A blog for students of Instructor Rufus' Nursing In Perspective class.
Tuesday, January 20, 2009
Chapter 5 Discussion: Theories of Nursing Practice
Select a nursing theory that you find most interesting. Then (a) explain the reason for choosing that particular theory, and (b) discuss how the theory could guide nursing practice; use relevant examples from your clinical experiences.
I found J.Watson's " A theory of caring" very intresting.She adopts a view of the human being as a valued person to be cared for, respected, nutured. I think nurse should provide the same level of care to their patients that they would want for their own family members, but that is not the same as " loving your patients" as your own.
I like Watson’s theory (theory of human caring) too. First of all, it is emphasizing that the client should to realize that he/she needs help. From my perspective it could be unethical to offer help for the person if he/she does not feel like he/she needs help. Secondly, I agree that harmony is a part of wellness and every person needs to experience balance and harmony in mind, body, and soul. Also it inspires me to stay in the nursing field because I am looking at nursing as at endless delivery service of proven scientific discoveries for people in order to experience harmony in their life. It is appealing to me that it is an endless process and I like to be a part of it. A hope that nursing knowledge is constantly developing and eventually will bring people in the future closer to harmony, brings harmony to my life and gives me patience for clients and people around me.
A nursing theory that I found most interesting is Betty Neuman’s Systems Model, which focuses on wellness and mitigating stress within three levels of prevention-primary, secondary, and tertiary. In other words, the nurse acts as the promoting agent in assisting the client in adapting and therefore reducing stressors; this supports the notion of prevention through appropriate intervention. I chose this particular theory because it includes my personal mission in nursing of making the given patient well by reducing their stress and helping them coupe with their illness. I want to be the agent between the patient and their family. This theory can guide nursing practice by having the nurse be the teacher of coping mechanisms for the patient and try to keep a patients’ emotional health as positive as can be while they are getting treated for a physical aliment. Nurses can do this by teaching about the necessity of sleep, exercise, and a balanced diet and how to incorporate these aspects to prevent illness or to better treat it. An example from clinical experiences of this theory is when I told a diabetic patient to control his diet by scheduling his meals and snack and informing him of necessary precautions so as to keep his blood glucose stable.
I find theorists, Dorothea Orem, interesting. she adapted and implemented the self care model. Having experieced clients thinking that just because they are in the hospital, they can't do something as simple as wash their face. Having teh client participate in their care encourages their self esteem level. this theory could guide nursing practice in which could relieve stress from the caregivers. I found that some patients did not want to become dependent and nurses sure did not want to become enablers. Self care somewhat motivated the client and perhaps made them feel as though their still in control
I found M. Newman's " Health as Expanding Consciousness" interestin. what i got from this theorist is that people could be sick with an illness but if they feel healthy that is what matters. she believes that the illness is just a way of looking at life from a different perspective and that way they could value their life in a better way.
I chose the Nightengale adaptation theory because the concept of having the patient in a clean environment, with the proper ventilation, a well lighted; decorated if possible room, a decrease in noise and a well balanced diet aides in the healing process. If the patient feels their environment is safe and relaxation is enhanced. The patient is less stressful thereby allowing for healing. This theory has guided the nursing practice because in giving care to patients, an aseptic technique is standard use to maintain cleanliness. It is evidenced that hand washing is the first line of defense in preventing the transmission of infection.
I found is theory very helpful is by Dorothea Orem "self care model" this theory help the client to gain or regain the maximal level of functioning, which enhance sense of well being.
The most interesting theory that I related most with is that of Dorothea Orem. Her theory consists of a self-care model in which nurses facilitate client self-care by finding out what their knowledge deficit is and then teaching or referring them to the appropriate people to assist them. I personally feel that if we teach out clients how to care for themselves and the signs and symptoms of their disease process as well as being self-aware of alterations in health that we can drastically reduce the rate of infirmity. It is our job to provide information and referrals as well as demonstrations as needed so that the client is equiped and able to become an active member of his health and healing process.
On numerous occasions I have been an educator to the clients that I have had in clinicals. Several of my diabetic patients were unaware of the physiologic effects of their disease and were unable to care for themselves in the manner they should have been. With the use of pamphlets and information from my books, the web, and personal experience I was able to provide them with information that they can carry with them for life.
