These core concepts lead nurses to actions that guide their practice. Nurses incorporate these concepts as they review, formulate, and deliver nursing care (Brilowski & Wendler, 2005). Nursing is a common core concept of nursing theories. Comparing and analyzing the definition of the concept of nursing among theories helps to distinguish the differences between them. It is also important to know where and how theories can best apply to current nursing practice.
Nurses help client to perform Henderson’s 14 basic needs, complementary to Maslow`s hierarchy. Peplau`s interpersonal nursing theory places emphasis development of positive interactions between nurse and client using conceptual framework of nursing as a significant therapeutic, interpersonal process. Nurses participate in structuring health care system to facilitate natural ongoing tendency of humans to develop interpersonal relationship (Blais & Hayes, 2011). Orem`s theory places focus on care for and help patient attain total self-care. This is self-care deficit theory.
She defined self-care as, “the practice of activities that individuals personally initiate and perform on their own behalf in maintaining life, health, and well-being” (Nursing Theory, 2013). The purpose of this paper is to describe Dorothea Orem’s theory and to identify how this theory can be implemented by a nursing leader in a healthcare organization. Orem addressed a person as a human being, with three characteristics that separate them from any living creature, they include the abilities to contemplate on their situation, to indicate their feeling and express their needs, and superior intelligence to correspond and invent needed item that will advance themselves and society. Orem recognized that each human being has the prospective abilities to gain knowledge and continue to improve. She felt that each human being has a collection of roles which include self concepts, body image, personal and social relationships that places them in this high functioning category of living creatures.
She defines environment/society addresses the idea that nurses have existed in every society a caring attitude is transmitted from generation to generation by the culture of the nursing profession. According to Watson she wants nursing to move beyond objectivism, verification, definitions and concern itself more with meaning, relationships. She wants nursing to be more concerned with the pursuit of hidden truths, development of new knowledge regarding human caring-healing. (Watson, 2012). To Watson her theory is humanistic approach to nursing that emphasizes human
The ultimate goal of nursing delegation is to provide the most efficient, effective, quality care in the time frame the nurse is given. Delegation in Nursing A Registered Nurse (RN) must know and understand the differences in delegation, authority, responsibility, and accountability before being able to delegate tasks appropriately. According to Kelly-Heidenthal and Marthaler (2005), “Delegation is the transfer of responsibility for the performance of an activity from one individual to another while retaining accountability for the outcome” (p. 6). Authority is the right to act or to command the action of others. Responsibility as defined by Kelly-Heidenthal and Marthaler (2005) “Is the obligation involved when one accepts an assignment” (p. 9).
Relationship between Nursing Process and Peplau’s Model Peplau’s key concept focuses around the therapeutic nurse-client relationship which develops through overlapping and interlocking phases of orientation, working, and resolution through which the nurse-client relationship evolves throughout the patient’s healing process (Blais & Hayes, 2011). Peplau’s therapeutic nurse-client relationship phases and the nursing process goes hand in hand. The nursing process of assessing applies to Peplau’s orientation phase of gathering data, actively listening, building trust, and reducing any anxiety (Videbeck, 2011). This takes place in the beginning of the therapeutic relationship and it differs from other patient relationships because it focuses on only the needs of the patient (Videbeck, 2011). The nurse is responsible for setting the parameters of the meetings and then providing the client with direction.
Finally, Madeleine Leininger’s goal was to promote nursing to provide care which is congruent with the patient’s cultural values, beliefs, and practices. How nursing theory fits in our workday Throughout history nursing has been trying to connect the dots between theory, research, and practice. "As our nurse leaders shared their ideas about the essences and empirics of nursing, they spoke
Jean Watson’s Caring Theory Nurses’ responsibilities to their patients are continually changing with the times. Jean Watson formed the “caring theory” to convey the significance and emphasize nursing as a diverse health profession. Using the Jean Watson’s caring theory enables nurses to maintain their perspective on caring for patients when overwhelmed with increased acuity, responsibility and workload. With the increase of patients and their needs, nurses often replace the caring attitude with an attitude of arrogance and hurried tasks, leaving patients and family members with belief that nurses believe they are here just to perform a job. By applying the Watson caring theory in caring for patients, “it allows nurses to practice the art of caring, to provide compassion to ease patients’ and families’ suffering, and to promote their healing and dignity but it can also contribute to expand the nurse’s own actualization” (Cara, 2003, p 2).
Abstract Margaret Newman’s theory of Health as Expanding Consciousness (HEC) is a theory in which a patient is looked as a whole. In this theory it explains how it is the nurse’s responsibility to connect with their patients and help to expand their consciousness. By having a trusting nurse-patient relationship, it will help patients achieve this goal. For the purpose of this paper an overview of Margaret Newman’s theory will be given, along with a rational as to why this writer chose Newman’s theory of HEC. A plan to implement this theory by having daily rounds will be explained, and barriers and challenges discussed.
Hildegard Peplau’s Interpersonal Relations in Nursing Theory Innocent A, RN NUR 301-90 Application of Nursing Theory October 10, 2012 Trena S, EdDc, MSN, RN Introduction Many nursing theorists have presented theories in nursing that touch on specific aspects of the nursing process, or nursing as a whole as a profession. Virginia Henderson for instance, developed a theory on human needs she called ‘The Needs Theory,’ Patricia Benner, ‘The Novice to Expert Theory,’ mapping individual skills growth in the profession, and Dr. Madeleine Leininger in ‘Culture Care Theory’ stresses on cultural competence in nursing care (Reed & Shearer, P285,278,404). All these are rich nursing works. Hildegard E. Peplau in a similar light published a nursing theory on interpersonal relations in 1952. A close look at her theory got me so fascinated with her invention for it very quickly proved very practical in many ways to my daily experiences in provision of nursing care, even as a novice nurse.