Feb 23, 2024 NRS 430 Nursing Theory and Conceptual Model Presentation
NRS 430 Nursing Theory and Conceptual Model Presentation
NRS 430 Nursing Theory and Conceptual Model Presentation
Nurses constitute a critical part of the healthcare system. As practitioners, they leverage various theories to offer care. These models allow the to use various approaches to patient care and community health. Nursing theories offer a systematic way of executing nursing practice to achieve quality outcomes. These theories include various components of healthcare and the setting that influence care delivery (Younas, 2019). The theories focus on four nursing metaparadigm comprising of person, health, nursing, and the environment (Deliktas et al., 2019). The aim of this presentation is to describe Dorothea Orem’s self0care theory and its conceptual model. The presentation illustrates how the policy can be applied in nursing settings.
The presentation’s objectives entail providing an overview of Dorothea Orem’s self-care theory, and evidence to support its efficacy in nursing practice. The presentation also explains and demonstrates the theory’s conceptual model. It also explains the integration of the four metaparadigm concepts into the theory. The presentation also shows three evidence-based illustrations of self-care model’s support for the nursing practice based on rationales.
Dorothea Orem made important and long-term impact in nursing through her self-care theory. Born in 1914, Orem worked in different parts in the country to advance the nursing profession before her demise in 2007 (Younas, 2019). Orem developed her nursing model in 1971 and was vital in assisting to shape the holistic approach nurses use towards patient care. Using the theory, nurses can determine the aspects of care they should emphasize. Self-care model also emphasizes the critical role played by patients play in maintenance of autonomy over the nursing processes.
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The theory explains that nurses should intervene in patient care by helping them to make independent decisions based on their autonomy. The theory advances that all people have the ability to care for themselves if given right information and incentive. The model comprises of self-care, self-deficits and theory of nursing system.
According to Orem, Self-care emanates from actions that individuals freely and deliberately start and execute on their own to maintain life, health and wellness based on their environment. deficit occurs when one requires nursing due to incapacitation in providing self-care (Wills, 2019). The nursing system focuses on the interactions between nurses and patients as well as the wholly or partial compensatory nursing system and supportive-educative model that occurs in healthcare settings.
The efficacy of self-care theory is buoyed by diverse study findings which illustrates that health professionals leverage the model to lower costs, develop quality care interventions and allows faculty members to reduce the gap between theoretical aspects and practice for nursing students (Maslakpak et al., 2019). The model helps in enhancing patient outcomes and as it can be used to evaluate appropriate interventions for better results and maintenance of autonomy for patients.
The self-care model focuses on patient care and assists nurse practitioners to think and interact well with patients and colleagues. The framework is vital in development of nursing school curriculum and improving quality of nursing care for patients in different settings by leveraging interventions which are self-sustaining and initiated by patients or individuals in need of care. The self-care model’s primary objective is to ensure that an individual returns and maintains their former state of health and this allows providers to customize care interventions based on patients and their practice settings (Wills, 2019).
The Model’s Conceptual Framework includes three areas: Self-care, self-care deficits and Nursing Agency. Self care contains two aspects that comprise of self-care agency and self-care demands. The self-care agency advances that an individual can care for themselves based on their age, life experience, and sociocultural orientation health and accessible resources (Wazni & Gifford, 2017). The second concept is the therapeutic self-care demand which denotes to the totality of self-care where one performs actions to meet the self-care needs or requisites using acceptable approaches. The self-care requisites are things needed by individuals at al stages of life to care for themselves.
The four Metaparadigm model comprises Person, Environment, Health and Nursing.
The metaparadigm on person and environment requires providers to assess individual abilities of the patient and the influence of their environment in care provision. The person entails the individual getting nursing care. The self-care model incorporates person metaparadigm as it focuses on holistic approach to care. The model implores one to use learned behavior and instincts to meet their needs (Bender, 2018). The model also encourages learning about one’s self-care needs for effective care delivery.
The environment metaparadigm advances that environment influences one’s health care and the interventions they can take to attain better outcomes. The self-care model emphasizes the need for one to be in appropriate environment and understand their external and internal systems to attain better care. The self-care model is categorical that external environment is essential as it meets the universal requisites like access to water, and food among other aspects.
