Concept Comparison and Analysis Across Theories There are several nursing theories in the history of nursing. These theories have common core concepts. These core concepts consist of the person, the environment, health, and nursing. Identification of these core concepts lets nurses establish appropriate research questions, develop theory, and identify practice priorities. These core concepts lead nurses to actions that guide their practice.
The purpose of this paper is to select and analyze one of the many nursing theories that exist. The focus of the theory and its history will be explored. In addition, the motivational factor behind the development of the theory and the creator’s philosophical beliefs and values will also be discussed. Then, concepts of the selected theory will be compared to the nursing metaparadigm. The nursing theory that will be discussed in this paper is the Interpersonal Relations theory, created by Hildegard E. Peplau.
Though not all of these characteristics apply, “the practice of caring is central to nursing” (Current Nursing, 2012, para. 2). Documentation is an essential portion of providing safe, quality care for the patient. It allows the nurse to describe what is being done with the patient, what needs to be done, and what the goals are for that individual, much like that described by Watson. Components of good documentation are the same as Watson’s theory and nursing process; assessment, plan of action, intervention, and evaluation.
In addition, confidentiality as part of the social, ethical and moral basis of working in care setting is further explained in the NMC (2002) clause 5.1-5.4. In clinical setting, preserving confidentiality is view as the key to establish trust, promote good relationship and interaction. In the absence of this, nurses might not be able to offer the client the required quality care as expected Hogston and Simpson (1999). Arnold and Boggs (1999) argued that if client feel confident to communicate their information to the nurse, made aware that their information is secure with assurance that it will be passed on with their
Reflection of Clinical Practice Nursing Essay The purpose of this essay is to demonstrate application of core components of the NMC Code of Professional Conduct (2008) using reflective practice. The NMC Code of Professional Conduct (2008) states that nurses should act in accordance with the code, using an ethical and legal framework to ensure patient wellbeing and respect confidentiality. Nurses must act in a fair, non-discriminatory way which respects customs, values and beliefs of an individual, providing care which demonstrates sensitivity (NMC 2008, p2). Reflective practice is described by Duffy (2008, p.1405) as an active and deliberate process to critically examine practice, where an individual is challenged to undertake the process of self-enquiry. Refection allows us to look at an experience and how it makes us feel and react, asking what is good and bad, and what can be learnt (Sellman & Snelling 2010).
Nursing Theorist Grid Use grid below to complete the Week 4-Nursing Theorists assignment. Please see the “Nursing Theorists’ Grading Criteria” document, located on the Materials page of the student Web site. Theorist Selected: Florence Nightingale Description of Theory: Nightingales theory encourages that maintaining the environment can directly and indirectly restore a patient’s health. Nightingale’s theory is explained as the environment, patient and the nurse interact with one another. She believed that the environment can in-directly and directly effect a patients health and it has great benefit on the healing process when controlled and managed to patient recovery Her theory encouraged collaboration and cooperation as the focus of the nurse-patient relationship.
Nursing theory applies conceptual frameworks to guide practice through predicting and describing specific behavior. There are many types of nursing theories out there, but the theory I chose was Dr. Katharine Kolcaba’s, The Comfort Theory. In an effort to address why the profession of nursing needs theory, it is important to identify the purpose and importance of theory in general. Not only does nursing theory need to demonstrate the progress of the profession itself, but nursing theory needs to be meaningful and applicable to our current practice. Many authors have somewhat different opinions of what nursing theory actually means, but the general consensus seems to support the fact that it is a set of clearly defined concepts and values.
In order for a nurse to deliver patient focused care, they must first develop an effective nurse-patient relationship with the service users that they care for. This is important in order to ensure that the highest quality of care is provided to the patient. As, according to Sheldon (2009), a nurse-patient relationship is based upon the commitment of a nurse to work alongside their patient’s, in order to deliver personal and effective care which meets the identified health needs. Patient focused care involves the patient and nurse working together as a partnership and places the patient and their relatives central to decision making in regards to the planning, implementation and assessment of care. An equal nurse-patient relationship is important in order to ensure that safe, effective and personal health care is delivered and that the patients’ needs are appropriately met (The Health Foundation, 2012).
In nursing, it allows a nurse to instruct a competent co-worker or health-care member to perform specific duties in his or her place. If done properly, delegation will allow work to be done more proficiently by the health-care team, but it will also allow patients to benefit from the expertise of various staff members. In relation to nursing delegation, there are two main legislations that govern it: The Regulated Health Profession Act, 1991 (RHPA) and The Nursing Act, 1991. The RHPA “sets out two elements: a scope of practice statement, and a series of controlled or authorized acts for each profession” (CNO, 2013a, p. 3). A controlled act is defined “as acts that could cause harm if performed by those who do not have the knowledge, skill and judgment to perform them” (CNO, 2013a, p.4).
Nurses provide education that will assist clients to understand, comply with cancer management regimens; and cope with the effects of cancer and related treatment. (Brown, D & Edwards, H. (2012, p308). Nursing care plans give guidance and structure on care of the patient, however, care of the dying patient requires an approach that focuses less on the medical intervention of a client and places an emphasis on the uniqueness of each individual and seeks to preserve their own sense of dignity. Affirming a patient’s value by seeing the person as they are or as they were, not just within the illness they have, helps patients to maintain their sense of dignity. Dignity is defined as “the quality or state of being worthy, honoured or esteemed” [Merriam Webster, 2010] Dignity places value on an individual.