NRS 430 Nursing theory and conceptual nursing models are critical in formulating strategies to ensure the delivery of quality care
NRS 430 Nursing theory and conceptual nursing models are critical in formulating strategies to ensure the delivery of quality care
Introduction
Both Nursing theory and conceptual nursing models are critical in formulating strategies to ensure the delivery of quality care. The two approaches are interrelated; both can be used to develop policies and treatment processes for different patients. Nursing theory and conceptual framework play significant roles in the formulation of different nursing disciplines.
This assignment is to be completed in a group, which will be assigned by your instructor. The presentation will be submitted and graded as a group assignment.
Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 10‐15 slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:
- Present an overview of the nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model.
- Explain how the nursing theory incorporates the four metaparadigm concepts.
- Provide three evidence‐based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each.
Conceptual Models and Nursing Theory
Nursing theory refers to the collection of statements that describe the connection or association between two or more ideas in nursing practices. Nursing theories play significant roles in the formulation of different nursing disciplines. Nursing theories are commonly applied to enhance the delivery of quality healthcare services (Grand Canyon University, 2018). All nurses apply nursing theories in their daily practices without knowing. Nursing theory can also be perceived as organized and knowledge-based concepts that fundamentally define the scope of nursing practices; it involves creative and restructuring concepts and ideas that project a purposeful, systematic, and tentative perception of a given phenomenon. Through systematic inquiries, both in nursing practices and research, nursing professionals are able to develop new knowledge relevant to the provision of care to all patients.
Conceptual models in nursing often describe a certain way of thinking or ideas of how given nursing theories can fit together according to the theorist (Brandão et al., 2019). A conceptual model can be perceived as the organizing structure that describes the theory. The conceptual model of nursing provides a framework for observation, reflection, as well as the interpretation of a given phenomenon. In particular, it provides guidance and guidelines for different aspects of clinical practices.
Jean Watson’s Philosophy and Science of Caring Theory
The theory expresses how nurses provide care to all patients. From the theory, quality care is the cornerstone of nursing practice. According to this theory, caring is fundamental to nursing practices since it encourages health to be better than the simple medical cure. Jean Watson believes in the holistic approaches to healthcare processes (Jean Watson Nursing Theory, n.d). Watson’s theory has ten major concepts of factors; the first three factors are based on the philosophical foundation for the art or science of care. On the other hand, the last seven concepts arise from the above foundation. One of the main advantages of Watson’s theory is that it provides a common or universal framework that can be used in different scenarios and the management of different patients. The theory also puts patients in the context of the community, family, and culture.
Watson’s theory can be applied under different circumstances. For instance, it can be applied in the below situation.
A 52-year old has been diagnosed with lung cancer. It is her first afternoon in the treatment process; she is scheduled for therapy the following morning. The woman is divorced, her family lives out of the country, and is unable to travel to keep her company.
The three concepts of Watson’s theory that can be applied in the above scenario include the creation of a humanistic-altruistic value system, creating the connection with the patient by instilling hope or faith, and humanizing sensitivity for self and others. The woman is likely to undergo a life-changing medical procedure that requires sensitive approaches from the scenario given. Also, it is necessary to give hope through creating the connection between the patient and nurses/healthcare professionals involved in the surgical process.
Conclusion
Nursing theory refers to the collection of statements that describe the connection or association between two or more ideas in nursing practices. According to the theorist, conceptual models in nursing often describe a certain way of thinking or ideas of how given nursing theories can fit together. According to Jean Watson’s theory, caring is fundamental to nursing practices since it encourages health to be better than the simple medical cure.
References
Brandão, M. A. G., Barros, A. L. B. L. D., Caniçali, C., Bispo, G. S., & Lopes, R. O. P. (2019). Nursing theories in the conceptual expansion of good practices in nursing. Revista brasileira de enfermagem, 72, 577-581. https://doi.org/10.1590/0034-7167-2018-0395
Grand Canyon University (Ed). (2018). Dynamics in nursing: Art & science of professional practice. Retrieved from https://lc.gcumedia.com/nrs430v/dynamics-in-nursing-art-and-science-of-professional-practice/v1.1/
Jean Watson Nursing Theory. (n.d.). Nursing theorist. Retrieved from http://nursing-theory.org/nursing-theorists/Jean-Watson.php
Grand Canyon University
Select a Nursing Conceptual Model from Topic 2, and prepare a 12-slide PowerPoint presentation about the model. Include:
A brief overview of the nursing conceptual model selected.
Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts.
Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned.
Provide current reliable sources to establish credibility for the presentation.
Requirements for PowerPoint are as follows:
10 slides for content.
1 slide for references.
1 slide for the title, which includes: (a) title of the presentation, (b) names of the CLC group members, and (c) date
Accompanying speaker notes elaborating on the information contained in each slide.
One member of the CLC group will submit the presentation, speaker notes, and the completed “CLC Group Project Agreement” to the instructor.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
For additional help finding research on this topic, refer to the GCU Library tutorial located at in the Student Success Center.
Refer to the American Association of Colleges of Nursing (AACN) Fact Sheet: Creating a More Highly Qualified Nursing Workforce as a resource.
Refer to the assigned readings for concepts that help support your main points.
Refer to “Grand Canyon University College of Nursing Philosophy.” This is an informational resource to assist in completing the assignment.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
Nurses constitute a critical part of the healthcare system. As practitioners, they leverage various theories to offer care. These models allow the to use various approaches to patient care and community health. Nursing theories offer a systematic way of executing nursing practice to achieve quality outcomes. These theories include various components of healthcare and the setting that influence care delivery (Younas, 2019). The theories focus on four nursing metaparadigm comprising of person, health, nursing, and the environment (Deliktas et al., 2019). The aim of this presentation is to describe Dorothea Orem’s self0care theory and its conceptual model. The presentation illustrates how the policy can be applied in nursing settings.
The presentation’s objectives entail providing an overview of Dorothea Orem’s self-care theory, and evidence to support its efficacy in nursing practice. The presentation also explains and demonstrates the theory’s conceptual model. It also explains the integration of the four metaparadigm concepts into the theory. The presentation also shows three evidence-based illustrations of self-care model’s support for the nursing practice based on rationales.
Dorothea Orem made important and long-term impact in nursing through her self-care theory. Born in 1914, Orem worked in different parts in the country to advance the nursing profession before her demise in 2007 (Younas, 2019). Orem developed her nursing model in 1971 and was vital in assisting to shape the holistic approach nurses use towards patient care. Using the theory, nurses can determine the aspects of care they should emphasize. Self-care model also emphasizes the critical role played by patients play in maintenance of autonomy over the nursing processes.
The theory explains that nurses should intervene in patient care by helping them to make independent decisions based on their autonomy. The theory advances that all people have the ability to care for themselves if given right information and incentive. The model comprises of self-care, self-deficits and theory of nursing system.
According to Orem, Self-care emanates from actions that individuals freely and deliberately start and execute on their own to maintain life, health and wellness based on their environment. deficit occurs when one requires nursing due to incapacitation in providing self-care (Wills, 2019). The nursing system focuses on the interactions between nurses and patients as well as the wholly or partial compensatory nursing system and supportive-educative model that occurs in healthcare settings.
The efficacy of self-care theory is buoyed by diverse study findings which illustrates that health professionals leverage the model to lower costs, develop quality care interventions and allows faculty members to reduce the gap between theoretical aspects and practice for nursing students (Maslakpak et al., 2019). The model helps in enhancing patient outcomes and as it can be used to evaluate appropriate interventions for better results and maintenance of autonomy for patients.
The self-care model focuses on patient care and assists nurse practitioners to think and interact well with patients and colleagues. The framework is vital in development of nursing school curriculum and improving quality of nursing care for patients in different settings by leveraging interventions which are self-sustaining and initiated by patients or individuals in need of care. The self-care model’s primary objective is to ensure that an individual returns and maintains their former state of health and this allows providers to customize care interventions based on patients and their practice settings (Wills, 2019).
The Model’s Conceptual Framework includes three areas: Self-care, self-care deficits and Nursing Agency. Self care contains two aspects that comprise of self-care agency and self-care demands. The self-care agency advances that an individual can care for themselves based on their age, life experience, and sociocultural orientation health and accessible resources (Wazni & Gifford, 2017). The second concept is the therapeutic self-care demand which denotes to the totality of self-care where one performs actions to meet the self-care needs or requisites using acceptable approaches. The self-care requisites are things needed by individuals at al stages of life to care for themselves.
