The theorist’s background and perspectives will be explained and lastly the theory will be discussed as to how it can serve as an underpinning and improve nursing practice. Concepts for the Grand Theory When comparing a grand theory to a middle range theory, a grand theory is much more abstract that uses a wide scope to explain and define broad issues. A middle range theory is more specific, focused and concrete (Eldridge, 2014). Watsons’s theory of human caring is a good example of a grand theory. Watson’s theory takes on a holistic approach to providing care for the patients all around wellbeing.
Nurses should get effective workforce planning to get more data and information. 4. Nurses should practice and get higher level of education and training. The nursing education primary goal is patient safety. “Two consensus reports from the Institute of Medicine (IOM) which calls for greater interprofessional education of physicians, nurses, and other health professionals, as well as new methods of improving and demonstrating competency throughout one’s career (IOM, 2003b, 2009)” The Robert Wood Johnson Foundation of nursing research network is estimate costs of nursing education for different degree levels.
Nurses need to be educated on these indicators to understand the care they provide directly affects patient outcomes. The American Nurses Association (ANA) recognized areas of patient care and developed nursing-sensitive indicators to improve care of patients. Nursing-sensitive indicators reflect three aspects of nursing care: structure, process and outcomes. (American Sentinel University, 2011, para. 2) They identify structures of care and care processes, which influence patient care outcomes.
Although the first years of a baccalaureate program are similar to that of an associate degree program, additional in-depth coursework such as social sciences, nursing research, public and community health, nursing management, leadership and critical thinking are required, thus enhancing a BSN’s professional development, knowledge base and scope of practice. A BSN program focuses on treating patients as individuals by incorporating the metaparadigm theories of nursing, allowing for a higher level of preparation to care for more complex patients. A BSN is trained and prepared to treat each patient holistically; assessing, evaluating and analyzing all needs (physical, emotional, environmental) of the patient. Although an associate-level degree nurse has some limited knowledge of theory and conceptual models, their training primarily focuses on technical skill and task orientation. The ADN has a disadvantage when it comes to the concepts of health, environment, person and nursing as well as evidenced based practice.
Emerging Standards of Care Glorybel Rodriguez NUR 531 December 9, 2013 Sylvia Ellington Emerging Standards of Care The impact of the changing demographics and the growing multicultural world has emphasized the importance of cultural competence for the delivery of quality care in this diverse society. Knowing and understanding the beliefs, values, practices, and customs of a culture is pivotal for nurses and health care providers. Beyond the race and ethnic classification that usually comes to mind when cultural diversity is discussed, other types of cultural diversity such as gender and organization affiliation warrants attention. In the Veteran’s Administration (VA) health system the unique veteran culture (specifically combat veteran) and the minority group of woman veterans present unique challenges as health disparities and special needs are evident within these groups. Cultural competence, the veteran culture, and minority female veterans will be discussed.
It expands on community health, management, and critical thinking skills. The BSN nurse is better prepared for the adversities in community health as a whole. “BSN nurses show greater critical thinking skills, better problem solving, and the development of clinical judgment; three skills of increasing importance for the increase in acuity of patients in hospitals and other health care settings.”
PSY: 325 10 February 25, 2013 Cultural Self-Awareness The United States has been known as a melting pot and within recent years its’ diversity has increased significantly. With the growing diversity of the population, mental health professionals have developed a fourth dynamic within the field of clinical/counseling psychology which is multiculturalism. This new force is seen as a way to strengthen existing models that health professionals currently practice. It allows these existing models- psychoanalysis, behaviorism, and humanism- to become more conscious and sensitive to various cultural backgrounds (Pomerantz, 2013). According to Pomerantz (2013), cultural self-awareness is the process of a clinical psychologist recognizing that his or her own cultural perspective is unique.
Culturally Competent Care Cultural competence, is defined as the constant attempt to understand the values, beliefs, traditions, and customs of diverse groups. In the nursing leadership management text book, (Kelly, 2012 p 591) quotes that the expert panel on cultural competence of the American Academy of Nursing notices that cultural competence is a continual process for the nurse, wherein the personal preferences of the nurse should not interfere with the care preferences of the client. In United State new immigrants arrive daily which has led to the ethnic and racial composition of the population to change dramatically since the 1990s. As a result there is an increasing diversity in languages, beliefs, lifestyles and practices among residents in rural and urban areas throughout the country. This increasing diversity of population, challenges healthcare professionals to provide culturally appropriate healthcare and
Nurses intermingle with people from diverse branch of the world with a mixture of civilizing practices, so cultural alertness seems essential in creating a patient-nurse relationship during the interview phase of the health assessment, initial step of the nursing process. Every culture perceives wellbeing and sickness differently; as a result, cultural traditions have power over nurses’ decision making process which represents a baseline to begin action for healing and provides high quality of care that nurses have to give. “Cultural ability means the aptitude of nurses to value and admit the cultural backgrounds of persons and give care that best meets the persons’ requests—not the nurses’ requests” (Edelman & Mandle, 2010, p.
Among other things, nurses want safe workplaces that promote quality health care. “It’s the role of the nurse executive and nurse manager to establish a work environment that supports professional practice,” says Pamela Thompson, CEO of the American Organization of Nurse Executives. “That’s one key piece to retention.” It’s also important that nurses play an active role in shaping their environment. “Nurses want to work in a place that brings high quality to patients and know they have a role in the process,” says Susan Shelander, director of recruitment and retention for Memorial Hermann, Houston. Creating such an environment is not easy.