Transition Theory Of The Nursing Practice

A study was done at a 1,300 bed urban facility over a 13-week period. The purpose of the study was to describe the causes of inpatient falls in hospitals (Hitcho, et al., 2004). All falls were reported except falls in the psychiatry service and during physical therapy sessions. During the 13-week period, a total of 183 patients at an average age of 63.4 years old fell. Of the total number of falls 79% were unassisted, 85% happened in the patient room, 59% occurred during the evening or overnight shift, 19% were while walking, and 50% were elimination related (p. 732). In this study it was identified that many patients did not use their call bell before getting up because they did not believe they needed assistance. It was stated that, “perhaps patients need to be better educated on the effects that a new environment, decreased activity, medications, tests, and treatments can have on patients’ energy and ability to ambulate safely” (p. 737). The findings of this study showed that falls not only happen in the elderly, but in the younger population as well. Patients that fall in hospitals are often unaided and are due to elimination needs. To prevent falls and decrease injury rates, more studies need to be done.

“Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (American Nurses Association, n.d.). The purpose of this paper is to expand my nursing philosophy as I transition into an Advanced Practice Nurse.

Everyday nurses are learning something new. There is constant change as nurses face new challenges and advance their career. There are two models of transition that consider these challenges associated with change (Blais & Hayes, 2016). Bridges model of transition consists of three phases and he believes we go through all three as we experience change (Blais & Hayes, 2016). The first stage is the ending phase, which involves letting go of the past and discontinuing a connection (Blais & Hayes, 2016). When I got accepted into the nursing school I transitioned from a regular college student to a nursing student, which meant strictly focusing on passing nursing school. Once I pass the national state exam, I transition to a Registered Nurse. Then I transitioned from my employment setting as a waitress to a medical surgical telemetry nurse in a hospital setting. Within the ending phase, Bridges also describes four components: the second phase is the ending phase. It has four sections: disengagement, disidentification, disenchantment, disorientation. I fall under disenchantment, I currently work night shift and I have never been a night person. When I first started working night shift I was disoriented to time and constantly felt tired when I was out of work. I have now adapted to the schedule and can balance working nights and not being tired during the days when I am off. The second stage is the neutral zone, which consist of accepting your new role, however, the

The profession of nursing has, in recent years, been trying to further develop, test and use proposed nursing theory. To utilize theory appropriately, in all domains of practice, education and research, it is important to know how to describe, analyze and evaluate

Introduces and defines the topic, as well as describes its importance to professional nursing. Depth and detail are fair. (19–20 points)

In the healthcare facility there are many things that can benefit from change. Bedside rounding with the inclusion of the entire care team would be a beneficial change to any healthcare facility. By doing bedside rounding it promotes patient and family involvement in the exchange of information and planning of their care. This also allows for the interdisciplinary team to be completely involved rather than picking up bits and pieces of information throughout the day from multiple different people. This is also a great opportunity for the patient and their family to ask questions with the entire care team available for answers.

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 Bridge's model of transition is made up of three stages known as the ending phase, the neutral phase and the new beginnings phase. The ending phase is characterized by the ability of an individual to let go of the old responsibilities. It consists of components such as disengagement, misidentification, disenchantment, and disorientation. In the second phase, the nurse begins to accept the new position and its responsibilities, accepting that most probably their relationships with former peers will change. The nurse works to proceed in the new job while at the new beginnings phase of transition through the maximum resistance of the temptation to go back to former position. In my

The process of transition takes time. Some nursing literature states that the transition process can be described as having a beginning, middle and end point, however, other literature argues that it is not always possible or makes sense to describe the transition process this way (Kralik, Visentin,Van Loon, 2006). It

Through the nursing process, patients are assisted in adapting, or coping, to changes within their environments. The process begins with an assessment of the patient’s adaptive behavior as well as stimuli in the external and internal environments. Based on these evaluations, the nurse develops nursing diagnoses and interventions to guide goal setting and increase successful adaptations or coping mechanisms (Chitty & Black, 2007). Simply stated, the nurse modifies the environment to promote and facilitate patient adaptation and restore balance.

Nursing is a profession in which theories have been developed to help implement knowledge development into the practice since Florence Nightingale. Theories help to utilize research and what helps to guide our practice. According to Meleis (2018), theories can be examined through their levels of abstraction which include: grand theories, middle-range theories, and situation-specific theories. The purpose of this paper is to detail how middle-range theories are most applicable to clinical nursing practice in the 21st century.

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 is relatively new and as such, it continues to evolve as new knowledge is gained. There are numerous theories of nursing, each of which took years to develop and most of which continue to evolve and adapt. There are commonalities between and among the existing theories although each may focus more heavily on different aspects of responsibilities. It has to do with the philosophical foundations for each theory.

Nursing theories form the supportive framework on which our patient care relies on (Alejandro, 2017). It is not only the foundation of the nursing discipline but, it defines of we practice. If nurses lack that foundation, new knowledge development within nursing will decline. They are very important for Masters and advanced practice nursing students who are preparing to

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/)