Scholarly Paper #1 Personal Meta-paradigm Charlotte Strawser NURS 603 University of Southern Indiana Professor Cynthia Cuson January 26, 2017 This paper aims to describing personal meta-paradigm in this author’s professional nursing career relating to a theoretical framework. Nursing is made up of several theories that help guide the nursing practice in delivering care. The theories help guide nursing research in creating a strong profession in healthcare. These theories help the nurse in expressing their own meta-paradigms that are based on the theories incorporated into practice. Meta-paradigm entails theory research, philosophy and educational background as well as life experiences to help guide nursing practice. As a nurse …show more content…
As a nurse this theory is an instrument for guiding this author in how the patients and their families are treated. A nursing theory specifically provides a set of definitions, propositions and interrelated concepts that gives a systematic approach to view events by identifying relationships (Mensik, Martin, Scott, & Horton, 2011). Katherine Kolcaba is a new middle range theorist who began her nursing career on a dementia unit where she first came up with the ideas of comfort in nursing (Peterson & Bredow, 2017). Kolcaba published her comfort theory in 1991, after being a professor and researcher at a University in Cleveland. The foundation of the theory is incorporated with the ideas of Florence Nightingale. From the early writings of Florence Nightingale, laid the foundation of the fundamental principle that comfort is a necessary element in the treatment and healing practice of patients these days. Many nurses may practice Kolcaba 's theoretical framework to promote patient comfort without realizing it. Explicit applications of comfort theory can benefit nursing practice (Krinsky, Murillo & Johnson, 2014). The theory is explained on the idea that the increased comfort of a patient or their family, the more they are ready to accept and react to the treatment plan. The theory can also be applied to the nursing profession in the sense that
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 concepts of the comfort theory are clearly defined and the relationships are easily understood. This theory is simple and basic to nursing care. The taxonomic structure of comfort facilitates researchers’ development of comfort instruments for new settings (Kolcaba,1991).The first assertion of the theory stating that effective comfort interventions leads to increased comfort for patients , has been tested and supported with women with breast cancer (Kolcaba & Fox, 1999), persons with UI (Dowd, Kolcaba, & Steiner, 2000), persons in hospice (Kolcaba, Dowd, Steiner, & Mitzel, 2004). And stressed college students (Dowd, Kolcaba, Steiner, & Fashinapaur, 2007). Also, the second assertion was supported in the UI study, when patients with enhanced comfort showed increased HSBs.
The purpose of the nursing theories is to provide an interrelating framework focusing on the nursing practice. The defined nursing theories promote better patient care, improve the status of nursing profession, and improve the communication between the nurses, and provide guidance to the researches and education (Keefe, 2011). Not all nursing theories have the same meanings; however, they play the important role of explaining the key concepts and principles of nursing practice in understanding way.
Conceptual analysis is integral in understanding nursing theory. According to Walker and Avant (1995), concept analysis allows nursing scholars to examine the attributes or characteristics of a concept. It can be used to evaluate a nursing theory and allows for examination of concepts for relevance and fit within the theory. The phenomena of pain will be discussed in this paper and how it relates to the comfort theory.
Nursing care incorporates not only a compassionate attitude but passion for care of patients. The caring component of nursing cannot be measured, rather dissected through theory within the clarification of what nurses do. Systemically this is all supported through abundant theories and theorist. The nursing profession emphasizes on holistic care which is defined as treatment of the whole person. Within this skill is the admittance of problems that are biomedical but also opportune clarification of the well-being and health of a human that introduces added indicators of disease that are non-visualized (Powers, 2011).
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,
Nursing revolves, not merely about looking after patients, but creating awareness in the society about self care nursing and prevention strategies and to communicate with their patients in a holistic manner, so as to satisfy their physical, mental and spiritual health needs. Various nursing theorists have repeatedly
In Comfort Theory, comfort is an immediate desirable outcome of nursing care. This practice takes a holistic approach. Kolcaba explained that comfort exists in three characteristics: relief, ease and transcendence. Relief is the state in which the patient has satisfied a specific need. Comfort as ease is a state of calmness or satisfaction related to the satisfaction of specific needs that cause discomfort or interfere with comfort. Comfort as transcendence is understood as a condition in which individuals rise above their own problems or pain, or the highest level of comfort, based on the satisfaction of needs of education and motivation that empower users to develop their potential and adopt healthy lifestyle habits, and carry out their activities with the maximum possible independence (Kolcaba,
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.
The concept of comfort is one that nurses provide every shift; however, it is not always easy to define. Katherine Kolcaba’s Comfort Theory will be used. Walker and Avant’s method for concept analysis will be used. The first step is to select a concept, which is comfort. The next step is determining the purpose of the analysis. The purpose is to define what comfort means and what comfort measures are and how they are used in nursing. The third step is to identify the uses of the concept of comfort. This includes definitions of term comfort and a literature search. The fourth step is to determine the defining attributes of comfort. This allows for insight into the
Developing a nursing philosophy is important to a nurse as it serves as a guide and is the foundation for personal nursing practice. Following a personal nursing philosophy can enhance your nursing career, make you a better nurse and improve patient outcomes. However, it is difficult to choose one nursing theorist, as there are viewpoints from several theorists that align with my personal theories. Choosing one theory is not only difficult, it is possible to change a theory during your nursing career or draw from various theories while working with patients and their families depending on the situation. Consequently, nurses are taught the foundation of multiple theorist and there does not seem to be one correct model. It is a matter of finding one that fits your
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.
Nursing theory is a vital part in the field of nursing to aid nurses in the practice of their profession by guiding them with an implementation of structure and a process for organizing and explaining nursing actions. As a person embarks in a career as a nurse, they will bring with them their views, values, ideas, and experiences which all help in the development of their philosophy. It is this philosophy that will guide them in their nursing care. It is not enough to just have a philosophy as a guide to which nurses base their care. Theory must be applied to help bring together a person’s personal philosophy to their profession. To truly understand the nursing profession, one must acquire an understanding of theory and how it applies to person, environment, health, and nursing.
Nursing theory is a belief, policy, procedure proposed or followed as the basis of the action. It is used as the basis to organize framework of concepts and purposes designed to guide the practice of nursing. Nursing theory started in the 1800 when emphasis was on nursing education. Most of the nursing
Nursing theory is the component that separates the nursing profession from other professions. Nursing theory is critical in improving and advancing patient care (Bond et al., 2015). In this ever-changing healthcare, it is essential for the nursing profession to be leaders and have input in all decision-making regarding patient care. Nursing theory identifies the nursing profession as unique from any other profession as well as supporting the nursing profession as the authority on patient care. Theories assist in not only guiding and advancing practice, but also provide guidelines for training, curricula, and research (McCrae, 2011).