NR510 Week 2 dq 1 Week 2: Theory and the APN Role Discussion
NR510 Week 2 dq 1 Week 2: Theory and the APN Role Discussion
My initial reaction to this verse and question was, “I learned something in grad school, ha”! In my last class, we discussed types of leadership and one type of leadership style that really stood out to me was servant leadership. Tarallo (2018) defines servant leaders stating, “They are serving instead of commanding, showing humility instead of brandishing authority, and always looking to enhance the development of their staff members in ways that unlock potential, creativity and sense of purpose”. In relation to nursing, this type of leadership whether in a leader position or as a bedside nurse is putting others before oneself. This can be rewarding and lead to positive outcomes. I feel it is a reminder to put the wants and needs of others before our own. Our feelings on a matter and what we would do should not apply when we are advocating for our patient. In previous discussions, especially when we spoke of the code of ethics for nurses, emphasized the importance of listening to our patients and providing care based on their needs. Servants come in all shapes and styles and as nurses we should be a servant to those we care for and to those we teach. (word count: 202)
Karen, a registered nurse, decided that she wants to become a CNP. She applied and was accepted to the Family Nurse Practitioner program at Chamberlain College of Nursing. She received a course curriculum that outlined the courses necessary to complete her degree. One of the early courses in the program curriculum is NR501 Theoretical Basis for Advanced Nursing Practice.
You are a student colleague of Karen’s enrolled in the same class. On the course Q & A Forum, Karen posted, “Nursing theory is outdated and is too broad and isn’t useful for Advance Practice Nurses.”
Discussion Question:
Is Karen right? Is theory important to APN practice? Why, or why not?
dq 2
Week 2: Theory and APN Role Discussion Part Two
Karen is still not convinced that Theory has any place in APN practice. Provide a specific example of how theory is relevant to APN practice in one of the four specialties (CNM, CNP, CRNA or CNS). Provide evidence to support your arguments.
ALSO READ: NR510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One
Nursing theory is used to explain several different concepts of nursing practice within the nursing profession, which can continue to carry on when in the advanced nursing role as a nurse practitioner. Just as many nursing theories are continued to be used during bedside care as an RN, these same theories may still be utilized as a clinician when diagnosing and creating a plan of care for patients. Several examples come to mind, such as Maslow’s theory, Pender’s Health Promotion Model, Leininger’s theory, Benner’s Professional Advancement Model, and many, many more. Let’s take a closer look with a few of these examples.
Leininger’s theory of culture care diversity and universality, developed by Madeleine Leininger by combining her experience as a nurse and her background in anthropology, is known as the first nursing theory to introduce transcultural nursing and its impact on health practices. Leininger had recognized that culturally consistent care is essential for the health promotion of family units, individuals and communities (Schub & Caple, 2017). Leininger’s theory is defined as “Transcultural nursing: an area of study and practice focused on cultural care differences and similarities of the beliefs, values, and lifeways of people and the use of knowledge to provide culturally specific and/or culturally congruent nursing care to clients” (Schub & Caple, 2017). Leininger’s theory provides information regarding what is diverse within belief systems and practices, as well as identifying both similarities and differences which assist clinicians understand their patient’s health related decisions and practices (Schub & Caple, 2017).
Benner’s Professional Advancement Model, also known as the Novice to Expert model, was developed by Dr. Patricia Benner, which introduced a revolutionary nursing practice-based theory, which can be applied by supporting the values of the nursing practice, evaluation, education, leadership and professional development. Benner’s theory is founded on the observed growth of nursing skills from the beginning stage as a novice, continues as the nurse acquires new experiences and skills, through the final stage as expert. Each of Benner’s five levels builds upon one another, refining abstract principles of nursing, thus expanding knowledge and experience gained within the nursing profession (Mennella & Schub, 2018).
I feel one of the nursing theories that is used very closely by a nurse practitioner is Pender’s Health Promotion Model.
