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Social cognitive theory case studies
Social cognitive theory case studies
Social cognitive theory case studies
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Desbiens, J., Gagnon, J., & Fillion, L. (2012). Development of a shared theory in palliative care to enhance nursing competence. Journal of Advanced Nursing, 68(9). 2113-2124. doi: 10.1111/j.1365-2648-2011.05917.x. http://search.ebscohost.com/login.aspx?direct=true&db=a9h9AN=78109413&site=ehost-live
Shared Theory
This article addresses the development of a shared theory based upon the Social
Cognitive Theory of Bandura and the Self Care Deficit Conceptual Model by Orem. This shared theory development was done in efforts to improve nursing competence in palliative nursing care. Development of the shared theory is discussed in this article stating the comparison of the social cognitive theory and the conceptual model. Stating the need for more education and training needed for nurses to become more proficient and competent in caring for palliative patients worldwide due to the aging population and a greater number of those with chronic illness as well as the World Health Organization calling for a recommendation of palliative care to be a core requirement in nursing education, training and continuing education, Bandura’s theory and Orem’s model were selected as a shared theory with aims to meet the criteria on both the patient and nursing levels. This article goes on to state that even though on the theoretical level, both the cognitive theory and the conceptual model fit the palliative care needs of self-competence and the influence of nursing interventions, empirical testing and further research to evaluate the effectiveness of this shared theory in the clinical as well as the classroom and training sessions needs to be conducted to prove that this theory will be a solid foundation for palliative care that enhances the comp...
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...red theory to show the relationship of theory to the practice of palliative care in the clinical setting, it is uncertain if this shared theory will improve palliative care practices and nursing competence in caring for the palliative and chronically ill patient. By writing objectively, this article provides valuable information and brings attention to the need for developing indicators to test the shared theory and brings a call to action for education and nursing competence to enhance the quality of life for both nurses and palliative care patients.
Works Cited
Desbiens, J., Gagnon, J., & Fillion, L. (2012). Development of a shared theory in palliative care to enhance nursing competence. Journal of Advanced Nursing, 68(9). 2113-2124. doi: 10.1111/j.1365-2648-2011.05917.x. http://search.ebscohost.com/login.aspx?direct=true&db=a9h9AN=78109413&site=ehost-live
Charalambous, A. (2010). Good communication in end of life care. Journal of Community Nursing, 24(6), 12-14. Retrieved from EBSCOhost.
Nurses are both blessed and cursed to be with patients from the very first moments of life until their final breath. With those last breaths, each patient leaves someone behind. How do nurses handle the loss and grief that comes along with patients dying? How do they help the families and loved ones of deceased patients? Each person, no matter their background, must grieve the death of a loved one, but there is no right way to grieve and no two people will have the same reaction to death. It is the duty of nurses to respect the wishes and grieving process of each and every culture; of each and every individual (Verosky, 2006). This paper will address J. William Worden’s four tasks of mourning as well as the nursing implications involved – both when taking care of patients’ families and when coping with the loss of patients themselves.
Participant 4 stated, “I think just basically being there for the family as well…I think even just a cup of tea can go a long way with any family (McCallum & McConigley, 2013). Another theory that intertwines with Watson’s is Barbara Dossey’s Theory of Integral Nursing. Dossey articulates, “Healing is not predictable, it is not synonymous with curing but the potential for healing is always present even until one’s last breath,” (Parker and Smith, 2015, p. 212). Dossey believes that integral nursing is a comprehensive way to organize different situations in fours perspectives (nurse, health, person and environment) of reality with the nurse as an instrument in the healing process by bringing his or her whole self into a relationship with another whole self. In the HDU, the RN’s interacted with each patient while providing high quality care to create a healing environment for the patient and family even when their prognosis was otherwise. Patient 3 specified that “We still have to provide care...and make the family feel that they are comfortable and looked after” (McCallum & McConigley, 2013). These theories ultimately show the importance of a nurse through the aspects of caring to create and maintain a healing environment that is not only beneficial to the patient but to their loved ones as
It is found that nurses report that their most uncomfortable situations come with prolonging the dying process and some struggle with ethical issues by doing so (Seal, 2007). Studies have shown that implementation of the RPC program and educating nurses have increased the nurses’ confidence in discussing end-of-life plans (Austin, 2006). With confidence, the nurse is able to ask the right questions of the patient and make sure that the patient’s wishes are upheld in the manner that they had wanted, such as to not resuscitate or to make sure their spiritual leader is present when passing (Austin,
This paper explores the personal philosophy I have as a nursing student and what I intend to convey throughout my nursing career. A philosophy is “an analysis of the grounds and concepts expressing fundamental beliefs (Merriam-Webster’s online dictionary, n.d.). Before entering into any profession it is important to evaluate your personal philosophy about the profession, as it pertains to values and principles in which believe in to guide your practice. The field of nursing is more than treating a physiological ailment, but it involves providing quality care for the individualized needs of each patient, hence being client centered. My philosophy of nursing integrates the importance of knowledge base practice of medicine, combined with addressing holistic needs of the patient and family, including the physical, psychological, cognitive, emotional, spiritual and social care (Scottish Intercollegiate Guidelines Network, 2010). Additionally, a vital aspect of nursing is effective interpersonal relationships with other healthcare professionals to promote quality patient care. Moreover, my philosophy includes the importance the client-nurse relationship to aid in health promotion to prevent illness and increase the level of health of clients.
