In both, Henderson’s Need Theory and Orem’s Self Care Theory, the ‘role of nursing’ is the core concept. Henderson considered her definition of nursing her ‘concept.’ She defined nursing as, “assisting individuals to gain independence in relation to the performance of activities contributing to health or its recovery,” according to (“Current Nursing: Virginia Henderson’s Need Theory”, 2012). Orem defined nursing as, “actions deliberately selected and performed by nurses to help individuals or groups under their care to maintain or change conditions in themselves or their environments,” (Current Nursing: “Dorothea Orem’s Self Care Theory,” 2012). For both theories, the major assumption is that the nurse will care for the patient until the patient or his or her family can care for the patient. According to the Free Dictionary (2013), a metaparadigm is, “a set of concepts and propositions that sets for the phenomena with which a discipline is concerned.” In both theories, there are metaparadigms that have developed the framework for nursing practice.
APNs can facilitate the ability to practice both the art and science of nursing and reduce the chasm between theory and practice by using nursing theory as a foundation. According to Chism, nursing theory is made up of ideas brought together by associated expressions that characterize, clarify, and foretell phenomenon that are in accordance with nursing viewpoints (Chism, 2013). Nursing theory helps to identify what should shape the foundation of practice by clearly describing nursing. It is essential the APN use nursing theory in evidence-based practice, to provide better patient care, improve communication between nurses, and as a guide for nursing research and education. In addition, because the main champion of nursing, caring, cannot be quantified, it is crucial to have a theory to examine and spell out what the APN does.
Personal Philosophy of Nursing Beverly’s Personal Philosophy of Nursing In order to write a philosophy of nursing, I believe that first one must decide what philosophy means to them. William R. Thomas (2011), director of programs for The Atlas Society, explains philosophy as an inclusive system of ideas about human nature and the nature of the reality we live in. Studies reveal that this system is a guide for living centered on the issues it addresses and determining the course we take in life and how we treat other people is determined by one’s philosophy. Based on this information a nurse’s philosophy of their responsibilities as a member of the health care profession is significant. As a nurse grows with knowledge and experience their philosophy is likely to yield some transformation.
Jean Watson is recognized for her theories on human caring and the way nurses give care. Her theories are used to educate nurses on the integration of care and compassion within the discipline and technology of today’s healthcare organizations to better serve patients. Watson believed that human caring is “not just an emotion, concern, attitude, or benevolent desire. Caring is the moral ideal of nursing whereby the end is protection, enhancement, and preservation of human dignity” (George, 2011, p. 29). With this idea in mind, assessment tools are used by the nurse and physician to protect, enhance, and preserve human dignity (George, 2011).
I will further discuss key concepts of the theory, uses of the concepts, cases, and finally apply a graphic model of the theory as well as modifications to the model for use in my personal practice. Theory Summary Major Concepts In Patricia Benner’s theory of skill acquisition she adapted the Dreyfus model of skill acquisition to nursing practice and clinical knowledge development.
Retrieved from http://www.nursingtimes.net/nursing-practice/296359.article In this article, the reader is given specific guidelines to will help them communicate effectively in the nursing field. The guidelines and framework of communication tools are given to help the nursing student identify the main areas of communication integral to the nursing profession. O’Daniel, Michelle (2011), Rosenstein, Alan H. (2011). Retrieved from www.ahrq.gov/qual/nurseshdbk/docs/O'DanielM_TWC.pdf The components for successful communication and team collaboration are outlined in this article as well as barriers to effective communication in the nursing field. Tools for practicing effective communication are vital in an industry when a patients’ life is at risk.
A reflection on the facilitators and barriers to the provision of optimal supportive and palliative care in the clinical setting. This essay shall critically engage with the issue surrounding supportive and palliative care. We shall begin with evaluating the philosophies, history and definitions within the supportive and palliative care, including concepts such as; quality of life, health and wellbeing, communication and the conflicts between the medical and nursing models. Following this introduction to the key areas, we shall then evaluate some facilitators and barriers as they are perceived in practice. This evaluation will engage with reflections on practise in my own experience, and vignettes are offered as a means to facilitate the discussion about the complex nature of supportive and palliative (S&PC) care and the disparities found between theory and practice.
Health Promotion Health promotion is an important part of a nurse’s role. To help prevent disease and promote healthy lifestyle options a nurse should encourage patients through educating them and communicating effectively to enable patients to adopt Health promoting attitudes and behaviours NMC (2008) This essay will be focussed on a patient cared for by the author, on a clinical placement and a description of how a situation of health promotion had been delivered by the student nurse. The names of the people have been change to protect confidentiality in accordance to the NMC (2008). As a Student Nurse it is imperative to recognise in depth and explore what health promotion is and how we can empower patients to make informed, healthy decisions regarding their health. The WHO 2011 states that “Health promotion is the process of enabling people to increase control over, and to improve, their health.
The book focuses on instruments for assessing caring in the nursing literature. The book presents caring instruments that captures multiple essences of caring; attributes, characteristics, ability, attitudes, and complex interrelated behaviors (Watson, 2008). The book is to help nurse leaders and scholars with an up-to-date- critique and compilation of instruments used to assess and measure caring (Watson, 2008). Assessment tools are additional instruments that can be incorporated along with the nursing process to expand nursing assessment skills. The tools presented are; Mini Mental State Exam, Social Support Questionnaire and the Perceived Stress Scale.
Personal Philosophy of Nursing Abstract Nursing philosophy is one of the core aspects in the provision of healthcare services. My personal nursing philosophy seeks to enhance the provision of efficient care to all patients. I believe human nature is the fundamental aspect that governs the type of care a nurse provides to a patient. Additionally, I believe that it is my responsibility as a nurse to uphold human dignity in my interaction with patients. I should learn to perceive the world from a client’s perspective to ensure that I gain the trust of the patient an aspect that places me in a better position to educate the patient.