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Situation Specific Theory Within The 21st Century

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Situation-Specific Theory in the 21st Century
Christene O’Loughlin
Maryville University

Situation-Specific Theory in the 21st Century

The nursing profession has evolved dramatically since Florence Nightingale. Nursing is now the largest health care profession in the United States and comprises one of the largest workforces (Rosseter, 2011). Nursing has become an increasingly specialized field and using a theoretical basis that defines the person receiving care should be the goal for nursing interventions (Im, 2012). Nursing is more than cleaning and giving medications. Knowledgeable nurses have been improving health outcomes since 1990 because they are using research and evidence based practice that has proven to provide better care (Stevens, 2013). Nurses who combine clinically useful information with specifically defined theories also help to provide effective specialized health care (Im, 2012). I use situation-specific theories because they create frameworks that better defines patients and can correlate the integration of research and evidence based practice into my care.
To refine nursing in the 21st century nurses must shift our focus from grand theorist to theories that are as individual as the people we serve. Grand theories are generalizable and have practical guidelines, but limit the consideration of patient’s cultures. They lack the sociopolitical diversity that is needed with increasingly diverse patient populations (Schmieding, 1990).

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