Grand Nursing Theory Paper

Nursing is hard job. Nurses who work hard by taking care of the patient. I am in college with no career choice. I had no experience about what it will be like to be a nurse. My mom always wanted me to be an accountant. So I decided to major in accounting. Accounting is all about numbers. And I was good at math in high school. I was enjoying math, and never got bored when I was doing my homework. However, I like to study about human body structures. Taking care of patient. Choosing a right major was getting harder and harder because I enjoy doing math problems and l love to take care of people. Major in nursing so I can take care of patient, and chance to work with different people.

Advanced Practice Registered Nurse (APRN) has grown in the past years and continuation of its growth is expected. Studies show that there are some difficulties that a novice nurse experience as they transition to APRN. (Hill, L. *& Sawatzky, J. 2011). The transition is also stressful for the nurse practitioner, thus making the NP feel inadequate, overwhelmed and incompetent. Fortunately, there are steps that can help this transition run smoothly.

From these realizations I have concluded that the professional nursing theories which most align with my own philosophy is a combination of Jean Watson’s theory of human caring and Rosemarie Parse’s theory of human becoming.

In studying Registered Nursing one will find that they have to be compassionate and want to care for others. Registered Nurses assist physicians with suffering patients of any medical condition. They help to decide the patient’s medicine, treatment, recovery, and educate the them and their families on post-medical treatment. They need to have bedside manner, and be able to prepare patients for surgery. Registered Nursing careers range anywhere from critical care, oncology, mental health, to an everyday school nurse.

The Indiana State Board of Nursing (2011) defines advanced practice nursing as a registered nurse who has attained advanced knowledge and skills through an organized program of study. The three categories of study include nurse practitioner, certified nurse mid-wife, or clinical nurse specialist. National certification is not required for nurse practitioners completing an accredited graduate program. However, if the continuing education is part of a certificate program then a national certification is required. Although certification is not required in Indiana, Riley Hospital for Children nurse practitioners are required to certify within one year of employment. The nurse practitioners on the Hematology/Oncology unit complete this certification through the Pediatric Nurse Practitioner Certification Board. The Pediatric Nurse Practitioner Certification Board (2015) requires annual renewal. This $270 certification is three hours long exam and consisting of 175 questions. The Pediatric Nurse Practitioner Certification Board website provides resources to prepare individuals for the exam.

The term six research theory course, NURS 495, emphasized the importance of nurse leadership and how nurses can influence positive changes in health care delivery to patients with chronic illness. It also explored the contradictions that exist in nursing practice and encouraged the students to develop a critical and pragmatic approach to client care. The co-requisite clinical course, NURS 499, integrated nursing theory and current best practice on an acute care nursing unit at Medicine Hat Regional Hospital. In this consolidated learning analysis, I will explore a nursing practice event that will illustrate the major issues surrounding the treatment of competing mental health comorbidities in a patient with hoarding behaviors. I will also

Nursing practice requires both critical thinking and clinical reasoning. Critical thinking is the process of deliberate higher level thinking to define a patient’s problem, examine the evidence-based practice in caring for the patient’s, and make options in the delivery of optimal care. Critical thinking involves the demarcation of statements of fact, judgment, and opinion. The progression of critical thinking requires the nurse to think imaginatively, use reflection, and engage in logical thinking (Alfaro-LeFevre, 2013). Critical thinking is a vital skill needed for the recognition of patient’s problems and the execution of interventions to endorse effectual care outcomes (Bittencourt & Crossetti, 2012).

The metaparadigm of nursing illustrates the collective worldview of the shared concepts of the discipline, which are: the person, environment, health and nursing (1). The nursing metaparadigm is the framework for many nursing theories, values, and theoretical models, which help guide an advanced practice nurse in selecting appropriate interventions established by their chosen conceptual model. A conceptual model or advanced practice nursing theory provides an advanced practice nurse a logical structural model to follow, which is aligned with the discipline’s expectations. Advanced education prepares advanced practice nurses to employ a superior degree of clinical, research based and theoretical knowledge (2). As a nurse practitioner student,

Orem’s theory creates self care, known as the practice of activity, in which the patient performs his personal routine and needs independently to maintain health and lifestyle, according to age, developmental state, experiences in life, and cultural background.

Deciding to pursue a career in nursing, is often done form a place of giving. Giving of oneself to better the wellbeing of another. The process of providing care starts with an assessment of the situation and developing goals. Goal development happens with the patient present and takes efforts on the part of the nurse and patient. Imogene King created a systems approach to help the nurse-patient relationship and further created the goal attainment theory.

Nursing is proving care, support, and serve people who are in need. The purpose of nursing is to improve patient 's health condition to a better life. The goal of this paper is to explain my personal philosophy and clarify some of my values of nursing.

I enjoyed learning more about the Middle-Range Nursing Theory of Self-Care by Barbara Riegel, Tiny Jaarsma, and Anna Stromberg that you selected as I conducted my own research to find more information to cross post your discussion. Self-Care is the ultimate patient outcome with my phenomenon of interest (POI) of anti-psychotic medication non-adherence with patients diagnosed with schizophrenia; a chronic illness that this theory targets and as you mentioned, provides key concepts that promote adherence to self-care maintenance. Similar to the middle range theory that I selected, Self-transcendence by Pamela Reed, Self-care highlights the significance of a supportive physical environment in order to advocate a milieu that encourages healing

As nurses, we continue to gain knowledge and skills within our area of practice. We use theories to help us build concepts or ideas in gathering information, explaining relationships and demonstrating experiences of development. Theories vary in their level of abstraction and scope. Nursing theories are beneficial in helping us to understand, organize our thoughts and influence practice and research. Nursing theory has three distinct types to describe the level of abstraction: Grand, Middle-Range, and Situation-Specific (Meleis, 2012, pg. 33). For example, Grand theory is relatively abstract and broad in scope. It tends to focus on the nature or goal of nursing. The situation-specific theory is a narrow range of concept that is specific to

Many influences even though the historical or contemporary that is important to shape the profession of nursing. The Health Practitioners Competence Assurance Act 2003 [HPCA] and Nursing Council of New Zealand Code of Conduct for Nurses 2012 [COC] underpin the nursing practice, in order to promote the nursing profession. Professional boundaries play an important role in nursing. This essay will identify and discuss how the historical influence which is Florence Nightingale and the contemporary influence that is education has shaped the profession of nursing, the purpose and impact of the HPCA and COC on nursing, how they are implemented in the workplace and also define and explain the importance of the professional boundaries in nursing.

Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety.