Theoretical And Ethical Basis Of Practice

1890 Words Jul 6th, 2016 8 Pages
Theoretical and Ethical Basis of Practice
Nursing theories and ethical principles serve as the foundation of nursing practice, education, and research (Colley, 2003; Antipuesto, 2011). This paper’s purpose is to elaborate on author’s discussion of her phenomenon of interest (POI) on newborn screening for Critical Congenital Heart Defects (CCHD). The objectives of this paper are to relate the metaparadigm of nursing to the POI, select and discuss a grand nursing theory and a middle-range theory that can be applied to the POI, examine the POI as it relates to the complexity science framework, and to distinguish ethical principles that apply to the POI.
Newborn Screening for Critical Congenital Heart Defects Critical Congenital Heart Defect (CCHD) is a subgroup of congenital heart defects that normally necessitates surgical intervention or catheterization procedure during the neonatal period (Good, Canale, Goodman, & Yeager, 2015). According to Mahle et al. (2009), although there are measures taken to detect CCHD like prenatal ultrasound and comprehensive newborn physical examination during newborn’s birth hospitalization, there is still a significant percentage of newborns with CCHD that is left undetected and discharged home without being diagnosed. Delay in diagnosis of CCHD increases morbidity and mortality (Mahle et al., 2009). In response to this, Riede et al. (2010) mentioned that the diagnostic gap in CCHD could be bridged by screening newborns using pulse oximetry…
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