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NUR 513 Discussion nursing metaparadigm concepts

NUR 513 Discussion nursing metaparadigm concepts

NUR 513 Discussion nursing metaparadigm concepts

The person-centered care framework by McCormack and McCane addresses all of the nursing metaparadigm concepts, which are the environment, nursing, health, and the person. The framework centers upon respecting clients and acknowledging them as partners in the course of giving them care. The PCN framework recommends placing the patient as the most important aspect of nursing care. Nurses should consider and respect the opinions of patients regarding their care (Wolstenholme, Ross, Cobb, & Bowen, 2017). The theory posits that the role of nursing is to make patients fully functional. Hence, nurses should advocate for patients regardless of their ability, health status, or age. To enhance the nursing environment, the framework recommends creating therapeutic situations, including effective teamwork and positive staff relationships.

The only difference I feel between going to a regular on-site college versus an online college is not being able to access the resources provided to me in person but at this point in life and in my career, flexibility is everything! Conveniency is also a huge factor; I can obtain advanced degrees while still providing for those I’m responsible for. Other than that, I’m still putting in work and I still have to reach deadlines and meet obligations. I’m still researching on topics that I’ve never dealt with in depth. I appreciate online degrees because I don’t have to physically sit in a classroom and wait for the bell to ring or someone to announce, “class dismissed”. It allows me the free-time and the autonomy to navigate my own schedule. I also can save time and money because I don’t have to commute to college campuses. I appreciate the independence that online schooling provides me, I’m free to work at my own pace, I’m free to log in whichever day I choose, just as long as it meets the numerical obligation weekly. I love the personalized educational component with online degrees because I feel I do my best work alone, there is less distraction to block out and I can efficiently gather my thoughts. The degree will be the same whether completed online or in person.

Family nursing practitioners can improve patient outcomes by applying the PCN nursing framework. First, they can improve outcomes by making patients part of nursing care. The nurse can create healthy relationships with the family that is receiving care. Such relationships are critical in ensuring trust between the patient and the nurse (Van der Cingel et al., 2016). This can help in learning about progress and changes that need to be addressed.  Nurses can also use the theory in their practice to advocate for the patients.

By applying the PCN framework, nurses can be more compassionate with their clients. Regarding the environment, nurses can work closely with other professionals to enhance the experience of their clients (McCormack et al., 2015). They can also ensure that the home or hospital environment wherein care is provided is auspicious to the patient. Similarly, family nurse practitioners ought to ensure that the nursing care provided to clients are of the highest quality. The goal should be to help families meet their health needs. Working closely with clients can enable nurses to achieve better patient outcomes. Lastly, nurses can also use evidence-based values to enhance patient care.

NUR 513 Discussion nursing metaparadigm concepts References

McCormack, B., Borg, M., Cardiff, S., Dewing, J., Jacobs, G., & Janes, N. et al. (2015). Person-centredness – the ‘state’ of the art. International Practice Development Journal5(Suppl), 1-15. doi: 10.19043/ipdj.5sp.003

Van der Cingel, M., Brandsma, L., van Dam, M., van Dorst, M., Verkaart, C., & van der Velde, C. (2016). Concepts of person-centred care: a framework analysis of five studies in daily care practices. International Practice Development Journal6(2), 1-17. doi: 10.19043/ipdj.62.006

Wolstenholme, D., Ross, H., Cobb, M., & Bowen, S. (2017). Participatory design facilitates Person Centred Nursing in service improvement with older people: a secondary directed content analysis. Journal of clinical nursing, 26(9-10), 1217–1225. doi:10.1111/jocn.13385

Thank you for your response. This brings to mind King James Bible/New Living Translation 2005, Luke 8:17; For all that is secret will eventually turn to light. I was in Nursing school and happen to be tutoring a nursing student that was a class or two behind me. The student was prepared to take her med-surgical exam; we had reviewed the pathophysiology so that she would be able to look at, for example, be given a scenario regarding a patient’s lab values and know if the patient was in metabolic acidosis. We reviewed the ability to think critically. Prior to her taking the test we, both felt confident that she would pass. Day later she called and asked to come over and when she arrived, she was distraught. I was dumb founded; she explained that she had taken the exam, but it did not go very well because she decided to cheat. A couple of her classmates reassured her that they had the answers to the exam; She did not even read the exam to use anything that we had reviewed as far a critically thinking and using pathophysiology, lab values, and so on to arrive at the answers. I was upset that she had taken up hours and days of my time to prepare for an exam and she just totally threw everything out the window and just put down answers. The class prior to hers had aced the exam, but the instructor and the Director of the Nursing department reviewed the class trends and knew that the class prior to her class should not have scored that many A’s. Therefore, the test was changed and the test that my friend took was different from the one the prior class had taken. On top of that she had to speak with the Director of the Nursing department and was expelled from the program. She needed to at least pass with a C to remain in the program. The class prior had students that were also expelled as well as the students that were in her class. I only knew about this as she confided in me regarding the situation; otherwise, the was emphasis in my class to make sure that all the concepts were understood; if not ask questions during/after lecture and because in clinical we were taking care of patients and need to know why we were administering some as simple as a vitamin E and the side effects. In my practice I have been conscientious regarding patient care. In the Neonatal Intensive Care everything we gave during the time I worked in the unit was doubled checked. If it did not fit into a 1cc syringe it was triple checked.

