I will further discuss key concepts of the theory, uses of the concepts, cases, and finally apply a graphic model of the theory as well as modifications to the model for use in my personal practice. Theory Summary Major Concepts In Patricia Benner’s theory of skill acquisition she adapted the Dreyfus model of skill acquisition to nursing practice and clinical knowledge development.
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
Running head: INTEGRATION OF NURSING THEORY INTO PRACTICE 1 Integration of Nursing Theory Into Practice Denyse Collins University of South Alabama Running head: CROSS POST: THEORY BASED PRACTICE DISCUSSION Integration of Nursing Theory Into Practice 2 Nursing is a profession that constitutes both art and science. Carper described empirical, ethical, personal, and esthetic designs of nursing knowing to complete the framework of nursing knowledge (Chinn & Kramer, 2011). The advance practice nurse (APN) aspires to provide optimal care to patients by utilizing evidenced-based practice and a creative means of putting evidence-based practice into action. This essay will explore the pertinence of nursing theory to nursing practice, the role of the APN in decreasing the separation between theory and practice, and apply Jean Watson’s Caring Theory to the phenomenon of concern, patient care. APNs can facilitate the ability to practice both the art and science of nursing and reduce the chasm between theory and practice by using nursing theory as a foundation.
The Roles and Ways of Knowing for a Women’s Health Nurse Practitioner Through the practice of scholarship, theories, models and conceptual frameworks the Advanced Practice Nurse integrates clinical knowledge into evidence based practice. Healthcare reform has created a need for the advanced educated nurse at the Bachelor through Doctorate degree level. The nurse practitioner has become the norm in healthcare settings and is found in every specialty along the lifespan. Educational and clinical requirements defined by the APN Consensus Statement sets the standard for entry into clinical practice. According to the American Association of Colleges of Nursing’s Position Statement on Defining Scholarship for the Discipline of Nursing (1999), the APN/DNP’s role of scholarship serves to benefit nursing research, teaching, education, and the practice of nursing itself.
Personal Philosophy of Nursing Beverly’s Personal Philosophy of Nursing In order to write a philosophy of nursing, I believe that first one must decide what philosophy means to them. William R. Thomas (2011), director of programs for The Atlas Society, explains philosophy as an inclusive system of ideas about human nature and the nature of the reality we live in. Studies reveal that this system is a guide for living centered on the issues it addresses and determining the course we take in life and how we treat other people is determined by one’s philosophy. Based on this information a nurse’s philosophy of their responsibilities as a member of the health care profession is significant. As a nurse grows with knowledge and experience their philosophy is likely to yield some transformation.
It is an evolving new field of science that has a foundation in the discipline of nursing and evolving nursing as a science. The science of caring is becoming a science for many other fields. The science of caring involves ten carative factors that guide the care of nursing to developing transpersonal relationships and capturing caring moments. On a daily basis, nurses have the opportunity to provide care for many patients in some way. Care begins with developing a humanistic-altruistic system of care.
Why is there theory in nursing? Chinn and Jacobs (1983) defined nursing theory as “a set of concepts, definitions, and propositions that projects a systematic view of phenomena by designating specific interrelationships among concepts for purposes of describing, explaining, predicting, and/or controlling phenomena.” (Chinn & Jacobs 1983). Meleis (1991), on the other hand, defines nursing theory as “…an articulated and communicated conceptualization of invented or discovered reality in or pertaining to nursing for the purpose of describing, explaining, predicting, or prescribing nursing care” (Meleis 1991). From the definitions above, one can concluded that theory in nursing serves the purpose of describing, explaining, predicting, and controlling to achieve desired outcomes for nursing (Chinn & Jacobs 1983). Those who involve in nursing are familiar with the phrase, “….devote myself to the welfare of those committed to my care.” Millions of nurses have spoken of this Nightingale Pledge on their graduation day.
Though nurses generally align themselves with a favorite nursing theorist to form their approach to practice, many concepts are based on the basic metaparadigm of nursing: person, environment, health, and nurse. It is difficult to only utilize one theory as the practice of nursing addresses many different clients, environments and situations. I plan to utilize multiple nursing theories throughout the educational and professional growth process while pursuing a graduate degree: McAuley’s careful nursing philosophy, and professional practice model, Benner’s model of skill acquisition, and Leininger’s culture-care theory. Multiple nursing theorists, as well as those from other disciplines have attempted to define person, health, and environment. These concepts form the foundation, along with the concept of nursing as practice, the basic metaparadigm, or ideology of nursing.
Concept Comparison and Analysis across Theories Lori Hamilton NUR/513 October 14, 2013 Georgia Swank Concept Comparison and Analysis across Theories As a profession, nursing theorists have come up with different theories that support and guide nursing practice. This paper will discuss the role of nursing in both Virginia Henderson’s Need Theory and Dorothea Orem’s Self Care Theory. The premise of each theory is the nurse will care for the patient until the patient can care for his or her self. By comparing and analyzing each theory, one will be able to get a better understanding of how to best apply the nursing theory in practice. In both, Henderson’s Need Theory and Orem’s Self Care Theory, the ‘role of nursing’ is the core concept.
The Advance Practice Nurse has the opportunity to specialize by focusing on adult, gerontology, family, pediatric and women’s health while the Nurse Educator works to facilitate learning. The Nurse Administrator exhibits leadership skills as an instrument to build and shape organizations in an executive positions. And finally but not least the Nurse Informaticist that employ informatics theories, concepts, methods, and tools to analyze information and information system requirements. Together these masters’ level nurses use their education, training and evidence based theory to be part of a collaborative team to care for the health care community. With the expansion of the role of nursing moves to an Advanced Practice Role through post graduate studies.