A blog for students of Instructor Rufus' Nursing In Perspective class.
Tuesday, January 27, 2009
Chapter 5 Discussion (cont.)
Read an article in a recent issue of Nursing Research; identify the conceptual or theoretical framework and the major concepts described in the conceptual or theoretical framework.
The rationale for incorporating the review of the literature in the research is that when you substantiate what you say, you usually substantiate it through the literature you have read. Therefore, you must document your source for your rationale and your theoretical/conceptual framework. A framework is simply the structure of the idea or concept and how it is put together. A theoretical framework, then, is an essay that interrelate the theories involved in the question. The National Centre for Adult Stem Cell Research (NCASCR) was established by the Australian Government to investigate the biology of adult stem cells and their application in cell transplantation therapies for people with spinal cord injury and with brain disorders and diseases such as schizophrenia, Parkinson's disease, motor neuron disease and multiple sclerosis, disease biology and drug discovery, by using regenerative medicine using the patient's own stem cells for autologous therapies, avoiding technical and ethical complications of other stem cells sources, including immune rejection .
Theorist: Nightingale-Theory: theory of practice /an environmental adaptation. Model: canons of nursing. Concepts: ventilation/warming, noise, variety, diet, light; chattering hopes/advice; Cleanliness (Health of Houses)
Theorist: H.E. Paplau Theory: Interpersonal relationship as a nursing process: Man as an organism that exists in unstable equilibrium Model: Interpersonal relationship as a nursing process. (Psychodynamic model) Concepts: nursing interpersonal process, self awareness.
Theorist: M. E. Rogers Theory: Science of the unitary human being: humans as energy fields that interact constantly with the environment. Model: an energy fields. Concepts: client human unit, energy fields, dimensionality, openness, pattern/ organization, environment as a unified whole, brain integration, human environment synergy
Theorist: D. Orem Theory: self care deficit model -Self care, self care deficit and nursing process Model: self care model Concepts: self care; self care deficit knowledge, structural reliability
Theorist: Sister C. Roy, Theory: Adaptation model -Assistance with the adaptation to stressors to facilitate the integration process of the client. Model: Adaptation model .Concepts: change agent, biopsychosocial client, wellness, self –concept.
Theorist: M. Newman Theory: Health as expending consciousness Model: total person Concepts: wholeness /maximum of total wellness, expending consciousness/ increasing complexity unique patterns of life.
Theorist: J. Watson Theory: Theory of human caring: Transpersonal caring as the fulcrum; philosophy and science as a core of nursing. Model: caring process Concepts: transpersonal caring, interconnectedness, harmony/wellness, disharmony/illness.
Theorist: M. Mischel, Theory: Uncertainty of illness Model: illness uncertainty. Concepts: Uncertainty of illness, stimuli frame, appraisal stage, initiation of coping mechanisms, adaptation.
The article I read was entitled "Testing a Theoretical Model of Perceived Self-efficacy for Cancer-Related Fatigue Self-Management and Optimal Physical Function". The theoretical framework in this article is that there is not a clear understanding of cancer-related fatigue. In addition, the current models and theories do not take the role of self-efficacy into consideration. The major concept/objective of this study was to analyze a hypothesis. The current hypothesis was that a patient's physical function status is directly proportional to patient characteristics, cancer-related fatigue, and self-management. It concluded by noting that patient self efficacy for the management of other symptoms other than cancer-related fatigue influence one another.
The conceptual or theoretical framework of, The Kilauea Volcano Adult Health Study, the article I found in Nursing Research, is a study with the objective of providing the first population-based epidemiological estimates and qualitative descriptions of cardiorespiratory health effects associated with volcanic air pollution. Since the Kilauea Volcano is the largest point source for sulfur and because millions of people reside near active volcanoes, while limited data on effects to human health are available. The major concepts described in the framework are supported in the hypothesis that states that particulate air pollution has an association with adverse cardiovascular functioning. The method used in the study was an environmental-epidemiological design that measured exposure levels of Kilauea's air pollutants through environmental sampling. Prevalence estimates of cardiorespiratory health effects in adults were measured (N = 335) and compared between an exposed and non-exposed reference community. Descriptions of the human-environment interaction with the long-standing eruption were recorded from informants in the natural setting. This emerging environmental health issue is under continuing investigation due to the obtained results. The results of the study showed that ambient and indoor concentrations of volcanic air pollution were above the World Health Organization's recommended exposure levels. In addition, there were statistically significant increased odds associated with exposure for self-reported cough, phlegm, rhinorrhea, sore and dry throat, sinus congestion, wheezing, eye irritation, and diagnosed bronchitis.
