Feb 7, 2024 Discuss relevant theories applicable to advanced nursing practice for individuals, families, communities, and special populations.
Discuss relevant theories applicable to advanced nursing practice for individuals, families, communities, and special populations.
Discuss relevant theories applicable to advanced nursing practice for individuals, families, communities, and special populations.
NUR-513 Topic 5 DQ 2
One of the theories I discussed last week was Orem’s Self-care Deficit Theory. Orem’s theory promotes the idea of patient independence over self-care with the ultimate goal of overcoming human limitations to self-care (Current Nursing, 2020). By focusing on a person’s ability to perform self-care, maintain health and overall wellbeing, this empowers the individual to take responsibility for their health or the health of others (Shah, et. al, 2013). This theory can be highly individualized from patient to patient, or patient’s families, so the application of this theory can differ greatly based on population focus. For example, this theory would be applied differently between adult and pediatric populations based on age and developmental stages. In pediatrics, this theory would likely be heavily geared towards parent support and educations in performing cares. Additionally, this theory can great vary based on specific illness or disease state. For example, I work in a pediatric cardiovascular ICU where the patient’s defect, arrhythmia, or ailment greatly determines their self-care needs. A neonate with a congenital heart defect that is not yet fully repaired may have an oxygen requirement or tube feeding support. In this case, much more teaching would be geared towards the parent’s ability to use/manipulate these new medical devices. On this same unit, I may also take care of an adolescent patient who just had a mechanical valve replacement. Initially post op, this patient may require full or partial cares, and these deficits would change as the patient status improves and once again becomes independent. This same patient may also require teaching involving anticoagulant therapy; many adolescents have the physical and mental capacity to administer their own medications, so teaching and support would be given in this case.
Ultimately, how Orem’s Self-Care Deficit Theory is applied to a population focus is highly variable from situation to situation because deficits can be adaptable and dynamic in nature.
References
Current Nursing. (2020, March 12). Nursing theories: Open access articles on nursing theories and models. https://currentnursing.com/nursing_theory/self_care_deficit_theory.html
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Shah, M., Abdullah, A., & Khan, H. (2013). Compare and contrast of grand theories: Orem’s self-care deficit theory and Roy’s adaptation model. International Journal of Science and Research. https://www.ijsr.net/archive/v4i1/SUB15564.pdf
RESPOND TO GINA HERE
I agree with you Gina that Orem’s theory promotes patient independence over self-care. The theory believes that patient autonomy enables the overcoming of human limitations to self-care. Self-care differs among patients due to their complications and personalities (Younas, 2017). Tailoring patient care based on their needs increases accuracy and service reliability. Tailoring patient services create individualized care. Therefore, Orem’s theory application differs based on the population’s character. The adult patients due to their age and nature of complication they may want unique medical care compared to the young population (Fernandes et al., 2018). Adult patients due to their age they are pre-exposed to various health problems. Orem’s theory flexibility allows nurses to adjust their nursing care based on the condition. The ultimate goal of Orem’s theory is to facilitate self-care. Successful self-care is individualized nursing care that considers patient’s needs. Teaching nurses on understanding patient’s needs is an integral activity towards integrating Orem’s theory. Creating an enabling environment allows patient to disclose their concerns improving healthcare services.
References
Fernandes, S., Silva, A., Barbas, L., Ferreira, R., Fonseca, C., & Fernandes, M. A. (2019, September). Theoretical contributions from Orem to self-care in Rehabilitation Nursing. In International Workshop on Gerontechnology (pp. 163-173). Springer, Cham.
Younas, A. (2017). A foundational analysis of dorothea orem’s self-care theory and evaluation of its significance for nursing practice and research. Creative Nursing, 23(1), 13-23.
