End Of Life Theory
Running head: PRESTIGE PRESTIGE Practicing with Prestige Lizbeth Sanchez, Crystal Pacca, Marie Pierre, Nataly Jean-Michel University of Miami Practicing with Prestige Our theory of Practicing with Prestige was derived from Ruland?s End of Life theory, Murrays Theory of Psychogenic needs, and Nurse Expressed Empathy for Patient Outcomes by Olson, Joanna, and Hanchett. The theories used to derive Practicing with Prestige all correlated to how the nurse-patient relationship and psychological needs of patients affect the patient?s perception of care provided and ultimately the healthcare outcomes. We feel that practicing with prestige is an intricate and imperative part of providing care and optimizing the nurse-patient relationship …show more content…
Ruland was assigned to create a middle range theory for nursing science and practice in her doctorate course taught by Moore. Ruland decided to combine her previous experience from Norway and formulated the End of Life theory using Donebadian?s model of structure, process, and outcome which in part was developed from General System Theory and identifies the complexities of health care interactions and organizations. A second theory which also influenced the development of End of Life theory is preference theory which has often been used by philosophers to define quality of life. Collectively Ruland and Moore developed the Peaceful End of life Theory published in 1998.? Comment by Grammarly: Deleted:f Comment by Grammarly: …show more content…
Explanation of the theory Peaceful end of life theory was developed to address complex nursing practice problems identified by multiple research projects in relation to death and dying in terminal conditions such as cancer once deemed terminal. The theory recognizes that the goals of care in end of life are not to optimize care as it has already been determined that the patient?s condition will not improve and therefore the goals of care change to providing care that will enhance the quality of life and result in a peaceful death. Areas of advances practice that use or could use this theory Application of Ruland?s theory of peaceful end of life is often seen in palliative and hospice care programs. ?End of Life nursing theory may be utilized in any care setting where the focus of care is not aimed towards a cure but rather on making sure that the patient is free of pain has comfort, dignity, peace, all while maintaining closeness with significant others. In advanced practice, it is important to recognize terminal conditions and assist patients and their families in educating and accepting the difference between quantity versus quality of life so informed decisions may be made regarding treatment
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