Nursing Theory In Nursing

Nursing is as much science as it is a study in the human condition. Combining caring and the notion of human flourishing allows the nurse sharpen her understanding of patients’ needs by observing and understanding herself (Husted & Husted, 2008). A nurse is able to better anticipate the needs of her patients by noting similarities and differences between the two of them. With caring in the nursing corner, even under less-than-ideal conditions, one can still create havens of hope, nourishment, and the possibility for flourishing (MacCulloh, 2011).

| For nursing practice our goal is to help to promote health for the whole patient. We must remember that our goal is to get them back to a level where they are functional in the environment. Not all patient will get to the point that they are free from disease but we must help them get back to the level in which they can care for themselves and be as sound as possible for them. Our practice would involve teaching in this aspect in order to help the patient maximize the health that they either have or to help them reach the level that they want to achieve.

The metaparadigm of nursing consists of four parts comprised by Jacqueline Fawcett, in 1984, in her seminal work (Alligood, 2014). The metaparadigm she developed served to provide direction and guidance for the nursing framework already in use and became an organization tool for theories already in use (Alligood, 2014). The four parts being person, health, environment, and nursing. The four components of the metaparadigm concept of nursing is important to nursing theory because they are the key areas of focus of patient care, and the metaparadigm is designed to differentiate nursing from other specialties (Alligood, 2014). It is this use of theories that makes nursing a profession and guides professional nursing practice, research, and education (Alligood, 2014).

The nursing profession has progressed greatly since it roots with Florence Nightingale, moving from reliance upon total medical direction for providing basic care and “the first duty of the nurse it that of obedience-absolute fidelity to his orders, even if the necessity of the prescribed measures is not apparent, you have no responsibility beyond that of faithfully carrying out the directions received” (Jennifer C. Telford), into an autonomous practice with its own nursing theory practices, models, and interventions.

The purpose of this paper is to discuss my personal beliefs pertaining to the profession of nursing. As well I will discuss the (4) metaparadigms in nursing which are known as; human beings, environment, health, and nursing, and my personal beliefs on these concepts and how they have similarities to the nursing philosophy of a nursing theorist.

Nursing theories are important for nurses for our daily work as it provides us with an all-inclusive foundation to clarify and foresee issues that impact nursing care. In nursing, caring should be placed high on our priority list for our nursing practice. As nurses we must develop knowledge on research outcomes for the foundation of nursing practice. Consequently the grown and the certification of nursing theory will aid in the establishment of nursing practice. It is a source of specific individuality as it guides nursing education, research, practice, and distinguishes nursing practice from other disciplines.

Some people ask what is nursing and what do nurses do? Nurses follow the nursing process to treat patient and they often use different theories to guide them. According to Peplau’s Theory of Nursing, she believe that nurses must clearly understand the purpose of nursing to promote their client’s growth, and nurse-patient interact. The role of nursing is to help others identify their health problems and nurses should apply the principles of nurse-patient relations to the problems that emphasize all levels of experience. Watson’s Theory defined nursing as the principle of nursing that can lead to the practice of loving-kindness between the one who is caring and the one who is being cared for, especially the caring activities performed by nurses as they interact with others. Although Peplau and Watson’s theory both desire interacting and caring for others, Watson’s theory is typically reflective of an excellent in human and heart-centered. Not only is it a relationship of caring for the self and others based on a foundation of love and values, but also it is a caring moment-to-moment between the nurses and others.

Nursing is a profession that provides quality and culturally sensitive care to help a patient achieve the highest quality of life possible. A nurse utilizes skills (technical, cognitive, and interpersonal) that promote all aspects of health. There are many components to nursing. “The primary objectives of the nurse as caregiver are to promote health, to prevent illness, to restore health, and to facilitate coping with illness, disability, or death” (Taylor, Lillis, & Lynn, 2015, p. 43). A nurse recognizes the worth of all people and understands the importance of doing what is best for the patient. A competent nurse builds a relationship with the patient that is the perfect balance between professionalism and treating the patient like family. Nursing installs hope in a patient while at the same time being realistic about a patient’s condition. Another aspect of nursing includes empowering a patient to feel confident and comfortable in making

The purpose of this paper is to apply and explain nursing theory as a guide to help restructure

A BRIEF STUDY OF NURSING THEORIES ACCORDING TO FLORENCE NIGHTINGALE, JEAN WATSON AND MADELEINE LEININGER

The 2011 article "Culturally sensitive collaborative care models: exploration of a community-based health center" used bio-psychosocial theory and a feminist ecological framework to embark upon a qualitative study of a nurse-managed community-based health center in the northeast designed to serve an underprivileged population. The study identified barriers and facilitators in communication. It wished to give specific attention to barriers in treatment of African-Americans, Latinos and other historically discriminated-against groups. These populations have traditionally faced obstacles such as income, prejudice of providers, and community suspicion of the healthcare profession. The open-ended study was designed to "explore how multiple contextual variables of patients and their providers influence the collaborative process of 39 staff" at the facility (Bruner, Davey, & Waite 2011:1).

At St. Mary’s Hospital there is a need for dedicated admission staff. Several reasons why are:

“Nursing theorists are the men and women in the nursing field who develop models of nursing. Often, they don't set out to develop a nursing theory, instead, they simply want to help improve nursing care for their patients, and the theory develops as a result. Once a method is established as a theory or model of nursing, it is integrated into the practice of nursing, as well as added to the study of nursing.”

Imogene King was the developer of both a Conceptual Framework and a Goal Attainment theory. The Goal Attainment theory is a middle-range theory that originated from the Conceptual System. The primary concepts of Goal Attainment theory are perception, communication, interaction, self role, grow and development, stress, and time and space (Frey, Sieloff & Norris, 2002). The main point of Goal Attainment theory is that the nurse and the patient work together to define and reach goals that they set together (Killeen & King, 2007). This process is done mostly through communication,

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.