The metaparadigm on person and environment requires providers to assess individual abilities of the patient and the influence of their environment in care provision. The person entails the individual getting nursing care. The self-care model incorporates person metaparadigm as it focuses on holistic approach to care. The model implores one to use learned behavior and instincts to meet their needs (Bender, 2018). The model also encourages learning about one’s self-care needs for effective care delivery.
The environment metaparadigm advances that environment influences one’s health care and the interventions they can take to attain better outcomes. The self-care model emphasizes the need for one to be in appropriate environment and understand their external and internal systems to attain better care. The self-care model is categorical that external environment is essential as it meets the universal requisites like access to water, and food among other aspects.
Description:
This is a Collaborative Learning Community (CLC) assignment.Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 1015 slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:1. Present an overview of the nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model.2. Explain how the nursing theory incorporates the four metaparadigm concepts.3. Provide three evidence-based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each.Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.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. Refer to theLopesWrite Technical Support articles for assistance.
Topic 3 DQ 1Description:How has nursing practice evolved over time? Discuss the key leaders and historical events that have influenced the advancement of nursing, nursing education, and nursing roles that are now part of the contemporary nursing profession.Topic 3 DQ 2Description:Discuss the difference between a nursing conceptual model and a nursing theory.Select a nursing theory and provide a concise summary of it. Provide an example in nursing practice where the nursing theory you selected would be effective in managing patient care.Topic 3 ParticipationDescription:NA
View “Beginner’s Guide to PowerPoint – 2017 Tutorial,” by Technology for Techers and Students (2017), located on the YouTube website.
Nursing TimelineDescription:View “Nursing Timeline,” located on the Grand Canyon University website.What Is Nursing?Description:Review “What Is Nursing,” located on the American Nurses Association (ANA) website.Grand Canyon University College of Nursing and Health Care Professions PhilosophyDescription:Read “Grand Canyon University College of Nursing and Health Care Professions Philosophy.”
Dynamics in Nursing: Art and Science of Professional PracticeDescription:Read Chapter 2 in Dynamics in Nursing: Art and Science of Professional Practice.Beginner’s Guide to PowerPoint – 2017 TutorialDescription:Topic 3: Nursing History, Theories, and Conceptual Models
Description
Objectives:
1. Describe how historical events and nursing leaders have influenced the practice of nursing.2. Evaluate the use of nursing theory in nursing practice.3. Evaluate the use of conceptual models in nursing practice.Study MaterialsCourse Code Class Code Assignment Title Total PointsNRS-430V NRS-430V-O503 CLC – Nursing Theory and Conceptual Model Presentation 150.0
Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (75.00%) Satisfactory (79.00%) Good (89.00%) Excellent (100.00%)Content 100.0%Overview of Nursing Theory and Evidence for Model Efficacy in Practice 15.0 percentage point There is no overview of nursing theory provided. The demonstration of the model’s efficacy in nursing practice is omitted. There is no explanation of how the theory proves the conceptual model. A brief overview of nursing theory is provided. Support for the model’s efficacy in nursing practice is not illustrated, or the evidence provided is irrelevant. It is presented an unsupported explanation of how the theory proves the conceptual model. There are numerous inaccuracies. More information is required. A nursing theory summary is provided. There is general support for the model’s efficacy in nursing practice, but more evidence is needed to back it up. There is a general explanation of how the theory proves the conceptual model. There are some mistakes. A summary of nursing theory is provided. There is evidence to support the model’s efficacy in nursing practice. It is presented an explanation of how the theory proves the conceptual model. There are a few minor errors. For support, some evidence or reasoning is required. A comprehensive overview of nursing theory is provided. The model’s efficacy in nursing practice has been strongly demonstrated. There is a detailed explanation of how the theory proves the conceptual model.
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Incorporation of Four Metaparadigm Concepts Into Nursing Theory 10.0% Explanation of how the nursing theory incorporates the four metaparadigm concepts is omitted. A partial explanation of how the nursing theory incorporates the four metaparadigm concepts is presented. There are inaccuracies. More information is needed. A summary of how the nursing theory incorporates the four metaparadigm concepts is presented. There are some inaccuracies. More information or detail is needed. An explanation of how the nursing theory incorporates the four metaparadigm concepts is presented. Some detail is needed for clarity. Overall, the explanation provides sound support. A through explanation of how the nursing theory incorporates the four metaparadigm concepts is presented. Compelling evidence is provided for support.
