Assignment: Frameworks for Professional Nursing
Assignment: Frameworks for Professional Nursing
Assignment: Frameworks for Professional Nursing ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Assignment: Frameworks for Professional Nursing Nursing role and scope please read attached powerpoint and answer the question below · Follow the discussion questions participation and submission guidelines. Assignment: Frameworks for Professional Nursing · Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph. ` 350-400 WORDS · All answers or discussions comments submitted must be in APA format · Minimum of two references, not older than 2015. Chapter 2: Frameworks for Professional Nursing Practice DUE WEDNESDAY JAN.13TH @9:00PM 2. Think about the definitions of the metaparadigm concepts and the assumptions or propositions of each of the theories presented. Which of the theories most closely matches your beliefs? attachment_1 Chapter 2 Frameworks for Professional Nursing Practice Definitions Concept Conceptual model Propositions Assumptions Theory Metaparadigm Central Concepts in Nursing Person receiving the nursing Environment within which the person exits Health-illness continuum within which the person falls at the time of the interaction with the nurse Nursing actions Nightingales Environmental Theory Person: Recipient of nursing care Environment: External (temperature, bedding, ventilation) and internal (food, water, and medications) Health: Not only to be well, but to be able to use well every power we have to use Nursing: Alter or manage the environment to implement the natural laws of health Nightingales 13 Canons Ventilation and warmth Health of houses Petty management Noise Variety Food intake What food? Bed and bedding Light Cleanliness of rooms and walls Personal cleanliness Chattering hopes and advises Observation of the sick Virginia Henderson: Definition of Nursing and 14 Components of Care Person: Recipient of nursing care who is composed of biological, psychological, sociological, and spiritual components Environment: External environment Health: Based on the patients ability to function independently Nursing: Assist the person, sick or well, in performance of activities Hendersons 14 Basic Care Needs (1 of 2) Breathe normally Eat and drink adequately Eliminate bodily wastes Move and maintain postures Sleep and rest Dress and undress Maintain body temperature within normal range Hendersons 14 Basic Care Needs (2 of 2) Keep body clean and protect integument Avoid dangers Communicate with others Worship according to ones faith Work (sense of accomplishment) Recreation Learn and discover, leading to normal development and health, and use health facilities Jean Watson: Philosophy and Science of Caring (1 of 2) Goal is to help persons attain a higher level of harmony within the mind-bodyspirit Goal pursued through transpersonal caring guided by 10 caritas processes Jean Watson: Philosophy and Science of Caring (2 of 2) Person (human): A unity of mind-body-spirit/nature; embodied spirit Healing space and environment: A nonphysical energetic environment; a vibrational field integral with the person where the nurse is not only in the environment but the nurse IS the environment Health (healing): Harmony, wholeness, and comfort Nursing: Reciprocal transpersonal relationship in caring moments guided by caritas processes Benners Clinical Wisdom in Nursing Practice: 9 Domains of Critical Care Nursing Diagnosing and managing life-sustaining physiological functions in unstable patient Using skilled know-how to manage a crisis Providing comfort measures for the critically ill Caring for patients families Preventing hazards in a technological environment Facing death: End-of-life care and decision making Communicating and negotiating multiple perspectives Monitoring quality and managing breakdown Using the skilled knowhow of clinical leadership and the coaching and mentoring of others Benners Clinical Wisdom in Nursing Practice: 6 Aspects of Clinical Judgment and Skilled Comportment (1 of 2) Reasoning-in-transition: Practical reasoning in an ongoing clinical situation Skilled know-how: Also known as embodied intelligent performance; knowing what to do, when to do it, and how to do it Response-based practice: Adapting interventions to meet the changing needs and expectations of patients Agency: Ones sense of and ability to act upon or influence a situation Benners Clinical Wisdom in Nursing Practice: 6 Aspects of Clinical Judgment and Skilled Comportment (2 of 2) Perceptual acuity and the skill of involvement: The ability to tune into a situation and hone in on the salient issues by engaging with the problem and the person Links between clinical and ethical reasoning: The understanding that good clinical practice cannot be separated from ethical notions of good outcomes for patients and families Benners Clinical Wisdom in Nursing Practice Person: Embodied