The Greatest Nurse Theorists Of Modern Nursing Practice

According to Barbara Caper as cited in Chinn and Kramer (2011, p 1), people generally develop the knowledge about based on what’s they belief or valued in that. Therefore, the personal valued is the key creating or generating the knowledge. Similarly to nursing perspective which it based on nursing philosophical lens is the key to develop theory of nursing sciences. In other words, philosophy in nursing reflects nursing-knowing of perceiving or understanding in a particular phenomenon and expresses or communicates it as the knowledge to others in many forms including the theory of nursing sciences (Chinn & Kramer, 2011; Meleis, 2012).

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

nurse staffing ensures quality nursing care for patients and can be a challenge for nurse

The universal portion of Orem’s theory consists of the self care that a patient needs to meet their physiologic and psychosocial need. The developmental portion of the theory covers the care when coping through developmental stages, and the health deviation, which cover the care a patient need when theory health has

Nursing theorist, Hildegard Peplau knew that in order to care for patients, the nurse must establish a strong relationship with the patient. This is an essential element in being able to provide adequate planning, diagnosing, and successfully treating patients. Personally, my desire to learn more about Peplau’s theory is because it is a very significant quality to have as a nurse. Nursing is a very interpersonal career, and by forming trusting relationships with patients early in one’s nursing practice, I can provide the best care possible to meet psychosocial needs as well as treat the present illness. The benefits that creating interpersonal relationships can have on the patients’ health condition and their planned outcomes, is also a very interesting area of focus. Many nursing students today did not understand the importance of Peplau’s theory. They choose a career in nursing because of the finical stability and wide range of options that the career offers. Overall, one cannot forget that nursing is patient centered care.

The metaparadigm of nursing consists of four parts comprised by Jacqueline Fawcett, in 1984, in her seminal work (Alligood, 2014). The metaparadigm she developed served to provide direction and guidance for the nursing framework already in use and became an organization tool for theories already in use (Alligood, 2014). The four parts being person, health, environment, and nursing. The four components of the metaparadigm concept of nursing is important to nursing theory because they are the key areas of focus of patient care, and the metaparadigm is designed to differentiate nursing from other specialties (Alligood, 2014). It is this use of theories that makes nursing a profession and guides professional nursing practice, research, and education (Alligood, 2014).

The nursing profession has progressed greatly since it roots with Florence Nightingale, moving from reliance upon total medical direction for providing basic care and “the first duty of the nurse it that of obedience-absolute fidelity to his orders, even if the necessity of the prescribed measures is not apparent, you have no responsibility beyond that of faithfully carrying out the directions received” (Jennifer C. Telford), into an autonomous practice with its own nursing theory practices, models, and interventions.

Personal theory and philosophies are important for Advanced Practice Registered Nurses (APRN) to help care for patients and their career. According to the American Nurses Association (ANA, 2010) an “APRNs are registered nurses (RN) who have acquired advanced specialized clinical knowledge and skills to provide health care” (p. 112). APRN is a general term used to describe certified registered nurse anesthetist, certified nurse midwife, clinical nurse specialist, and nurse practitioners (NP) (ANA, 2010). For the purpose of this paper and my personal theory and philosophy, I will focus on the NP as the APRN. NPs are able to perform comprehensive assessments and promote health and prevention of illness and injuries (ANA, 2010). The ANA’s concepts of health promotion and disease prevention have helped shape my personal theory and aided in identifying a theory for my future practice as a Family Nurse Practitioner (FNP). The best theory to guide my practice will be Nola J. Pender’s health promotion model (HPM). By using Pender’s HPM, it will allow me to identify each patient as an individual with different needs for health promotion and disease management.

Nursing theories are important for nurses for our daily work as it provides us with an all-inclusive foundation to clarify and foresee issues that impact nursing care. In nursing, caring should be placed high on our priority list for our nursing practice. As nurses we must develop knowledge on research outcomes for the foundation of nursing practice. Consequently the grown and the certification of nursing theory will aid in the establishment of nursing practice. It is a source of specific individuality as it guides nursing education, research, practice, and distinguishes nursing practice from other disciplines.

For this assignment, I chose to study grand nursing theorist Dorothy Orem and the nursing concept she introduced, the self-care deficit theory (also known as the Orem model of nursing). I chose to study Dorothy Orem because she is well known in Indiana, the state in which I reside. Orem’s grand nursing theory “was developed between 1959 and 2001…[and] is particularly used in rehabilitation and primary care settings where the patient is encouraged to be as independent as possible” (Orem & Taylor, 2011).

In any job there are many roles to fill. Bartenders always say they double as therapists. Teachers are educators, role models, advocates for children, and often provide family and community support. Mothers are everything short of miracle workers. So what roles does a nurse fulfill? Everyone knows that nurses care for patients, but Hildegard Peplau focused on the nurse-patient relationship and defined the roles nurses take on when working with patients. Since most nursing students have entered the field of study because they want to help people, looking at the nurse-patient relationship and the roles they fulfill provide a benefit.

Grand theories consist of abstract and generalized concepts. These concepts cannot be “generated” or “tested” “empirically”. Grand theories are formulated by going above and beyond current knowledge and theories to develop new and insightful ones. (Lincoln Memorial University Carnegie-Vincent Library’s website, 2015) McEwen and Wills (2014) categorize grand theories based on three different schemes: scope, nursing domain, and paradigms. Various theorists throughout nursing history have chosen different ways to group their theories.

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.

During her interview for Nurse Theorists, Dr. Reed tries to give just a easy summary of what her theory is about. The focus is how people transcend their common boundaries to expand themselves. She stated this is not only for the elderly but anyone across the lifespan. They can do this four ways. First, intrapersonally- through their inner life. Second, interpersonally-this is how they relate to others, their environment and/or nature. Third, temporally-this is how they perceive time; past, present and future. Specifically, with past and future to make it a more “fuller present.” Lastly, transpersonally-reaching out to a purpose greater than self, such as a God or any higher being or phenomenon.

Modern day Nursing is fairly a different practical knowledge and practice in comparison with your previous infirmary centered training process. Today’s nursing will be concept centred. Nurses discover the theory powering behaviour, techniques and judgements, previous to gaining the knowledge involving executing your actions or maybe obligation inside the profession. Inside stark compare a medical facility centered process will be at work, training in which the medical professionals discover several operations when they promote themselves and also the concept will be explained following the practice has been exhibited or maybe if your pertinent lessons concerns complete. The training ended up being often influenced from the skills necessary on the keep with that particular day time, rather than the wide range involving skills and know-how that is certainly achieved while using the contemporary data centered training style. (Koutoukidis, Stainton & Hughson 2013 pp. 4 – 19).