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DNP-815A Topic 8 DQ 1 Which science-based theories do you think are the most useful to the DNP-prepared nurse?

DNP-815A Topic 8 DQ 1 Which science-based theories do you think are the most useful to the DNP-prepared nurse?

DNP-815A Topic 8 DQ 1

Which science-based theories do you think are the most useful to the DNP-prepared nurse? Why?

Nursing theories are a set of predictive models that support nursing practice today. These theories are essential to nursing practice, scientific research and education because they help in determining what is known and any additional skills and knowledge that is needed.

Lewin’s Kurt change model proposes three fundamental strategies, i.e., unfreezing, movement and refreezing. The first is unfreezing, which supposes disruption. It supposes creating awareness about the need for change, thereby promoting support for said change. The second stage is movement, which means deciding on how to proceed with actual implementation of the change intervention. The third and final stage refreezing, implies assimilating and normalizing the change intervention as standard practice (Teguh et al., 2019). Orem’s nursing care deficit theory describes how the patient’s self-care needs will be met by the nurse, the patient, or by both. Orem’s theory on the other hand is comprised of three related parts: theory of self-care; theory of self-care deficit; and theory of nursing system. The steps in the approach are thought of as the technical component of the nursing process. Orem emphasizes that the technological component “must be coordinated with interpersonal and social pressures within nursing situations.

The DNP prepared nurse will be more equipped when utilizing these two nursing theories because they provide a guidance to nursing.  It allows the nurse to provide current best practice care to their patients while also impacting them beyond the bedside. Theories help guide evidence-based research which then leads to best practices and policies. This gives the DNP prepared nurse the opportunity to organize principles that will help evaluate patient care and improve the nursing interventions based on the evaluation findings. The theories can also provide nurses with basis or rationale for making decisions.

 

References

 

Nursing Theories(2021) Orem’s self care deficit nursing theory . available https://nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php

 

Teguh, A., Hariyati, R. T. S., & Muhaeriwati, T. (2019). Applicability of Lewin’s change management model for optimization management function in nursing delegation between head nurse and team leader: A mini project in Jakarta military hospital. International Journal of Nursing and Health Services (IJNHS)2(2), 66-74.

Evidenced-based science nursing draws evidence from medicine to help define nursing care and lay foundation for clinical decision-making. Human science nursing has grown, and their progress includes major nursing theories. Science-based nursing theory developed by Martha Rogers is called Unitary Human Beings.

Theories tend to live in action of supporters.  Nursing theory guided practice according to Younas (2019) helps improve quality of practice and allows nurses to articulate tis done for patients and why it is done. Usefulness of nursing theory-guided practice has led emphasis on evidence-based nursing.

Experimental studies have helped to analyses the usefulness of nursing evidenced-based theories as against traditional practice. Majority of these research studies mentioned Orem’s self-care model, Roy’s Adaptation model and Peplau’s theory of interpersonal relations. The effect of these theory guided interventions is evaluated to improving quality of life, self-efficacy, selfcare and stress of patients with acute, chronic psychological and cardiac illness. (Mitsugi 2020)

Mitsugi, M., Endo, E., & Ikeda, M. (2020). Recognizing One’s Own Care Pattern in Cancer Nursing and Transforming toward A Unitary Nursing Practice Based on Margaret Newman’s Theor

y. ASIA-PACIFIC JOURNAL OF ONCOLOGY NURSING7(2), 225–228. https://doi-org.lopes.idm.oclc.org/10.4103/apjon.apjon_1_20

Younas A, Quennell S. Usefulness of nursing theory-guided practice: an integrative review. Scand J Caring Sci. 2019 Sep;33(3):540-555. doi: 10.1111/scs.12670. Epub 2019 Mar 13. PMID: 30866078.

Thanks again Irene for all your contributions throughout the course. I truly enjoyed your insightful posts. Keep the flame burning and good luck as we proceed. Evidence-based practice (EBP) is determined as an organizational, collective, and interdisciplinary phenomenon that solidifies clinical decision-making as pointed out by Yancey (2019).

