According to Walker and Avant (2011), theory construction involves defining attributes that distinguish one concept from another. Concept analysis can help nurses understand how their definitions of concepts can differ from those of the populations they serve. For example, Brush, Kirk, Gultekin, and Baiardi (2011) used this methodology to determine the defining attributes of overcoming and how individual difficulties may vary between service providers and homeless mothers. Furthermore, this study also looked at the antecedents and consequences of overcoming. Antecedents were described as events that take place because of a concept and could open new methods of thinking, and consequences were empirical referents that were used to measure the …show more content…
While the women in the study often spoke about overcoming their situation, some of their behaviors did not show attributes of the concept. Brush, Kirk, Gultekin, and Baiardi (2011) went on to declare that by defining antecedents, attributes, and consequences of concepts, nurses are able to design interventions that promote physical, psychological, and environmental health outcomes. In other words, nurses need to clarify the concept they are studying (in this case, overcoming) in order to design effective interventions.
Pain management is an important nursing skill that requires a proactive approach. The video presented a very humorous version of the variability in which each respective patient experiences pain and focuses on the concept of pain assessment in the Emergency Room (Lesalad, 2007). A shared understanding of pain management is important in nursing to aid effective communication, develop knowledge, and enable the development of tools to evaluate the quality of pain management in practice. In addition, the video was a good reminder that pain is subjective and the quantitative number a patient states should be an informative tool that is utilized for effective pain management.
Cousley, Martin, and Hoy (2014) described concept analysis as being the groundwork for nursing theory. Concept analysis was formally presented during my undergraduate nursing education. However, the application of concept analysis didn’t begin until I started my career as a nurse. Walker and Avant (2011) taught me that the purpose of concept analysis is to clarify and promote mutual understanding among colleagues, provide a precise definition that has validity, and accurately aids in intervention
In the article, “Sometimes Pain Is a Puzzle That Can’t Be Solved”, Abigail Zuger, the author, describes her own experiences with pain along with some examples and generalizations about the feeling. She claims that she is “ruled by (her) elbow” and “it is (her) constant companion, whimpering, and tugging at (her) sleeve.” She goes on to say that many people have the same problems, especially when drugs, “like naproxen and ibuprofen” are unhelpful and “might as well be cornflakes.” Finally, she explains how far we have advanced in the medical field, but “ none of (the) knowledge has translated into new treatments,” to help people such as herself.
A family nurse practitioner could apply theory, information from research, and knowledge learned in class to formulate patient education strategies as well as to create patient education material. The nursing profession advocates for evidence-based practice. This requires the nurse to know, in order to provide proper care. Therefore, it is important to link research to nursing practice because the data collected through research makes it easier to make clinical decisions (Pipe, Wellik, Buchda, Hansen, & Martyn, 2005). An understanding of nursing theory would also prove important in handling nursing dilemmas by offering a systematic guide for handling nursing issues.
Concept analysis is vital when it comes to nursing theory. I think that it helps to shape the foundation, and supports to provide an understanding for a need for a certain theory that may not currently exist, or one that needs to be better understood. Katharine Kolcaba developed The Comfort Theory while conducting a concept analysis on comfort. Kolcaba Comfort Theory can be applied to practice today focusing on the concept of comfort and how it affects the care provided to the patients. There are many ways to measure comfort, but one must remember that these measures are based on patients and their perspectives.
Pain management for postoperative patients are a major problem that may cause prolonged treatment and rehabilitation costs, however, with the proper nursing strategy, it can be managed. In order to manage the pain, the knowledge of the causing event and the symptoms are necessary for the healthcare professionals. The assessment and measurement of pain in postoperative patients through their response can assist in increasing awareness regarding the specific causes of pain. The present study
Theoretical thinking is essential to nursing and helps guide nursing practice. Theory is defined as “the creation of relationships among two or more concepts to form a specific view of a phenomenon” (Higgins & Moore, 2012, p. 282 para. 2). It is made up of four theories, which include meta-theory, grand theory, middle range theory, and micro theory.
“Concept clarification is an important step in developing useful and useable knowledge in nursing science.” (Tofthagen, 2010). Within the home health field of nursing one of the major and most significant concepts is team work. Simply stated, concept analysis incorporates a method or approach by which concepts that are of interest to a discipline are examined in order to clarify their characteristics or attributes” (Cronin, 2010). Within a home health care team there are Registered Nurses, Physical Therapists, Home Health Aides, Medical Social Workers, Managed Care Coordinators, and Clinical Managers.