person living in the world who is a self-interpreting being, that is, the person does not come into the world pre-defined but gets defined in the course of living a life Environment: A social environment with social definition and meaningfulness Health: The human experience of health or wholeness Nursing: A caring relationship that includes the care and study of the lived experience of health, illness, and disease Martha Rogerss Science of Unitary Human Beings (1 of 2) Person (human being): An irreducible, irreversible, pandimensional, negentropic energy field identified by pattern Environment: An irreducible, pandimensional, negentropic energy field, identified by pattern and manifesting characteristics different from those of the parts and encompassing all that is other than any given human field Martha Rogerss Science of Unitary Human Beings (2 of 2) Health: Health and illness are a part of a continuum. Nursing: Seeks to promote symphonic interaction between fields, to strengthen the integrity of the human field, and to direct patterning of the human and environmental fields for realization of maximum health potential Principle of Hemeodynamics Helicy Resonancy Integrality Martha Rogers Interview Part I Video https://youtu.be/V1XN3rPKndE Martha Rogers Interview Part II Video https://youtu.be/f6qWm8sGut0 Dorothea Orems General Theory of Nursing Composed of three related theories: Theory of self-care Theory of self-care deficit Theory of nursing systems Types of Self-Care Requisites Universal self-care requisites (found in all human beings and associated with life processes) Developmental self-care requisites (related to different stages of human life cycle) Health-deviation self-care requisites (related to deviations in structure or function) Dorothea Orems General Theory of Nursing (1 of 2) Person (patient): A person under the care of a nurse; a total being with universal, developmental needs and capable of self-care Environment: Physical, chemical, biologic, and social contexts within which human beings exist; components include environmental factors, elements, and conditions, as well as the developmental environment Dorothea Orems General Theory of Nursing (2 of 2) Health: A state characterized by soundness or wholeness of developed human structures and of bodily and mental functioning. Nursing: Therapeutic self-care designed to supplement self-care requisites. Nursing actions fall into one of three categories: wholly compensatory, partly compensatory, or supportive educative system. Callista Roys Adaptation Model Person (human system): A whole with parts that function as a unity Environment: Internal and external stimuli; the world within and around humans as adaptive systems Health: A state and process of being and becoming an integrated and whole human being Nursing: Manipulation of stimuli to foster successful adaptation Roys 6-Step Nursing Process Assessing behaviors manifested from the 4 adaptive modes Assessing and categorizing stimuli Making a nursing diagnosis Setting goals to promote adaptation Implementing interventions aimed at managing stimuli to promote adaptation Evaluating achievement of adaptive goals Betty Neumans Systems Model (1 of 3) Wellness model based on general systems theory. Focus of the model is on the client system in relationship to stressors. Client system is protected by a circular series of buffers known as lines of defense: Flexible line of defense Normal line of defense Lines of resistance Betty Neumans Systems Model (2 of 3) Person (client system): A composite of physiological, psychological, sociocultural, developmental, and spiritual variables in interaction with the internal and external environment Betty Neumans Systems Model (3 of 3) Environment: All internal and external factors of influences surrounding the client system; three relevant environments identified are the internal environment, the external environment, and the created environment. Health: A continuum of wellness to illness; equated with optimal system stability. Nursing: Prevention as intervention; concerned with all potential stressors. Kings Interacting Systems Framework and Theory of Goal Attainment (1 of 3) Conceptualizes 3 levels of dynamic interacting systems: personal systems (individuals), interpersonal systems (groups), and social systems (society). Concepts important to understanding the theory include communication, interaction, role, stress, and transaction. Kings Interacting Systems Framework and Theory of Goal Attainment (2 of 3) Person (human being): A personal system that interacts with interpersonal and social systems. Environment: Can be both external and internal; the external environment is the context within which human beings grow, develop, and perform daily activities. The internal environment of human beings transforms energy to enable them to adjust to continuous external environmental changes. Kings Interacting