This uniqueness leads the nurse theorists to explore the concepts of nursing the way they perceive reality in nursing, which creates an opportunity for nurses to develop their own theory. This paper describes how Peplau defines the four concepts of nursing metaparadigm: nursing, person, environment and health. The focus of Peplau’s theory is nurse-patient interaction. This occurs when the nurse, as a competent expert, seeks to understand the meanings of the client’s experiences. Indicating that the theory of interpersonal relations is derived from the metaparadigm concepts of person and nursing.
Retrieved from http://www.nursingtimes.net/nursing-practice/296359.article In this article, the reader is given specific guidelines to will help them communicate effectively in the nursing field. The guidelines and framework of communication tools are given to help the nursing student identify the main areas of communication integral to the nursing profession. O’Daniel, Michelle (2011), Rosenstein, Alan H. (2011). Retrieved from www.ahrq.gov/qual/nurseshdbk/docs/O'DanielM_TWC.pdf The components for successful communication and team collaboration are outlined in this article as well as barriers to effective communication in the nursing field. Tools for practicing effective communication are vital in an industry when a patients’ life is at risk.
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
In both, Henderson’s Need Theory and Orem’s Self Care Theory, the ‘role of nursing’ is the core concept. Henderson considered her definition of nursing her ‘concept.’ She defined nursing as, “assisting individuals to gain independence in relation to the performance of activities contributing to health or its recovery,” according to (“Current Nursing: Virginia Henderson’s Need Theory”, 2012). Orem defined nursing as, “actions deliberately selected and performed by nurses to help individuals or groups under their care to maintain or change conditions in themselves or their environments,” (Current Nursing: “Dorothea Orem’s Self Care Theory,” 2012). For both theories, the major assumption is that the nurse will care for the patient until the patient or his or her family can care for the patient. According to the Free Dictionary (2013), a metaparadigm is, “a set of concepts and propositions that sets for the phenomena with which a discipline is concerned.” In both theories, there are metaparadigms that have developed the framework for nursing practice.
Critical thinking leads to nursing diagnosis that is formed from S/S of disease or illness in order to prioritize care and obtain desired patient outcome. (Zborowsky, 2014) The planning and implementation phase of the nursing process involves the nurse and patient working together to achieve a common goal. Patient involvement in the planning phase is vital to the implementation phase. If the patient is not involved with making the goals, they will not follow through with implementations. Nursing focus is aimed at assisting, encouraging, and supplying the tools that are needed to have patient success.
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. According to Chism, nursing theory is made up of ideas brought together by associated expressions that characterize, clarify, and foretell phenomenon that are in accordance with nursing viewpoints (Chism, 2013). Nursing theory helps to identify what should shape the foundation of practice by clearly describing nursing. It is essential the APN use nursing theory in evidence-based practice, to provide better patient care, improve communication between nurses, and as a guide for nursing research and education. In addition, because the main champion of nursing, caring, cannot be quantified, it is crucial to have a theory to examine and spell out what the APN does.
Theory is thereby derived from practice and practice is altered or extended by theory. In the early 1980’s a nursing theorist named Patricia Benner applied the Dreyfus Model of Skill Acquisition to nursing practice and knowledge development to define steps by which nurses can attain expert status in nursing practice. Patricia Benner describes five levels of nursing experience and skill acquisition starting with novice, then advanced beginner, next is competent, then proficient and finally expert level of clinical practice. In this paper I will discuss Benner’s theory of skill acquisition, the many uses of this theory, as well my personal review and critique of this nursing theory. 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.
1. Discuss the role of the nurse when collecting a comprehensive nursing health assessment. A nurse’s role is a complex and unique function and a fundamental part of a Multidisciplinary team. Nurses provide assessment and nursing care of a patient. Assessment is a systematic process using a rational method of planning to identify a patient’s health and any actual or potential problems that need to be met and to provide interventions to meet those needs.
Goals need to be measurable, attainable, client centred, realistic, outcome written and short. When planning care evidence based research should be used to support the planning process. (Holland et al, 2008) Implementation is the carrying out of the nursing interventions using theoretical and experiential knowledge, skills and clinical expertise based on evidence based practice. (Holland et al, 2008) When evaluating the care given a number of questions must be considered. Was appropriate data collected?, Were appropriate problems
Different styles are appropriate depending on the situation of the organization and the personalities of the workstaff and leader. Because of the effects of leadership on staff, the style a nurse leader uses should be carefully chosen to represent both her personal beliefs and the beliefs of the organization in which she functions. Using this research, the author analyzed the leadership style of the nurse leader interviewed, Anita Siegel, Deputy Director of Alameda County Public Health Department. Matching her style of leadership to her position and activities, its effectiveness in her organization is assessed. Review of the Literature Gullo and Gerstle (2004) undertook a descriptive study to determine if transformational leadership had positive effects on the registered nursing staff in a facility undergoing restructuring.