This paper will describe a core concept that can be found in two theories and describe their commonalities and how they can be applied to nursing practice. Dorothea Orem's theory used four related concepts: self care, self-care agency, therapeutic self-care demand and self-care deficit, and two nursing concepts: Nursing agency and nursing system. Her theory states that nursing has special concern for the person's need for self-care action and provision and maintenance of the action on a continual basis to sustain health, recover from disease, and cope with the effects of the disease. Orem's definition of nursing identifies the creativity and analysis of information that contributes to the development of nursing systems to assist the patient. The validation of the requirement of nursing is that the person cannot maintain health and be free from injury and disease, and have the quality of self-care (Green, 2011).
I use Orem’s self-care deficient theory to establish my patient’s self care needs, and through assessments I plan a care plan to help maintain optimal level of functioning by promoting self-care activities. I also use Watson’s caring theory because I agree with assumptions of caring; A caring environment offers the development of potential while allowing the person to choose the best action for the self at a given point in time” (Blais & Hayes, 2011, p. 109). Like Watson, I believe in establishing a trusting, caring relationship with my patients. I also use Madeleine Leininger’s culture care diversity and universality theory because I know that different cultures perceive health and nursing care. Relationships among nursing research, practice, and theory are circular.
The vital principle of the model is that person can take responsibility for their health and the health of others. Nurses are encouraged to rate their patient's dependencies or each of the self-care deficits on the following scale: A person's self-care deficits are a result of the compensatory system, in which the nurse provides total care; the partial compensatory system, in which the nurse and the patients share responsibilities for care; and the educative-development system, in which the patient has the primary responsibility for personal health, with the nurse acting as a consultant (Orem, 2005). The Roper, Logan and Tierney model The second method was, The Roper, Logan, Tierney model. This was selected as methods because it focuses on holistic care and base on the idea of health rather than illness and disease. It focuses on the patient as an individual and his relationship with the five components of the model.
Prevention of illness and injury, refers to metaparadigm of health and illness, which describes the client’s state of well-being. Alleviation of suffering through the diagnosis and treatment of human response, describes the metaparadigm of nursing, which refers to the actions taken when providing care to the patient. Advocacy in the care of individuals, families, communities and populations, describes the metaparadigm of person which refers to recipients of nursing care which includes individuals, families and
What is the Definition of Nursing Practice? Nursing practice is defined as the act of providing care to the patients. In providing care to the patients, the nurses implement a nursing care plan which is based on initial condition of the patient. It is based on a specific nursing theory. Following nursing theory and nursing research side by side is a must for patient care and nursing practice.
Furthermore, one priority tool will be selected and then applied to the case scenario outlining the nursing interventions required. Positive and negatives aspects of the selected priority tool will be discussed followed by a conclusion summarising the key points of the assignments. Nursing process is an organised problem-solving framework for nursing practice that promotes clinical thinking process enabling nurses to provide individualised care to patients (Hogston, 2011 p3). The NMC (2010) states that nurses should possess the skills to deliver holistic person centred and systematic assessment of physical, emotional, psychological, cultural and spiritual needs, including risk and develops a comprehensive individualised plan of nursing care. The five phase nursing process is a cyclical process which allows nurses to recognise the patient’s nursing diagnosis in order to plot appropriate care.
Early efforts to study client outcomes began from quality improvement studies with nurses’ participation in the development of interdisciplinary care plans such as critical pathways and care maps that are still in use. Evidence-based practice (EBP) is using the best available evidence on hand to guide clinical decision making in order for nurses to provide the most current and best available care for their patients (Chitty & Black, 2010). EBP is a combination of knowledge to the research process, theory, clinical decision making and findings. The use of EBP requires that one must be aware of research that supports detailed and specific
3 Running head: NURSING PRACTICE ACT Nursing Practice Act Laura Pasnicki ITT Tech NU/100 1. The definition of nursing practice is the analyzing of human stimuli to indicate the actual or potential health issues. The nurse should also support and provide therapeutic care; nurses should be a patient’s counselor and educator in their health. The nurse will work together under a licensed doctor, dentist, advanced practice registered nurse and etc. The nurse shall stay within their scope of practice without exceeding the doctor orders.
THERAPEUTIC APPROACHES IN MENTAL HEALTH NURSING CARE. This essay will reflect on my experience whilst on placement. It would show how I engaged, sustained and disengaged from the therapeutic relationship with a service user through the use of appropriate communication and interpersonal skills. Chambers et al (2005, p303) suggest interpersonal and therapeutic relationships are at the centre of nursing work, the relationship that exists between nurse and patient can often provide the energy and be the catalyst, the motivation and the source of strength to continue with treatment or face difficult situations. I felt the need to develop therapeutic relationships with service users so they felt they could put their trust in me that I was there to listen and talk to them not just care for them.
11/12/2012 Components of a Nursing Care Plan A nursing care plan is a set of guidelines that directs nursing activities for a patient. It details the entire steps needed from beginning to end of a patient’s care. The nursing care plan is also a framework that allows for evaluation of the effectiveness of the plan and it promotes continuity after the patient has left the healthcare facility. The four main components of a nursing care plan are: nursing diagnosis; expected outcomes; interventions; and evaluations. Documentation of the nursing care plan is important in order for the patient to receive proper care.