The Evolution Of Nursing Care Theories

As a registered nurse practicing in the state of California I am responsible for practicing within my states legal regulations and nursing scope of practice. My concern for the welfare of the sick and injured allows me to practice ethical provisions of nursing. These are required if I am to carry out competent and effective nursing care. Nursing encompasses the prevention of illness, the alleviation of suffering, and the protection, promotion, and restoration of health in the care of individuals. Therefore, as health care professionals we must be familiar with the different philosophical forces, ethical principles, theories and values that influence nursing. At the same time, we must be respectful to our patient’s

Nursing care is a dynamic field of practice. The way it looks today is far out greater intense and very structured. It advances itself by the use of nursing theories and evidence based practice. Policies and procedures constantly change with the advancement of technology and science. While caring for the patient in the given case studies, a nurse involved utilizes practical knowledge, a culture care model and transpersonal caring relationship to attain a caring environment (Smith & Parker, 2015).

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

“All health care disciplines share a common and primary commitment to serving the patient and working toward the ideal of health for all.” (American Association of Colleges of Nursing, 2014, p. 1) There are many different professional members in the healthcare system. Each of them, have a specific specialty and responsibility to the patient and play an important role in the patient’s overall plan of care. “The scope of health care mandates that health professionals work collaboratively and with other related disciplines. Collaboration emanates from an understanding and appreciation of the roles and contributions that each discipline brings to the care delivery experience.” (American Association of Colleges of

The image of contemporary nursing has shifted drastically from simply providing bedside care to wounded patients; today’s highly complex nursing practice involves nurses rushing around the hospital floor, writing reports, and focusing more on technical skills. These changes in nursing practice reflect a shift in the context and demands of healthcare (Doane & Varcoe, 2007). Moreover, since nurses are often so busy administering medications, doing injections, and charting, they forget about the caring side of nursing. Therefore, it is crucial for nurses to use inquiry lenses to focus on the ethics, effectiveness, and multidimensional aspects

The statement that Identifies my choice from the AACN BSN Essentials that all health professions are challenged to educate future clinicians to deliver patient - centered care as members of an Interprofessional team , emphasizing communication, evidence-based practice, quality improvement approaches, and informatics. (IOM, 2003).

With new direction that healthcare is taking Change in nursing practice is eminent to deliver care to a complex population from conception to death. Representations on how to practice nursing is expected to raise and transform. This new endeavor is the road to keep patient healthy. The relationship between the patient and care giver will go past actual occurrences of malady. The focus is on delivering care that is mainly focus on the needs of the patient in a continuum. In collaboration with everyone in the care team the patient is a unique person with unique needs who from one stage to another, meaning from the hospital to rehab, from rehab to home and to the community. Care for everyone in the same fashion each time without limitation. The continuum of care framework focuses on integrating the services provided to the client, rather than on the integration of service organizations.

I t is important that end of life care is delivered in respect of patients Autonomy, Beneficence, and in a Truthful way. In what follows I argue that we as nurses need to fulfill obligation to support and assist the dying patient and his family’s right to self-determination as it relates to end of life care. I believe that we have made headway but still have much to achieve. Education and research in these areas by and for health care workers and the general population would do much to improve the quality of end of life care.

Without nursing history, nursing would not be the same. For example, Nightingale’s thirteen tenets set the basis of nursing. All these tenets become apparent while promoting health, preventing illness, and while providing care for clients. Additionally, Carper’s four fundamental ways of knowing allows us, as nurses, to think critically, provide holistic care (also apart of Waton’s theory), build therapeutic relationships, follow the code of ethics, and also encourage us to extrapolate data effectively. Nonetheless, Paterson and Zderad, as well as Leininger, set the foundation for nurses to care for each client as their own, using a humanistic, existentialistic, and culturally sensitive approach. Generally, each of these theories allow nurses to acquire new knowledge and skills, altering thoughts and emotions, ultimately enabling us to apply our newfound knowledge into real life situations, which will prove useful in clinical placements next

The image of contemporary nursing has shifted drastically from simply providing bedside care to wounded patients; today’s highly complex nursing practice involves nurses rushing around the hospital floor, writing reports, and focusing more on technical skills. These changes in nursing practice reflect a shift in the context and demands of healthcare (Doane & Varcoe, 2007). Moreover, since nurses are often so busy administering medications, doing injections, and charting, they forget about the caring side of nursing. Therefore, it is crucial for nurses to use inquiry lenses to focus on the ethics, effectiveness, and multidimensional aspects of nursing (Doane & Varcoe, 2007). These elements

This paper brings up my personal nursing philosophy I am planning to deliver in my nursing career. I believe that nursing is more than merely as a profession but also involving my medical knowledge combining it with a commitment to quality nursing care with compassion, respect, dignity, advocacy of each patient. I believe that the interdisciplinary care and collaboration in the medical field are crucial that leads to a healthy relationship among healthcare professionals in promoting quality patient care that is individualized to each patient’s needs.

Nursing’s objective is to help out the public in order to provide safe, holistic patient-centered care that is backed up by evidenced-based practice. As stated by Taylor, Lillis, and Lynn (2014), the knowledge and skills the nurse develops is “focused on assisting individuals, families, and communities to attain, recover, and maintain optimum health and function from birth to old age” (p. 5). Although medical knowledge and technical skills are vital to provide optimal care, this paradigm also involves compassion, empathy, and providing a sense of hope to the patient. Hence nursing is both a science and an art. According to Taylor et al. (2014), “the science of nursing is the knowledge base for the care that is given, and the art of nursing is the skilled application of that knowledge to help others achieve maximum health and quality of life” (p.

In today’s society, the medical field is constantly thriving with technological improvements and the growth of educated individuals that contribute to the well-being of others. Nurses make up the largest majority of the industry, and with that, nursing is the fastest growing occupation. Nursing is a job that allows people to not only take care of the sick but also to experience, learn, and further their interests of the human body.

One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a three-part template for nursing: respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine. In many ways, too, modern technology has advanced further than societal wisdom, especially when confronting the issue of death. The modern nurse's role is to create a nurse-patient culture that encourages the individual to take responsibility for their healthcare and, in partnership with the nurse, to be involved in their recovery. The modern complexities of healthcare, then, when combined, focus us towards a multidimensional template (combining at least psychology, biology and philosophy) (Beckstead and Beckstead, 2004).

As a competent registered nurse, my career goal is to become a healthcare quality improvement leader, a position that would enhance my commitment in promoting patient safety. I not only believe in enhancing the capacity of other care providers, but also in improving the quality of the healing environment for the benefit of both patients and their care providers. This means not only promoting collaboration with the multidisciplinary teams, but also building the necessary healing partnerships with our patients. To enhance the quality of the healing environment, I aspire to continue analyzing researches for evidence based practices and advocating for their actualization. I will continue focusing my time and energy in encouraging other nurses to improve their skills through formal education, so they can empower themselves as advocates of quality improvement for the benefit of their patients and coworkers.