Nola Pender was the founder of the Health Promotion Model, and she described health as “not the absence of disease, but as an evolving life experience” which involves “actualization of inherent and acquired human potential through goal-directed behavior, competent self-care, and satisfying relationships with others” (Schub, 2016). Health promotion is considered a holistic approach to patient care, with emphasis on improving quality of life and overall wellbeing, with or without the presence of illness, by increasing health promoting behaviors such as eating a healthy diet, participating in regular exercise, and getting enough rest. This patient care model assists nurses in understanding their patient’s behavior regarding their health promotion, and it is when these behaviors are understood that the most individualized support can be provided and maintained to better enhance a patient’s health and prevent disease or illness (Schub, 2016).
Due to the fact that nurse practitioners teach their patients to improve and promote their health status, the Health Promotion Model would be used quite often as part of their daily practice with their patient’s. Although these are just a few of the many theories that nurse practitioners would continue to utilize, I would hope that these examples would be enough to change Karen’s mind, and that she may begin to understand the relevance that theory still holds as a master’s prepared APN.
Mennella, H.A., & Schub, T.B. (2018). Benner’s Professional Advancement Model. CINAHL Nursing Guide.
Schub, E.B. & Caple, C.M. (2017). Leininger’s Theory of Culture Care Diversity and Universality: Integration into Practice. CINAHL Nursing Guide.
Schub, E.B. (2016). Pender’s Health Promotion Model: Integration into Practice. CINAHL Nursing Guide.
Criteria for Content
- Scholarliness: In this category, the student will conduct a search of the current databases and locate valid, relevant, and reliable information for the required topic. Each reference must be scholarly.
- Application of Course Knowledge: In this category, the student demonstrates the ability to analyze and apply principles, knowledge, and information learned in the course lesson and outside readings. This information is then applied to a real-life professional situation as an example.
- Interactive Dialogue: In this category, the minimum requirements are to provide an initial posting to the graded threaded discussion topic by Wednesday, 11:59 pm MT of each week. In addition, one peer response and one instructor response are required. These postings must be completed by Sunday, 11:59 pm MT of each week. The initial posting, peer response, and instructor response must be on 3 separate days.
- Grammar, Syntax, APA: Proper grammar, APA, and syntax is required for all posts. Students should follow the APA Manual 6th Edition. Additional APA information is available in Course Resources.
- Participation Requirement: One initial posting, one peer response and one instructor response (for a total of 3 posts for the week) are required on 3 separate days.
- Participation Deadline: The student must provide a substantive response to the graded threaded discussion topic. This must be posted by Wednesday, 11:59 pm MT of each week. Peer and instructor responses must be posted by Sunday, 11:59 pm MT.
- For week 8 only: the required postings are amended due to the shorter week. Two posts are required. One initial post and either a peer response or an instructor response. Initial post must be a minimum of 200 words and the peer or instructor response must be a minimum of 100 words. Both posts are required to be on two separate days. All posts must be made by Wednesday, 11:59 pm MT.
Criteria for Format and Special Instructions
- Instructor reserves the right to submit any threaded discussion posting to TurnItIn in order to verify the originality.
- When journals are used as the outside source of information, it is preferred that the journal be peer reviewed. The Chamberlain online librarian is very helpful in assisting you to find an article related to your topic. If you have questions concerning scholarly sources, please refer to the handout entitled “What is a scholarly source” located under “Course Resources” tab.
NR510 Week 2 dq 1 Week 2 Theory and the APN Role Discussion - Web sites vary in quality and scholarship. It is the responsibility of the student to determine the scholarly nature of the web site. If the instructor determines that the site failed to demonstrate scholarship, points maybe deducted. Students are cautioned to use care regarding .com sites. Some .com sites are excellent such as American Heart Association, but others are built by individuals and scholarliness is lacking. It is recommended that you check with your instructor before using a .com website as a reference.
- Only one small quote (15 words or less) within the entire initial posting is acceptable. It is expected that the student will paraphrase the information when presenting information from a scholarly source. The scholarly source(s) for the paraphrased information must be cited using APA format. Do not include a number of small quotes even if they are just a few words as your instructor considers a quote to be a quote no matter its limited size.
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate
program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.