EBP in nursing practice remains essential for the safe, and effective practice of nursing. As pointed out by Yancey (2019), if facts that are backed by research findings and presented as evidence lack a nursing theoretical foundation it becomes questionable as to their relationship with nursing.

It is crucial that evidence applied by nurses in their practice generate from nursing research and framework to contribute to new knowledge in nursing science and not from a different discipline that does not add to or improve the nursing profession (Yancey, 2019).

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References

Yancey, N. R. (2019). Evidence-Based Practice in Nursing for Teaching-Learning. Nursing Science Quarterly, 32 (1), 25-28. doi: 10.1177/0894318418807929. https://oce-ovid-com.lopes.idm.oclc.org/article/00006236-201901000-00006/HTML

Replies 

Yet another great post from you, Irene. Let me use this opportunity to say that you are exactly right when you noted that nursing theory guides practice. With all that I have learnt in this course, it is crystal clear that nursing practice cannot be fulfilling without the intersection of practice and research.

This translate to the importance of the use of theories to guide clinical encounters with patients. Dewey (2020) noted that high quality nursing practice continues to be a national objective while taking prominence in nursing literature. While nursing practice in the clinic must be evidence-based, it is important to state that nursing theories underpinning such practice must be scientific, not commonsense.

Thanks for sharing

Dewey, J. (2020). Nursing theory. Salem Press Encyclopedia of Health.

Read Also: DNP-815A Topic 8 DQ 1 Which science-based theories do you think are the most useful to the DNP-prepared nurse?DNP-815A Final PICOT-D Approval Form GCU 

Evidenced-based science nursing draws evidence from medicine to help define nursing care and lay foundation for clinical decision-making. Human science nursing has grown, and their progress includes major nursing theories. Science-based nursing theory developed by Martha Rogers is called Unitary Human Beings.

Theories tend to live in action of supporters.  Nursing theory guided practice according to Younas (2019) helps improve quality of practice and allows nurses to articulate tis done for patients and why it is done. Usefulness of nursing theory-guided practice has led emphasis on evidence-based nursing. DNP-815A Topic 8 DQ 1 Which science-based theories do you think are the most useful to the DNP-prepared nurse?

Experimental studies have helped to analyses the usefulness of nursing evidenced-based theories as against traditional practice. Majority of these research studies mentioned Orem’s self-care model, Roy’s Adaptation model and Peplau’s theory of interpersonal relations. The effect of these theory guided interventions is evaluated to improving quality of life, self-efficacy, selfcare and stress of patients with acute, chronic psychological and cardiac illness. (Mitsugi 2020)

Mitsugi, M., Endo, E., & Ikeda, M. (2020). Recognizing One’s Own Care Pattern in Cancer Nursing and Transforming toward A Unitary Nursing Practice Based on Margaret Newman’s Theory. ASIA-PACIFIC JOURNAL OF ONCOLOGY NURSING7(2), 225–228. https://doi-org.lopes.idm.oclc.org/10.4103/apjon.apjon_1_20 DNP-815A Topic 8 DQ 1 Which science-based theories do you think are the most useful to the DNP-prepared nurse?

Younas A, Quennell S. Usefulness of nursing theory-guided practice: an integrative review. Scand J Caring Sci. 2019 Sep;33(3):540-555. doi: 10.1111/scs.12670. Epub 2019 Mar 13. PMID: 30866078.

In nursing science-based theories are mainly focusing on the organization of knowledge based ideas defining the scope of nursing. The breadth of scope of these science-based theories varies to nursing constitutes and tasks provided to nurses and the reasons for the placement of those tasks. DNP-815A Topic 8 DQ 1 Which science-based theories do you think are the most useful to the DNP-prepared nurse?

The most common science-based theories in nursing can be categorized as grand nursing theories, mid-range nursing theories, and practice-level nursing theories. The concept of these theories is important in nursing and can provide foundation skills for nurses essential in their nursing practice and to take care of their patients.

The significance of this science-based nursing theory for a DNP-prepared nurse becomes important when they need articulating evidence during their practice and need to justify the methodology used by them (McNett et al., 2021).

