NUR 513 Discussion Orem’s Self-Care Theory and Jean Watson’s Theory of human caring
NUR 513 Discussion Orem’s Self-Care Theory and Jean Watson’s Theory of human caring
Advanced nursing practice has continued to leverage the usage of nursing theories as a tool. Two of the most fundamental nursing theories that have received widespread application in advanced nursing practice include Orem’s Self-Care Theory and Jean Watson’s Theory of human caring. These two theories vary based on their intent, scope and goals. Orem’s Self-Care theory is organized and also properly structured in three categories including the process of nursing, the self-care deficit, and self-care (In Alligood, 2014). Watson’s theory of human caring on the other hand is complex as numerous of the notions involved herein propose theoretical examinations concerning the definitions of spirituality, healing, growing, morality, caring as well as what is regarded human (Sitzman & Watson, 2014). The theory espoused by Watson offers a framework which embraces humanities, science, spirituality, and art that are contingent upon abstract and biased perceptions. The objective of Watson’s theory entails utilization of abstract and biased undertaking to in the usage of transpersonal caring as he states that the rapport between a patient and a nurse depends on the nurse inspiring hope and faith to the patient. However, Orem’s theory’s objective rests on the usage of evidence-based practice to undertake various nursing practices. Therefore, the two theories differ based on their scope, objective, and intent.
Based on the above differences, I believe that Orem’s Self-Care Theory may be more relevant in my future practice as a nurse educator. The reason for this is that it encompasses objectivity in its operation. The theory has been shown to outline structural foundation concerning many evidence-based practices including the process of nursing (In Alligood, 2014). This occurs through evaluation of the process via researching objective statics in health care environment and patient results. Orem’s theory thus supports the assertion made by DeNisco and Baker (2016) that theory should be used to guide nursing practice. Therefore, Orem’s Self-Care Theory appears more suited to my future practice.
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.
Reference
DeNisco, S. M., & Baker, A. M. (2016). Advanced practice nursing: Essential knowledge for theprofession (3 ed.). Burlington, MA: Jones & Bartlett Learning.
In Alligood, M. R. (2014). Nursing theorists and their work. St. Louis, Missouri: Elsevier.
Sitzman, K., & Watson, J. (2014). Caring science, mindful practice: Implementing Watson’s human caring theory. New York, NY: Springer Publishing Company.
My co-worker and I were required to put together a class to promote health through
nutrition at our clinic. Our clinic primarily provides care to the underserved population in
our community. It took us awhile, but we gathered the education and incorporated
diabetic information as well. We created flyers and had the receptionist hand them out to
patients as they checked out of the clinic. We hung the fliers in the waiting room and
down the hallways where patients sat before seeing the clinician. We called specific
patients with high A1C's a few days before we were going to present the information as
we thought they would benefit most from our presentation. Well, we only got 4 patients
to show after calling 20. It was an awful turnout. Needless to say, we were disappointed
and so was our director. She said we need to come up with a more strategic plan.
After much thought we decided to reach out to one of our larger food banks in the area.
They actually have a dietician on site. We spoke to her and told her that we were required
to put together a nutritional class that would provide community outreach and education.
She said she would be willing to collaborate with us to put it together. She said let's put
together a recipe and make it during the presentation. She said she could bring a food box
for every attendee with the ingredients that we use for the recipe. We were excited at the
idea. We got permission from our director and she gave the go ahead.
We repeated the fliers and made phone calls again. Only this time we advised we were
giving away a food box and a snack would be provided along with the recipe. My co-
worker and I called 20 patients again a few days before the presentation. We actually got
12 people to come. Our conference room was full, and the presentation went great. The
dietician brought a food box for each person that had the ingredients to the recipe, which
was an egg roll in a bowl. She even added fresh fruit to each food box. The patient's were
thrilled. They got to eat and take food home with them. They were also given the food
bank information where them or their families could get food if needed. The morale of
the story is feed them and they will come! (406 words)
I have learned the role of a Nurse practitioners and how intense educational curricula is for the health care setting. I have learned that the nurse practitioners practice can be managed and owned by nurse practitioners. Their practice can include assessments, ordering, performing, supervising, and interpreting diagnostic and laboratory tests. Making diagnoses, initiating, and managing treatment of acute, chronic, and complex health problems including prescribing medications and nonpharmacologic treatments. Coordinating care, counseling an educating patients, families, and communities. Nurse practitioners can coordinate care with other health care professionals They can perform health research. They are advanced practice registered nurses who has obtained a master’s degree, post-master’s, or a doctorate. They have obtained certification for national board. They must hold an state registered nurse license as well as the advanced practice nursing license.