Examples of Evidence-Based Nursing Theory that Supports Nursing Practice 15.0 percentage point There are no examples given to show how nursing theory supports nursing practice. The three examples used are either not evidence-based or do not show how nursing theory supports nursing practice. There are only one or two examples provided. Only one example is supported by evidence. The examples given do not adequately demonstrate how nursing theory supports nursing practice. Three examples are given. At least two of the examples are supported by evidence. In general, the examples provided show how nursing theory supports nursing practice. More pertinent examples are required. There are three evidence-based examples provided. Overall, the examples are applicable and show how nursing theory supports nursing practice. To fully demonstrate support, some additional evidence or reasoning is required. There are three evidence-based examples provided. The examples are pertinent and clearly show how nursing theory supports nursing practice. Strong rationales and evidence are provided to support each example.
Presentation of Content 40.0% The content lacks a clear point of view and logical sequence of information. Little persuasive information is included. Sequencing of ideas is unclear. The content is vague in conveying a point of view and does not create a strong sense of purpose. Some persuasive information is included. The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other. The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Persuasive information from reliable sources is included. The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.
Layout 5.0% The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident. The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text. The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability. The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text. The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.
Language Use and Audience Awareness (includes sentence construction, word choice, etc.) 5.0% Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately. Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately. Language is appropriate to the targeted audience for the most part. The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly. The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Slide errors are pervasive enough that they impede communication of meaning. Frequent and repetitive mechanical errors distract the reader. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Slides are largely free of mechanical errors, although a few may be present. Writer is clearly in control of standard, written, academic English.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Kolcaba developed the comfort theory after conducting a conceptual analysis of the term in various disciplines such as medicine, nursing, psychology, and psychiatry. The theory is a middle-range theory that focuses on placing patient comfort as the main aspect of nursing care. To Kolcaba, nurses provide comfort to patient when they engage in holistic nursing (Coelho, Parola, Escobar-Bravo & Apóstolo, 2016).
Holistic comfort refers to the immediate strength that patients experience when their needs are met by nurses who are their caregivers. The comfort theory not only assumes that patients need comfort, but also that nurses have the ability to identify comfort needs and ensure that patients experience holistic comfort (Coelho, Parola, Escobar-Bravo & Apóstolo, 2016).
Comfort: this is a concept that strengthens patients and is achieved using comforting actions conducted by nurses during healthcare.
Intervening variables: Factors such as social support, finances, and prognosis that do not change during healthcare and healthcare providers have no control over them. They should be considered by nurses when determining interventions that lead to patient comfort.
Healthcare needs: the needs of patients in healthcare settings.
Enhanced comfort: A desirable outcome that occurs after nurses implement appropriate interventions to meet the comfort needs of a patient.
Institutional integrity: the wholeness, values, and financial stability of healthcare organizations at national, state, regional, and local levels. When nurses engage in comfort care, they promote institutional integrity.
Best practices: these are procedures and protocols developed by healthcare institutions for specific patients after assessments. Comfort needs are patient-specific hence best practices should focus on patient-centered care.
Best policies: Overall procedures and protocols developed by healthcare institutions for use in evidence collection. They should facilitate the identification of patients’ comfort needs (Coelho, Parola, Escobar-Bravo & Apóstolo, 2016).
The comfort theory proves the conceptual model because it encourages the determination of the healthcare needs of a patient and the use of comforting interventions to deal with these needs. In addition, the theory emphasizes on the need of considering intervening variables when providing comfort needs as a way of achieving enhanced comfort.
The comfort theory describes nursing as a process that should involve the identification of the comfort needs of a patient, determining and implementing the most appropriate care plans, and conducting evaluations to determine if the plans meet the comfort needs of the patients. Intervening variables are those that are not controlled by healthcare providers but they affect the patient’s comfort such as availability of social support or finances. It is important to consider these variables before determining effective interventions (Coelho, Parola, Escobar-Bravo & Apóstolo, 2016).
When patients are comfortable, they become satisfied with the care they receive. Since patient comfort involves taking care of their physical, spiritual, social, and environmental needs, comfort leads to good patient outcomes which is a crucial healthcare outcome. Patient satisfaction with care also leads to good reputations for healthcare organizations (Coelho, Parola, Escobar-Bravo & Apóstolo, 2016).