According to the National Council of State Boards of Nursing, Inc., Illinois (IL) is not a Nurse Licensure Compact state. The implication for practicing in adjacent states is that you have to re-apply for a nursing license.
If I had the opportunity to modify content in nursing courses, I would add more emphasis on clinical practice. I think that clinical is very important because it gives nurses hands-on experience in the field; therefore preparing them better for their jobs. Clinical allows the individual to practice the necessary skills needed for nursing while they learn more about the field, all at the same time.
Article: The emergence of infection surveillance and contol programs in US hospitals. Theoritical Framework: To assess the current state hospital infection surveillance and control programs nationwide. Concept: to evaluate hospitals infection control method, wether they are supervised by a microbiologist and its correlation with nosocomial rate. It concluded that infection control programs being supervised by microbiologist and physicians resulted in less nosocomial infections than those being supervised by an infection control nurse.
The article that I read in the Nursing Research Journal was “Effects of a Nurse-Managed Program on Hepatitis A and B Vaccine Completion Among Homeless Adults”, Nursing Research. 58(1):13-22, January/February 2009. Adeline Nyamathi; Yihang Liu; Mary Marfisee; Steven Shoptaw; Paul Gregerson; Sammy Saab; Barbara Leake; Darlene Tyler; Lillian Gelberg. In the article the concept was based on evaluating the effectiveness of a nurse-case managed intervention compared with two standard programs regarding homeless adults and HAV and HBV vaccination completion. At the end of the studies the homeless adults would be assessed for completion of the vaccination based on their sociodemographic factors and risk behaviors.
The article I read was in the Sept/Oct 08 issue, the title, "Relationships of Religion and Spirituality to Glycemic Control in Black Women With Type 2 Diabetes". The theory being tested was to see if religion/spirituality in any way changed glycemic control in black women with type 2 DM. According to the findings from the study group it was decided that those who were without the relationships of religion and spirituality had more emotional distress and lacked social support and had less glycemic control. The study looked at 108 women of various backgrounds, all with type 2 DM, and all African American.
The articcle i read was a review on J. Watson theory of human caring which emphasize the responbilities of nurses in caring for their patient. Upholding Watson’s caring theory not only allows the nurse to practice the art of caring, to provide compassion to ease patients’ and families’ suffering, and to promote their healing and dignity but it can also contribute to expand the nurse’s own actualization.
I read an artile that was called, "Translating the Diabetes Prevention Program to Primary Care: A Pilot Study", the study was conducted by nurse practitioners. It focused on people who were obese. at risk for Type II diabestes or were pre-diabetic. The experiement was conducted for several months, implementing educational opportunities such as diet and lifestyle modification techniques etc for the subjects. The end result was that some of the subjects who followed up with the educational tools were able to lose weight and decrease their chances for Type II diabetes, while the others were not as successful.
The article I chose was entitled "Navigating the Perfect Storm: Balancing a Culture of Safety With Workforce Challenges". The theory of this article is dealing with the fact that there has to be a balancing act when dealing with the challenges facing nurses. Some of those challenges being long work hours, too many patients to maintain their safety which leads to possible errors relating to exhaustion.
The article that i read in Sage journal was about study to dtermine if there is signifcant difference in blood glucose sampling at the earlobe relative to fingertip sites. result incidate that finger stick glucose resulted in signficant greater blood sample than the means earlobe glucose result.
