NUR 700 Assignment 4.1: Transitions Theory
ST. Thomas University NUR 700 Assignment 4.1: Transitions Theory-Step-By-Step Guide
This guide will demonstrate how to complete the ST. Thomas University NUR 700 Assignment 4.1: Transitions Theory assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NUR 700 Assignment 4.1: Transitions Theory
Whether one passes or fails an academic assignment such as the ST. Thomas University NUR 700 Assignment 4.1: Transitions Theory depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NUR 700 Assignment 4.1: Transitions Theory
The introduction for the ST. Thomas University NUR 700 Assignment 4.1: Transitions Theory is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NUR 700 Assignment 4.1: Transitions Theory
After the introduction, move into the main part of the NUR 700 Assignment 4.1: Transitions Theory assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NUR 700 Assignment 4.1: Transitions Theory
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NUR 700 Assignment 4.1: Transitions Theory
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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NUR 700 Assignment 4.1: Transitions Theory
Assignment Guidelines
Consider a transition you are personally engaged in now. Write a brief paper addressing the following items:
- Identify the characteristics of the transition that you have observed, as defined in transitions theory.
- Analyze the changes that you are experiencing because of the transition.
- Analyze personal, community, and societal conditions that may have influenced the transition that you are experiencing (list influences such as cultural beliefs and attitudes, socioeconomic status, and level of preparation that have affected your approach to the transition).
- Review your responses to the transition and consider the outcome of the personal transition in the first question. What would facilitate successful outcomes to the transition? What might inhibit successful outcomes?
Your paper should be two to three pages long (not including the title page or reference page) and use correct APA (7th edition) formatting. Cite at least one source, and you are welcome to utilize sources outside of this week’s readings.
This assignment will be graded using the Assignment 4.1: Transitions Theory Rubric found in your syllabus.
Submission
Submit your assignment and review full grading criteria on the Assignment 4.1: Transitions Theory page.
Story Theory
The nursing theory is based on nurses growing relationships with their patients, no matter the time spent with the patient (Piper, 2018). By creating a bond with the individual seeking care, and/or a family member, this allows the provider to have a more clear vision of what is bringing the patient to seek out medical advice or treatment. When the clinician learns more about the patient, they are able to meet the needs of the more clearly and completely (Piper, 2018). For example, by asking a patient probing questions about an incident or a stressor, a clinician may find that what is truly bothering the patient isn’t the diagnosis at all. When a provider builds a trusting relationship, using intentional dialogue, with the client, they open a line of rapport that could be essential in creating a health plan for the individual (Piper, 2018). The practitioner wants to build a relationship that the patient feels comfortable weighing in on, and being apart of their own healthcare teams (Smith, 2020).
Specific Example of Duffy’s Quality of Caring Model
The quality of caring model correlates the patient healing and outcomes to patients feeling cared-for (Smith, 2020). Patients that feel like they were cared about show better, more timely recovery after an illness or injury, and less time spent in a facility following the health mishap (Davidson, 2017). In my role, I could give a hundred examples a day, as to how this theory fits into my everyday life as a cardiac catheterization laboratory nurse. Everyday, I hold hands with patients, explain every step of their procedure, I put pillows under knees, I use warm blankets to be sure patients are comfortable, I ask questions about lives and families and jobs to alleviate anxiety, etc. Much of my position follows Duffy’s quality of caring model (Davidson, 2017). A specific case that comes to mind, for me, was when I worked a trauma step down floor, at a decent sized hospital.
I had just come off my very first orientation, fresh out of nursing school. I was caring for Mrs. H., an 87 year-old patient two days post total hip replacement. Mrs. H’s husband would come to visit, he was in a wheelchair, so we often helped him to her room. That day, Mr. H came to visit his wife and he had a stroke in her room. Of course, we had to get Mr. H to the emergency department, but I had to ask Mrs. H some questions. I found out that Mr. H wasn’t very nice to Mrs. H, and she didn’t want to be with him any longer, but she wanted to make sure he has cared for. During the rest of Mrs. H’s stay, we found separate places for the couple to recuperate, I found her resources for counseling, and helped her find some phone numbers for divorce lawyers.