The nursing theory that I find most interesting is 1977, Madeline Leininger, the theory of cultural care diversity and universality. Leininger, theory states that transcultural nursing and caring nursing; concepts are aimed toward caring and the components of a culture care theory; diversity, universality, worldview, and ethnohistory are essential to the four concepts (care, caring, health, and nursing).
The reason that I choose this particular theory is because when caring for a patient one may be faced with that patient’s diversity. Being non-judgmental, a nurse should treat each patient with respect and dignity when it comes to care, caring, health, and nursing. This should happen regardless of the nurses personal feelings.
A relevant example for this theory can be when I was in OB. I was assigned to a woman who had birthed many children, kept none of the children, and had abortions. Regardless of my views on adoption or abortion, I treated this woman no different from any patient I would care for.
The theory that I found interesting is Dorothea Orem and her self-care model. The theory consists of assisting individuals with a self-care deficit to improve their level of functioning.
My psych rotation is example of orem's theory. A bipolar patient just diagnosed voluntarily admitted himself. He had problems coping with his illness and taking his medicine as prescribed. Well with Orem's theory, the nurse was able to apply teach him ways of coping with his illness and to maintain a therapeutic regimine for administering his medications.
The nursing pin reflects the outstanding achievement of the nursing student wearing it. It stands for wisdom, knowledge, and care. That this pin/symbol was earned from dedication and hardwork. It represents the desire to care for the sick.
I was inspired to chose Florence Nightingale because I read in one Psychiatric book a statement made by Sir Isaac Newton(1642-1727) “If we see far today, it is because we stand on the shoulders of giants”. Known as the “Lady with the Lamp” because of her nightly rounds visiting wounded soldiers, Florence Nightingale staunchly worked to better the conditions of the British soldier. With her experience in the Crimean War, she would return home to England a national icon, but would reject any honors placed upon her. She would set up the first school for nurses in London and, as a result, was responsible saving countless lives in the battlefield. The first official nurses’ training program, the Nightingale School for Nurses, opened in 1860. The mission of the school was to train nurses to work in hospitals, work with the poor, and to teach. This intended that students cared for people in their homes, an appreciation that is still advancing in reputation and professional opportunity for nurses today. Florence Nightingale's lasting contribution has been her role in founding the modern nursing profession. She set an example of compassion, commitment to patient care, and diligent and thoughtful hospital administration.
Jean Watson- Theory of human caring. I chose this particular theorist because this is how I approach my patients in my clinical and in my dialysis career today. I've learned through observing doctors, nurses, and technicians. How they approach patients. Those that showed care, and patience had an overwhelming impact on the patient. The demeanor completely changed even if they were in pain they were pleasant. Those that showed a rushing approach was treated with mean and a rough tslking spirit. My way of thinking, treat the patient as if they were your mom or dad. Many nurses use a caring approach, this is not a problem. It is learning how to treat your patients when you are burnt out this is an increasing problem that I have seen even when there is a very caring nurse. Dotson
Yhe nursing theory that I found most interesting is theory of Patricia Benner who talk about nursing as primacy of caring, she went further to expalin that practice of nurses depends on the experience one absorbed by engaging in five practice, novice: this is when one just finish school, did not know much about the practice. The advance beginner, then move to when one is competent and then profiecent and then one now become an expert in teaching, helping, coaching, monitoring. I like this theory because, it talk about the beginning of one as nurse and and the as an expert on the job.Some times the patient have more confident in asking nurses question then asking the doctors, this give the nurse that the confident that they are been valued and thought about.For example, I like to teach patient on CHF, I have read about it and I have the feeling in me that there are many patient out there that needs more teaching on the diagnosis and treament on this disease.It gives me a big challenge nad opportunity to teach people what I ubderstand about the disease nad how I care to help in solving the questions that might be generating inside the patient.In conclusion, nurses are teachers, coach, eduactors, instructors,therapeutic,interventions that monitor and discharging quality os health care practice.
