Nursing theories are defined as a systematic review of a phenomenon that consist of interconnected concepts. Concept analyses explore the meaning of concepts to promote understanding. They are important to the nursing field, due to the fact, they providing lucidity for our professional nursing practice. Watson (2015) stated that the purpose of a concept analysis is to determine what is known about a concept to assist the researcher in determining appropriate methodologies for additional research on the concept to further science. This paper will conduct a concept analysis on stress among perioperative patients. The Neurman Systems Model focuses on stress reduction and addresses how stress and individual response to it affect the development, …show more content…
The primary aim of nursing is stability of the patient system; this is achieved through nursing intervention to reduce the stressors. Stressors in the intrapersonal, interpersonal, and extra personal environment can influence the potential or actual reaction in system, therefore, the main purpose of nursing is assessing the patient to gain system stability through the attainment, retention, and maintenance optimal health and it is the nurse that creates a link among the client, environment, and health and leads to the stability of the system (Parvan, Zamanzadeh, Dizaji, Mousavi, & Safaie, 2013). The benefit of recognizing stress in perioperative patients are once the stressors are identified by nurses, they can deal with the stressors affecting the patient by manipulating the environment and provide the appropriate care. This author believes that understanding how the individual creates their environment is important in providing nursing care. The purpose of this is to analyze stress among perioperative patients and the significance to nursing …show more content…
Literature shows that providing patient with education prior to surgery decreases stress. Fernandes, Arriaga, and Esteves (2015) tested the impact of an educational multimedia intervention on the cognitive, emotional, and physiological responses of children undergoing surgery. The study was conducted on children assigned to three different groups: an educational multimedia intervention (experimental group), an entertainment video game intervention (comparison group), and a control group (no intervention). Children who received the educational multimedia intervention reported lower level of stress about hospitalization, medical procedures, illness, and negative consequences than those in the control and in the comparison groups (Fernandes, Arriaga, &Esteves, 2015). Their findings suggested that by providing information to children and parents regarding medical procedures and hospital rules and routines preoperative stress or worries was reduced. One of the limitations of this study was small sample size and sampling was restricted to children among various ages. The validity of the research material was supported by reliable studies, used random samples whenever possible, and avoided biases. The overall findings supported the beneficial aspects of by providing patient with education prior to
Concept analysis is essential in nursing to produce a more in-depth understanding of the concept being analyzed; thus, improving nursing practice. The foundation for research and theory is built from concept analysis. The concept being analyzed in this paper is comfort. Comfort is the desired goal in nursing practice. All nursing care, including the nursing process (assessment, planning, implementation, and evaluation) is implemented to obtain the outcome of comfort ("Kolcaba's Theory of Comfort," n.d.). The purpose of this concept analysis is to define comfort, determine the defining attributes, create a conceptual definition, identify antecedents and consequences, identify a model, borderline, and contrary case,
The second concept, the environment, is the setting that can be controlled by the nurse or an individual to augment comfort. (Masters, 2017). In a hospital setting this could include dimming the lights, providing a low stimulation environment, or limiting visitors. Another example may be removing an individual from a situation that is not conducive to healing. Health is the third concept and refers to the orchestration and collaboration of those involved in assisting the patient to a state of well-being. Lastly, the concept of nursing describes the utilization of the nursing process of assessment, planning, intervention to meet the comfort needs of the individual and evaluating the effectiveness of those
These four concepts play a very important role throughout the care in every single patient we are in contact with. The concept of person is used to represent each individual patient, such as a man or a woman (Chitty & Black, 2014). In the nursing profession, we know that every person is different in their own way from many different factors such as, genetics and environment. As a nurse, we incorporate the different factors that make a person who they are today. According to Chitty & Black (2014), the concept of environment includes all the influences or factors that impact the individual. The environment plays an important role in either promoting or interfering with the patient’s health. The environment can consist of many different systems, such as family, cultural, social and community systems. All these different systems can play a role in the patient’s health. The third major concept of the metaparadigm is health. The concept of health varies from person to person and day-to-day with many different factors included (Chitty & Black, 2014). Health includes every part that makes a person whole, which includes being able to perform their everyday tasks in life effectively. The last concept of the metaparadigm is nursing. Nursing, being the final concept includes all the previous concepts of person, environment and health to create a holistic approach (Chitty & Black, 2014). The holistic approach promotes the well-being of the mind, body and spirit in our
The first article that this author chose was A Practical Application of Katharine Kolcaba’s Comfort Theory to Cardiac Patients (Krinsky, Murillo, & Johnson, 2014). This article discusses the application of Katharine Kolcaba’s theory of comfort in the clinical setting with cardiac patients as the focus (Krinsky et al., 2014, p. 147). This article examines the important of a quiet environment for the patients that are healing, especially the patients that have been diagnosed with cardiac illnesses (Krinsky et al., 2014, p. 148). This article explains the important of a quiet and therapeutic environment when the patient is in the emergency room
Medical procedures are a common part of life and elicit a great deal of anxiety among people of all ages. Anxiety is defined as a “diffuse apprehension that is vague in nature and is associated with feelings of uncertainty and helplessness” (Townsend, 2009, p. 15). Children experience high levels of procedural anxiety because they do not understand what to expect and they fear the pain they may experience. I was therefore interested in researching whether the presence of parents during painful procedures decreases anxiety in pediatric patients. My desire to someday work with the pediatric population has intrigued me to further understand the importance of this issue to best meet the needs of the patient and family. The topics to be discussed include the benefits of having parents present during painful procedures, the disadvantages of having parents present, and doctors and nurses attitudes regarding the presence of parents.
