The way in which a nurse practices can greatly affect the outcome of the patient (Potter & Perry, 2006). For this reason, nursing practices based on theories and concepts should be researched. The process of using concepts, theories, research and practices to form rationales usually begins with a concept or theory and is cyclic in nature, as each component may lead to the other (see Appendix A). In the nursing profession, several concept-directed theories guide both research and practice. The purpose of this paper is to select and analyze one of the many nursing theories that exist.
At the individual level it is recognizing and reflecting on an issue that restricts one’s abilities and experiences, then taking action to change the issue for themselves and others affected (Chinn & Kramer, 2011). The key objective of praxis is through reflection to incorporate theory, practice and art to aid in the recognition and valuing of diverse types of knowledge (Kilpatrick, 2008). Praxis plays an integral role for the APN and there should be a solid foundation of understanding. There are several benefits for APN’s use of nursing praxis; it influences the relationship the practitioner develops with patients, their families and colleagues. Moreover, it provides the opportunity for change, personal nursing theory and knowledge development through self-reflection.
Elements of a recognised framework by Cormack (2000) will be used as a guideline through the critique process. Critique is defined by Polit et al (2000) as a careful critical appraisal of the strengths and limitations of a piece of research. They state that a written critique should serve as a guide to researchers and practitioners, and should help to advance a particular area of knowledge. The critique should also help those who are practising nursing, to decide how the findings from a study can be best incorporated into practice (Nieswiadomy, 2002). Knapp (1998) points out that if research is to provide convincing evidence on which to base practice, it must be capable of withstanding scrutiny regarding the quality and relevance of the researchers work.
In this paper I will apply the Ida Jean Orlando’s Nursing Deliberate Nursing Process Theory to patient boarding in the Emergency Department (ED), a current issue at the facility I am employed. Orlando's Deliberate Nursing Process Theory emphasizes the shared relationship between patient and nurse. It describes the responsibility of the nurse is to find out and meet the patient's immediate needs for assistance. Nurses have to use their discernment, thoughts about perception, and the feelings produced from their ideas to explore the meaning of the patient's behavior. This method assist the nurse in discovery out the root of the patient's suffering and offer the aid they require.
Nursing standard 21 (2) 35-40 Johns C (1995) Framing learning through reflection within Carper’s fundamental ways of knowing in nursing. Journal of Advanced Nursing. 22, 2, 226-234 Johns Model of reflection Johns Model of Reflection Description of the experience Describe the experience and what were the significant factors? Refection What was I trying to achieve and what are the consequences? Influencing factors What things like internal/external/knowledge affected my decision making?
Bandman, E. L. & Bandman, B. Nursing ethics through the life span (2nd Ed.) Norwalk, CT.: Appleton Lange, 1990. An outstanding text divided into major sections. Section one deals with the moral foundations of decision making in nursing and includes portions devoted to exploring the role of the nurse as client advocate and the dynamics of the nurse-physician relationship.
Adult Branch 4 Promoting Integrated Care This essay will discuss and critically analyze a nursing intervention used in practice placement. Discussion will include the knowledge underpinning practice and the evidence base for the clinical intervention. It will examine what the evidence base states should happen and what actually happened in practice. The clinical intervention chosen to reflect on within this essay is care of a patient requiring feeding via a nasogastric (NG) tube due to dysphagia. This is a condition in which the action of swallowing is difficult to perform (Royal Marsden, 2008).
Self Evaluation of Critical Thinking Susan R. Bolte The Ohio State University College of Nursing Graduate School Self Evaluation of Critical Thinking “Critical thinking in nursing is an essential component of professional accountability and quality nursing care” (Rubenfeld & Sheffer, 2010, p. 31). Nurses that use effective critical thinking must use certain habits of the mind, as well as, specific cognitive skills. According to Rubenfeld and Sheffer (2010), critical thinking is not only important to clinicians and educators, but also, it is important to patients and their significant others as it has a direct impact on the quality of patient outcomes. Quality patient outcomes require multiple levels of thinking (p. 9). By performing a self-assessment of my own critical thinking skills, I have revealed both strengths, as well as, weaknesses which have provided a basis for this paper.
Compassion Fatigue and its Affect on Nursing Kelly Kramer Drexel On-Line Compassion Fatigue and its Affects on Nursing Compassion fatigue is a rising issue for nurses working in all specialties of nursing, mainly in critical care. In this paper I will be discussing compassion fatigue, it’s symptoms, how it affects the nursing profession and individual nurses, as well as the hospitals and what untreated compassion fatigue can mean for the future of nursing. Compassion fatigue, also referred to as secondary traumatic stress syndrome, has been defined by Charles Figley as the “natural consequent behaviors and emotions resulting from knowing about a traumatizing event experienced by a significant other – the stress resulting from helping, or wanting to help, a traumatized or suffering person”(Figley, 1995, p. 7). Although compassion fatigue has been studied more in the past 20 years in regards to nursing, there have not been many tools developed to measure the presence of it. There is a general consensus among all the articles that I read regarding the need for more studies, tools to assess and programs at hospitals for nurses.
(2009) also highlights the importance of linking the philosophical perspective of nursing, the disciplinary goals, theory and practice when expanding knowledge for the discipline. Nursing's philosophical basis for disciplinary knowledge is a synthesis of the individual and the common good (McCurry et al., 2009). Knowledge for the discipline expands when philosophy, disciplinary goals, theory and practice are linked together. Further directions of the discipline are revealed when linkages between philosophy, disciplinary goals, theory and practice are strengthen (McCurry et al., 2009). My philosophy of nursing includes three important factors (1) the patient, which may include a family, a community or individuals.