I personally find the theory of Patricia Benner interesting. She believes in the primacy of caring in her nursing role. I believe that you have to first care as a human being in order to do the very best at whatever it is you chose as a career choose. When you care about what you are you are doing you are subject to give your all and implement the best care imaginable. I have seen on many occasions when a person is completing a task for monetary gain, such as not listening to the resident and ignoring their complaints, it is a terrible thing, when a person doesn't care about the role or duty expected. Caring about the job that you do will enable perfection and also provide a genuine connection between the client and the nurse. The clients can sense sincerity and compassion in a nurse.
The nursing theory (interpersonal relations as a nursing process) that I find most interesting is that of Hildegard E. Peplau(1952). I choose this theory because it placed emphasis on the holistic approach. Using this approach in the nursing practice will enable a defined client-nurse relationship and also communicates client centered care as a whole. During clinical in my first semester of nursing school I was assigned a patient who diagnosis is HIV positive and while caring for the patient, the patient verbalized the need for shelter after being discharged from the hospital and I explored different options and resources with the patient.
I like the Dorothy Orem theoery, which focuses on self care. The object of Orem's theory is to restore the individual's self care capability to enable him/her to sustain structural reliability, performance, and growth through purposeful nursing intervention. The client is allowed to do self care as much as they can, this prevents regression and helps maintain maximum function, which also aides in client's self esteem/worth. The nurse will intervene when needed to help client in areas of deficit.
The nursing theory that i find interesting is that of Florence Nightingale which investigates the impact of the environment on healing. I stongly believe in the fact that the environment in which we live has a lot to do about our health and healing in time of sickness. During the time of Nightingale, death rate was reduced because attention was on clean environment to put the sick soldier. In today's nursing, emphasis are on clean techniques to prevent spread of diseases and also to improve the health of people in the society.
Watson's theory of human caring is very intriguing and captivating because it captures the full essence of nursing. It embraces all that the profession of nursing is and should be about. All nurses and aspiring nurses should use this theory as a model for practice.
I chose Florence Nightingale's theory which investigates the impact of the environment on healing. I actual picked this theory because it was an actual reflection of me as a nurse. Ventilation and warming - When I walk into my patients rooms who are mostly on ventilator, I always monitor there breathing and I touch their skin to see if it is warm. It a person is dead the ventilators to not inform you, so you don't know unless you touch the skin and feel for a pulse. Noise - At night I normal turn off the televisions in the patients room because I want to be able to hear any alarms going off or if any "code blues" are being called over the intercom. Variety - I belive that beautiful surroundings make people feel better. Even if the hospital is not the most modern, a nice plant can make a person feel better. Diet - sometimes if a patient does not eat, it doesnt mean that they are not hungry, maybe the food is not appealing to them. Diet is so important, I can't tell you how many times I have taken over a shift where the patient did not eat a good meal and was a diabetic and there blood glucose bottom out. It is important to ask patient what would they prefer to eat. Or to inform the doctor of the appetite and maybe he will order D5W if the patient is NPO for whatever reason. Light - I belive that light helps the depressed patient. I like to keep the blinds open in the rooms and also most depressed patients love to stay in the dark, so I am stickler on light promotion. Chatter Hopes and Advice - It is good to stay within the code of ethics and allow patients and family members to make decisions on their own. As a nurse I can direct them to support groups or places that provide information about their concerns. Nurses should stay away from giving their opinions or giving people false hopes. Cleanliness - Eventhough most of my patients are comatosed, I belive in keeping their rooms clean. I don't wait on my aide to clean it up, it I see clutter I will clean it up myself. I believe that the patients room is a reflection of me the nurse and my hospital. I use to get the flu every year, but since I have been a nurse and wash my hands all the time, I have not caught the flu. Good handwashing can go a long way.
The theory I choose is diet, I like the aspect that we can choose different diet patterns for our patients in the hospitals, nursing homes or rehabilitations.
The way the patients diet that is incorporated that helps the nursing aspect is that we are able to order different diets, different ways and the ways the diet is made up for our patients. For example, if we have a cardiac patient we can order a low sodium diet, or diabetic a low carb diet, or say for instance, we have a patient with no teeth a mechanical soft diet is order.
So there are many ways to help our patients when it comes to the theory of diet, diet if very important for every walk of life.