The current study exemplifies that distraction in the form of distraction cards, music playback, and balloon inflation with parental/caregiver presence aid in decreasing pain and anxiety in children ages 6-12 years old. One of the primary objectives of child life is to help children to cope with, and to minimize, stress in the hospital environment and during painful or frightening procedures. To achieve that primary objective, while taking the results of the current study into account, child life specialists can work to implement these distraction techniques and encourage caregiver involvement during procedures. Child life specialists need to be cognizant of these results and be able to developmentally identify the most appropriate and worthwhile distraction technique for each patient based on their physical and developmental
WHAT ROLES CAN Manager's PLAYS IN HELPING THEIR EMPLOYEES TO USE A PROBLEM – FOCUSED STRATEGY TO COPE WITH EXCESSIVE JOB STRESS.
The provision of patient/family-centered care, which assure safety and quality in the service, would have a team work approach as a foundation and underpinning. In a healing process or in the preservation of health intervene several factors, some of them are closely related with the environment. Healthcare providers constitute an important part of that environment, and definitely, communication with patients, families, and among themselves, have a significant impact on it. The environment would influence the patient’s perception of care, and the staff’s level of
In less stressful environment, nurses able to incorporate caring relationship, improve interactions between patient and a nurse, and develop understanding of the other person’s perspective (Nicely, K, Sloane, D., Aiden, L., 2012).
To complete this concept analysis, the concept was defined and a literature search was performed. For the purposes of the paper, role stress was the concept and it was defined as “any physical or psychological strain experienced by an individual, who needs greater abilities or resources than available, in order to perform the role which has revealed disparity to the expected role currently being practiced, through an appraisal” (Riahi, 2011, pg. 1). 725). These tools are not great for primary prevention needs (Riahi, 2011). Model Case A model case is an example that uses the concept and combines all the defining attributes of that concept and presented in the literature is the case of Nurse Sarah and nurse Joe.
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
On countless occasions throughout my nursing career, I was privileged to precept senior students and new graduate nurses during their clinical rotation in the Emergency Room where critical thinking is a constant nursing practice. This essential attribute of our profession will serve as a springboard for a comprehensive examination of concept analysis process. Therefore, the initial step in this project should be to establish a definition of concepts which are identified as building blocks of theory. Subsequently, concept analysis is a method of research which " can provide a clarity by investigating these terms through a logical and systematic approach that provides rigorous definitions (Helvig, 2015).
Neuman’s Systems model is comprehensive and dynamic which makes it ideal for both in and out patient settings. In the high stress and high acuity environment of the Intensive Care Unit, ICU, applying such a model can help retain a holistic focus on patients and understanding both actual and perceived stressors in an attempt to regain wellness. Although considered a large deviation from baseline wellness the role of the ICU nurse is to assist patients as far as possible towards wellness, transitioning to lower levels of care with goal of returning home. Author Paul Fulbrook (1991) used the Systems Model to create a unit philosophy that reflected a holistic view and also created a standardized worksheet, to help nurses create a personalized care plan based on each metaparadigm concept in addition to Neuman’s variables, lines of defense and resistance and actual or perceived stressors. (Figures 2-4) The adaptation of the Systems Model in the Portsmouth ICU, helped nurses develop an individualized plan of care and improved total care of both patient and
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
Concepts are essential elements in theories which provide ideas for research in nursing. Concepts give knowledge that can be applied to nursing practice, education and administration. (Parker & Smith 2010). Concept analysis brings about clarity. The methods of concept analysis have the following steps. Select the concepts, determine the purpose of the anaysis, identify all uses, define attributes, a model case of the concept, consequences of the concept, and define empirical references of the concept (Walker & Avant 1995)