Systems Framework and Theory of Goal Attainment (3 of 3) Health: Dynamic life experiences of a human being, which implies continuous adjustment to stressors in the internal and external environment through optimum use of ones resources to achieve maximum potential for daily living. Nursing: A process of human interaction; the goal of nursing is to help patients achieve their goals. Johnsons Behavioral System Model: 7 Subsystems of Behavior Achievement Sexual Affiliative Eliminative Aggressive Ingestive Dependence Johnsons Behavioral System Model (1 of 2) Person (human being): A biopsychosocial being who is a behavioral system with 7 subsystems of behavior Environment: Includes internal and external environment Health: Efficient and effective functioning of system; behavioral system balance and stability Johnsons Behavioral System Model (2 of 2) Nursing: An external regulatory force that acts to preserve the organization and integrity of the patients behavior at an optimal level under those conditions in which the behavior constitutes a threat to physical or social health or in which illness is found Parses Humanbecoming Theory: Themes and Processes Three themes: Three processes: Meaning Explicating Rhythmicity Dwelling Transcendence Moving beyond Parses Humanbecoming Theory Person: An open being, more than and different than the sum of parts in mutual simultaneous interchange with the environment who chooses from options and bears responsibility for choices. Environment: Coexists in mutual process with the person. Health: Continuously changing process of becoming. Nursing: A learned discipline; the nurse uses true presence to facilitate the becoming of the participant. Leiningers 3 Modalities Cultural care preservation and/or maintenance Cultural care accommodation and/or negotiation Cultural care repatterning or restructuring Madeleine Leiningers Cultural Diversity and Universality Theory (1 of 2) Person: Human being, family, group, community, or institution Environment (environmental context): Totality of an event, situation, or experience that gives meaning to human expressions, interpretations, and social interactions in physical, ecological, sociopolitical, and/or cultural settings Madeleine Leiningers Cultural Diversity and Universality Theory (2 of 2) Health: A state of well-being that is culturally defined, valued, and practiced Nursing: Activities directed toward assisting, supporting, or enabling with needs in ways that are congruent with the cultural values, beliefs, and lifeways of the recipient of care Peplaus Theory of Interpersonal Relations (1 of 4) Six nursing roles that emerge during the phases of a relationship: Teacher Resource Counselor Leader Technical expert Surrogate Peplaus Theory of Interpersonal Relations (2 of 4) Three phases in the nursepatient relationship: Orientation Working Resolution Peplaus Theory of Interpersonal Relations (3 of 4) Person: Encompasses the patient (who has problems for which expert nursing services are needed or sought) and the nurse Environment: Forces outside the organism within the context of culture Peplaus Theory of Interpersonal Relations (4 of 4) Health: Implies forward movement of personality and other ongoing human processes in the direction of creative, constructive, productive, personal, and community living Nursing: The therapeutic, interpersonal process between the nurse and the patient Penders Health Promotion Model: 3 Major Categories to Consider Individual characteristics and experiences (biological factors, psychological factors, sociocultural factors) Behavior-specific cognitions and affect (perceived benefits of action, perceived barriers to action, perceived self-efficacy, activity-related affect) Behavioral outcome Penders Health Promotion Model (1 of 2) Person: The individual, who is the primary focus of the model Environment: The physical, interpersonal, and economic circumstances in which persons live Health: A positive high-level state Penders Health Promotion Model (2 of 2) Nursing: The role of the nurse includes raising consciousness related to healthpromoting behaviors, promoting selfefficacy, enhancing the benefits of change, controlling the environment to support behavior change, and managing barriers to change Afaf Ibrahim Meleis: Transitions Theory (1 of 3) Transition is a process triggered by a change that represents a passage from a fairly stable state to another fairly stable state. Transitions can be described in terms of types and patterns of transitions, properties of transition experiences, transition conditions, process indicators, outcome indicators, and nursing therapeutics. Afaf Ibrahim Meleis: Transitions Theory (2 of 3) Person: Persons are active beings who experience fundamental life patterns and who have perceptions of and attach meaning to transition experiences. Environment: Environmental conditions expose persons to potential damage, problematic