In both, Henderson’s Need Theory and Orem’s Self Care Theory, the ‘role of nursing’ is the core concept. Henderson considered her definition of nursing her ‘concept.’ She defined nursing as, “assisting individuals to gain independence in relation to the performance of activities contributing to health or its recovery,” according to (“Current Nursing: Virginia Henderson’s Need Theory”, 2012). Orem defined nursing as, “actions deliberately selected and performed by nurses to help individuals or groups under their care to maintain or change conditions in themselves or their environments,” (Current Nursing: “Dorothea Orem’s Self Care Theory,” 2012). For both theories, the major assumption is that the nurse will care for the patient until the patient or his or her family can care for the patient. According to the Free Dictionary (2013), a metaparadigm is, “a set of concepts and propositions that sets for the phenomena with which a discipline is concerned.” In both theories, there are metaparadigms that have developed the framework for nursing practice.
Personal Philosophy of Nursing Beverly’s Personal Philosophy of Nursing In order to write a philosophy of nursing, I believe that first one must decide what philosophy means to them. William R. Thomas (2011), director of programs for The Atlas Society, explains philosophy as an inclusive system of ideas about human nature and the nature of the reality we live in. Studies reveal that this system is a guide for living centered on the issues it addresses and determining the course we take in life and how we treat other people is determined by one’s philosophy. Based on this information a nurse’s philosophy of their responsibilities as a member of the health care profession is significant. As a nurse grows with knowledge and experience their philosophy is likely to yield some transformation.
Critical thinking contains a form of discipline, intellectual process of applying skills, and guidance. Nurses use critical thinking in order to make systematic and logical questions in order to maintain quality of care. This requires adherence to intellectual standards, proficiency in using reasoning, commitment to develop and maintain intellectual traits, and the ability for safe decision making. (Critical Thinking and Nursing, 2013) Requirements Critical thinking requires specific skills in order to stand effective. These skills remain a vital role in patient care.
Though nurses generally align themselves with a favorite nursing theorist to form their approach to practice, many concepts are based on the basic metaparadigm of nursing: person, environment, health, and nurse. It is difficult to only utilize one theory as the practice of nursing addresses many different clients, environments and situations. I plan to utilize multiple nursing theories throughout the educational and professional growth process while pursuing a graduate degree: McAuley’s careful nursing philosophy, and professional practice model, Benner’s model of skill acquisition, and Leininger’s culture-care theory. Multiple nursing theorists, as well as those from other disciplines have attempted to define person, health, and environment. These concepts form the foundation, along with the concept of nursing as practice, the basic metaparadigm, or ideology of nursing.
Ida Jean Orlando 1 RUNNING HEAD: IDA JEAN ORLANDO Ida Jean Orlando’s Nursing Process Theory Krystal Farley, RN, BSN Maryville University October 7, 2009 Ida Jean Orlando 2 Abstract The profession of nursing has a very rich history that begins with the most fundamental concepts of caring for and restoring health to those who are impaired. The initiation of providing care requires that information be gathered and organized in such a way that is expedient and effective. It is also required that a nurse’s efforts be used systematically with ease and that through repetition, this basic “framework” that is being formed, is able to be analyzed for its effectiveness, and changes can be made to improve the process or series of actions. Nursing is comprised of objective, measureable data, subjective data, concepts, philosophy, phenomena, and science, just to name a few. With so many components and such a broad scope of information, a framework is required to build ideas and give direction to the ideas that will begin to evolve with this cohesion.
There were quiet a number of areas that were touched on. Below is an illustration of some of the specific areas in nursing that were touched on by the report and the impacts that they had on the nursing profession. Education There is the conventional understanding that for a nurse to attain the RN status, there is the need to have attained the right educational qualifications. The IOM Report (2010) asserted this fact but gave a deeper insight into the nursing education. Since the medical profession is constantly changing nurses need to receive continuing education and training.
Hence, nurses have the responsibility to advocate patients and help them out. Nurses engaged in professional activities should have the manner that protects patients’ autonomy in order to advocate for patients. According to Mahlin’s article, “Individual Patient Advocacy, Collective Responsibility and Activism Within Professional Nursing Associations”, “Patient autonomy is an essential part of patient advocacy” (Mahlin, 2010). Every patient has the right to choose whether to be involved in planning their health plan or not, because patients have autonomy to make the decision. As nurses, we should seek available resources to help patients to formulate decisions to utilize their rights and achieve their expectations if they confront a dilemma or they have inadequate health knowledge.
APNs can facilitate the ability to practice both the art and science of nursing and reduce the chasm between theory and practice by using nursing theory as a foundation. According to Chism, nursing theory is made up of ideas brought together by associated expressions that characterize, clarify, and foretell phenomenon that are in accordance with nursing viewpoints (Chism, 2013). Nursing theory helps to identify what should shape the foundation of practice by clearly describing nursing. It is essential the APN use nursing theory in evidence-based practice, to provide better patient care, improve communication between nurses, and as a guide for nursing research and education. In addition, because the main champion of nursing, caring, cannot be quantified, it is crucial to have a theory to examine and spell out what the APN does.
Through the use of the nursing process all professional standards can be adhered to and patient care can be safely tended to. This essay will discuss planning and delegation of a nursing shift. The registered nurse has responsibility for delegating nursing intervention and remains accountable for those interventions delegated. Appropriate delegation will occur when the registered nurse is aware of professional standards and individual scope of practice of their co-workers. Additionally, the paper will highlight critical thinking and decision making which are important attributes the registered nurse will need to develop along with the ability to provide a suitable handover to appropriately delegate nursing
Introduction Nursing from Nightingale era to the present world has merged as one of the noblest profession, with distinct advancement in nursing research, practices and education. These added enhancements are incorporated by nursing philosophies and theorys that contribute to nursing. Nursing theory is a foundation to any nursing program. It assists as a framework for the practising nurse to learn and apply into the nursing profession, to achieve positive outcomes in practice and client response. Definations and correlation between asumptions and relationships are evolved from the nursing models to provide a systematic approach in the delivery of patient care via describing, explaning, predicting and prescribing (Mckeena, 1997).