The Importance of Theory Christi McDonald Chamberlain College of Nursing NR 501: Theoretical Basis for Advanced Nursing Practice March, 2016 The Importance of Theory 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. The Importance of Nursing Theory As the professional world of nursing has progressed in many ways and made its mark in today’s society, without nursing theories we could easily regress to the place that nursing existed before WWII, under the umbrella of medicine. Theories tend to ‘direct or guide the thinking of a nurse as tasks are performed with some type of rationale as to why these tasks are performed instead of just taking orders from physicians’ (McEwen & Willis, 2014). However, just
For centuries the development of nursing knowledge has been influenced by numerous theorists and their respective theories. These theories have influenced, and continue to influence, nursing education, practice and research. (Johnson & Webber, 2005)
The caring, supportive, sympathetic features of nursing, is immeasurable. Theories are essential to have. They provide a description of what nurses do and give meaning and purpose. When nursing theories are developed this new knowledge can greatly impact the future of nursing practice (McCrae, 2012).
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
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
70). This definition begins a departure from the Logical Positivistic Received View, in that it does not emphasize the structure of the theory. According to Meleis (1985) this definition of theory exemplifies the multiple usageof theory, an important issue in dealing with nursing practice, research, education and administration. The definition for use here is one adapted from Meleis (1985) and states that a nursing theory is a conceptualization of phenomena and relationships in or pertaining to nursing for the purpose of describing, explaining, predicting and/or prescribing nursing care. Many of the definitions of nursing theory proposed in the 1960s and ’70s derived their definitions from psychology and the social sciences.Nursing theories, according to Meleis (1985) “evolve from extant nursing reality as seenthrough the mind of a theorist who is influenced by certain historical and philosophical processesor events” (p. 29). Theory is not only a tool for the development of research propositions but is also a goal, in which findings becomemore meaningful (Meleis, 1985). One problem in nursing has been the lack of agreement on the definition of theory. Many authors have used the term theory as interchangeable with such terms as conceptual framework, conceptual model, model, and paradigm. Fawcett (1989) clearly states that “conceptual models and theories are clearly distinguished by their
nurse staffing ensures quality nursing care for patients and can be a challenge for nurse
The benefits of having a defined frame of theory in nursing produces superior patient care, heightened professional repute for nurses, progressed interaction among nurses, and direction for exploration of the practice and education. Theories also illustrate the quality of the nursing profession, and serves as a reservoir of knowledge with the examination of the essential requirements of patients and necessary interventions. In addition, specialized rationales are provided. Succeeding medical doctors orders are not exclusively to the context of nursing care.
Theory is an attempt to explain the world around us. It is defined as a set of concepts, definitions, and propositions that projects a view of phenomena by designating specific interrelationships among concepts for purposes of describing, explaining and predicting phenomena. In the world of healthcare the nurse through the understanding of theories attempt to explain why nurses do what they do. Nursing theories are the creative products of nurses who seek to thoughtfully describe relationships and interactions that exist within nursing practice (Ingram, 2009).
Nursing was, for my sixteen year old self, taking care of the sick. Little did I know the complexities of that definition. Still, taking care of the sick was interesting enough to make nursing my major. I started practicing nursing years ago. However, I still struggle defining and explaining my profession to others. I usually start by differentiating nursing from medicine. Nurses see patients as humans rather than a disease that needs treatment (Zaccagnini & White, 2014, p. 15). However, as I advance my career, I must actively incorporate nursing theory into my practice. Nursing theory gives a foundation to understand patients and their health problems better. The use of nursing theory provides a framework to evaluate nurses’ interventions on a higher standard (Zaccagnini & White, 2014). Kenney described five steps to follow once the decision to include nursing theory has being made. This paper will explore the process of applying the Kenney’s five steps into my practice.
Nursing theory is vital to the nursing profession because it provides a foundation and framework which is reflected in nurses’ caring ideals and practice (William, 2015). Theory provides an understanding of a nurse’s role within the healthcare system. The first nursing theory, formed by Nightingale, was observations of interventions that improved patient outcomes (Mackey & Bassendowski, 2016). Nurses can improve quality of care by implementing theory into their practice (Mackey & Bassendowski, 2016). This paper will discuss the importance of nursing theory, Florence Nightingale’s Notes on Nursing: What It Is and What It Is Not, and the application of this theory in the nurse
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
Nursing is a unique profession which is built upon theories that guide everyday nursing practice. According to Taylor, Lillis, & Lynn (2015), “Nursing theory differentiates nursing from other disciplines and activities in that it serves the purposes of describing, explaining, predicting, and controlling desired outcomes of nursing care practices” (p. 27). Many nurses may unknowingly apply a theory or a combination thereof, along with critical thinking to get the best outcome for a patient. Theories are used in practice today because they have been supported by research and help the profession uphold its boundaries. Most nursing theories consist of four concepts which are the patient, the environment, health, and nursing. Each patient is at the center of focus and they have the right to determine what care will be given to them using informed
Nursing theories are the support of nursing practice today. They are significant to nursing practice, education and scientific research because they help to determine, what is already known, and what additional knowledge and skills are needed. Nurses are usually first exposed to nursing theories during nursing education and further exposure comes from hands on training. The gained knowledge, about nursing theories, through education and training enhances better outcomes for patients and caregivers, allows application of professional boundaries, and assists in decision making. In this paper I will attempt to analyze, in general, the importance of nursing theory to the nursing profession; discuss middle-range theory, furthermore Benner’s
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).
By outlining the focus and boundaries of the discipline nursing is able to highlight areas of study that are significant to nursing education and practice, all of which can be traced back to the fundamental concepts. These central ideas feature as integral to nursing development and continue to demonstrate their influence by shaping the way nurses learn and do. The concepts of person, health, environment and nursing are all interrelated, as are the concepts put forward by Newman, Smith, Dexheimer-Pharris and Jones (2008), and can be identified as prominent in nursing studies and the development of nursing theories. The nursing theories based on these fundamental concepts serve as the building blocks for all nursing knowledge and as Smith and Parker (2010) explain “the primary purpose of nursing theories is to further the development and understanding of nursing practice” (p. 8). The structure of knowledge as described by Smith and Parker provides a clear example of how nursing metaparadigms have implications for all levels of nursing theory, education and research from the most abstract or global concepts to the more concrete