Neuman's Model : Role Transition For The RN

The Neuman’s System Model prefaces the client or patient is seen as an open system, responsive to stressors within the environment which include these five variables:

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 this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding.

The purpose of this assignment is to explore a needs orientated approach to care planning, through the use of a problem solving approach to care, and a nursing model. It aims to show an understanding of what both a problem solving approach to care, and a nursing model are; and to establish how various key elements of both are implemented in practice. The following citation by the Department of Health (DH) (2009) identifies what is intended by the process of care planning;

The benefits of having a defined frame of theory in nursing produces superior patient care, heightened professional repute for nurses, progressed interaction among nurses, and direction for exploration of the practice and education. Theories also illustrate the quality of the nursing profession, and serves as a reservoir of knowledge with the examination of the essential requirements of patients and necessary interventions. In addition, specialized rationales are provided. Succeeding medical doctors orders are not exclusively to the context of nursing care.

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,

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.

Over the past 30 years nursing has evolved from a task-oriented to a logical and systematic approach to care, using theories and models to guide practice. According to Jasper (2007, p117) theories of decision making in medicine tend to favour logical, precise analytical models which are held to be testable, unambiguous and repeatable, therefore satisfying scientific principles. These represent important ideas of certainty and rationality that are intended to provide a sense of security and reliability. When used correctly a nursing model should give direction to nurses working in a particular area, as it should help them understand more fully the logic behind their actions. It should also act as a guide in decision-making and so reduce conflict within the team of nurses as a whole. This in turn should lead to continuity and consistency of the nursing care received by patients according to Pearson et al (1999,p ).

This assignment will investigate a needs orientated approach to care, critically discussing the nursing process. It aims to show an understanding of what a nursing model and the nursing process is, looking in detail at the relationship between this nursing process and the Roper, Logan and Tierney (RLT) model of nursing. This essay will explore how the nursing model and process is implemented in practice, considering how the RLT model assists nurses to adapt a problem-solving technique when developing care plans for individuals. Strengths and limitations of the RLT model and the nursing process, in relation to developing care plans, will be critiqued along with the effectiveness of

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 serve as thinking guides for nurses to follow in order to reach optimal outcomes for patients. Theories are applied in conjunction with experience one has gained and critical thinking in everyday nursing practice, research, and education. The Neuman Systems Model, which was created by Betty Neuman, is one example of a theory that has been in practice for decades and continues to be modified to reflect new research. When applying the NSM, the nurse focuses on identifying and preventing stressors which are factors that lead to fluctuations in the body that affect daily living.

The model in term of validity and rigor is strong and plausible . The author is credible and trustworthy . The model contributed meaningfully to the nursing practice . it provide conceptual insight. Roy Adaptive Model provide holistic approach to understand human system. her model is used internationally across nursing discipline , education and research studies The model used language of necessary and sufficient condition to explain connection between concepts and causality.

Neuman’s Systems Model uses stressors associated within the environment and how the client system will respond. Gigliotti (2002) refers to human beings with regards to the open system and we as humans are a part of the environments within and around us. The model consists of five interacting variables which include physiological, which refers the function of the body; psychological, which refers to mental processes; sociocultural, which refers to social/cultural functions; developmental, refers to development over a lifespan; and spiritual, which refers to spiritual beliefs (Kearney-Nunnery, 2012). The client system can be influenced by internal, external,

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.

Several nursing theory models are available to assist the nurse in assessing and evaluating a family, creating a care plan for a family, and determining which interventions are most applicable to the family’s needs, strengths, and weaknesses. The Neuman’s Systems Model, created in 1983 by nursing theorist/educator Betty Neuman, is a theory that encompasses the family as a whole rather than focusing on the individual patient, and offers ways in which the family can react to outside stressors and return to a whole state after the stressor is gone. Newman believes that each person is a layered, multi-dimensional being and identifies methods of coping with outside stressors that include three types of interventions that help the patient and family cope with these stressors.