Description

Objectives:

  1. Describe nursing theories and their application to the advance registered nurse’s practice.
  2. Evaluate nursing theories based on intent, goal, and scope.

Study Materials

Advanced Practice Nursing: Essential Knowledge for the Profession

Description:

Read Chapters 19 and 23 in Advanced Practice Nursing: Essential Knowledge for the Profession.

The Living Tree of Nursing Theories

Description:

Read “The Living Tree of Nursing Theories,” by Tourville and Ingalls, from Nursing Forum (2003).

A Cross-Cultural Comparison of a Clinical Nurse Competency Path Model

Description:

Read “A Cross-Cultural Comparison of a Clinical Nurse Competency Path Model,” by Sportsman, Hamilton, and Schumacker, from

International Journal of Nursing Education(2014 ).

A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Frameworks

ALSO READ: NUR 513 Discussion Theory-Based Nursing Practice II

Description:

Read “A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Framewor ks,” by Beckstead andNUR 513 Discussion nursing metaparadigm concepts Beckstead , from International Journal of Nursing Studies(2006).

Nursing Theories

Description:

Explore the links on the Nursing Theories page of the CmTent Nursing website.

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II Tasks

Topic 4 DQ 1

Description:

Compare and contrast two nursing theories. How do they differ based on their intent, scope, and goals? Which one might be more relevant to your future role, and why?

Topic 4 DQ 2

Description:

Select two different nursing theories and describe how they relate to patient care. How could you use them for inciting behavioral changes? Discuss the pros and cons of applying each theory and how they could be integrated into your future practice. Are there any paiticular ethical issues related to the integration of these theories that should be considered?

Topic 4 Participation

NUR-513 NUR-513-O502 Worldview and Nursing Process Personal Statement 220.0

Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)

Content 70.0%

Personal Worldview, Including the Religious, Spiritual, and Cultural Elements That Most Influence Personal Philosophy of Practice and Attitude Towards Patient Care 20.0% A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is not included. A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is present, but it lacks detail or is incomplete. A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is present. A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is clearly provided and well developed. A comprehensive discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is thoroughly developed with supporting details.

Specific Nursing Theory in Line With the Personal Philosophy of Practice and Approach to Patient Care, Including Similarities and How the Nursing Theory Reinforces the Approach to Care 15.0% A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is not included. A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is present, but it lacks detail or is incomplete. A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is present. A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is clearly provided and well developed. A comprehensive discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is thoroughly developed with supporting details.

Specific Example of a Past or Current Practice Problem and How Worldview and the Nursing Theory Could Assist in Resolving This Issue 15.0% A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is not included. A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is present, but it lacks detail or is incomplete. A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is present. A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is clearly provided and well developed. A comprehensive discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is thoroughly developed with supporting details.

Virginia Henderson defines nursing as: “The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge.” (Alligood,2014).