The article "Equivalence of Earlobe Site Glucose Testing To Finger Stick. The theorical framework were that a 50-participant cross-sectional compartive design was conducted at a 480-bed community hospital. Four trained data colletors obtained demographic information and blood glucose samples from both the fingertip and earlobe sites, assessing agreement between two methods of clincial measurments. Results indicate that the mean finger stick glucose result was statistically significantly greater than the mean earlobe glucose test. Results suggest that the earlobe may be a viable alternative to exclusive fingertip site when frequent sampling in necessary in acutely ill patients and demonstrate the importance of the role the clinical bedside nurse in implementing evidence-based nursing practice related to diabetes treatment and management
Family violence is complex and many layered. According to a recent article by Edgecombe G. Ploeger titled, "Working with families experiencing violence", Ploeger uses his own theory called the Ploeger Model. This model provides and aids in early identification and intervention using both secondary and tertiary prevention strategies. This theory identifies and makes referrals within a multidisciplinary, collaborative partnership, and a process of mutual clinic supervision. Another feature of the model is "assertive outreach" which assists with early engagement with the family focusing on social support. This framework in assisting families experiencing violence aids in achieving positive outcomes.
My article that I read was about "Home sinus remedy makes a comeback"
In recent studies patients were taught how to use the neti pot that cleanses nasal cavity. Each patient was given an anti-biotic that they did'nt even need. And they were also given placebos and told to wash with ocean spray.
At the end of the article it was proven that just natural remedies helped patients so much more than the prescribed medications.
Getting the Stalled Wound Back on the Road to Healing Volume 55 Issue Number 2009:55 (1) Author: Diane J. Yastrub, FNP-BC, CWCN,CDE
The conceptual framework to wound healing identified in the article involve assessing the wound. It states that wound healing involve four phased systems involving homeostasis, inflammation, proliferation, and maturation. Other health issues can divert the healing process. The main concept is assessing the wound. Once the wound is assessed then the patient can begin healing throught the process of nutrition, pharmacological, and vascular interventions. The theory is similar to Nightingales environment theory. The person must have proper nutrition for healing to take place. The person must receive the proper antibiotics for bacteria from wounds, and also the patients wounds must be cleans and if needed repostioned in order to take pressure off of area.
After reading an article in the American Journal of Nursing titled, Cardiac Rehab: Where are the patients. I came up the the conceptual framework regarding the article being as that research has shown that fewer than 14% of patients that have had an myocardial infarction or coronary bypass grafting surgery (CABG) being only 31% participate in cardiac rehabilitation. Cardiac rehab being a very important after surgery because it entails supervised exercise to improve cardiovascular fitness, nutritional counseling, helping in managing chroniic conditions, and also interventions to quit smoking. I believe as nurses it is absolutely crucial in influencing patients to participate in cardiac rehabilitation and keeping lifestyle modification programs on track. Nurses are the people who most influence patient behavior.
I read an article on Endometriosis. Because the exact cause of endometriosis is unknown, many theorist try to explain the disease. Some theorist believe that the disease may happen as a result of genes or genetic disorders. Some think it may happen as a result of the immune system. Some theorist believe that it may happen as a result of something called retrograde menstrual flow and this happens when the tissue that shed during a woman's menstrual back into the pelvic cavity. Nevertheless, theory and theoretical thinking guides research and practice. Therefore, research is still being done to find the cause of this disorder and theorist may use the conceptual model while in the process.
I read the American Journal of Public Health, December 2008, articel titled "Smoking and Cognitive Decline Among Middle Men and Women: The Doetinchem Cohort Study". This research article's objective was to show the effects of smoking during the middle ages (43 - 70) with the cognitive function of the brain. The study compared nonsmokers and smokers over a five year period.
The results showed that after five years in comparing the baseline data, that smokers scored lower than those that never smoked in global function, speed and flexibility. The conclusion showed that "interventions to prevent or stop people from smoking may postpone cognitive decline in middle aged persons."
The concept here is health promotion and preventing cognitive deterioration. The theory for the study is that smoking has harmful effects on the body.
