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
Philosophies According to Alligood (2014b), philosophies are specific theories that focus on one or more metaparadigm concepts in a wide spectrum philosophical way (p. 43). For a person to understand philosophies it is required to understand the knowledge type, metaparadigms. Metaparadigm Metaparadigm is the vast perspective of a discipline and a way to describe a concern specifically to a profession or department (Alligood, 2014b, p. 42).
The concept of participatory leadership is based on two core principles. First, the opinions of multiple agents involved in the transformation is listened and discussed, second, these are taken into account both on the stage of the change and evaluation (Saleeby, Holschneider, & Singhal, 2016). The five major tasks for these agents are: opportunities and change readiness identification, goals and objectives determination, designing the transformation, paying attention to accountability and feasibility, implementation and evaluation (Saleeby, Holschneider, & Singhal, 2016). One of the participative leader 's roles is to create an environment stimulating
Individualised approach to care planning essay The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care.
Watson (2012, as cited in Pjnkihar, 2017) refers to nursing as a science, art, and moral ideal which essence is caring. In the ten caritas processes, Watson emphasized the promotion of a “supportive, protective, and/or corrective mental, physical, societal, and spiritual environment” (Watson 1999, as cited in Pjnkihar et al, 2017). She also highlighted the influence of internal and external environments on
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
In the Journal of Advanced Nursing article, Whither Nursing Models? The value of nursing theory in the context of evidence-based practice and multidisciplinary health care, author Niall McCrae (2011) discussed key points related to the utilization of nursing models in modern-day clinical practice. With so many advances made since Nightingale times, some argue that evidence-based research and practice should trump the ideas of theorists before them. McCrae cited sources that illustrate a volley of opinions on the topic: are nursing theories essential or are they matters of the past? Upon evaluation of this article, it is evident to the reader that, although they can seem outdated, nursing theories cannot completely be removed from practice as
According to walker and avant , 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 purpose of this discussion is to define research and evidenced-base practice in nursing. I will also provide a sample question for each definition. Evidence Based Practice vs Nursing Research Evidence based practice is defined as the collection, evaluation, and integration of valid research. It is combined with clinical expertise and an understanding of patient and family values as well as preferences for informed clinical decision making (LoBiondo-Wood & Haber, 2014).
Thus, health professionals need to understand patient needs and react in accordance (Hills & Kitchen, 2007; Hills & Kitchen, 2007b). Johnson (1996) attempted to compare Maslow’s hierarchy of needs and the normative model (Theory of caregiver motivation or hierarchy of patient outcomes encompasses classification systems for healthcare outcomes proposed by Brook et al., (1977), Donabedian (1982) and Lohr (1988)) to understand what optimizes patient satisfaction and quality of health care. According to the normative model, patient outcomes from health service are classified into four outcome groups, disease eradication, patient performance, general health and patient satisfaction in ascending order of hierarchy. Johnson proposed as the most basic need physiological needs of Maslow’s Hierarchy of Human Needs is parallel to disease eradication outcome in health service; safety needs of Maslow’s hierarchy to patient performance outcome, esteem and love needs of Maslow’s hierarchy to general health outcome and self-actualization needs of Maslow’s hierarchy to patient satisfaction outcome, respectively. As this synthesis of two theories, Johnson proposed that as Maslow’s human needs hierarchy – once
Do you have any concerns at this time regarding your ability to complete the Nursing Program? If so, Please describe. What will you do to ensure that you are able to successfully complete the Nursing Program? Please state your reasons for desiring entry into the Keiser University Nursing Program.
My concept definition of the Fawcett (1984) four metaparadigm in nursing is a reflection of the totality paradigm approach by Parse (1987). That a person is a unified whole, that consist of different parts which are interrelated to each other. The four concept of the metaparadigm was defined based on my understanding and knowledge, as well as through my past experiences as a patient, a nurse, and an individual. Looking back and critically reflect on my past experiences has helped me in making this reflective paper that has changed my meaning perspective (Mezirow, 1990) of what constitutes the person, the environment, health, and nursing. Most importantly it made me aware of my nursing practice that will help me to provide a better quality
Team effort affects the quality of client care. Patient centred care empowers individuals through partnership with health professionals in decision making (Pulvirenti, McMillan & Lawn, 2014, p.304). It is a continuous patient and practitioner interaction to promote, educate and meet patient ’s needs (Pulvirenti, et al., 2014, p. 306). Nevertheless, patient centred care might be the solution to the problem of paternal clinical practice which is expressed under the multidisciplinary care (Pulvirenti, et al., 2014, p. 305).
“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.
Imogene King’s goal attainment theory focuses on the importance of the relationship between the nurse and patient along with the impacts it can have on attaining goals. There are many concepts within each system that King believes influence the outcome of the goals. The process of the nurse and patient relationship begins with the nurse. Then the patient along with the nurse both having their own experiences or thoughts on a situation, which can be completely different.