The universal self-requisites affect all people and are linked to life processes and maintenance of integrity of human structure and optimal functionality (Wazni & Gifford, 2017). These comprise of daily activities in life aimed at sustenance of sufficient intake of air, water, food, and having elimination processes. It also entails creating a balance among a host of activities that include rest, solitude and social interactions as well as hazards’ prevention to attain wellness and promote optimal human functioning.
Self-deficit implies that one cannot provide care for themselves due to various reasons. The deficit model illustrates the interaction between the self-care agency and the capability to conduct aspects self-care based on the expected requisites (Wills, 2019). The therapeutic self-care demands may not be satisfied when the agency dos not have the ability to initiate and carry out the respective interventions.
Nursing system comprise of three aspects that include wholly compensating model where an individual attains total care by care provision of the nurse, partly compensating where patients can care for themselves with support from nurses, and the supportive-educative where the nursing system focuses on providing education to individuals to enhance self-care (Bender, 2018). The implication is that the self-care model meets the conceptual framework as it shows that nurses should focus on assisting individuals attain better outcomes based on their abilities’ levels.
The four Metaparadigm model comprises Person, Environment, Health and Nursing.
The metaparadigm on person and environment requires providers to assess individual abilities of the patient and the influence of their environment in care provision. The person entails the individual getting nursing care. The self-care model incorporates person metaparadigm as it focuses on holistic approach to care. The model implores one to use learned behavior and instincts to meet their needs (Bender, 2018). The model also encourages learning about one’s self-care needs for effective care delivery.
The environment metaparadigm advances that environment influences one’s health care and the interventions they can take to attain better outcomes. The self-care model emphasizes the need for one to be in appropriate environment and understand their external and internal systems to attain better care. The self-care model is categorical that external environment is essential as it meets the universal requisites like access to water, and food among other aspects.
Health metaparadigm involves attainment of wellness and better quality of life. The paradigm encourages individuals to make necessary interventions to satisfy changes in self-care requirements (Deliktas et al., 2019). An individual should restore their health to the original or former optimal state. Therefore, health as a paradigm implores nurses to assist the patient go back to their former optimal state through self-care approaches (Bender, 2018). The nursing concept needs nurses and other healthcare providers to offer optimal care aimed at meeting individual self-care needs. Nurses should leverage their skills and knowledge to attain this concept. They should also leverage care by using all the four concepts.
Diabetic persons may not have knowledge on how to control their situations and live optimal lives. These persons can use self-care model to get knowledge from providers. In this case, nurses provide information about evidence-based practice interventions like insulin based diets, attainment of low glycemic levels and carbohydrate rich diets and starch. They should also avoid high impact outdoor activities. The second EBP example is having a juvenile individual with diabetes and needs nutrition to recover and be restored to optimal functioning. The minor can have either total parental nutrition or intravenous nutrition. The intravenous nutrition should consists of all elements that include vitamins and minerals, fats and carbohydrates as well as electrolytes. Total parental nutrition requires provision of all nutrients alongside monitoring of blood sugar levels.
Health populations; particularly communities and individuals who have elevated risk for diabetes, should have general education to enhance self-care and prevent diabetes. These include knowledge on symptoms associated with the condition, and knowledge on insulin administration in events of an attack. The public should have information on aspects like glucose monitoring to position patient better to meet care interventions. The education should also enable the public to understand other aspects like not massaging an individual with the condition and locating positions to administer the insulin. Therefore, Orem’s theory is important in attaining better outcomes among diabetic patients and at risk individuals and populations.
Orem’s self-care deficit theory is essential for nurses as it offers a systematic way for dealing with patients and providing appropriate interventions. Evidence shows that the model is effective in nursing practice and supports the four metaparadigms of nursing. The illustrative examples show that the model is critical in evidence-based practice interventions in nursing
References
Bender, M. (2018). Re‐conceptualizing the nursing metaparadigm:
Articulating the philosophical ontology of the nursing discipline
that orients inquiry and practice. Nursing inquiry, 25(3), e12243.