recovery, or delayed or unhealthy coping contributing to vulnerability related to transitions. Afaf Ibrahim Meleis: Transitions Theory (3 of 3) Health: Health consists of complex and multidimensional transitions that are characterized by flow and movement over time; healthy outcomes are defined in terms of the transition process. Nursing: Nursing means being the primary caregiver for individuals and their families during the transition process and applying nursing therapeutics during transitions to promote healthy outcomes. Swansons Theory of Caring (1 of 3) Five basic processes of caring: Maintaining belief Knowing Being with Doing for Enabling Swansons Theory of Caring (2 of 3) Person: Unique beings who are in the midst of becoming and whose wholeness is made manifest in thoughts, feelings, and behaviors Environment: Any context that influences or is influenced by the designated client Swansons Theory of Caring (3 of 3) Health and well-being: To live the subjective, meaning-filled experience of wholeness; wholeness involves a sense of integration and becoming wherein all facets of being are free to be expressed. Nursing: Informed caring for the wellbeing of others. Kolcabas Theory of Comfort (1 of 4) Comfort care encompasses 3 components: An appropriate and timely intervention to meet the comfort needs of patients A mode of delivery that projects caring and empathy The intent to comfort Kolcabas Theory of Comfort (2 of 4) Comfort needs include patients or families desire for or deficit in relief, ease, or transcendence in the physical, psychospiritual, sociocultural, or environmental contexts of human experience. Comfort measures refer to interventions that are intentionally designed to enhance patients or families comfort. Kolcabas Theory of Comfort (3 of 4) Person: Recipients of care may be individuals, families, institutions, or communities in need of health care Environment: Includes any aspect of the patient, family, or institutional setting that can be manipulated by the nurse, a loved one, or the institution to enhance comfort Kolcabas Theory of Comfort (4 of 4) Health: Considered optimal functioning of the patient, the family, the healthcare provider, or the community Nursing: The intentional assessment of comfort needs, design of comfort interventions to address those needs, and reassessment of comfort levels after implementation compared with baseline Reeds Self-Transcendence Theory (1 of 3) Three major concepts are central to the theory of self-transcendence: Self-transcendence Well-being Vulnerability Additional concepts include: Moderatingmediating factors Points of intervention Reeds Self-Transcendence Theory (2 of 3) Person: Human beings who develop over the life span through interactions with other persons and within an environment Environment: Composed of family, social networks, physical surroundings, and community resources Reeds Self-Transcendence Theory (3 of 3) Health (well-being): A sense of feeling whole and healthy, according to ones own criteria for wholeness and health Nursing: The role of nursing activity is to assist persons through interpersonal processes and therapeutic management of their environment to promote health and well-being Merle Mishel: Uncertainty in Illness Theory (1 of 4) Uncertainty is defined as the inability to determine the meaning of illness-related events inclusive of inability to assign definite value and/or to accurately predict outcomes. Second central concept, cognitive schema, defined as a persons subjective interpretation of illness-related events. Merle Mishel: Uncertainty in Illness Theory (2 of 4) The revised theory incorporates two new concepts: self-organization and probabilistic thinking Uncertainty in illness theory is organized around 3 themes: Antecedents of uncertainty Appraisal of uncertainty Coping with uncertainty Merle Mishel: Uncertainty in Illness Theory (3 of 4) Person: The concept of the person is the central focus of the theory and may be an individual or the family of an ill individual; the individual is viewed as a biopsychosocial being who is an open system exchanging energy with the environment. Environment: Not explicitly defined, but is acknowledged to exchange energy with the person system. Merle Mishel: Uncertainty in Illness Theory (4 of 4) Health: Defined in terms of uncertainty in the context of the illness experience, with the concept of health or well-being being congruent with the formulation of a new life view and probabilistic thinking. Nursing: Nurses are viewed as a part of the antecedent variable of structure providers. Cheryl Tatano Beck: Postpartum Depression Theory (1 of 3) Two major concepts: Postpartum mood disorders and loss of control Four stages in the coping process Postpartum Depression Screening Scale (PDSS) used in screening Cheryl Tatan Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10
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