The rationale for incorporating the review of the literature in the research is that when you substantiate what you say, you usually substantiate it through the literature you have read. Therefore, you must document your source for your rationale and your theoretical/conceptual framework. A framework is simply the structure of the idea or concept and how it is put together. A theoretical framework, then, is an essay that interrelate the theories involved in the question.
ReplyDeleteThe National Centre for Adult Stem Cell Research (NCASCR) was established by the Australian Government to investigate the biology of adult stem cells and their application in cell transplantation therapies for people with spinal cord injury and with brain disorders and diseases such as schizophrenia, Parkinson's disease, motor neuron disease and multiple sclerosis, disease biology and drug discovery, by using regenerative medicine using the patient's own stem cells for autologous therapies, avoiding technical and ethical complications of other stem cells sources, including immune rejection .
Theorist: Nightingale-Theory: theory of practice /an environmental adaptation. Model: canons of nursing.
ReplyDeleteConcepts: ventilation/warming, noise, variety, diet, light; chattering hopes/advice; Cleanliness (Health of Houses)
Theorist: H.E. Paplau Theory: Interpersonal relationship as a nursing process: Man as an organism that exists in unstable equilibrium Model: Interpersonal relationship as a nursing process. (Psychodynamic model) Concepts: nursing interpersonal process, self awareness.
Theorist: M. E. Rogers Theory: Science of the unitary human being: humans as energy fields that interact constantly with the environment. Model: an energy fields. Concepts: client human unit, energy fields, dimensionality, openness, pattern/ organization, environment as a unified whole, brain integration, human environment synergy
Theorist: D. Orem Theory: self care deficit model -Self care, self care deficit and nursing process Model: self care model Concepts: self care; self care deficit knowledge, structural reliability
Theorist: Sister C. Roy, Theory: Adaptation model -Assistance with the adaptation to stressors to facilitate the integration process of the client. Model: Adaptation model .Concepts: change agent, biopsychosocial client, wellness, self –concept.
Theorist: M. Newman Theory: Health as expending consciousness Model: total person Concepts: wholeness /maximum of total wellness, expending consciousness/ increasing complexity
unique patterns of life.
Theorist: J. Watson Theory: Theory of human caring: Transpersonal caring as the fulcrum; philosophy and science as a core of nursing. Model: caring process Concepts: transpersonal caring, interconnectedness, harmony/wellness, disharmony/illness.
Theorist: M. Mischel, Theory: Uncertainty of illness Model: illness uncertainty. Concepts: Uncertainty of illness, stimuli frame, appraisal stage, initiation of coping mechanisms, adaptation.
The article I read was entitled "Testing a Theoretical Model of Perceived Self-efficacy for Cancer-Related Fatigue Self-Management and Optimal Physical Function". The theoretical framework in this article is that there is not a clear understanding of cancer-related fatigue. In addition, the current models and theories do not take the role of self-efficacy into consideration. The major concept/objective of this study was to analyze a hypothesis. The current hypothesis was that a patient's physical function status is directly proportional to patient characteristics, cancer-related fatigue, and self-management. It concluded by noting that patient self efficacy for the management of other symptoms other than cancer-related fatigue influence one another.
ReplyDeleteThe conceptual or theoretical framework of, The Kilauea Volcano Adult Health Study, the article I found in Nursing Research, is a study with the objective of providing the first population-based epidemiological estimates and qualitative descriptions of cardiorespiratory health effects associated with volcanic air pollution. Since the Kilauea Volcano is the largest point source for sulfur and because millions of people reside near active volcanoes, while limited data on effects to human health are available.
ReplyDeleteThe major concepts described in the framework are supported in the hypothesis that states that particulate air pollution has an association with adverse cardiovascular functioning. The method used in the study was an environmental-epidemiological design that measured exposure levels of Kilauea's air pollutants through environmental sampling.
Prevalence estimates of cardiorespiratory health effects in adults were measured (N = 335) and compared between an exposed and non-exposed reference community. Descriptions of the human-environment interaction with the long-standing eruption were recorded from informants in the natural setting. This emerging environmental health issue is under continuing investigation due to the obtained results. The results of the study showed that ambient and indoor concentrations of volcanic air pollution were above the World Health Organization's recommended exposure levels. In addition, there were statistically significant increased odds associated with exposure for self-reported cough, phlegm, rhinorrhea, sore and dry throat, sinus congestion, wheezing, eye irritation, and diagnosed bronchitis.
