DQ: Explore various science-based theories
DNP 815 Topic 8 DQ 2
Explore various science-based theories. Select two theories and describe their relevance to your role as a DNP-prepared nurse.
The AACN Essentials of Baccalaureate Education for Professional Nursing Practice guides the curriculum for the baccalaureate program. The AACN’s The Essentials of Master’s Education for Advanced Nursing Practice, Advanced Nursing Practice: Curriculum Guidelines and Program Standards for Nurse Practitioner Education, NONPF and AACN Nursing Practitioner Primary Care Competencies in Specialty Areas, NONPF Domains and Competencies of Nurse Practitioner Practice, and NACNS Statement on Clinical Nurse Specialist Practice and incorporatesEducation provide structure for the curriculum content of the master’s program. The College of Nursing and Health Care Professions curriculum is designed to facilitate the students’ abilities to creatively respond to continuously changing health care systems throughout the world. Educational experiences are planned to meet the needs of and to empower both students and clients. Professionalism, ethical decision making, accountability, critical thinking, and effective communication are emphasized. This is achieved through the application of liberal arts constructs, science, health and nursing theories, and the values of the Christian faith within the scope of nursing knowledge and evidence-based practice. Nursing practice promotes human dignity through compassionate caring for all human beings, without consideration of their gender, age, color, creed, lifestyle, cultural background, and other visible or invisible boundaries between students, faculty, and clients.
REPLY TO DISCUSSION
The scientific underpinnings of DNP practice are not confined to nursing science and theory. Nursing theory improves our care by giving its unity and structure, by providing more efficient continuity of care, and by giving us a framework for the effectiveness of our interventions. When DNP-prepared nurses use theory to guide care, they achieve higher quality in their care while simultaneously elevating nursing professi
onal standards, accountability, and autonomy (Zaccagnini & White, 2017). A nursing theory-guided practice is needed, and the DNP-prepared nurses’ responsibility is to become knowledgeable about a broad range of theoretical frameworks for clinical practice. Roy’s Adaptation Theory contains four essential elements: the person receiving care, the environment, health, and nursing. Roy’s model is applicable to all types of nursing practice and research. The other theory that I think it has relevance to our role as DNP-prepared nurses is King’s Theory of goal attainment in the nursing process, which strengthened the theory’s use and applicability in clinical practice.
The DNP-prepared nurses possess advanced competencies for increasingly complex leadership and clinical roles, enhanced knowledge to improve nursing practice and patient outcomes, enhanced leadership skills to strengthen practice and delivery, and manage collaborative efforts with other healthcare clinicians to improve health care (Astalos, 2023). In order for the DNP-prepared nurses to meet the changing healthcare demands, they should be proficient in the following skills:
- Delivering care
- Developing interdisciplinary standards
- Leading and managing clinical care and the healthcare system
- Solving healthcare dilemmas
- Developing healthcare policy
- Reducing disparities in healthcare
- Evaluating evidence-based practices for care
Philosophies and theories of nursing also guide research and practice.
References
Astalos, L. (2023). The doctor of nursing practice: a guidebook for role development and professional issues. Jones & Barlett Learning.
Zaccagnini, M.E. & White, K.W. (2017). The doctor of nursing practice essentials: a new model for advanced practice nursing. Jones & Barlette Learning.
The Doctor of Nursing Practice Essentials – Google Books
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Interesting discussion. Thank you
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I must commend you for this post. I shall respond to your informative post by noting that critical to the nursing
profession is caring, which is a role associated with patient engagement. Quality care is delivered when practice is underpinned by a theory (Dewey, 2020). Patient engagement has been demonstrated to boost a partnership that encourage smooth and effective communication in clinical encounter with patients. The middle range theory of caring stimulates the partnership earlier discussed as it relates to nursing practice. Welch and Fournier (2018) suggests that the middle range theory provides clarity on the role of nurses in patient engagement. Further, the delivery of quality care, as provided for by the middle range theory, fosters the alignment between informed nurse caring and patient engagement, which reinvigorate the expression of nursing core values in clinical setting.
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Thanks for sharing.
References
Dewey, J. (2020). Nursing theory. Salem Press Encyclopedia of Health.