Henderson’s Principles and Practice of Nursing is a grand theory that best describes the principles of advanced practice nursing roles and principles. As a nurse, I view a patient as an individual needing assistance to achieve health and independence or a peaceful death. I work in the ICU, and most of our patients come into the hospital on the brink of death. They are in cardiogenic, septic, distributive shock, or cardiac arrest. Their lives are hanging by a thread. Depending on their code status, we worked to achieve a certain level of stability to get them back to life or to give them at least a peaceful death. Depending on their beliefs, spirituality, or culture, there could be some tension formed between the medical and the nursing team and their families. There are so many times that we already know that the patient will not make it, but we still rely on the family’s decision to guide us on what direction to take or base our care on the patient’s wishes.I hope everyone will have an advance directive ahead of time. It is a respectful way to fulfill a patient’s wishes to receive medical care if that person cannot make medical decisions because of a severe illness or injury. Despite this, sometimes, their family overrides the patient’s advance directives. Respecting patients’ wishes before their death is essential because it is their effort to maintain their independence and dignity at the end of life. The simplicity of Henderson’s nursing theory defines the basic need of a man in a holistic approach that to achieve wholeness, it is essential to maintain physiological and emotional balance. The Henderson nursing theory is easy to understand and applicable to any branch of nursing practice. The flexible nursing theory can be used by nurses in multiple care settings and adapt to the patient’s situation individually. I always advocate for patients’ autonomy and to gain independence as they recover from illness because you give them the freedom to engage in meeting their own needs. It provides them with the pride of being able to fulfill the meaning of self-actualization, and as a result, they regain their health and strength. The principle of Virginia Henderson applies to my preferred advanced nursing role as a nurse leader because the nursing role is ever-changing and expanding with new technology, leadership opportunities, and scientific approaches. Still, the core sentiment of nursing provided by Virginia Henderson is relevant today. This makes nursing more diverse and critical to improving the lives of individuals across their lifespans. I would use the nursing need theory in advanced practice to base the approach on the individual’s needs and empathetically establish necessary interventions to promote disease prevention and health maintenance to improve health outcomes.

Hildegard Peplau’s nursing theory is a core definition of nursing because, according to the Interpersonal theory, nursing is a “significant, therapeutic, interpersonal process.” She defines it as a “human relationship between an individual who is sick, or in need of health services, and a nurse specially educated to recognize and to respond to the need for help.” (Alligood,2014) The professional scope of nursing practice is multidimensional and comprehensive because it plays a central role in transforming the healthcare system to create a more accessible, high-quality, and value-driven patient environment (Hagert et al., 2017). Patients’ interpersonal relationship with the nursing team influenced their overall hospital experience and health outcomes. It is also important to note that nurses should be given enough resources to provide the utmost nursing experience to improve patient satisfaction and healthcare outcomes. If the unit or hospital lacks the tools to be effective partners in healthcare, it will overwhelm the nurses and, therefore, affect how they interact with patients. Building rapport is essential to breaking communication barriers as a relationship is established. The weakness of Peplau’s nursing theory is lack of focus on disease prevention and health maintenance. As a nurse leader in the future, my goal would be to promote nurse driven care focusing on disease prevention and health maintenance to lessen patient’s hospital admission and to improve their health outcome and survival rate. Thank you.

 

NUR 513 Discussion nursing metaparadigm concepts Reference:

Alligood, M. R. (2014). Areas for further development of theory-based nursing practice. Nursing theory: Utilization & application. Elsevier.

Hagerty, T. A., Samuels, W., Norcini-Pala, A., & Gigliotti, E. (2017, March 24). Peplau’s Theory of Interpersonal Relations. Nursing Science Quarterly30(2), 160–167. https://doi.org/10.1177/0894318417693286

I achieved most of my objectives this week. I utilized several strategies to achieve them. One of the most important interventions I used was setting realistic plans to achieve the objectives. The plan detailed the prioritized interventions that I needed to achieve the set objectives. It also gave a realistic timeline for achieving the objectives and the resources that I needed. The planning also enabled me to evaluate the effectiveness of the adopted strategies. I improved them based on the evaluation outcomes. For example, I focused largely on successful strategies to eliminate any challenges experienced in achieving the outcomes.

I value several things about my learning this week. One of them is prioritizing tasks. The week’s activities have been immense and requiring most of my attention. However, I discovered that prioritizing the tasks is an important way to achieve most of the tasks that I need to undertake throughout the learning process. Prioritizing ensures the efficiency in the implementation of the different tasks and use of resources to achieve the desired outcomes. The other aspect that I value the most from this week is learning about evidence-based practice (Butts & Rich, 2021). I learned about the effective strategies that I can utilize to incorporate best practices into my nursing care.

I need to explore the application of different nursing theories to grow further as a future nurse practitioner. I want to learn more about the application of different theories to nursing situations and optimize care outcomes. I also need to identify a nursing theory that aligns with my personal and professional values (Smith, 2019). The understanding is important in ensuring the delivery of appropriate and high-quality care.

NUR 513 Discussion nursing metaparadigm concepts References

Butts, J. B., & Rich, K. L. (2021). Philosophies and Theories for Advanced Nursing Practice. Jones & Bartlett Learning.

Smith, M. C. (2019). Nursing Theories and Nursing Practice. F.A. Davis.