I found interesting aspects in three theories of nursing. First theory- is interesting – even though old, but -applicable. In the second theory, the nurse plays interesting role. Third one is interestingly close to art.
Nursing Theory: Nightingale’s Theory of Practice. Reason for choosing: simplicity, applicability, universality of its standards. THe theory is cored on the power of environment. How the theory could guide nursing practice/ relevant examples form clinical experience?: I agree that “health depends on cleanness”. There we have universal precautions and washing hands before & after contact with client. Examples where especially cleanness may be needed:bed linens, rooms, walls ect. I think about community hospitals, I think about asthma patients growing number. How it can be managed in community, and what is gonna happened if just beds linens can be changed every week in homes, if room can be dusted each day? I believe it is not about money, time or other excuses, it is about cleanness. In addition to mentioned, I like Nightingale concern about need for quietness (“unnecessary noise hurts patient”, “nurse should guard against sudden noise”, “thoughtless chatter” and nursing station… And that “variety alleviates suffering”, I agree with her - that especially a sick person has need for beauty, colors, fresh air and light (may not always be acknowleged).I see cleanness in America’s “rich” hospitals, not in South Shore Community Hospital. I like Nightingale’s warning about “false hope and hollow advice” which is not helping a patient to face reality but can deeply disappoint him/her.
Nursing Theory: Sister Callista Roy- Adaptation Model: Assistance With the Adaptation to Stressors to Facilitate the Integration Process of the Client. Reason for choosing: Nurse is a change agent, assisting patient in adaptation to new role, or change of role by supporting health and well being, life worth and value, self respect and dignity. How the theory could guide nursing practice/ relevant examples form clinical experience?: Example: 16 years old mother delivered baby. Nurse role as a change agent: to encourage binding between a mother and a child. It can be to assess the client knowledge about benefits of breast feeding. If client is willing -to support breast feeding. Discusses any needs, provides referrals, encourages community parenthood classes participation ect. In other words-a nurse as a changing agent walks with new mother through daily routines of self care and care for new baby, so this 16 years old female client, learns to be confident in her new role- as a mother, and as women who knows where to seek for resources when needed.
The last theory -catched my atention, is Jean Watson –Theory of Human Caring: Transpersonal Caring as the Fulcrum; Philosophy and Sciences the Core of Nursing. Reason for choosing: because it emphasize a deep truth about us as humans; our deep needs – simple presence and acceptance of other humans (not computers or other machines). How the theory could guide nursing practice/ relevant examples form clinical experience? In real life-the goal based on it -will be to help achieve equilibrium (“mind, body, soul”) through conectedness the patient with others. Harmony will be crucial in cancer patient, and mental patient. Can be done by acceptance, professional competence, humbleness, deep respect for individual who struggles with illness- (harmony to achive in a patient, arrounf patient -is it not an art of nursing?)
Nightingale's Theory about the environment. I chose this theory because she made such an impact on nursing. Her theory about the environmental changes and how it can affect a person's ability to heal.
In the beginning of the nursing program, when we focused on the ADL's. We learned how to change the bed, give a bath and oral care. You can see how these things can make a person feel better. If that person has pain, after a bath and putting lotion on their skin, their pain would be decreased.
Theorist Madeline Leininger proposed the theory of cultural care diversity and universality. Transcultural nursing and caring nursing; concepts are aimed toward caring and the components of a culture care theory; diversity, universality, worldview, and ethnohistory are essential to the four concepts(care, caring, health, and nursing. I enjoy this theory because it stresses on promoting quality care and promoting care throughout the world. This theory embraces complex environmental changes and applies the 4 important concepts.
Theorist Madeline Leininger proposed the theory of cultural care diversity and universality. Transcultural nursing and caring nursing; concepts are aimed toward caring and the components of a culture care theory; diversity, universality, worldview, and ethnohistory are essential to the four concepts(care, caring, health, and nursing. I enjoy this theory because it stresses on promoting quality care and promoting care throughout the world. This theory embraces complex environmental changes and applies the 4 important concepts.