The science-based nursing theories are used to define the framework effective for the nurses to follow and to shape the parameters for patient care. In absence of science-based nursing theories, the concept of nursing is lacking linear foci and nurses lack of ability to organically pointing back to patients during the process of treatment and meeting their health-related demands.

The DNP-prepared nurse can best utilize these theories to shape the strategies of healthcare facilities for patients while aligning the expected results. For instance, the use of grand theories helps nurses in the establishment of a framework. The governance process becomes easy for nurses when they follow mid-range and practice level theories in the specific scenarios of healthcare services.

The Healthcare systems developed based on science-based theories help nurses to take care of the patients holistically while depending upon the needs of the patient. DNP-815A Topic 8 DQ 1 Which science-based theories do you think are the most useful to the DNP-prepared nurse?

For instance, the use of child health assessment interaction theory reinforces the DNP-prepared nurses to develop the parent-infant relationship for the sake of quality caregiving services, creating an environment and adaptation of influencing attitude. This theory can also be used by the DNP nurses to provide healthcare services to adult patients while devising advanced treatment strategies to meet the demand of the patients and strengthening the patient-physician bonding.

References DNP-815A Topic 8 DQ 1 Which science-based theories do you think are the most useful to the DNP-prepared nurse?

Dillon, D. (2020). Nursing Theories for Nurse Educators. American Journal of Nursing, 1-9.

McNett, M., Masciola, R., and Sievert, D. (2021). Advancing Evidence-Based Practice Through

Implementation Science: Critical Contributions of Doctor of Nursing Practice- and

Doctor of Philosophy-Prepared Nurses. Worldviews on Evidence-Based Nursing, 93-101

https://doi.org/10.1111/wvn.12496.

 

Applying science-based theories in nursing represents an opportunity for nurses to combine experience-associated knowledge with evidence developed based on scientific rigor. The first science-based nursing theory was developed by Martha Rogers and is called the Science of Unitary Human Beings, emphasizing both the scientific nature of nursing and its humanitarian components (Koffi K. et al., 2016). One of the model’s key components is treating each person as irreducible because every individual has a unique set of characteristics that go far beyond understanding the workings of the human body. According to Rogers, nursing and sciences are connected because people can influence their environments and make nursing a naturally scientific field (Koffi, K. et al., 2016). In applying the theory in the practice of a DNP-prepared nurse, it is possible to address burnout, as Rogers underlined the importance of maintaining a safe culture and effective patient-practitioner communication.

Watson’s nursing theory is also concerned with the interplay of scientific knowledge and nursing practice when caring for patients (Pajnkihar et al., 2017). Watson’s nursing theory is also concerned with the interplay of scientific knowledge and nursing practice when caring for patients. According to Henley (2015), nursing is concerned with implementing steps for preventing illness and promoting health using a scientific approach while demonstrating caring as a holistic aspect of nursing. When applied to the practice of a DNP-prepared nurse, the theory encourages professionals to promote patients’ health through knowledge and intervention developed based on scientific findings. However, to ensure the successful implementation of the interventions, the theorists recommend developing caring relationships between nurses and their patients and displaying unconditional acceptance as a method of contributing to the high quality of care.

Henly, S. J., McCarthy, D. O., Wyman, J. F., Stone, P. W., Redeker, N. S., McCarthy, A. M., … & Conley, Y. P. (2015a). Integrating emerging areas of nursing science into Ph.D. programs. Nursing Outlook, 63(4), 408-416. https://doi.org/10.1016/j.outlook.2015.04.010

Koffi, K., & Fawcwtt, J. (2016). The two-nursing disciplinary scientific revolutions: Florence Nightingale and Martha E. Rogers. Nursing Science Quarterly, 29(3), 247-250. https://doi.org/10.1177/0894318416648782

Pajnkihar, M., Štiglic, G., & Vrbnjak, D. (2017). The concept of Watson’s carative factors in nursing and their (dis)harmony with patient satisfaction. PeerJ, 5, e2940.