Description
Objectives:
1. Discuss the role of the advanced registered nurse in promoting health and disease prevention for diverse populations.
2. Discuss the impact of diversity, global perspectives, and the advanced registered nurse’s role in
advancing health equity.
3. Relate cultural and spiritual competence to the advanced registered nurse’s scope of practice .
4. Determine how your personal worldview may affect your future practice and role.
Study Materials
Advanced Practice Nursing: Essential Knowledge for the Profession
Description:
Read Chapters 7, 8, and 24 in Advanced Practice Nlu sing : Essential Knowledge for the Profession.
Diversity Rx
Description:
Explore the Diversity Rx website.
Tanenbaum Center for lnter-religious Understanding
Description:
Explore the Tanenbaum Center for Inte1Teligious Understanding website.
II Tasks
Topic 3 DQ 1
Description:
Identify a population that you will likely se1v e as an advanced registered nurse that you think is pa1ticularly vulnerable to issues of
health disparities/inequity. Discuss the contribution of your paiticular specialty to health promotion and disease prevention for this population. How do issues of diversity and global perspectives of cai·e contribute to your understanding of health equity as it relates to this population?
Topic 3 DQ 2
Description:
What is your personal worldview? Connect yo ur world view to cultural and spiritual competence. How will yow· worldview and
cultural and spiritual competence affect yow· futw·e practice and role? Consider both the provision of safe , quality care to diverse populations and inte1professional relationships.
Topic 3 Participation
Description:
ALSO READ: NUR 513 Discussion nursing metaparadigm concepts
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Course Code Class Code Assignment Title Total Points
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.
How Worldview and the Nursing Theory Will Assist in Further Developing Future Practice 15.0% A discussion of how worldview and the nursing theory will assist in further developing future practice is not included. A discussion of how worldview and the nursing theory will assist in further developing future practice is present, but it lacks detail or is incomplete. A discussion of how worldview and the nursing theory will assist in further developing future practice is present. A discussion of how worldview and the nursing theory will assist in further developing future practice is clearly provided and well developed. A comprehensive discussion of how worldview and the nursing theory will assist in further developing future practice is thoroughly developed with supporting details.
Required Sources 5.0% Sources are not included. Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
Organization and Effectiveness 20.0%
Thesis Development and Purpose 7.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 8.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
As an APN, I will continue to teach the Nurse Aide Program to high school students. I believe the youth in my community are the most vulnerable in regard to issues of health disparity and inequity. We live in a rural and underfunded community. At least half of my students come from families living in poverty or are just above the poverty line. Unfortunately, inequities in education are directly related to health disparities. The students that come from low-income, undereducated families are more prone to engaging in risky behaviors such as drugs, unsafe sex, or even poor nutrition and activity levels. As the instructor and role-model, I am placed in an interesting situation. Not only am I charged with teaching the students anatomy and physiology, medical terminology, and the fundamentals of health care professions, but I must also incorporate lessons on safe sex practices, nutrition, stress management techniques, setting boundaries, and developing healthy relationships. My contribution is to provide a quality foundational education to the students and, at the same time, promote healthy lifestyle management for their personal lives so they can use these tools for health promotion and disease prevention as adults.
Ironically, our little slice of Colorado isn’t as diverse as larger cities, such as Denver. In our community, there are two main races, Caucasian and Hispanic, and a small percentage of “other.” Poverty is opportunistic and will prey on the less fortunate, regardless of race. I was raised on ramen noodles and the free lunch program. There were a few times in my life that, if not for the financial support of my grandpa, we would have been living in the car. My goal is to help these children break generational curses. I want to support and guide them to achieve their goals, regardless of their socioeconomic status. I am very open and honest with them about my upbringing; I had twins at 19, went to nursing school at 25 with 3 kids, graduated after 7 years, am happily married, and now I’m in a master’s program and get to teach nursing for a living. Pretty amazing! I hope they understand that, through hard work and determination, they can reach their full potentials.