Gina, I am happy for you being a part of that inspiring story. Newman’s theory articulated well the natural tendency of nurses to merge into the patient’s life and his difficult situation. Interestingly, nurses have no time to pause and think what theory can we apply on our patients in a given situation. In my case, I rely on my experience, value, and belief system to guide my actions. In a way, many of these nursing theories were put into practice before their introduction. Nonetheless, acknowledging their value now directs the nursing practice consistently. In Newman’s theory, it is also a good reminder to emphasize not the action but the intent of nurses in partnership; thus, allowing the patient to acknowledge their coping patterns
As we progress through the different theories, it seems that the theorists are finding their way back to the roots of nursing in different ways. During its origination, Nightingale, based the filed off the notion of providing adequate care. This care focused on the patient, their immediate environment, and community considering all aspects that can affect the patient’s health. However, over time nursing began to focus more on disease processes and appropriate treatments, slowly moving away from its core. With a new push to direct nursing back to its origin, these new theories are allowing nurses different routes to form a nurse-client interaction.
The University of Rochester, School of Nursing was founded in 1928, concurrently with the Strong Memorial Hospital and the School of Medicine and Dentistry. The School of Nursing became an independent school in 1968, partnering nursing with medicine and becoming an organizational model that would influence nursing at a national level. In 1998, declining baccalaureate enrollment and the financial crisis that this caused created new challenges for the School. Competition among area schools fueled changes. The School of Nursing could no longer compete with tuition rates for baccalaureate programs at other schools. Prospective students were choosing schools with lower cost of tuition for nursing programs. The School of Nursing had to quickly figure out how to make their programs marketable. The decision was made to phase out the generic baccalaureate program and restructure the program so that it was geared toward registered nurses. What was born from this restructure was the accelerated program for non-nurses and the registered nurse to baccalaureate program (RN to BS). During the 1999 strategic planning process, emphasis was focused on creating nationally recognized areas for research as identified by the Medical Center (Strong Memorial Hospital). To help with this goal, faculty was recruited specifically to enhance the School of Nursing’s research and scholarship programs. The School of Nursing’s emphasis changed from the student
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
All health care providers are familiar or have some idea of what family focused care entails. Family focused care can be practiced in any settings in healthcare, and nurses are familiar with this concept as this strong theory based teaching is emphasized throughout the nursing curriculum. With the trend of health care delivery shifting towards home based or community setting, it is now more than ever important for nurses and advance practice nurses (APN) to incorporate family nursing practice for improved outcomes for the patient and their families. This paper will discuss one of the many family nursing theory and its impact on the family nursing practice now and in the future.
While completing clinical rotations at Pembroke Regional Hospital a patient was admitted to the medical unit after having a myocardial infarction at work. The patient had type 2 diabetes and complained of pain in his foot upon admission. When completing an assessment on the patient, it had become apparent that the patient was at an increased risk for foot ulcers. The patient did not check his feet, had poor nutrition and did not take any general care of his health. The patient was a type 2 diabetic for over 40 years, smoked little over a pack of cigarettes a day and was slightly overweight. It then became apparent that not only does the patient needed medical support for their previous myocardial infarction, but attention needed to be geared toward the possibility of developing a foot ulcer due to patient’s
Callista Roy was born in 1939 in Los Angeles, California. In 1962 she got her Bachelor of Arts Degree in Nursing. Then she got her Master’s Degree in Pediatric Nursing. Followed by a Doctoratal degree in Sociology in 1977. Roy joined the faculty of Mount St. Mary’s College in 1996 and between the years 1972 and 1982 she was a chair. Callista Roy has published many books and in 12 different languages. She was honored with 4 Honorary Doctoral degrees, and she has many teaching awards, and from Sigma Theta Tau, North American Nursing Diagnosis Association, and National League for Nursing she has won national awards.
Well said Sheri, Nursing is more than curing a patient not only bodily but also heal their mind and soul. This theory reminds nurses to hold caring nature as a central for every action in nursing practice.VA hospital where I work follow jean Watson theories and practices of caring to give veterans the best compassionate care possible. Hospitals follow this theory to attain magnet status, but it has exceeded expectations in terms of patient and staff
Nursing theory provides a resourceful and demanding organization of philosophies that venture a universal observation of care. By applying nursing theory in our daily care, nurses grow understanding pertinent to humanizing patients’ health condition. The four categories from the most abstract to the most specific are Metatheory, grand theory, middle range theory, and practice theory.
Theory evaluation is necessary in our discipline to contribute nursing knowledge, understand the context in which the knowledge gained was produced, to direct nursing practice, to assure theories guide beneficial and promising outcomes, and to assure theories are applicable to the world of nursing and nursing care. Although all of the theory evaluations in chapter 5 have the similar criteria for analysis, I appreciate the criteria established by Walker and Avant. Walker and Avant clearly define their categories of analysis: origins, meaning (concept identification; conceptual and operational definitions), logical adequacy (proper context; predictive ability), usefulness (practical application; increasing knowledge; predictability), generalizability,
Family Nursing wk4 Discussion board Family development theory spotlights on the different phases and progression a family goes through during their lifetime together. How these phases occur within the family life cycle gives an understanding of how each family member accomplishes their specific developmental tasks, learning how to deal within their different roles of responsibilities and expectations as they move together through the various stages in their lifetime (Kaakinen, Coehlo, Steele, Tabacco, & Hanson, 2015; Kreppner & Lerner (Eds.), 2013).The purpose of this discussion board is to discuss the task of arranging space for a child from the family developmental and life cycle theory and describe how I applied this task to a family I have cared for in my nursing practice. I recently cared for a newly married couple, the wife was complaining of abdominal cramping and severely tender breast. Upon completion of her exam and performed test we found out she was four weeks pregnant. The wife immediately became anxious and started to panic.
Based on this patient’s assessment I have selected two theories that I believe can be a good framework to better understand my patient and address her needs. My first selection is Betty Neuman’s System Model. In this nursing theory the client is a system with a “central core of energy resources (physiologic, sociocultural, developmental, and spiritual)” (Blais & Hayes, 2011, p. 104). This core is surrounded by the normal line of defense, which denotes client’s equilibrium obtained and preserved over time, and the dynamic and easily alterable flexible line of defense (Blais & Hayes, 2011, p. 104). Besides, there are four stressors that can weaken the client’s wellness. These stressors are internal if they happen within the individual, interpersonal
I found the study on family nursing theory in education and practice by Nyirati, Denham, Raffle, and Ware (2012) to be very interesting. The authors found that most Family Nurse Practitioner (FNP) programs teach family nursing theory in some way, whether it be in a course of its own or integrated throughout the curriculum (Nyirati, Denham, Raffle, & Ware, 2012). However, gaps still exist in the education of FNP students on family nursing theory in the United States (Nyirati et al., 2012). Furthermore, the authors of the study noted that even though the FNP programs across the country were teaching about family nursing theory in their curriculum, the programs failed to teach students how to apply the theories to the clinical setting (Nyirati et al., 2012).
Parker, M. E., & Smith, M. C. (2010). Nursing theories & nursing practice (3rd ed.). Philadelphia, PA: F.A. Davis Co.
Thank you for making nurses look good in your practice. I agree with you on how Newman’s theory can best be applied in the home care setting than the hospital. I believe psychosocial nursing is more challenging than the physical one. In the intensive care unit where I work, it is so much easier to care for ventilated and sedated patients than those who are emotionally and psychologically burdened. You are not alone in questioning nursing as a rewarding profession. Each day we spend in each patient is a different challenge and experience. One must be calm and collected to begin a working shift. Though we are constantly sought and surrounded by people, nurses are often alone in our thoughts and emotions in dealing with our patients and
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.