The best way to look at nursing theories is like the foundational block. Nursing theories are important set the tone of how a nurse will practice. A nurse will use intuition, practice, past expertise and events, and couple with learned theories to work every day in order to give the best patient care. it is all the more important to appreciate what first advanced nursing beyond mechanisms of practice to becoming a knowledge-based force in healthcare: That force is nursing theory and the theoretical thinking and research that generate theory. The complexity and depth of nursing are reflected in its structure of knowledge, which includes discipline-specific components such as philosophies, theories, and research and practice methodologies”( Reed, 2006). Patient care is a wide topic, but a key role in a patient’s care is the patient themselves, an educated patient is vital to their well being and higher level of care.
My philosophy of nursing incorporates knowledge, compassion, competence, and respect for each patient. It is based on my personal and professional experiences, both of which have helped me to positively contribute to a patient’s recovery and wellness. These are the attributes that give me a sense of pride and strengthen my commitment to the nursing profession. This paper explores my values and beliefs relating to a patient’s care, as well as, the responsibilities of health professionals.
Palliative care involves the holistic care to maintain and improve the quality of life of the patient and family during hospitalisation until the terminal stage. Palliation of care refers to the multidisciplinary approach of providing comfort and support for the terminally ill patient and family, thus has an important role in maintaining and improving the quality of life of the whole family. Chronic illness such as cancer gives a physiologic and emotional burden for the patient and family. Education and counselling of the possible options as well as treatments for pain and other symptoms that could help alleviate anxiety, suffering and discomfort. Palliative care provides assistance for the family as a channel for communication between the
Nursing theories developed by scientists provide a framework for the process of establishing nursing as a profession with a specific body of knowledge including nursing language, and nurse is able to communicate inside in and outside of the profession. Theory supports and defines nursing practice and is used in practice situation to provide solution to the problem, provides guidelines in patient’s quality care, and helps to resolve nursing challenges. The benefits of middle-range theories found primarily in the research studies to address particular client population, in education, patient
Schubert, P.E. (2003) Caring, Communication and Client Teaching/Learning. In: Hitchcock, J.E., Schubert, P.E. & Thomas, S.A. Community Health Nursing, Caring in Action (2nd Edn). New York: Delaware Learning, pp. 219- 248
Nursing is considered one of the most trusted professions in the world. It is an essential part in the caregiving of sick, injured, and even healthy individuals. Developing a philosophy with any profession is the beginning basis of any practice. The nursing philosophy is usually incorporated from the science of nursing. That is because the field of health care is constantly changing, which causes the need of better competence in the health field of providing caring (Flagg, 2015). With nursing it starts by the science behind it. Then along with knowledge and experiences, that is when the nursing philosophy is developed. Researching differences between new ideas and cultural differences can then expand the viewpoint into a bigger picture.
Theory evaluation often generates new thoughts, strengths, and weaknesses about the theory being examined (McEwen, 2014). Evaluating a theory is important to better understand the structure and its need for use in practice or research. In “Philosophy and Theory of Transpersonal Caring” by Jean Watson she believes that nurses hold an impact that is strongly based on the caring relationship between a nurse and a patient. The theory focuses on how nurses care for their patients, and how that care may help promote, prevent, or restore a patient’s health. Watson states “caring is essential in nursing, and requires the nurse to have a deep connection to the spirit within the self and to the spirit within the patient” (Lachman, 2012, p.112).
Developing a philosophy takes time and is cultivated from many different sources. When working to establish my own theory behind nursing I have determined that the original basis of my philosophy steams from my childhood experiences. As a child growing up in a family with three other siblings, chaos was often guaranteed to occur on a daily basis, but I always worked happily to help my parents diffuse the numerous problematic situations that erupted. From a young age I was identified as the caretaker of my siblings, as a result of always being left in charge of my two younger sisters and one older sister. Caring for others has always been a deeply engrained part of my character, and it is a majorly influential factor that pushed me towards
My journey to nursing began with my personal healthcare experience, and has continued to evolve since entering the nursing program at State University. My personal philosophy of nursing is related my life experience and my personal philosophy of life. Using reflection-on-action, I have begun to understand the influences that have lead me to nursing. I discovered client and family centered care to be an important quality when I look at the influential nurses in my life. To develop a positive therapeutic nurse-client relationship, nurses must integrate all 5 dimensions of the therapeutic nurse-client relationship into their practice (CNO, 2006). When it comes to providing client-centered care, the dimensions of trust, empathy and respect are particularly important (CNO, 2006). Illness can be a traumatic experience for patients and their families, and it is important to be empathetic to the patient’s needs, while still trusting the patient to be an expert in their illness and care.
In conclusion, grief is a universal and personal experience. Every child will experience grief differently. In order for patients to receive utmost care, nurses require thorough knowledge and understanding of the theories and stages of grief and loss Through implementing the practical nursing strategies that have been proposed, the nurse can provide the best possible care to a child and their family that are experiencing grief and loss in the acute care setting whilst also completing the four essential tasks of William Worden’s theory that are required for a child to grieve successfully.