Feb 23, 2024 NR 510 DQ 2 Week 2: Theory and APN Role Discussion Part Two
NR 510 DQ 2 Week 2: Theory and APN Role Discussion Part Two
NR 510 DQ 2 Week 2: Theory and APN Role Discussion Part Two
I think work Erikson’s is very important, yet classical model to look at when discussing how it relates to family practice. A nurse practitioner that specializes in family nurse practitioner practice, will have education that goes across the board. During clinical, one will do pediatrics, women’s health, adult and geriatric health. It is important to understand the psychological needs and accomplishments of each age group. Healthcare tries to now look into a patient as a holistic person and not just a person with signs and symptoms and a illness or disease to treat. When caring for a patient, one has to look at the patient mentally, physically, emotionally and even sometimes spiritually. For example with 45 to 65, according to Erickson, they are experiencing generative vs stagnation. People experience a need to create or nurture things that will outlast them, often having mentees or creating positive changes that will benefit other people. Success will equal to feelings of usefulness and accomplishment, while failure results in shallow involvement in the world. 65 and older will be experiencing ego integrity vs despair. This stage takes place after age 65 and involves reflecting on one’s life and either moving into feeling satisfied and happy with one’s life or feeling a deep sense of regret.Success at this stages leads to feelings of wisdom, while failure results in regret, bitterness, and despair. For a nurse or nurse practitioner will do a thorough assessment to examine all avenues of the patient. A patient who is 55 years old might be going thru depression because her only son is in jail and she might feel as though she failed her son. This might cause her to eat less, grow weaker and become non compliant with blood pressure medication. If the NP did not look into this, she would have missed this important factor and just aimlessly order different interventions without examining the psycho social aspect of it. One patient in a clinic who is 69 years old, is generally healthy for their age, happy, compliant with medications might have been satisfied with life, vs the 70 year old patient that did not work in a profession he/she wanted, divorced and has been lonely may be unhappy, unsatisfied and non compliant with medication. Often, nurses and nursing practice becomes busy with different task and interventions to do, however, it is still important to look at the patient holistically. (Dunkel & Harbke, 2017)
Reference:
Dunkel, C., & Harbke, C. (2017). A Review of Measures of Erikson’s Stages of Psychosocial Development: Evidence for a General Factor. Journal Of Adult Development, 24(1), 58-76. doi:10.1007/s10804-016-9247-4
Karen is still not convinced that Theory has any place in APN practice. Provide a specific example of how theory is relevant to APN practice in one of the four specialties (CNM, CNP, CRNA or CNS). Provide evidence to support your arguments.
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The Theory of Modeling and Role-Modeling states nurses should care for each patient with an understanding and respect for the patient’s uniqueness (Currentnursing.com, 2018). This is the basis of Erickson’s theory, which focuses on the patient’s needs and what should be the core of clinical practice. To apply this theory to family practice, the role of the FNP is to facilitate care, nurture the wellness of the client, and to accept the patient’s need for autonomy. The five goals of the theory apply to the practice of nursing, as well as leading nursing organizations’ missions and purposes. One of the first theories that nurses learn is the Code of Ethics. When put into practice, the code is the ethical obligations and duties of every nurse (Judge-Ellis & Wilson, 2017). Erickson’s theory and the Code of Ethics align with each other because both state that nursing goals and interventions should be to build trust between the patient and the nurse, to promote the patient’s autonomy and privacy, and to set health goals that promote the client’s strengths and respects cultural practices. As FNPs engage in family practice, they must apply these values to provide the best care to families.
References:
Currentnursing.com. (2018). Modeling and role modeling theory. Retrieved from http://currentnursing.com/theory/modeling_and_role-modeling_theory.html
Judge-Ellis, T., & Wilson, T. R. (2017). Time and NP Practice: Naming, claiming, and explaining the role of nurse practitioners. The Journal for Nurse Practitioners, 13(9), 583-589. Retrieved from DOI: https://doi.org/10.1016/j.nurpra.2017.06.024
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Also Read: NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One
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