Deliktas, A., Korukcu, O., Aydin, R., & Kabukcuoglu, K. (2019). Nursing
students’ perceptions of nursing metaparadigms: A
phenomenological study. The Journal of Nursing Research, 27(5),
e45.
Maslakpak, M. H., Shahbaz, A., Parizad, N., & Ghafourifard, M. (2018).
Preventing and managing diabetic foot ulcers: application of Orem’s
self-care model. International Journal of Diabetes in Developing Countries,
38(2), 165-172.
Theories & Conceptual Models
Theories and conceptual models define the entire nursing practice. Patients interpret their problematic situations differently; hence nurses need to authenticate their implications and analyses before making their conclusions. This process would effectively offer the most effective care to patients (Brandão et al., 2019). The attention given to patients differs, proving why nurses are specialists in different fields in the nursing department to meet the demands of patients. Researchers use theories to determine the dynamic nurse-patient relationship. The function, process, and principles required in nursing align with a specific theory and research studied and proved in the past. Therefore, this paper aims at evaluating the nursing theories for use in advanced nursing practice.
The nursing process theory labels nursing’s purpose to deliver the patient’s assistance to meet their wishes. The corporation developed between the nurse and the patient would be important in offering quality care to patients. This argument implies that whenever nurses can discover and address the patient’s immediate needs, they attain the nursing process. These are additional skills that nurses gain in the nursing practice. The deliberative nursing process permits nurses to articulate an operative care plan that can be effortlessly adapted when and if any intricacy arises from the patient (Feleke et al., 2019). The theory emphasizes how to afford enhancement on patients’ behavior—evidence of dismissing the patient’s suffering is viewed as helpful changes in the patient’s noticeable comportment. The behavior and the conduct of a nurse towards a patient depend on the numerous theories in nursing.
Nursing theory and conceptual models concentrates on the collaboration between the nurse and patient, discernment validation, and the nurse procedure’s utilization to attain constructive patient outcomes or improvement (Brandão et al., 2019). It is precisely correlated to a nurse’s professional function of aiding patients because a nurse can identify the problematic situation and know whether he will be of help or not. The ethical framework defining the operation of all nurses in the nursing discipline is the ability of a nurse to apply skills that leads to a positive outcome for the patient. The increase in the research and development of theories in nursing has been aiming to define a unique nursing model that can affect the health outcome of patients. The positive change brought by nurses in an institution defines improved care in the nursing institution. Nurses’ quality services emanate from the effective application of the nursing theories in delivering health care services.
Nursing process theory can be generalized to other studies and situations since it consists of five significant concepts applied in different cases. Firstly, professional nursing’s function entails identifying and addressing the patient’s immediate need (Brandão et al., 2019). Presenting behavior is the next concept which involves recognizing the presenting situation as problematic. The third is the immediate reaction, which looks into the internal responses of the nurse. The nursing process discipline is the fourth concept that entails utilizing observation shared and explored by the patient to ascertain patients’ needs. Lastly, the improvement concept helps in evaluating the nursing process.
Conclusion
The nursing theory includes five significant stages: assessment, diagnosis, planning, execution, evaluation, and analysis. Lastly, the effectiveness of the application of the nursing process theory is testable. It is a middle-range theory that incorporates concepts that are empirically quantifiable and accounts that are empirically testable. The nurse’s actions are not evaluated but rather the patient outcome to determine his efforts’ effectiveness.
References
Brandão, M. A. G., Barros, A. L. B. L. D., Caniçali, C., Bispo, G. S., & Lopes, R. O. P. (2019). Nursing theories in the conceptual expansion of good practices in nursing. Revista brasileira de enfermagem, 72, 577-581. https://doi.org/10.1590/0034-7167-2018-0395
Feleke, A. A., Garedew, M. G., & Demise, Y. A. (2019). Compliance of Nurses to National Nursing Process Guideline in Tercha General Hospital, Southern Ethiopia 2018: Case Study. Adv Practice Nurs, 4(155), 2 https://www.researchgate.net/profile/Muluneh-Garedew/publication/334328100_Advanced_Practices_in_Nursing/links/5d24c81192851cf44074bd88/Advanced-Practices-in-Nursing.pdf