According to the National Council of State Boards of Nursing, Inc., Illinois (IL) is not a Nurse Licensure Compact state. The implication for practicing in adjacent states is that you have to re-apply for a nursing license.
ReplyDeleteIf I had the opportunity to modify content in nursing courses, I would add more emphasis on clinical practice. I think that clinical is very important because it gives nurses hands-on experience in the field; therefore preparing them better for their jobs. Clinical allows the individual to practice the necessary skills needed for nursing while they learn more about the field, all at the same time.
ReplyDeleteArticle: The emergence of infection surveillance and contol programs in US hospitals.
ReplyDeleteTheoritical Framework: To assess the current state hospital infection surveillance and control programs nationwide.
Concept: to evaluate hospitals infection control method, wether they are supervised by a microbiologist and its correlation with nosocomial rate.
It concluded that infection control programs being supervised by microbiologist and physicians resulted in less nosocomial infections than those being supervised by an infection control nurse.
The article that I read in the Nursing Research Journal was “Effects of a Nurse-Managed Program on Hepatitis A and B Vaccine Completion Among Homeless Adults”, Nursing Research. 58(1):13-22, January/February 2009.
ReplyDeleteAdeline Nyamathi; Yihang Liu; Mary Marfisee; Steven Shoptaw; Paul Gregerson; Sammy Saab; Barbara Leake; Darlene Tyler; Lillian Gelberg. In the article the concept was based on evaluating the effectiveness of a nurse-case managed intervention compared with two standard programs regarding homeless adults and HAV and HBV vaccination completion. At the end of the studies the homeless adults would be assessed for completion of the vaccination based on their sociodemographic factors and risk behaviors.
The article I read was in the Sept/Oct 08 issue, the title, "Relationships of Religion and Spirituality to Glycemic Control in Black Women With Type 2 Diabetes". The theory being tested was to see if religion/spirituality in any way changed glycemic control in black women with type 2 DM. According to the findings from the study group it was decided that those who were without the relationships of religion and spirituality had more emotional distress and lacked social support and had less glycemic control. The study looked at 108 women of various backgrounds, all with type 2 DM, and all African American.
ReplyDeleteThe articcle i read was a review on J. Watson theory of human caring which emphasize the responbilities of nurses in caring for their patient. Upholding Watson’s caring theory not only allows the nurse to practice the art of caring, to provide compassion to ease patients’ and families’ suffering, and to promote their healing and dignity but it can also contribute to expand the nurse’s own actualization.
ReplyDeleteI read an artile that was called, "Translating the Diabetes Prevention Program to Primary Care: A Pilot Study", the study was conducted by nurse practitioners. It focused on people who were obese. at risk for Type II diabestes or were pre-diabetic. The experiement was conducted for several months, implementing educational opportunities such as diet and lifestyle modification techniques etc for the subjects. The end result was that some of the subjects who followed up with the educational tools were able to lose weight and decrease their chances for Type II diabetes, while the others were not as successful.
ReplyDeletepolo
ReplyDeleteThe article I chose was entitled "Navigating the Perfect Storm: Balancing a Culture of Safety With Workforce Challenges". The theory of this article is dealing with the fact that there has to be a balancing act when dealing with the challenges facing nurses. Some of those challenges being long work hours, too many patients to maintain their safety which leads to possible errors relating to exhaustion.
ReplyDeleteThe article that i read in Sage journal was about study to dtermine if there is signifcant difference in blood glucose sampling at the earlobe relative to fingertip sites. result incidate that finger stick glucose resulted in signficant greater blood sample than the means earlobe glucose result.
