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Concepts of nursing knowledge
Nursing theories and knowledge
Nursing theories and knowledge
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Empirical knowing is designated as the science of nursing and is expressed as scientific competence (Carper, 1978). A study was conducted to analyze the perception of nursing students when faced the process of death and dying (Silva Oliveira et al., 2016). It was reported that the students shared feelings of fear, sadness, and anxiety in relation to patient deaths due to their level of emotional immaturity and absence of academic preparedness (Silva Oliveira et al., 2016). My feelings of sorrow and grief were consistent with those of the nursing students conducted in the study. Gillan, van der Riet, and Jeong (2014) believe that the insufficient amount of content about palliative care in nursing textbooks is the main contributor to the incompetent
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.
Carper’s (1978) pivotal work of identifying nursing’s ways of knowing was a seminal work that laid the foundation for further analysis. Her ways of knowing have identified methods that have allowed the nursing discipline to further its own knowledge as well as the profession. Two other ways of knowing have emerged, Munall’s (1993) “unknowing” pattern; and also sociopolitical knowing by Zander (2011, p. 9) or emancipatory pattern (Chinn & Kramer, 2011, p. 5). Here these patterns are discussed through experiences in my personal practice.
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 is about my experience not just in nursing but also in life that is applicable in the five ways of knowing, which are Personal, Empirical, Esthetics, Ethical , and Personal Knowing by Carper and Emancipator by Chin and Kramer and are defined by Brugger & Madison (2017) as:
Nursing knowledge is categorized into four different fundamental patterns of knowing. These patterns are empirics, esthetics, personal knowledge in nursing, and moral knowledge in nursing. The patters of knowing are important when it comes to both the teaching and practice of nursing and are crucial within the discipline of nursing as a whole. This paper will summarize the science of nursing, the art of nursing, personal knowledge in nursing, and moral knowledge in nursing and will also apply moral knowledge to nursing practice today. Each of the patterns has equal significance in nursing and all are required to give adequate care to the vast uniqueness of patients.
Theory can be defined and be significant differently for each individual. Theory can be explained as concepts that assist with clarifying, foreseeing or intervening. As Nestel & Bearman (2015) explain “ theory is offered as a framework of ideas, which illuminates simulation-based education practice” (p.349). The framework gives individual complex ideas that transforms over time. Theories are adapted and utilized in different settings such as health care professions. IT motivates and suggests new interventions. Nursing theory is explained as nursing ideas of knowledge, research and practice. The importance of nursing theory has evolved throughout the years and has
The question of existence of the human being is a complicated question, which requires a long discussion. The question of death is sometimes even more complicated. Working as a nurse requires full dedication and a lot of patience. One of the most hard and responsible part of nurse’s work is taking care of the dying patients. This work contains review of the article Phenomenological Study of ICU Nurses’ Experiences Caring for Dying Patients by Phyllis Ann King and Sandra P. Thomas and critique of the phenomenological research.
“Persons intentionally choose to become nurses to help patients meet their health needs,” even when the patient is actively dying. (Wu & Volker, 2012) Hospice nursing and palliative care nursing are both considered end of life care. However, hospice nursing is typically given to patients with a terminal illness and who have less than six months to live. Palliative care is typically given to patients with a life threatening illness, and is used to increase the patient’s quality of life. Choosing a nursing career in either hospice or palliative care can be extremely difficult, but will provide an opportunity for great personal growth. At times, an end-of-life caregiver may feel responsible for their patient’s death, or they may feel isolated due to a lack of support. Nurses new to this field should “feel that their unit acknowledges death as a difficult event and that discussion of death is acceptable in the workplace.” (Lewis, 2013) The most rewarding, and also most difficult, part of being a hospice or palliative care nurse is the ability to be a part of your patient and their family’s life, including their loss, grief, and death. (Wu & Volker, 2012)
As nurses enter into the practice of nursing, they recognize the importance of using their education to guide their actions within the clinical setting. “Theories are pattern that guide the thinking about, being and doing, of nursing” (Parker, 2006, p.8). Comparing theories allows the core structure of the theories to be brought to light, as well as display the merits of using a particular theory while practicing nursing. The theories of Martha Rogers and Betty Neuman were developed at roughly the same point in time, which means that different theories can arise out of the same general world situation. Rogers Science of Unitary Beings illustrates a truly holistic view, as it hypothesizes that human beings and their environment are energy fields which are irreducible elements of the universe. On the other hand, Neuman uses a systematic model to describe human-environment interaction. While these theories have similarities, their differences as models for nursing and in clinical use provide great insight into how important theories are to nursing practice and research. This paper will discuss the theories of Rogers and Neuman, their implications in practice and research, and the future of these theories in nursing. These two theories were chosen because they provide differing perspectives on how humans interact with the world, community and healthcare.
As a nurse it is important to use a framework to which all your care is guided by. Critical aspects that should compose the framework to guide a nurses actions and decisions include the fundamental patterns of knowing, the bioethical principles and the Nursing and the Midwifery Board of Australia codes and guidelines. In the case scenario provided had the nurse Emma considered and used this framework in her actions and decisions the outcome for her patient could have possibly been avoided.
I have learned many things throughout my first semester of nursing school through readings, literature and experiences.
Nursing is a demanding job, requiring a significant amount of knowledge in a multitude of areas including a strong knowledge base of human relationships. Relational practice is an inquiry that is directed by mindfully partaking in a relationship with the client/patient and is the foundation of all nursing practice (CRNBC, 2015). A significant portion of this relationship is my ability to engage in self-observation and reflection that aids me in recognizing and acknowledging what I know and do not know (Berragan, 1998, p. 216, Hartrick Doane & Varcoe, 2015). Hartrick Doane and Varcoe (2015) recognize the difference between knowing and not knowing as imperative to a responsive and safe nursing practice (p. 22). As a student nurse, I recognize the importance of reflection as a means to evaluate how I interact on intrapersonal (internal), interpersonal (external), and contextual (environmental) levels. To grow in my role as a nurse, I must develop strategies that combine my knowledge and my
During my early years in practicing nursing, if asked what my thoughts were on nursing and how I know what I know, my response would have been that nursing was the act of caring for others and the knowledge we learned in nursing school. But throughout the years of education, experience and life my definition of nursing has evolved. I would define nursing as knowledge from inside us that grew and changed as we continue to change and grow in our profession. Nursing knowledge is the knowledge that is important to nurses and patients in understanding human health, which can be used for scientific, ethical and political knowledge. (Clarke, 2011) Knowledge can be learned by caring for the ill, preforming procedures, providing education, support,
1. Utilizes in its practice a unique and well-defined body of knowledge that is intellectual in nature and describes its phenomena of concern.
I was very excited to take Death and Dying as a college level course. Firstly, because I have always had a huge interest in death, but it coincides with a fear surrounding it. I love the opportunity to write this paper because I can delve into my own experiences and beliefs around death and dying and perhaps really establish a clear personal perspective and how I can relate to others in a professional setting.