MARIA
Re: Topic 5 DQ 2
In Topic 4, I have mentioned the Environmental theory by Florence Nightingale in one of the discussions. This theory is not based on a specific population focus. This can be applied to every individual, families, communities, with no other special populations specified. The reason for this is that the theory is concerned on a person’s health in relation to its environment and the impact of the environment upon them (Gonzalo, 2021). Every person, young or old, has a variety of environmental factors that can be detrimental to their health. However, a person’s environment may also constantly change, temporary or permanent, depending on the circumstance.
The difference that would be observed in this theory would depend on the environmental factors affecting that population focus. An example is when I volunteered for a medical mission before and performed health assessments on families who lived near a mangrove, many of them reported GI symptoms or have history of gastrointestinal-related illnesses (e.g., diarrhea, vomiting, stomach pain). It was reported that the water from the mangrove had somehow entered through a leaked pipe, causing them to consume unclean water. It affected both children and adults. On the other hand, another family that I conducted health assessments on that did not live near the mangrove, exhibited no symptoms, and were all perfectly healthy. The idea here is that these families had different environmental conditions, which led to two different outcomes.
In order for APNs to incorporate this theory into practice, as Nightingale described it, the nursing process should include gathering of information and assessing the information on its relevancy (Tourville & Ingalls, 2003). Also, it is essential that nurses in an inpatient setting be able to provide an environment that fosters healing. Though some of the environmental factors can not be controlled, it is imperative for nurses to take the initiative in configuring the environmental settings appropriate for the gradual restoration of the patient’s health (Gonzalo, 2021). In my future practice, with emphasis in healthcare quality, one of my major goals is to ensure that I implement policies and procedures that promote environmental safety.
References
Tourville, C., & Ingalls, K. (2003). The living tree of nursing theories. Nursing Forum, 38(3), 21-30, 36. doi:http://dx.doi.org.lopes.idm.oclc.org/10.1111/j.0029-6473.2003.t01-1-00021.x
Gonzalo, A. (2021). Florence nightingale: Environmental theory. Nurselabs. https://nurseslabs.com/florence-nightingales-environmental-theory/
NUR 513 Discussion Theory-Based Nursing Practice II
Description:
Select one theory discussed during Topics 4 and 5. Does application of this theory differ based on the population focus (individuals, families, communities, and special populations)? Why or why not? Use examples from your current practice to illustrate differences or similarities.
Topic 5: Theory-Based Nursing Practice II
Description
Objectives:
Discuss relevant theories applicable to advanced nursing practice for individuals, families, communities, and special populations.
Relate nursing theories to your personal worldview.
ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT ONDiscuss relevant theories applicable to advanced nursing practice for individuals, families, communities, and special populations.
Study Materials
Advanced Practice Nursing: Essential Knowledge for the Profession
Description:
Review Chapters 19 and 23 in Advanced Practice Nursing: Essential Knowledge for the Profession.
The Living Tree of Nursing Theories
Description:
Review “The Living Tree of Nursing Theories,” by Tourville and Ingalls, from Nursing Forum (2003).
Competencies Create Expert, Accountable Nurses Delivering Quality Care
Description:
Review “Competencies Create Expert, Accountable Nurses Delivering Quality Care,” by Pirschel, from ONS Voice
(2017).
A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Frameworks
Description:
Review “A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Frameworks,” by Beckstead and Beckstead, from International Journal of Nursing Studies(2006).
Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice, and the ways worldview and nursing theory influence that practice.
NUR 513 Discussion Theory-Based Nursing Practice II
Draft a 1,000-1,250 word paper in which you:
Describe your personal worldview, including the religious, spiritual, and cultural elements that you think most influence your personal philosophy of practice and attitude towards patient care.
Choose a specific nursing theory that is most in line with your personal philosophy of practice and approach to patient care and discuss the similarities. Explain how the nursing theory reinforces your approach to care.
Include in your explanation a specific example of a past or current practice and how your worldview and the nursing theory could assist you in resolving this issue.
Finally, explain how your worldview and the nursing theory will assist you in further developing your future practice.
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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