This paper is going to reflect a serious incident which happened in a psychiatric geriatric ward of mental health hospital. There are a multitude of grand nursing theorists and theories available to nurses for the use of knowledge and adaptation into practice. As time goes on and the science of nursing continues to move in ever diverse directions, it will be increasingly imperative for nurses to hold fast to their roots in the philosophy of caring. This article aims to identify why nursing theory is important in practice. The following text will discuss four particular grand theorists and their theories, as well as a synopsis of which which theorist is most congruent with my personal philosophy of nursing. We contend that Gadow, by making self-direction the essence of care, tends to diminish the intersubjective nature of care. X with post op colostomy.
Are composed of concepts and prepositions. In the past, the nursing profession relied on theories from other disciplines, such as medicine, psychology, and sociology, as a basis for practice. In 1982, Joyce Fitzpatrick published Life Perspective Model. For example, I listen to the concerns of working mothers who wish to breastfeed when they return to work. She born in 1820 in Florence Italy. Theoretical Basis for Nursing Philadelphia.
Attempt to describe, explain, and sometimes predict the relationships among phenomena. Disclaimer Articles published on this site are based on the references made by the editors. Â Additionally, the demands of technological advancement will directly affect the future delivery of care and how that care is delivered to those in need. The activities of living are influenced by biological factors, psychological factors, socio-cultural, environmental and politico-economic factors. This paper is aimed to discuss the practical application of nightingale theory to the care of colostomy patient in hospital setting.
Â However, the quest remains to develop the discipline to expand in knowledge growth. Due to fear of colostomy problem she was afraid of eating as according to her attendant she avoids eating as after eating she develops empting problem. Increases patient satisfaction because the care is standardized by the physician C. The level of the theory is presented as a grand nursing theory based on and interactive process centering on the premise that health is an assessment and that a continuum of health varies from top level wellness to sickness. But only theories provide specific direction to guide practice; conceptual models are more abstract and less specific than theories but can provide direction for practice. The four grand theorists I chose are Virginia Henderson, Peplau, Myra Levine and Jean Watson.
The nightingale model of apprenticeship was. Her stoma was cleaned with antiseptics and colostomy bag was appropriately applied. Based on research studies C. Consequently, the next two blog posts have videos, which, I feel demonstrate the beauty of caring in song and dance during this month of October, national breast cancer awareness month. Which three statements illustrate the value of using evidence-based practice to improve nursing care? I describe three dialectical layers of an ethical cornerstone: subjective immersion, objective detachment, and relational narrative.
I chose to study Dorothy Orem because she is well known in Indiana, the state in which I reside. Nightingale define in detailed construct and abstract concepts of her theory. One example of a type of theory is a nursing theory. Interaction theories and models are based on the relationships among persons 1. Information provided in these articles are meant only for general information and are not suggested as replacement to standard references. This information is based on the Dreyfus Model which was designed by Stuart Dreyfus Benner, 2001.
Middle-range theories are subjected to a more limited scope and are less abstract in that they address specific concepts and reflects nursing practice. In order for this sharing of information and relationship to maintain success, the nurse and patient must feel understood, and the goals must be mutually agreed upon. I was at a loss to see the purpose. One cannot put the same burden or expectation on different levels of theory. The ten carative factors are the structure for the science of caring. Based on the assessment from the self-care agency concept above our patient is a 20yo, female, post-partum via c-section, high school education, African-American, Baptist, acute setting, single, no significant other, father of baby not involved, mother, three younger siblings, urban area, and has limited family support. Comparison of Grand Theorist According to Types Identified by Meleis In these paper four grand theorists were selected and compared according to their educational background, philosophy of nursing, definition of nursing and goal or purpose of theory.
Weight is maintaining and demonstrate progression in weight gaining. Nursing Diagnosis Infection related to the contamination of the wound with feces Impaired Skin Integrity related to skin contamination with feces 5. Tomey and Alligood organized theories by scope. Meleis 2012 defines nursing theory as a conceptualization of some aspect of nursing reality communicated for the purpose of describing phenomena, explaining relationships between phenomena, predicting consequences or prescribing nursing care. Â The focus on improved patient outcome and patient satisfaction will be the future development in nurse theory and middle range theories lend to this development.