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Nursing theory and concepts
Fundamentals of Nursing Theory
Nursing theory and concepts
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Nursing theories greatly influence nursing practices and education. Grand theory and Middle Range theory are the two main subcategories that they fall under. While Grand Theory and Middle Range Theory strive to promote nursing knowledge and patient care, their breadth, abstraction, and practical applicability are very different. Risjord (2019) states that grand theories are broad, abstract frameworks that explain important nursing practice occurrences. Although they cover various nursing care topics, they might not be applicable in some clinical contexts.
The concept of caring incorporates empathy, connection, and the ability to transpose these concepts into compassionate, ethical, sensitive, appropriate care to individuals in their nursing practice (Ray, 2015). CNMU ascertains the four domains of nursing as: Person: An individual is a holistic being that possess intrinsic dignity and worth (New Mexico State University (NMSU), 2013). An individual is part of a family, a community, and the world, and becomes the primary focus of nursing when there is a potential or an actual health care need (ENMU, 2015) Health: Pertains to the holistic aspect of a person (NMSU, 2013). It envelops the persons mind, body, spirit to maintain harmony physically, psychologically, socially, spiritually, and in all moral realms of the holistic aspect of the person (ENMU, 2015).
When thinking about my personal philosophy of nursing the word diversity comes to mind. I myself come from a diverse background. Being Hispanic and living in different parts of the united states I have had the pleasure of experiencing different cultures. As a nurse, I have encountered diverse patient experiences. For example the Chinese elderly woman who would not take her medication or eat.
The writer has chosen the topic of Nurse Competence, the one of the most expected quality of nursing practice for Concept analysis. The article of “Nurse Competence: A Concept Analysis” by Sarah A, Smith which based on Rodger’s Evolutionary Concept Analysis Model has been studied to apply with any of the concept analysis in future to evaluate the strength and weakness of any subjects in nursing. The purpose of this analysis of concept in nursing competence will aided in enhancement of knowledge , practice and research through identification of factors involved in nursing competence in details. The effect of incompetency of nursing is part of medical management of population considered to cause death of 44,000-98000 clients per year due
Theoretical thinking is essential to nursing and helps guide nursing practice. Theory is defined as “the creation of relationships among two or more concepts to form a specific view of a phenomenon” (Higgins & Moore, 2012, p. 282 para. 2). It is made up of four theories, which include meta-theory, grand theory, middle range theory, and micro theory.
Caring for The Individual: An Examination of Personal Nursing Philosophy Arianna Mailloux 400164224 NURSING 2AA3 Ashley Collins Harris February 19, 2018 As a novice nurse, developing and understanding of ones’ own personal feelings about nursing is important to help shape your clinical practice. Within this paper I will examine my personal assumptions, beliefs and values of the four nursing paradigms to develop a personal philosophy of nursing. This philosophy will be aligned with a known nursing theory and the comparisons will be discussed. Section I: Personal Philosophy of Nursing Person
The first concept of the nursing metaparadigm is nursing. My philosophy of nursing recognizes the important role the nurse has to deliver care. It is the therapeutic and mutual relationship between nurse and patient that is “the foundation of nursing practice” (End of life, 2016, p. 4). Nurses must understand how they affect patients because every interaction a nurse has with a patient has an impact on their care.
It is created through analysis of research and construction of concepts and theories (Busso, Poles, & Monteiro da Cruz, 2014). Concept analysis serve a purpose within theory development as it represents continuation of knowledge in nursing profession. When theories and concepts are developed, it must be practiced in a clinical setting to validate research. The caring concept applies to Jean Watson’s Theory of Human Caring as it creates an environment for healing, bonding, and improving patient outcomes. The concept of caring depicts the attitude of the nurse and the inclination given to meet the needs of the patient from emotional or physical standpoints (Emerson, 2017).
Metaparadigms refers to the set of theories, ideas, propositions, and concepts that initiate a general statement of a particular discipline (Alligood, 2014). The central goal or focus of the nursing profession is to develop the idea of providing different dimensions of care to patients by use of science (Dossey, 2010). To maintain the approach and the spirit among all clients, the aspect of meta-paradigm of nursing was developed and later implemented. The four meta-paradigm of nursing includes the person, health, nursing and the environment (Marriner-Tomey, 1989).
As a result, we will not just focus on the treatment of the illness but its prevention also - by tackling the true root of the illness.[check reference] Each of the three dimensions of the biopsychosocial model feed into each
The field of nursing is a dynamic profession that uses a combination of tradition and research to meet the complex needs of patients requiring care. Nurses require years of education and training to obtain the skills necessary to treat their patients, regardless of the branch of nursing they are practicing in. However, despite the required time and effort taken into learning the skills necessary for this profession, there is one dimension of nursing that cannot be taught in any classroom or skills lab. This dimension is the art of caring for the patients that are under the nurse’s care.
Nursing Metaparadigm The metaparadigms in nursing knowledge are human beings, environment, health, and nursing. Nursing Philosophy
Nursing is a profession that started as part of the larger medical field. Nursing has dropped its dependence on the medical field and it has grown independent with its models and separate interventions. Many nursing leaders have devised different theories to fit into the nursing field. There are some different nursing theories that encompass the nursing theory. The need theory, unitary human theory, self-care theory, interpersonal theory, transcultural nursing, and from novice to expert theories are all nursing theories.
Philosophy of Nursing Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own.
In this respect, according to theory, disease representations are analyzed in terms of five basic dimensions: identity (perceived signs and symptoms, illness-related personal and familial experience); causality (beliefs about the cause / causes of the disease: genetic factors, stress, fate); timeline (beliefs about the evolution and the duration of the acute or chronic disease); consequences (psychosocial implications of the disease on the quality of personal and family life); and disease control (prevention, treatment). Different responses to the same disease or health risk are explained, in terms of theory, by different representations of the disease and by individuals’