique science separate from the discipline of law. One of the theories looked at is humanbecoming by Rosemarie Rizzo Parse. As Smith & Parker, (2015) explains, humanbecoming nurses’ involvement in the care of the patient is influenced by the utmost importance that arise from the point of view of their patient at that particular time. The nurse then and recognizes the wishes, benefits and desires of the patient and prioritizes her care in such a way.