Application of Theory Paper Nursing theory is the framework that defines nursing practice, establishes standards of care and provides the information essential for functioning patient care. Theory presents logical and educated reasons for nursing actions, based on structured, written depictions of what nursing is and what nurses do (Rousell, 2010). When problems arise within the educational, research, administration and direct patient care settings; theory supplies a foundation for dialog. When using theory to facilitate resolution of a nursing issue it guides leaders in the direction of the common goal of affording superior patient care (Rousell, 2010). 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.
Many nursing theories are based upon different philosophies of nursing in an attempt to provide the best care possible. Some of the best known nursing theories include Dorothea Orem’s self care nursing theory, Florence Nightingale’s theory of nursing, and Imogene King’s theory of goal attainment (Craven & Hirnle, 2009). My personal favorite nursing theory is Madeline Leininger’s theory of Cultural Care Diversity and Universality. Culture is defined as “a belief system that the members of the culture hold to varying degrees as absolute truth. That belief system guides everyday behavior and makes it routine” (Craven & Hirnle, 2009, p. 310).
Nursing focus is aimed at assisting, encouraging, and supplying the tools that are needed to have patient success. (Alligood, 2014) Evaluation is an important time for both the nurse and the patient to reflect and reassess. The patient remains the focus and helps determine if the philosophy, theory, or model helped achieve the desired outcome. This is a time for active listening by the nurse and feedback. Nightingale, Orem, and Rogers are some of the philosophers or theorists that have helped to mold nursing into the profession it is today.
“Watson defines caring as the ethical and moral ideal of nursing that has interpersonal and humanistic qualities” (Alligood, 2010, p.111). She believes in the holistic care of patients and that nurses need a strong background in liberal arts to care for patients. She also believes that nursing care can affect human development. Watson “believes that it is critical in today’s society to sustain human caring ideals and a caring ideology in practice, as there has been a proliferation of radical treatment and cure techniques, often without regards to cost or human considerations”(McEwen & Wills,2007,p.194). Jean Watson was born in West Virginia in 1940.
These actions; theory, research, and evidence-based care will shape nursing’s values and goals to improve the quality of care and health of individuals, families, and society. This makes theory the foundation of nursing as a caring profession. Dossey in 2008, through her grand theory of integral nursing, concludes that at this point and time in nursing there is a demand for a new language. A language that takes the best theoretical evidence known in science and the art of nursing, to have positive impacts on holistic and human caring theories and modalities. It is through these theoretical approaches and world views that nursing will be better prepared to share the depth of their knowledge, expertise, and critical-thinking skills for complementary assistance to others in creating health and healing.
RTT 1 Task 1 Julie Villa Western Governors University RTT 1 Task 1 The nursing profession has an obligation to advocate for patients and provide safe, quality care. By providing evidenced-based practice, nurses can improve care and create better outcomes for patients. In reference to the case study provided, I will be discussing how an understanding of nursing-sensitive indicators can assist nurses in identifying issues that may interfere with patient care, how analyzing hospital data on these indicators can advance quality patient care in the hospital, and how specific system resources could be utilized in order to resolve the ethical issue in this scenario. Having an understanding of nursing-sensitive indicators is beneficial to nursing professionals in order to provide quality care and improve patient outcomes. Nursing-sensitive indicators were established by the American Nurses Association to identify structures of care and care processes, both of which in turn influence care outcomes (Montalvo, 2007, No.
In order for nurses to be motivated and provide a high quality of care there needs to be a strong nurse manager. The article reviews relationship between the leadership style and the psychosocial work environment of registered nurses. Review of the Article The purpose of the study was to identify the style of leadership that influences the psychosocial environment of registered nurses. This study was able to analyze the positive and negative work environment. The article was able to analyze the background which showed that the leadership style identified has contributed to create a healthy work environment.
Definations and correlation between asumptions and relationships are evolved from the nursing models to provide a systematic approach in the delivery of patient care via describing, explaning, predicting and prescribing (Mckeena, 1997). The primary role of nurses when they are committed to a patient is accountability, integrity; colloboration and advancement in the profession (Daniels, 2004).Hence nursing theories are important basis especially for the novice nurse who has little or no clinical engagement. These nurses may attribute harm or risk to patients who are dependant on them for care. These theories act as guideliness for nurses from blunders when an organisation engages a formal model to practice. Thereby patients’ lives are guarded from stake of harm.
Caring is an ethical code that fits into the therapeutic interventions that nurses incorporate into their plan of care (Watson, 1999). Watson's care model is not void intellect or the physiological aspect. The complexity of this model exists when nurses think they have to integrate caring into every intervention while remembering to carry out doctor’s orders but remaining efficient with his or her nursing clinical skills. If one would scrutinize Watson's theory on caring, one would infer that caring is not a skill that instructors can teach, it has to come from the human spirit within. Watson composed a work, Caring Science as Sacred Science, of her personal journey of healing from a distressing time in her life.
Watson’s model can best be described in terms of the nursing metaparadigm. When describing nursing, Watson proclaims that caring is the “moral ideal” (1988, p.54). She explains that contact between two human beings can help the ill discover new knowledge that will assist with recovery and promote harmony. The nurse is involved in a partnership with the patient in the caring process in which the goal is intersubjectivity. Watson explains that because nursing is a human science, there are important moral, spiritual and metaphysical components and we can use our spirits to relate to others (Watson, 1988).