According to walker and avant [2005], concept analysis in nursing research serves the purpose of examining the basic elements of a concept by revealing its internal structure and critical attributes. Since knowledge is power and changes over time, therefore, the understanding of any concept should be considered a dynamic, ongoing process responsive t to new ideas, knowledge and experience [meleis, 2005]. The aim of this study was to present a concept analysis of the phenomenon failure-to-rescue. METHODS Scientific literatures and researches were utilized in order to derive at a definition the will help explain the concept of failure-to-rescue.
This approach aids nurses in determining the necessary amount of support and creating suitable care plans to encourage patient autonomy. In contrast, Middle Range theories were created through empirical study to explain events in a particular area of nursing practice (Risjord, 2019). They are more precise and narrowly focused. They are useful for evidence-based practice because they are more open to testing and validation. One illustration of a Middle Range Theory is Katharine Kolcaba's Comfort Theory, which divides comfort into environmental, psychospiritual, and physical components with the goal of improving patient comfort while receiving medical attention.
Introduction: Due to the structure of health care in the United States, nurses are often responsible not only for patients’ education about their ailments, but also for designing and implementing plans and procedures to encourage general health education and wellness (Bastable, 2011). The advanced nurse should work to improve both personal nursing skills and the nursing skills of colleagues (Rolfe 2014). As such, nurses must be strong collaborators and life-long learners who are able to explain their justifications, processes, and skills to patients and one another. Although the world is developing an affinity for accumulation and implementation of evidence-based practice and although nurses pride themselves on their ability to learn and teach
1.Evaluate the discrepancy between the patient’s pain rating, behavioral signs of pain, and degree of participation in daily care/treatment for a patient in each scenario. 2.Explain a rationale for this discrepancy, using nursing knowledge and science. Numerous factors can affect a person pain perception and reaction to pain. It Includes person ethnic, cultural values, developmental age, environment, support, previous pain experience, and the meaning of pain. Pain Tolerance, "Is the duration or intensity of pain that person can endure," (Treas & Wilkinson, pg. 1093).
For instance, an inexperienced nurse may not be conversant in the alternative forms of labor pain control such as the utilization of a birthing ball, position changes, Lamaze breathing techniques, massage, and warm showers (Gayeski, Brüggemann, Monticelli, & dos Santos, 2015). Another area of the data to explore is the 39% decrease in inadequate pain relief of the laboring patients. This may be due to an experienced nurse laboring the patient, or the patient experienced pain for less than three hours then delivered. Another possible reason for the decrease is the retirement of a nurse anesthetist in the second month of the studied data. The LDU nursing staff noticed that more patients experienced poor labor pain relief was from epidurals placed by this particular nurse antitheist in comparison to the other nurse anesthetists.
It is created through analysis of research and construction of concepts and theories (Busso, Poles, & Monteiro da Cruz, 2014). Concept analysis serve a purpose within theory development as it represents continuation of knowledge in nursing profession. When theories and concepts are developed, it must be practiced in a clinical setting to validate research. The caring concept applies to Jean Watson’s Theory of Human Caring as it creates an environment for healing, bonding, and improving patient outcomes. The concept of caring depicts the attitude of the nurse and the inclination given to meet the needs of the patient from emotional or physical standpoints (Emerson, 2017).
The field of nursing has greatly evolved over the years; the Nightingale era of nursing in the 19th century looks vastly different when compared to the current nursing era that is guided by scientific knowledge and factual principles. Understanding the patterns and structures of modern nursing knowledge is fundamental to the discipline of nursing (Carper, 1978). As defined by Carper (1978), the current field of nursing is guided by four patterns of knowing: (a) empirics, (b) esthetics, (c) personal knowledge, and (d) ethics. Empirical knowledge, also known as “nursing
This was the first group session and I took the responsibility of going over the class plan, guidelines, introductions, and distributing a pretest of the Chronic Pain Acceptance Questionnaire. The Veterans were informed that the purpose of this class is to help with their acceptance of thoughts and feeling that go along with chronic pain, while helping them live a life that is rich and meaningful. The Veterans seemed to understand the purpose of the class, until Sherry stated “Would all of you get up and leave the class, if I told you that I cannot promise you that your pain will go away?” Some of the Veterans looked confused and others looked disappointed.
In group deliberation, knowledge was seen to be a vital quality within nursing. We agreed that nurses must have a sufficient knowledge in order to provide competent patient care, and that nurses needed to have the ability to apply their knowledge so that they could benefit their patients. In our Coat of Arms, knowledge was characterized as an infinity sign made of green vines. Our interpretation was based on the belief that knowledge within nursing was ever growing, and that the pursuit of knowledge was always relevant within nursing.