I found J.Watson's " A theory of caring" very intresting.She adopts a view of the human being as a valued person to be cared for, respected, nutured. I think nurse should provide the same level of care to their patients that they would want for their own family members, but that is not the same as " loving your patients" as your own.
ReplyDeleteI like Watson’s theory (theory of human caring) too. First of all, it is emphasizing that the client should to realize that he/she needs help. From my perspective it could be unethical to offer help for the person if he/she does not feel like he/she needs help. Secondly, I agree that harmony is a part of wellness and every person needs to experience balance and harmony in mind, body, and soul. Also it inspires me to stay in the nursing field because I am looking at nursing as at endless delivery service of proven scientific discoveries for people in order to experience harmony in their life. It is appealing to me that it is an endless process and I like to be a part of it. A hope that nursing knowledge is constantly developing and eventually will bring people in the future closer to harmony, brings harmony to my life and gives me patience for clients and people around me.
ReplyDeleteA nursing theory that I found most interesting is Betty Neuman’s Systems Model, which focuses on wellness and mitigating stress within three levels of prevention-primary, secondary, and tertiary. In other words, the nurse acts as the promoting agent in assisting the client in adapting and therefore reducing stressors; this supports the notion of prevention through appropriate intervention. I chose this particular theory because it includes my personal mission in nursing of making the given patient well by reducing their stress and helping them coupe with their illness. I want to be the agent between the patient and their family. This theory can guide nursing practice by having the nurse be the teacher of coping mechanisms for the patient and try to keep a patients’ emotional health as positive as can be while they are getting treated for a physical aliment. Nurses can do this by teaching about the necessity of sleep, exercise, and a balanced diet and how to incorporate these aspects to prevent illness or to better treat it. An example from clinical experiences of this theory is when I told a diabetic patient to control his diet by scheduling his meals and snack and informing him of necessary precautions so as to keep his blood glucose stable.
ReplyDeleteI find theorists, Dorothea Orem, interesting. she adapted and implemented the self care model. Having experieced clients thinking that just because they are in the hospital, they can't do something as simple as wash their face. Having teh client participate in their care encourages their self esteem level. this theory could guide nursing practice in which could relieve stress from the caregivers. I found that some patients did not want to become dependent and nurses sure did not want to become enablers. Self care somewhat motivated the client and perhaps made them feel as though their still in control
ReplyDeleteI found M. Newman's " Health as Expanding Consciousness" interestin. what i got from this theorist is that people could be sick with an illness but if they feel healthy that is what matters. she believes that the illness is just a way of looking at life from a different perspective and that way they could value their life in a better way.
ReplyDeleteI chose the Nightengale adaptation theory because the concept of having the patient in a clean environment, with the proper ventilation, a well lighted; decorated if possible room, a decrease in noise and a well balanced diet aides in the healing process. If the patient feels their environment is safe and relaxation is enhanced. The patient is less stressful thereby allowing for healing.
ReplyDeleteThis theory has guided the nursing practice because in giving care to patients, an aseptic technique is standard use to maintain cleanliness. It is evidenced that hand washing is the first line of defense in preventing the transmission of infection.
I found is theory very helpful is by Dorothea Orem "self care model" this theory help the client to gain or regain the maximal level of functioning, which enhance sense of well being.
ReplyDeleteThe most interesting theory that I related most with is that of Dorothea Orem. Her theory consists of a self-care model in which nurses facilitate client self-care by finding out what their knowledge deficit is and then teaching or referring them to the appropriate people to assist them. I personally feel that if we teach out clients how to care for themselves and the signs and symptoms of their disease process as well as being self-aware of alterations in health that we can drastically reduce the rate of infirmity. It is our job to provide information and referrals as well as demonstrations as needed so that the client is equiped and able to become an active member of his health and healing process.
ReplyDeleteOn numerous occasions I have been an educator to the clients that I have had in clinicals. Several of my diabetic patients were unaware of the physiologic effects of their disease and were unable to care for themselves in the manner they should have been. With the use of pamphlets and information from my books, the web, and personal experience I was able to provide them with information that they can carry with them for life.
