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.
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. (Berman et al, 2010) A comprehensive assessment establishes a database of information relating to the patient including visual observations during initial interview including, skin condition, cloths, hair, hygiene, demeanor and presence of pain etc. During the interview the nurse should gather family history and both subjective and objective data to establish baseline data as a reference point and an indicator to the effectiveness of interventions. (Berman et al, 2010) Subjective data is what the patient thinks, feels and believes and can also be referred to as the symptoms including itching, pain and worry or anxiety. Objective data is measured during the physical examination; it can be seen, heard, smelt, felt, observed, tested or measured against an excepted standard, including: skin color, bowel sounds, blood pressure, temperature, level of pain, urine analysis etc.
The definition of nursing as put forward by the American Nurses Association is: Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities and populations. (Published in The Nursing Scope and Standards of Practice 2004 edition page 7) To determine how it addresses the metaparadigm of theories of nursing, I needed to find out what a metaparadigm is. By definition, a metaparadigm is a model that explains the linkages of science, philosophy and theory accepted and applied by the discipline. According to our textbook, “ A Nursing Theory is composed of a set of concepts and propositions that claims to account for the central phenomena of interest to the discipline of nursing. “These are: peson, environment, health/illness, and nursing put forward by the American Nurses Association.
Answer: 3. Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care. 6. Answer: 4. Registered nurse (RN) candidates must pass the NCLEX-RN® that the individual State Boards of Nursing administer.
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.
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 book focuses on instruments for assessing caring in the nursing literature. The book presents caring instruments that captures multiple essences of caring; attributes, characteristics, ability, attitudes, and complex interrelated behaviors (Watson, 2008). The book is to help nurse leaders and scholars with an up-to-date- critique and compilation of instruments used to assess and measure caring (Watson, 2008). Assessment tools are additional instruments that can be incorporated along with the nursing process to expand nursing assessment skills. The tools presented are; Mini Mental State Exam, Social Support Questionnaire and the Perceived Stress Scale.
Nursing Time 103 (47) 28-29 Gopee, N (2009) Mentorship and Supervision in Healthcare. Sage: London. Lewis, G. (1996) The Mentoring Manager, Institute of Management Foundation, Pitman Publishing Matheson, R (2003) Promoting the integration of Theory and Practice by use of a Learning Contract: International Journal of Therapy and rehabilitation: 10 (6) 264-269 Melrose S (2002) a clinical teaching guide for psychiatric mental health nursing. A qualitative outcome analysis project. Journal of Psychiatric and Mental Health Nursing; 9 (4) 381-389 McKim J., Jollie C., Hatter M. (2007) Mentoring: Theory and Practice Myell M, Levett-Jones T., Lathlean J.
The Nursing Process works in conjunction with a nursing model, models of nursing are used to provide frameworks of care. (Holland et al, 2008) Holistic assessment of the patient identifies all of the patients individual needs in order to identify their problems, needs may be actual or potential. (Holland et al, 2008) Collecting data using objective and subjective information, objective data is observations or measurements made by the collector for example blood pressure. Subjective data is obtained from the patient, family and significant others or health records. (Holland et al, 2008) This is a nursing diagnosis as opposed to a medical one.
(2007). Clinical Development: A framework for effective communication skills. Retrieved from http://www.nursingtimes.net/nursing-practice/296359.article O’Daniel, Michelle, Rosenstein, Alan H. (2011). Patient Safety and Quality: An Evidence-Based Handbook for Nurses: Professional Communication and Team Collaboration. Retrieved from