The advancement in medical science, technology and complexity of the current patient care, demands the nurses to be prepared with the knowledge and skills in Assessment and Intervention, Effective Communication, Critical Thinking, Patient Relationship, Leadership, Management and Teaching. As the required competency increases, the curriculum needs to prepare the nursing graduates to have these core competencies as outlined by COPA model (Competency Outcomes and Performance Assessment)” (Lenburg, 1999 a, b). The BSN curriculum is tailored to accommodate these professional development requirements, the modern era demands that incorporate a broad scope of practice, giving a better edge in competency compared to an ADN, especially in Critical Thinking. A noteworthy point is that the differences in clinical competencies of a BSN and ADN are few compared to management, leadership, decision making and communication competencies. The BSN course gives the students more exposure in nursing practices than an ADN.
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.
The Theory of Self-Transcendence: History of the Theory The theory of self-transcendence is a middle-range nursing theory which was developed by Pamela Reed (Cramer, 2013; Smith & Liehr, 2008). Self-transcendence theory establishes a framework for healthcare providers through the promotion of well-being during life-altering events (Reed, 2008). In addition, this theory provides a holistic framework for nursing care focused on the relationship between persons and their environment (Reed, 2008). This can be achieved by creating self-transcendence activities that promote improved well-being through a broadening of personal boundaries (Reed, 2003). As a result, this facilitates the general public 's acceptance of grieving and loss while enhancing
The focus of this role analysis paper will be on the role of the family nurse practitioner (FNP), specifically within New Mexico, since the scope of practice can vary from state to state. An FNP, also referred to as simply nurse practitioner (NP) in many studies, is a nurse with an advanced practice degree as well as national certification. Their focus is on preventative care for people of all ages, from young children up to elderly adults. A majority of FNPs work in primary care clinics, but are not limited to this field, some also work within hospitals or in specialized clinics as well. When discussing the difference between the NP and the clinical nurse specialist, one study stated that "initially developed to meet the needs of underserved
The narrator goes on to say “ I wish john would take me away from here… it is so hard talking with john about my case, because he is so wise, and because he loves me so.” Women were not known to have have a voice in the 1800’s they had to do what the men said most of the time. She really has been trying to get away for her mental health, but John never lets her leave in fear that she was not well yet. John pitied his wife and whenever she told him something he would try to convince her that his way was right cause he is the doctor. John says “ why darling… our lease is up in three weeks, and I can’t see how to leave before.” When she tells John how she feels, he basically goes around the question since “ John knows best.” John has most definitely depressed her even more then she was at the
Adams, it is important to address all areas from a holistic standpoint. This would include psychosocial, environmental and medical interventions. While providing care it is important to remember Florence Nightingale’s goal of nursing is to “assist the patient to regain “vital powers” by meeting their needs, which in the end puts the patient in the best condition for nature to act upon.” (Smith & Parker, 2015). Nightingale believed that nurses contribute to restoring health in a direct and indirect way by the management of patient’s environment (Smith & Parker, 2015). As the assessment begins for Mrs. Adams there are many things that need to be addressed.
Virginia Henderson Theory used Today Virginia Henderson is one of many nursing theorists who changed the nursing profession. Henderson’s theory was considered a “needs” theory (Ahtisham& Jacoline, 2015). It was considered a needs theory because the primary focus was on the patient and the 14 fundamentals needs of the patient to aid in recovery. A nurse taking care of a patient with dementia will utilize Virginia Henderson’s theory in his or her practice by assessing the patient while making a connection with that patient, involving the patient and family to help maintain current health status, providing an environment that will provide safety and security, and using the 14 fundamental needs to guide the nursing process that is being
Healthcare workers have the unique challenge of providing safe and effective care to individuals who generally judge and base personal options on the emotional care aspects of nursing. The profession of nursing is more multifaceted and stimulated than ever before. Uncertainties and changes in the healthcare world contribute to the complexity of practical knowledge and technical expertise required of modern nurses. American Nurses Association (ANA) defined professional nursing as "the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations" (ANA, 2010 p. 8). Equally embedded in this definition is the need to regard nursing as both a science and an art, which is a source of continual debate among nurses who may stress one attribute over another.
The health care system is undergoing radical changes and for each and every service we have specialized personnel and departments available now. Medical social workers specialized in that area of social work and part of the multidisciplinary team usually work in hospital, nursing home or hospice, have a degree in the field, and work with patients and their families in need of psycho-social help. They assess the psychosocial functioning of patients and families and intervene as and when necessary. Interventions may include connecting patients and families to necessary resources and supports in the community; offering psychotherapy, counseling, or helping a patient to strengthen their network of social support. The core functions of medical social
It tells us why a nursing particular activity is important to a patient at that specific time. It guides our thought processes and focuses on the specific areas to bring the patient back to a certain point where he or she can have a quality life. It gives us a lot of direction, and it builds basic structures to promote the greatest quality of nursing care in any individuals. Nurses are not just doing actions, they critically thinking about particular patients’ needs and applying certain theories and ideas
The most painful of these words arrives at the end when her son proclaims that the child she raised is not the same anymore. This marks his transition from boyhood to manhood: a transition in which the male perception of female inferiority grows stronger. A mother loves her son, and in modern times there are family disputes; however, they are mostly out of spite for parents in general, not out of misogynistic
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.