Nursing, as a profession, continues to be a growing and changing entity. As nurses, we must consider that our future is going to be much different than our past. This presentation will review four major topics that are worth consideration, and hopefully provide food for thought about each nurse’s plans and goals for his or her own career in the future. We will discuss evidence-based practice, nursing theory, research, and nursing roles and opportunities. Each of these topics includes a myriad of ideas, publications, and opportunities for self assessment and growth. Evidence-based nursing, evidenced-based practice, and evidence-based medicine are all based on the idea that health care treatment has transitioned from “practice that was …show more content…
According to this concept, Associate Degree nurses may have been educated through a nursing theory based model, or work in a facility that uses a particular theory, but do not spend a great deal of time considering theory in their practice. Bachelor of Science nurses are more involved in theory based curriculum and use theory to guide their own practice. Master’s Degree nurses use theory as the framework of their practice and use theory based questions to guide research projects they may be involved in. PhD nurses are conducting theory testing, developing new theory, and advancing the profession of nursing by creating academic programs based on theory. Advanced Practice Nurses (APNs), particularly those functioning as licensed independent practitioners, can benefit from the use of theory as they assess, plan, diagnose, intervene and evaluate the care they give to patients (Chitty 2010). Additionally, theory based care will allow easier explanation of decision making to other members of the health care team, and facilitate education of newer nurses. APNs in educational roles should use theory to develop curriculum and teach practice models. Theory based practice is also essential for APNs who wish to pursue research, as it helps to develop the groundwork for theory based research. Nurses have many roles in research that can be categorized into three major groups: 1. Health promotion, 2. Human experience, and 3. Health care and health systems. Similar to
As a provider of care, professional nurses depend on research, theories, and evidence based practice to guide the care they provide to patients. Nurses deliver care to their patients based on information they have learned through many years of school and training. Training for nurses and other providers of care is founded on theories, research, and evidence based practice in the healthcare field. Theories, research, and evidence based practice are all important for providing care to patients and each can be used in a different manner depending on the situation. Clinicians often use research based evidence to design and implement care that is high-quality and cost effective for patients. Evidence based practice can be used to provide care to patients in a steadily changing clinical environment. (PDF page 8-9). Nursing theories are frequently used as frameworks for establishing nursing care interventions and assessing
designed to guide the practice of nursing” (Medical Dictionary for the Health Professions and Nursing, 2012). Nursing theories can help patients, managers and other healthcare professionals to recognize what and how much that nurses do contribute to the healthcare field. I never did realize how important theories in nursing practice could be until I became a nursing student myself. Nurses use theories in their everyday practice, but never think about them as being
The profession of nursing has, in recent years, been trying to further develop, test and use proposed nursing theory. To utilize theory appropriately, in all domains of practice, education and research, it is important to know how to describe, analyze and evaluate
A1. The nursing profession has evolved significantly over the decades. One of the factors that have greatly influenced these changes has been the involvement of nurses in the development of theories and data base needed to support the advancement of our profession. In the last half of the twentieth century, nurse researchers (1950s) and nurse theorists (1960s and 1970s) greatly contributed to the expanding body of nursing knowledge with their studies of nursing practice and the development of nursing models and theories (American Nurses Association, 2010, p. 16). Like in any other research activity, a special set of
Since I have been a nurse I never really gave much thought about any of the theories I learned in nursing school, I guess I was just so happy to finish. However, as years have expired and find myself back in school furthering my education, now I recall the importance of nursing theories. As many people or should I say nurses frequently tend to define various words through their experiences. So for the lack of cohesiveness, according to Parker & Smith (2010), a ‘theory is a frame of reference on how individuals view reality.’ A more formal definition states that a ‘theory is a group of interrelated concepts, assumptions, and propositions that explains or guides the actions of nurses in their profession (CNN, week2). The theorist I chose to discuss is Betty Neuman’s Systems Model and how her model relates to nursing.
According to Walker and Avant (2005), theories provide a way of identifying and expressing key ideas about the essence of practice. Advanced Practice Nurses (APN) and other healthcare professionals incorporate many theories into
Theory has so far remained a strategic tool in advanced nursing practice. Firstly, nursing utilizes every feature of management science. Fortunately, the knowledge base of each and every management science takes theory into account. Theory includes methods, principles, and concepts. The principles are usually related, and can be observed and validated or verified when translated into the practice of management. Likewise, concepts are general notions, thoughts, and ideas that tend to form a basis of discussion or action. Therefore, theoretical principles guide clinical nurses to various
The nursing field comprises different theories that are used to govern nursing practice through offering different perspectives and views of phenomena. A theory can be defined as the development of a link between concepts that create a certain view of a phenomenon (Jackson, n.d.). The theories in the nursing field focus on issues that are relevant to enhancing patient care, overall nursing practice, and nursing education. Moreover, these theories are used to define, create, and distribute existing knowledge in the profession as part of efforts towards improving nursing practice. The theories in nursing field are classified into different categories i.e. ground nursing theories, nursing practice theories, and mid-range nursing theories. Some examples of these various types of nursing theories include Nola J. Pender’s Health Promotion Model (HPM) and Mid-Range Theory. These theories differ in terms of the theorists’ backgrounds and their experiences, description of theory, assumptions, and application in nursing practice.
The credibility of a profession is based upon its ability to create and apply theory. Nursing as a whole has not been at the forefront of theoretical research being much more practical or hands-on in nature. Unless nurses increase the value placed on research and the body of knowledge that establishes the legitimacy of their practice then nursing will remain in a subordinate position in the medical environment. Theorists anticipated that by conceptualizing models of nursing, practitioners would be able to become more autonomous in their clinical settings while increasing the visibility and authority of nursing as a discipline. It
“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 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.
There are many different nursing theories that are significant to nursing practice, because they help nurses to examine what is already known, and what additional knowledge and skills are required in variety of nursing situations. They provide basis for nursing practice, as well as some additional tools, that help with delivery of better care to patients and caregivers. Finally, nursing theories improve professional status for nurses and provide guidance and direction for research and education (Colley, 2003).
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).
According to the Arslanian, Hicks, Whall and Algase (2005) nursing theories have unique views. Advanced Practice Nurses (APN) not only focus on diagnosis and medical intervention but also considers family, environment and patient responses in their plan of care. This makes them different from other health care providers like physicians and physicians assistants (Arslanian et al., 2005). I agree that it is important for us as an APN to use theories to guide our own advanced practice because theory gives identification to nurses, and distinguishes nurses from other profession by its unique contribution to the clinical practice. Nursing is an autonomous profession (Kenny, 2013). Nursing theory provides various information to understand the patient
The harmony among clinical and research orientation is essential to professional nurses as they dynamically enhance the nursing’s scientific knowledge by way of research. Evidence facilitates advancements in nursing and inhibits the usage of unjustified nursing errors and practices. Finally, evidence-based practice substitutes usage of trial and error and improves development, evaluation, and professional progression. Evidence-based practice is used by professional nurses for the sake of influencing the standard of care and for encouraging a self-directed nursing environment.