Types of comfort
According to the diagram, there are three types of comfort: relief, ease, and transcendence.
Relief: The feeling experienced when an individual’s specific comfort needs are met.
Ease: the state of being contented or calm.
Transcendence: a state where an individual has the ability to rise above pain problems.
Comfort occurs in four contexts: physical, environmental, psychospiritual, and sociocultural.
Physical: Comfort that pertains to bodily functions such as immune function, bodily sensations, and homeostatic mechanisms.
Environmental: Comfort that pertains to the external surrounding of the patient such as sound, light, odor, temperature etc.
Psychospiritual: Comfort that pertains to a patient’s internal self-awareness such as their identity, self-esteem, sexuality, and religion.
Sociocultural: Comfort that pertains to the interpersonal relationships of a patient including relationships with family and friends (Coelho, Parola, Escobar-Bravo & Apóstolo, 2016).
The four metaparadigm concepts include nursing, patient, environment, and health. in the comfort theory, nursing practice should involve the intentional assessment of patients’ comfort needs as a way of determining the needs and developing strategies to meet these needs. The term patients refers to people in need of healthcare such as families, individuals, and members of the community (Krinsky, Murillo & Johnson, 2014).
Patients are greatly influenced by environmental factors. According to the comfort theory, the environment refers to external factors such as light, sound, and odor that influence the patient’s comfort.
Patients are said to be at god health when they have optimal functioning at physical, mental, and psychological levels. enhanced comfort promotes optimal functioning (Krinsky, Murillo & Johnson, 2014).
The comfort theory considers nurses as very important aspects of patient care, hence it supports nursing practice. the theory explains that nurses are in charge of assessing, identifying, and meeting the care needs of patients in any healthcare setting. The theory also encourages holistic comfort among nurses which implies that the theory views nurses as important professionals (Wensley, Botti, McKillop & Merry, 2017).
The comfort theory also supports patient-centered care which is a critical component of nursing practice. the theory encourages nurses to assess each patient individually and to determine the individual needs and interventions for the patients (Wensley, Botti, McKillop & Merry, 2017).
To successfully determine a patient’s comfort needs, nurses must develop a therapeutic relationship with their patients. nurse-patient relationships are critical in nursing practice because they transform patient experiences and ensure that the nurse, who is part of the patient’s environment, interacts well with the patient (Kornhaber, Walsh, Duff & Walker, 2016).
NRS 430 Nursing Theory and Conceptual Model Presentation References
Coelho, A., Parola, V., Escobar-Bravo, M., & Apóstolo, J. (2016). Comfort experience in palliative care: a phenomenological study. BMC Palliative Care, 15(1). doi: 10.1186/s12904-016-0145-0
Kornhaber, R., Walsh, K., Duff, J., & Walker, K. (2016). Enhancing adult therapeutic interpersonal relationships in the acute health care setting: an integrative review. Journal Of Multidisciplinary Healthcare, 9, 537-546. doi: 10.2147/jmdh.s116957
Krinsky, R., Murillo, I., & Johnson, J. (2014). A practical application of Katharine Kolcaba’s comfort theory to cardiac patients. Applied Nursing Research, 27(2), 147-150. doi: 10.1016/j.apnr.2014.02.004
Wensley, C., Botti, M., McKillop, A., & Merry, A. (2017). A framework of comfort for practice: An integrative review identifying the multiple influences on patients’ experience of comfort in healthcare settings. International Journal For Quality In Health Care, 29(2), 151-162. doi: 10.1093/intqhc/mzw158
Nurses have taken on lots of responsibility recently. These responsibilities include discussing care plans and interventions with the interdisciplinary team to achieve patient satisfaction. Nursing requires lots of critical thinking, making the need for higher education and training essential. Technology has made a massive transformation when discussing healthcare. Patients can research any diagnosis or illness online and, within seconds, receive healthcare advice. The development of technology made documentation for nurses simpler. Staff communicate with each other easier rather than hunting them down physically for information. Systems like omnicell and pyxis work wonders when assisting with medications. They provide safety features so you cannot override a medicine or only pull out medicine with a doctor’s order. These practices would not be in place if it hadn’t been for Florence Nightingale, Virginia Henderson, or any other influential nurse leader. Nursing will continue to grow, and new research will always be completed to improve patient safety and quality.
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