The nursing theory that I find most interesting is 1977, Madeline Leininger, the theory of cultural care diversity and universality. Leininger, theory states that transcultural nursing and caring nursing; concepts are aimed toward caring and the components of a culture care theory; diversity, universality, worldview, and ethnohistory are essential to the four concepts (care, caring, health, and nursing).
ReplyDeleteThe reason that I choose this particular theory is because when caring for a patient one may be faced with that patient’s diversity. Being non-judgmental, a nurse should treat each patient with respect and dignity when it comes to care, caring, health, and nursing. This should happen regardless of the nurses personal feelings.
A relevant example for this theory can be when I was in OB. I was assigned to a woman who had birthed many children, kept none of the children, and had abortions. Regardless of my views on adoption or abortion, I treated this woman no different from any patient I would care for.
The theory that I found interesting is Dorothea Orem and her self-care model. The theory consists of assisting individuals with a self-care deficit to improve their level of functioning.
ReplyDeleteMy psych rotation is example of orem's theory. A bipolar patient just diagnosed voluntarily admitted himself. He had problems coping with his illness and taking his medicine as prescribed. Well with Orem's theory, the nurse was able to apply teach him ways of coping with his illness and to maintain a therapeutic regimine for administering his medications.
The nursing pin reflects the outstanding achievement of the nursing student wearing it. It stands for wisdom, knowledge, and care. That this pin/symbol was earned from dedication and hardwork. It represents the desire to care for the sick.
ReplyDeleteI was inspired to chose Florence Nightingale because I read in one Psychiatric book a statement made by Sir Isaac Newton(1642-1727) “If we see far today, it is because we stand on the shoulders of giants”.
ReplyDeleteKnown as the “Lady with the Lamp” because of her nightly rounds visiting wounded soldiers, Florence Nightingale staunchly worked to better the conditions of the British soldier. With her experience in the Crimean War, she would return home to England a national icon, but would reject any honors placed upon her. She would set up the first school for nurses in London and, as a result, was responsible saving countless lives in the battlefield. The first official nurses’ training program, the Nightingale School for Nurses, opened in 1860. The mission of the school was to train nurses to work in hospitals, work with the poor, and to teach. This intended that students cared for people in their homes, an appreciation that is still advancing in reputation and professional opportunity for nurses today. Florence Nightingale's lasting contribution has been her role in founding the modern nursing profession. She set an example of compassion, commitment to patient care, and diligent and thoughtful hospital administration.
Jean Watson- Theory of human caring. I chose this particular theorist because this is how I approach my patients in my clinical and in my dialysis career today. I've learned through observing doctors, nurses, and technicians. How they approach patients. Those that showed care, and patience had an overwhelming impact on the patient. The demeanor completely changed even if they were in pain they were pleasant. Those that showed a rushing approach was treated with mean and a rough tslking spirit. My way of thinking, treat the patient as if they were your mom or dad. Many nurses use a caring approach, this is not a problem. It is learning how to treat your patients when you are burnt out this is an increasing problem that I have seen even when there is a very caring nurse. Dotson
ReplyDeleteYhe nursing theory that I found most interesting is theory of Patricia Benner who talk about nursing as primacy of caring, she went further to expalin that practice of nurses depends on the experience one absorbed by engaging in five practice, novice: this is when one just finish school, did not know much about the practice. The advance beginner, then move to when one is competent and then profiecent and then one now become an expert in teaching, helping, coaching, monitoring. I like this theory because, it talk about the beginning of one as nurse and and the as an expert on the job.Some times the patient have more confident in asking nurses question then asking the doctors, this give the nurse that the confident that they are been valued and thought about.For example, I like to teach patient on CHF, I have read about it and I have the feeling in me that there are many patient out there that needs more teaching on the diagnosis and treament on this disease.It gives me a big challenge nad opportunity to teach people what I ubderstand about the disease nad how I care to help in solving the questions that might be generating inside the patient.In conclusion, nurses are teachers, coach, eduactors, instructors,therapeutic,interventions that monitor and discharging quality os health care practice.