Davidson, J. E., Baggett, M., Zamora-Flyr, M. M., Giambattista, L., Lobbestael, L., Pfeiffer, J., & Madani, C. (2017). Exploring the Human Emotion of Feeling Cared for During Hospitalization. International Journal of Caring Sciences, 10(1), 1–9.
Piper, L. R. (2018). Mentoring and Caring: The Story. International Journal for Human Caring, 22(3), 136–139. https://doi-org.ezproxy.bradley.edu/10.20467/1091-5710.22.3.136
Nursing theories, right from grand theories to situation-level models, aim at enhancing quality patient outcomes and helping nurses offer the best care. These theories offer guidelines on how nurses can attain better patient outcomes through certain evidence-based practice (EBP) interventions. Nurses can only offer quality services when they identify patient needs and their families which have not been satisfied. One of the theoretical models that assist nurses to offer care is the comfort theory by Katherine Kolcaba. Developed in early 1990s, the model advances the need for comfort for nurses and patients (Vo, 2020). This paper explores the basic tenets of the comfort theory and applies an inter-professional model as a framework to address a nursing management situation.
Basic Tenets of the Comfort Theory
Comfort theory was developed by Katherine Kolcaba in 1990s as a middle-range model to help nurses enhance patient outcomes under their care. Kolcaba was a nurse theorist who worked in different care settings including operating room, long-term facilities, home care, and medical/surgical specialties. Kolcaba carried out a concept analysis of comfort by examining literature from different disciplines that included nursing, medicine, psychology, psychiatry and ergonomics (Sharma& Kalia, 2021). The major concepts in the theory include health care needs, comforting interventions, intervening variables, enhanced comfort, health seeking behaviors, institutional integrity, best practices, and best policies.
Figure 1: Conceptual Framework of the Comfort Theory
Brief Description of the Conceptual Framework
Nurses recognize patients and their families’ unmet needs which they modify through intervening variables which are social, economic and environmental factors beyond a nurse’s control. Based on these concepts in mind, nurses develop a comfort care plan with the aim of improving comfort over a level of baseline comfort. Enhancing comfort among patients and their families lead to engagement in health seeking behaviors which are mutually agreed upon goals between the nurses or other health care providers with patients (Sharma & Kalia, 2021). Health seeking behaviors (HSBs) can be either internal or external. They can also be peaceful death in chronic conditions. When patients and their families enhance their health status, the facility does better as evident through use of measures like patient satisfaction and improved ratings. Through these aspects, the facility develops policies and enhances standards like integrity in patient care delivery.
The theory identifies three types of comfort that include relief, ease, and transcendence. Relief denote the experience of having a comfort need satisfied while ease is the experience of care leading to calmness and contentment. Transcendence occurs when care allows one to rise above pain or healthcare problems. The theory also identifies four critical contexts where comfort happens. These include physical, psycho-spiritual, environmental, and sociocultural (Ghafoor, 2021). Physical comfort occurs through bodily sensations and functions while psycho-spiritual denote self-esteem, self-concept, sexuality and meaning of life when one is faced with health care conditions. It also encompasses one’s relationship to a higher power or being. The sociocultural component entails one’s social interactions and relationships like family and friends while the environmental aspect addresses the external world or nature that affects an individual’s health status (Vo, 2020). The implication is that comfort theory is an essential model that allows nurses and other healthcare providers to develop interventions aimed at improving care outcomes among patients, especially those with chronic and long-term conditions like diabetes. Determining health care needs and having the right interventions leads nurses to fulfilling patient requirements through effective planning. The theory is categorical that nurses attain enhanced comfort through appropriate interventions when their healthcare facilities have policies to encourage patients seek healthy behaviors. For instance, institutions develop best policies based on evidence about their effectiveness in enhancing quality care outcomes. Using these policies, nurses offer care to patients to meet their variable needs and improve health.
