Theoretical Framework for Nursing Practice
Unit III: Theory Development
Learning Activities:
1. A. Barriers, Forces or Resources that Led to the Utilization of Theoretical Thinking in the area of Clinical Practice in our Dialysis Ward.
Based on our personal experiences in our dialysis ward, there are several barriers or forces that led to the utilization of theoretical thinking in our ward. Like in any other ward, (1) The Nursing Profession has already built a solid foundation of accepted theories. Just like what Meleis (2007) stated that nurses derive their activities within these known theories. This lead to the idea that theoretical development is a waste of time when available theories are easily adaptable. (2) Limited knowledge and concept is also becoming a barrier. Thinking about metaphysical or ethical nursing issue is stressful and time consuming.
(3) Slow development and acceptance of the theory also happens in our wards. (4) The financial constraint is another barrier in our theoretical development (5) Time, money and reward are some of the barriers, knowing that as a nurse or healthcare professionals, we are too busy to think about theoretical and framework development while this requires budgeting, especially in data collection. However, all this led to the utilization of theoretical importance, knowing that theory development is required according to the unexpected needs and conditions that often arise.
1 B. Sources that Could Promote or Constrain the
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)
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
This essay will discuss and reflect on one of the Principles of Nursing Practice and I will relate this to my practice experience. It will focus on Principle of Nursing Practice A: Dignity, humanity and equality and I will demonstrate knowledge of the Principle of Nursing Practice in my essay and investigate the professional, legal and ethical frameworks that guide nursing practice and discuss and link what I have experienced in practice to my chosen Principle.
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.
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.
Provides a basis for examining theory construction and the role that theory plays in providing the scientific basis for nursing
The activities include physical and occupational therapy, nutrition counseling, and case management ("Community Health Nursing," 2013).
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.
Nursing theory-based practice can provide knowledge for nursing practice within an organization. It can guide professional practice by providing a systematic approach that is focused on the patient. Theory-based practice can stimulate research and practice, while generating new ideas or concepts that may improve the care given to the patients. According to Ellis in 1968, “it is essential for theory to develop and guide practice…theories should reveal what knowledge nurses must, and should, spend time pursuing” (Alligood, 2014, pg. 11).
Nursing theories can be categorized considering their levels of perception, and the literature mentions that there are two kinds of concepts: grand theories and middle-range theories. Whether concepts are grand or mid-range (MR), we establish corrective intellectual and influence practice and investigation. By description, grand concepts are theoretical, complex, and detached from practice. We are not destined to be simply grasped or experienced. Associated with grand theories, MR theories enclose less perception and interactions, are adjustable to an extensive range of practice and knowledge, can be made from numerous sources, and are solid enough to be experienced. For these reasons, MR principles are predominantly persuasive as nursing science statements the encounters of the 21st period.
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
The purpose of this paper is to provide an introduction, purpose, and rational for selecting a nursing theory. I will describe the theory by identifying the purpose, concepts/definitions, relationships/structure, and assumptions. I will use the Chinn & Kramer evaluation criteria to critique this chosen theory. Finally I will describe a plan for implementing the theory into my practice setting, identifying any barriers and challenges.
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).
Nursing theories, concepts or models are adapted from the theoretical frameworks of other discipline in healthcare. However, as nursing advances, new frameworks may arise, the nursing theories, concepts or models from the past or present may fuse, extinct or change donaldson (year). Hence, nursing is a discipline which is consistently reviewing and upgrading its theoretical frame works to provide the best quality of care to patients. (https://www.jacksonvilleu.com/blog/nursing/the-importance-of-nursing-research/)