Metaparadigm Theories Of Nursing

Leadership has many definitions. Chin, Desormeaux, and Sawyer (2016) define leadership as a relationship between followers and a leader with the intent to promote change through a mutual vision. Therefore, leaders are active influences in the outcome of organizations, through their decision-making, strategies, and influence on followers (Dinh et al., 2014). Additionally, in the nursing context, it has been documented that a leader 's style plays a factor in patient outcomes (Fischer, 2016). Indeed, in an ever-changing, complex health care environment, nursing leadership has become a crucial factor in managing challenges and maintaining patient safety (Fischer, 2016).

The American Holistic Nurses Association (2016) defines holistic nursing as “all nursing practice that has healing the whole person as its goal”. Florence Nightingale is well known for her introduction of holism into nursing care, she strongly emphasized caring for the individual as a “whole”, incorporating mind, body, spirit, and environment into perspective. Nightingale expressed an emphasis on the connection between the patient and their surroundings. Holism is more than an action but rather an attitude, a philosophy, and a way of being. Merriam-Webster originally defines holism as “a theory that the universe and especially living nature is correctly seen in terms of interacting wholes (as of living organisms) that are more than the mere sum of elementary particles” Holism can easily be viewed as a complex concept due to the original nature of the definition.

The last ethical principle is justice. This ethical principle revolves around the idea that all patients must be treated equally and fairly. This includes fairly distributing resources and time among all patients. During the Tuskegee Study, one can clearly see that these ethical principles

The purpose of this theory, being to define both nurse and patient roles and nursing as a profession, is seen as a strength of the self-care deficit nursing theory. Level of Self-Care Deficit Nursing Theory A grand theory is defined as one that is relatively broad and complicated (McEwen & Wills, 2014). Dorothea Orem’s self-care deficit nursing theory fits this definition of

First of all, I believe that the profession of nursing is all about people. Care involves the whole patient, and not just a single illness or health concern treated in isolation from the whole. Our holistic perspectives consider all factors of a patient 's life, and give the best quality of life to our patients. Secondly, while human beings are central to nursing, it is also necessary to look beyond the patient to the environment in which he/she lives. This is very important because people are members of a larger community with different features and characteristics that influence greatly our patients, so we cannot separate patients from their environment because they are interrelated.

“Quality care is best provided in a healthy, functional work environment” (Finkelman, et al, p477, 2013). With that being said, interprofessional leadership should be implemented more across the nation in an effort to provide a healthy, functional work environment. Nurses can have an impact on leadership in several different roles, but one is by influencing health

During this assignment, the task asks for an overview of what Evidence Based Practice (EBP) is, and why is it so important and relevant to nursing as a generic term? The nursing and midwifery council (NMC) states that, all healthcare professionals are required to carry out care based on the best available evidence or best practice (NMC, 2008). A broad definition of Evidence Based Practice (EBP) came from David Sackett, (founder of the NHS Research and Development Centre and Colleagues); he expressed that EBP is: ‘The conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health [and social] care decisions’. (Sackett et al, 2000: 71-72). To fully understand the importance of EBP in nursing, it is paramount to comprehend the desired outcomes from it.

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. The PUBmed search engine database reveals 3,851 articles similar to the concept.

Functional areas/roles of informatics nursing include: administration, management and leadership which is often done directly with clinical informatics departments or in conjunction with other functional areas such as project management (Murphy, 2010); integrity and compliance management, which involves ensuring that the organization or institution is meeting all the set national laws and standards; analysis, whereby the informatics uses data to inform decisions, synthesize knowledge and manage outcomes and taxonomies; consultation; development, whereby they help translate user requirements/needs into solutions; coordination, integration and facilitation whereby the informatics serve as translators between end-users/consumers and IT experts; education and professional development, whereby the informatics teach users on how to apply a device or educate the general public or the next generation of nurses; research and evaluation, whereby they conduct research on various informatics topics that impact consumers and caregivers; and policy development and advocacy, whereby they help shape and promote policies at the national, state and or organizational level. Nursing informatics, also engage in: systems integration, information technology security, clinical application support, patient care coordination, and clinical transformation and

The Purpose of The Theory The purpose of Henderson’s theory is to give the principles that help construct practice and to generate further nursing knowledge. Considering doing so, it helps nurses to understand their purpose and role in nursing in the healthcare setting. Henderson believes that the unique function of the nurse is to help the person sick or well, in the performance of those activities contributing to health or its recovery (to a peaceful death) that he would do unaided if he had the strength, will or knowledge. In doing so will help him gain independence as quickly as possible (Burggraf, 2012). The Scope or Level of theory The scope or level of theory used by Henderson was a grand 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. Within this team specific goals are set and a plan of care is designed and established.

ACOs is consider to be groups of doctors, hospitals and insurance companies that connection together to offer a higher-quality of patient care. By improving the quality of care and making more cost-efficient health care decisions. There are ACO core standards in place to ensure that health providers receive the appropriate incentives across the board. ACO’s also have to establish a system wide approach to continuous improvement, and communication, and education to ensure that the quality of care is cost effective. ACO 's Strategic Plan ACO’s require to meet certain benchmarks for keeping patients healthy without requiring a hospital stay.

When a patient has a lack of knowledge of the care that is being provided, the nurse also has a responsibility to explain the care and why it will help the patient in the process. With educating the patient nurses can help the patient reach their goals to recovery to a better health status. A good nurse is also a leader. A Leader is someone who takes charge of any situation in confidence, and makes good sound decisions on situations that promote good health. Along with being much of all these things the nurse should deliver the highest quality care in order to accomplish great outcomes in patient care.

I provide all the information necessary which allows each patient to accept or decline care. NPs are in a position to empower patients with health knowledge, not only do I view myself as a medical provider, but also as a partner in health to influence healthy behaviors to increase positive health outcomes. The family component is crucial to improving health, as an NP I evaluate the family unit to assess for moral support. Families are encouraged to ask questions and seek assistance in dealing with complex medical issues. As a novice NP in adult/gerontology primary care and occupational health, the Shuler model will play a crucial role in my professional development as its constructs address all the essential components of an advanced practice nursing model that are important to my practice: person, health, environment, nursing and NP role.

Communication and collaboration play a major role in the plan of care for the patient. Involving the family in the care of the patient ensures better health outcomes, higher levels of patient satisfaction as well as a higher sense of security and safety (O’Malley, et. a., 2008). The family and the interdisciplinary team must work together for a common goal. The goal of both parties is the well being and quality of care for the patient (O’Malley, Brown, Krug and the Committee of Pediatric Emergency Medicine, 2008; Rusher and Ware, 1998) To reach this goal the interdisciplinary team must be mindful that the family is the center of the child’s life and they must provide resources to the family as well (Rusher and Ware, 1998).