Inter-professional Collaboration for a Nursing Management Situation
The need for delivery of quality patient-centric nursing care implores providers to develop collaborative approaches. The aging population, the increased diversity, and the medical complexity of higher prevalence of chronic disease that require multiple specialty providers and increased reliance on technology and innovation require more collaboration among health care professionals (Schot et al., 2020). Management of nursing situations like nurse shortage and the need to offer quality care to chronically-ill patients requires effective inter-professional approach and providers (Ghafoor, 2021).Collaborative practice environments are indispensable to enhancing patient safety and patient care indicators.
The use of comfort theory as advanced by Kolcaba requires nurses to collaborate with other providers to navigate the different complexities that exist, especially among chronically-ill patients that need medical interventions fast. Attaining comfort for patients requires understanding their needs and having appropriate interventions to address them (Awal, 2017). An inter-professional collaborative approach will ensure that nurses understand the intervening variables, enhance comfort, and encourage health seeking behaviors as well as developing institutional integrity to address nurse shortage that increases susceptibility to poor patient outcomes due to complications associated with errors, increased length of stay in facilities and a reduction in mortality rates.
Inter-professional collaboration practices are helping organizations and the health system to address the shortage of healthcare providers like nurses and physicians. Sharing information allows nurse practitioners develop appropriate interventions to help different health populations attain optimal outcomes. providing best hospital experience through better nurse-to-patient ratio requires coordination and communication among all providers involved in patients’ care management (Ghafoor, 2021). Therefore, healthcare organizations can tackle the issue of nurse shortage through effective inter-professional collaboration framework to enhance comfort.
Conclusion
Nursing theories like the comfort model provide guidelines and directions that providers and facilities can use to improve care by identifying patient needs. The theory offers a path through which nurses, leveraging inter-professional collaboration, can enhance patient experience and help them attain holistic care. The model is categorical that providers should focus on developing coordinated care to address the complexities associated with the dynamic nature of the transforming health care system.
References
Awal, A. A. (2017). Application of Katharine Kolcaba comfort theory to nursing care of patient.
International Journal of Scientific Research Publication, 7(3), 104-7.
Ghafoor, Y. (2021). Impact of Nurse Shortage on Patient Care. Saudi Journal of Nursing Health
Care, 4(4), 114-119. https://doi.org/10.36348/sjnhc.2021.v04i04.003
Oldland, E., Botti, M., Hutchinson, A. M., & Redley, B. (2020). A framework of nurses’
responsibilities for quality healthcare—Exploration of content validity. Collegian, 27(2), 150-163. https://doi.org/10.1016/j.colegn.2019.07.007
Sharma, M. C., & Kalia, R. (2021). Testing Katharine Kolcaba Theory of Comfort: Effectiveness
of Integrative Comfort Care Interventions on Discomfort Experienced by Children (Aged 5–10 Years) During Postoperative Period. Journal of Pediatric Surgical Nursing, 10(4), 168-175. https://doi.org/10.1097/JPS.0000000000000320
Schot, E., Tummers, L., & Noordegraaf, M. (2020). Working on working together. A systematic
review on how healthcare professionals contribute to inter-professional collaboration. Journal of inter-professional care, 34(3), 332-342. https://doi.org/10.1080/13561820.2019.1636007
Vo, T. (2020). A Practical Guide for Frontline Workers During COVID-19: Kolcaba’s Comfort
Theory. Journal of Patient Experience, 7(5), 635-639. https://doi.org/10.1177/2374373520968392
Smith, M. C. (2020). Nursing theories and nursing practice (5th ed.). F.A. Davis.
| Assignment 4.1: Transitions Theories Rubric | ||
|---|---|---|
| Criteria | Ratings | Pts |
|
Transition Characteristics Discussion
|
|
5 / 5 pts
|
|
Change Analysis
|
|
5 / 5 pts
|
|
Conditions Analysis
|
|
5 / 5 pts
|
|
Facilitation Discussion
|
|
5 / 5 pts
|
|
Documentation and Mechanics
|
|
0 / 0 pts
|
| Total Points: 20 | ||