Welch, J., & Fournier, A. (2018). Patient Engagement Through Informed Nurse Caring. International Journal for Human Caring, 22(1), 1–10. https://doi-org.lopes.idm.oclc.org/10.20467/1091-5710.22.1.pg5
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The application of science-based theories in nursing represents an opportunity for nurses to combine experience-associated knowledge with evidence developed on the basis of scientific rigor. The nursing profession has evolved greatly over time. Moving from dependence upon total medical direction providing basic care into an independent practice modality.
The central philosophy of the Self-Care Deficit Nursing Theory is that all patients want to care for themselves, and they are able to recover more quickly and holistically by performing their own self-care as much as they’re able (nursing theory,2021). This theory is particularly used in rehabilitation and primary care or other settings in which patients are encouraged to be independent.
A DNP prepared nurse can benefit from this theory(selfcare deficit) because it can easily be applied to a variety of nursing situations and patients. The generality of its principles and concepts makes it easily adaptable to different settings, and nurses and patients can work together to ensure that the patients receive the best care possible, but are also able to care for themselves. Patient education and communication as the main key to its goal attainment .
Another theory that can be beneficial to my DNP role is the theory of Planned Behavior which was developed to predict behaviors in which individuals have incomplete voluntary control. Taking self-esteem and self-efficacy into consideration, the TPB expands on the concept of perceived behavioral control. (keiba,2021). If a patient’s perceived control or self-efficacy or self-esteem is low, the perception and belief that he or she can influence own behaviors in a positive manner is undermined.
This theory enables the DNP prepared nurse to understand how individuals behave across different settings, scenarios and situations. Unlocking insight based on attitudes towards behaviors, norms and perceived control enable practitioners and marketers to understand where barriers exist and how to encourage a change in behavior.
References
Keiba L. Shaw(2021) patient education , motivation , compliance and adherence to physical activity , exercise and rehabilitation . Pathology and Intervention in Musculoskeletal Rehabilitation (Second Edition), 2016
Nursing Theories (2021) Dorothea Orem – Nursing theorists . Available from ; https://nursing-theory.org/nursing-theorists/Dorothea-E-Orem.php
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Clinical nurse specialists apply theory by providing or directing patient care in their work as consultants to staff nurses, and as leaders influencing and facilitating system change. Knowledge of technology and pharmacology has far outpaced knowledge of how to facilitate health behavior change, and new theories are needed to better understand how practitioners can facilitate health behavior change. The Integrated Theory of Health Behavior Change is described, and an example of its use as foundation to intervention development is presented.
The Integrated Theory of Health Behavior Change suggests that health behavior change can be enhanced by fostering knowledge and beliefs, increasing self-regulation skills and abilities, and enhancing social facilitation. Engagement in self-management behaviors is seen as the proximal outcome influencing the long-term distal outcome of improved health status. Person-centered interventions are directed to increasing knowledge and beliefs, self-regulation skills and abilities, and social facilitation. Using a theoretical framework improves clinical nurse specialist practice by focusing assessments, directing the use of best-practice interventions, and improving patient outcomes. Using theory fosters improved communication with other disciplines and enhances the management of complex clinical conditions by providing holistic, comprehensive care.
Patient participation in transitional care is largely based on perceptions of self-efficacy, confidence, and skill. Patient-centric transitional care interventions targeting these factors and delivered beyond the hospital setting may improve care outcomes. Implications and direction for further studies includes conceptual clarity, the study of a broader-reaching patient population demographic, and use of multidisciplinary interventions.
Nursing as a science has been on a strong upswing in development since the 1960’s, to be considered a scientific discipline. As such, nursing theories in and of themselves can present their work as a scientific theory in some way, even though they may ask different types of questions. “Scientific theories explain phenomena in a logical, ordered, interconnected manner. Like commonsense theories, scientific theories represent attempts to make sense of reality through descriptions, explanations, and predictions of events and circumstances” (Butts & Rich, 2018). Here we see a wonderfully summarized view on scientific theories and can see how these same elemental properties are also found within nursing theories. The interdependence of theory and research can be applied directly to the role of a DNP-prepared nurse through understanding empirical findings and using theory to guide practice change.
There are many theories stemming from a science viewpoint to be placed in the context of nursing practice as a DNP nurse and depending on the area of practice some may be more applicable than others as we know context is vital in theory application. Two examples of science-based theories relevant to a DNP-prepared nurse include Role Modeling Theory and Symphonological Bioethical Theory. Role Modeling Theory places the client in the center of nursing encounters as the nurse seeks to understand the client’s model of the world (Schultz, 2020). This is relevant because holistic approach to nursing practice while understanding there are systems within the patient also interacting is seen in many areas of nursing care. This theory teaches the nurse that health is a dynamic equilibrium among various subsystems. DNP-prepared nurses can use this from a small scale to a larger one when defining what the environment is (for example a patient or an administration). The Symphonological Bioethical Theory included major concepts such as agency, environment-agreement, health, and a nurse acting as the agent of the patient. Essential the theoretical assertations include rights, ethical standards, certainty, and a decision-making model. As ethical decision making may increase as the leadership role rises, DNP-prepared nurses may find themselves in new territory needing a guide to help with ethical standards. If a DNP-prepared nurses enters academia, the theory can be applied there as well. For example, in an article used to examine the issue of uncivil faculty-to-faculty relationships in academia and nursing education, included a review of the literature and the experiential reflections of seasoned nurse educators. The bioethical theory of symphonology is used in this article to provide a new way of framing the issue of incivility (Burger et al., 2014).
References
Burger, K. G., Kramlich, D., Malitas, M., Page-Cutrara, K., & Whitfield-Harris, L. (2014). Application of the Symphonological Approach to Faculty-to-Faculty Incivility in Nursing Education. Journal of Nursing Education, 53(10), 563–568. https://doi-org.lopes.idm.oclc.org/10.3928/01484834-20140922-02
Butts, J., & Rich, K. (2018). Philosophies and theories for advanced nursing practice (3rd ed.) Jones &
Nursing as a science has been on a strong upswing in development since the 1960’s, to be considered a scientific discipline. As such, nursing theories in and of themselves can present their work as a scientific theory in some way, even though they may ask different types of questions. “Scientific theories explain phenomena in a logical, ordered, interconnected manner. Like commonsense theories, scientific theories represent attempts to make sense of reality through descriptions, explanations, and predictions of events and circumstances” (Butts & Rich, 2018). Here we see a wonderfully summarized view on scientific theories and can see how these same elemental properties are also found within nursing theories. The interdependence of theory and research can be applied directly to the role of a DNP-prepared nurse through understanding empirical findings and using theory to guide practice change.
There are many theories stemming from a science viewpoint to be placed in the context of nursing practice as a DNP nurse and depending on the area of practice some may be more applicable than others as we know context is vital in theory application. Two examples of science-based theories relevant to a DNP-prepared nurse include Role Modeling Theory and Symphonological Bioethical Theory. Role Modeling Theory places the client in the center of nursing encounters as the nurse seeks to understand the client’s model of the world (Schultz, 2020). This is relevant because holistic approach to nursing practice while understanding there are systems within the patient also interacting is seen in many areas of nursing care. This theory teaches the nurse that health is a dynamic equilibrium among various subsystems. DNP-prepared nurses can use this from a small scale to a larger one when defining what the environment is (for example a patient or an administration). The Symphonological Bioethical Theory included major concepts such as agency, environment-agreement, health, and a nurse acting as the agent of the patient. Essential the theoretical assertations include rights, ethical standards, certainty, and a decision-making model. As ethical decision making may increase as the leadership role rises, DNP-prepared nurses may find themselves in new territory needing a guide to help with ethical standards. If a DNP-prepared nurses enters academia, the theory can be applied there as well. For example, in an article used to examine the issue of uncivil faculty-to-faculty relationships in academia and nursing education, included a review of the literature and the experiential reflections of seasoned nurse educators. The bioethical theory of symphonology is used in this article to provide a new way of framing the issue of incivility (Burger et al., 2014).
References
Burger, K. G., Kramlich, D., Malitas, M., Page-Cutrara, K., & Whitfield-Harris, L. (2014). Application of the Symphonological Approach to Faculty-to-Faculty Incivility in Nursing Education. Journal of Nursing Education, 53(10), 563–568. https://doi-org.lopes.idm.oclc.org/10.3928/01484834-20140922-02
Butts, J., & Rich, K. (2018). Philosophies and theories for advanced nursing practice (3rd ed.) Jones &
Bartlett
Schultz, D. (2020). CONNECTING SPIRIT-TO-SPIRIT: Modeling and Role-Modeling Theory as a foundation for energy-based nursing. Beginnings, 40(6), 6–28.