ReplyDeleteThe article "Equivalence of Earlobe Site Glucose Testing To Finger Stick. The theorical framework were that a 50-participant cross-sectional compartive design was conducted at a 480-bed community hospital. Four trained data colletors obtained demographic information and blood glucose samples from both the fingertip and earlobe sites, assessing agreement between two methods of clincial measurments. Results indicate that the mean finger stick glucose result was statistically significantly greater than the mean earlobe glucose test. Results suggest that the earlobe may be a viable alternative to exclusive fingertip site when frequent sampling in necessary in acutely ill patients and demonstrate the importance of the role the clinical bedside nurse in implementing evidence-based nursing practice related to diabetes treatment and management
ReplyDeleteFamily violence is complex and many layered. According to a recent article by Edgecombe G. Ploeger titled, "Working with families experiencing violence", Ploeger uses his own theory called the Ploeger Model. This model provides and aids in early identification and intervention using both secondary and tertiary prevention strategies. This theory identifies and makes referrals within a multidisciplinary, collaborative partnership, and a process of mutual clinic supervision. Another feature of the model is "assertive outreach" which assists with early engagement with the family focusing on social support. This framework in assisting families experiencing violence aids in achieving positive outcomes.
ReplyDeleteMy article that I read was about "Home sinus remedy makes a comeback"
ReplyDeleteIn recent studies patients were taught how to use the neti pot that cleanses nasal cavity. Each patient was given an anti-biotic that they did'nt even need. And they were also given placebos and told to wash with ocean spray.
At the end of the article it was proven that just natural remedies helped patients so much more than the prescribed medications.
article taken from AJN April 2008.
Getting the Stalled Wound Back on the Road to Healing Volume 55 Issue Number 2009:55 (1) Author: Diane J. Yastrub, FNP-BC, CWCN,CDE
ReplyDeleteThe conceptual framework to wound healing identified in the article involve assessing the wound. It states that wound healing involve four phased systems involving homeostasis, inflammation, proliferation, and maturation. Other health issues can divert the healing process. The main concept is assessing the wound. Once the wound is assessed then the patient can begin healing throught the process of nutrition, pharmacological, and vascular interventions. The theory is similar to Nightingales environment theory. The person must have proper nutrition for healing to take place. The person must receive the proper antibiotics for bacteria from wounds, and also the patients wounds must be cleans and if needed repostioned in order to take pressure off of area.
After reading an article in the American Journal of Nursing titled, Cardiac Rehab: Where are the patients. I came up the the conceptual framework regarding the article being as that research has shown that fewer than 14% of patients that have had an myocardial infarction or coronary bypass grafting surgery (CABG) being only 31% participate in cardiac rehabilitation. Cardiac rehab being a very important after surgery because it entails supervised exercise to improve cardiovascular fitness, nutritional counseling, helping in managing chroniic conditions, and also interventions to quit smoking. I believe as nurses it is absolutely crucial in influencing patients to participate in cardiac rehabilitation and keeping lifestyle modification programs on track. Nurses are the people who most influence patient behavior.
ReplyDeleteI read an article on Endometriosis. Because the exact cause of endometriosis is unknown, many theorist try to explain the disease. Some theorist believe that the disease may happen as a result of genes or genetic disorders. Some think it may happen as a result of the immune system. Some theorist believe that it may happen as a result of something called retrograde menstrual flow and this happens when the tissue that shed during a woman's menstrual back into the pelvic cavity. Nevertheless, theory and theoretical thinking guides research and practice. Therefore, research is still being done to find the cause of this disorder and theorist may use the conceptual model while in the process.
ReplyDeleteI read the American Journal of Public Health, December 2008, articel titled "Smoking and Cognitive Decline Among Middle Men and Women: The Doetinchem Cohort Study". This research article's objective was to show the effects of smoking during the middle ages (43 - 70) with the cognitive function of the brain. The study compared nonsmokers and smokers over a five year period.
ReplyDeleteThe results showed that after five years in comparing the baseline data, that smokers scored lower than those that never smoked in global function, speed and flexibility. The conclusion showed that "interventions to prevent or stop people from smoking may postpone cognitive decline in middle aged persons."
The concept here is health promotion and preventing cognitive deterioration. The theory for the study is that smoking has harmful effects on the body.