ReplyDeleteI personally find the theory of Patricia Benner interesting. She believes in the primacy of caring in her nursing role. I believe that you have to first care as a human being in order to do the very best at whatever it is you chose as a career choose. When you care about what you are you are doing you are subject to give your all and implement the best care imaginable. I have seen on many occasions when a person is completing a task for monetary gain, such as not listening to the resident and ignoring their complaints, it is a terrible thing, when a person doesn't care about the role or duty expected. Caring about the job that you do will enable perfection and also provide a genuine connection between the client and the nurse. The clients can sense sincerity and compassion in a nurse.
ReplyDeleteThe nursing theory (interpersonal relations as a nursing process) that I find most interesting is that of Hildegard E. Peplau(1952). I choose this theory because it placed emphasis on the holistic approach. Using this approach in the nursing practice will enable a defined client-nurse relationship and also communicates client centered care as a whole. During clinical in my first semester of nursing school I was assigned a patient who diagnosis is HIV positive and while caring for the patient, the patient verbalized the need for shelter after being discharged from the hospital and I explored different options and resources with the patient.
ReplyDeleteI like the Dorothy Orem theoery, which focuses on self care. The object of Orem's theory is to restore the individual's self care capability to enable him/her to sustain structural reliability, performance, and growth through purposeful nursing intervention.
ReplyDeleteThe client is allowed to do self care as much as they can, this prevents regression and helps maintain maximum function, which also aides in client's self esteem/worth. The nurse will intervene when needed to help client in areas of deficit.
The nursing theory that i find interesting is that of Florence Nightingale which investigates the impact of the environment on healing. I stongly believe in the fact that the environment in which we live has a lot to do about our health and healing in time of sickness.
ReplyDeleteDuring the time of Nightingale, death rate was reduced because attention was on clean environment to put the sick soldier.
In today's nursing, emphasis are on clean techniques to prevent spread of diseases and also to improve the health of people in the society.
Watson's theory of human caring is very intriguing and captivating because it captures the full essence of nursing. It embraces all that the profession of nursing is and should be about. All nurses and aspiring nurses should use this theory as a model for practice.
ReplyDeleteI chose Florence Nightingale's theory which investigates the impact of the environment on healing. I actual picked this theory because it was an actual reflection of me as a nurse. Ventilation and warming - When I walk into my patients rooms who are mostly on ventilator, I always monitor there breathing and I touch their skin to see if it is warm. It a person is dead the ventilators to not inform you, so you don't know unless you touch the skin and feel for a pulse. Noise - At night I normal turn off the televisions in the patients room because I want to be able to hear any alarms going off or if any "code blues" are being called over the intercom. Variety - I belive that beautiful surroundings make people feel better. Even if the hospital is not the most modern, a nice plant can make a person feel better. Diet - sometimes if a patient does not eat, it doesnt mean that they are not hungry, maybe the food is not appealing to them. Diet is so important, I can't tell you how many times I have taken over a shift where the patient did not eat a good meal and was a diabetic and there blood glucose bottom out. It is important to ask patient what would they prefer to eat. Or to inform the doctor of the appetite and maybe he will order D5W if the patient is NPO for whatever reason. Light - I belive that light helps the depressed patient. I like to keep the blinds open in the rooms and also most depressed patients love to stay in the dark, so I am stickler on light promotion. Chatter Hopes and Advice - It is good to stay within the code of ethics and allow patients and family members to make decisions on their own. As a nurse I can direct them to support groups or places that provide information about their concerns. Nurses should stay away from giving their opinions or giving people false hopes. Cleanliness - Eventhough most of my patients are comatosed, I belive in keeping their rooms clean. I don't wait on my aide to clean it up, it I see clutter I will clean it up myself. I believe that the patients room is a reflection of me the nurse and my hospital. I use to get the flu every year, but since I have been a nurse and wash my hands all the time, I have not caught the flu. Good handwashing can go a long way.
ReplyDeleteThe theory I choose is diet, I like the aspect that we can choose different diet patterns for our patients in the hospitals, nursing homes or rehabilitations.
ReplyDeleteThe way the patients diet that is incorporated that helps the nursing aspect is that we are able to order different diets, different ways and the ways the diet is made up for our patients. For example, if we have a cardiac patient we can order a low sodium diet, or diabetic a low carb diet, or say for instance, we have a patient with no teeth a mechanical soft diet is order.
So there are many ways to help our patients when it comes to the theory of diet, diet if very important for every walk of life.
I found interesting aspects in three theories of nursing. First theory- is interesting – even though old, but -applicable. In the second theory, the nurse plays interesting role. Third one is interestingly close to art.
ReplyDeleteNursing Theory: Nightingale’s Theory of Practice. Reason for choosing: simplicity, applicability, universality of its standards. THe theory is cored on the power of environment. How the theory could guide nursing practice/ relevant examples form clinical experience?: I agree that “health depends on cleanness”. There we have universal precautions and washing hands before & after contact with client. Examples where especially cleanness may be needed:bed linens, rooms, walls ect. I think about community hospitals, I think about asthma patients growing number. How it can be managed in community, and what is gonna happened if just beds linens can be changed every week in homes, if room can be dusted each day? I believe it is not about money, time or other excuses, it is about cleanness. In addition to mentioned, I like Nightingale concern about need for quietness (“unnecessary noise hurts patient”, “nurse should guard against sudden noise”, “thoughtless chatter” and nursing station… And that “variety alleviates suffering”, I agree with her - that especially a sick person has need for beauty, colors, fresh air and light (may not always be acknowleged).I see cleanness in America’s “rich” hospitals, not in South Shore Community Hospital. I like Nightingale’s warning about “false hope and hollow advice” which is not helping a patient to face reality but can deeply disappoint him/her.
Nursing Theory: Sister Callista Roy- Adaptation Model: Assistance With the Adaptation to Stressors to Facilitate the Integration Process of the Client. Reason for choosing: Nurse is a change agent, assisting patient in adaptation to new role, or change of role by supporting health and well being, life worth and value, self respect and dignity. How the theory could guide nursing practice/ relevant examples form clinical experience?: Example: 16 years old mother delivered baby. Nurse role as a change agent: to encourage binding between a mother and a child. It can be to assess the client knowledge about benefits of breast feeding. If client is willing -to support breast feeding. Discusses any needs, provides referrals, encourages community parenthood classes participation ect. In other words-a nurse as a changing agent walks with new mother through daily routines of self care and care for new baby, so this 16 years old female client, learns to be confident in her new role- as a mother, and as women who knows where to seek for resources when needed.
The last theory -catched my atention, is Jean Watson –Theory of Human Caring: Transpersonal Caring as the Fulcrum; Philosophy and Sciences the Core of Nursing.
Reason for choosing: because it emphasize a deep truth about us as humans; our deep needs – simple presence and acceptance of other humans (not computers or other machines). How the theory could guide nursing practice/ relevant examples form clinical experience? In real life-the goal based on it -will be to help achieve equilibrium (“mind, body, soul”) through conectedness the patient with others. Harmony will be crucial in cancer patient, and mental patient. Can be done by acceptance, professional competence, humbleness, deep respect for individual who struggles with illness- (harmony to achive in a patient, arrounf patient -is it not an art of nursing?)
Nightingale's Theory about the environment. I chose this theory because she made such an impact on nursing. Her theory about the environmental changes and how it can affect a person's ability to heal.
ReplyDeleteIn the beginning of the nursing program, when we focused on the ADL's. We learned how to change the bed, give a bath and oral care. You can see how these things can make a person feel better. If that person has pain, after a bath and putting lotion on their skin, their pain would be decreased.
Theorist Madeline Leininger proposed the theory of cultural care diversity and universality. Transcultural nursing and caring nursing; concepts are aimed toward caring and the components of a culture care theory; diversity, universality, worldview, and ethnohistory are essential to the four concepts(care, caring, health, and nursing. I enjoy this theory because it stresses on promoting quality care and promoting care throughout the world. This theory embraces complex environmental changes and applies the 4 important concepts.
ReplyDeleteTheorist Madeline Leininger proposed the theory of cultural care diversity and universality. Transcultural nursing and caring nursing; concepts are aimed toward caring and the components of a culture care theory; diversity, universality, worldview, and ethnohistory are essential to the four concepts(care, caring, health, and nursing. I enjoy this theory because it stresses on promoting quality care and promoting care throughout the world. This theory embraces complex environmental changes and applies the 4 important concepts.
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