Introduction This paper will explore and analyze assessment and interventions pertaining to self-concept and patient behavior. It will also define and compare methodology and nursing process. This paper will be responding to the case studies and questions provided on Canvas.
Case study one
In case study one, a nurse is providing annual examinations for 3 school-aged children. While examining the children the nurse notices that the kids are healthy, but their clothes are messy. She then notices their 40-year-old father, who looks exhausted. When assessing the father, he tells her that his wife died 3 months ago and that he is the only person providing and caring for the children. He also discloses that his employer (from a high-volume accounting
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It is encouraged by the nursing process, which is used by nurses in order to diagnose and treat patients. In a way methodology serves a nursing process of researchers and scientist, along with the scientific method. Methodology is also used in organizations and businesses to find and fix problems and make business decisions. In collecting information it is important to collect as much info as possible to support any claim, theory, or experiment. When seeking data, a person should look into the different methods of collecting data, such as: surveys, interviews, focus groups, and observation. In this case study the nurse could effectively use any of those methods to collect a bunch of info pertaining to her topic of interest. Before outlining a methodology, the nurse should know why and how she gathered her info and what it’s supporting. Very similar to the scientific method, the nurse should have an idea or hypothesis that drives her research. She should document her evidence and her methods of collecting the data. These things should happen when using methodology and the nursing process. The nurse in this case study is seeking info that could help nurses understand patient noncompliance and how to handle it. This nurse has a bunch of opportunities to collect the information she needs to form a methodology. She is in constant contact with patients and colleagues who she could interview or survey at any time. Nurse researchers recognize the need to consult other experts and to consider other organizational patterns (Cravens, pg.140). This nurse also has opportunities to validate her findings for her methodology with her peers and colleagues, just as she would for a nursing
I chose to do a concept analysis on ‘Self-Care.’ The nursing theory that uses this concept is Orem’s theory of nursing. This theory is a grand theory and consists of three minor interrelated theories; self-care, self-care deficit, and nursing systems. (Parker & Smith 2010). Orem defines self-care as when an individual initiates activities and performs to maintain life, health and well-being on their own and self-care deficit as not meeting adequate self-care requisites which include “limitations for knowing, deciding and producing care to self or dependent. (Parker & Smith, 2010)
Self-efficacy: emphasizing that the subject is the primary determinant of the effectiveness of the treatment and valorize the efforts already accomplished.
When performing evidence based practice research, the Iowa Model uses a team or individual approach to assist nurses in the journey to quality care. The Iowa Model begins by offering a process of selecting a proper clinical topic, which is often a recurring problematic issue (Polit & Beck, 2012). This topic is formulated as a question to improve a technique or procedure. Once the researcher determines that an ample amount of reported investigation exists on the desired question, information may be gathered and presented for approval (Polit & Beck, 2012). The research may lead to a gradual change in nursing practice.
The act of self-awareness is built through emotional intelligence which is an important factor in building therapeutic relationship. Nurses should built an understanding of clients health situation considering social, cultural, emotional, physical spiritual and psychological conditi...
Nursing theory is best described as a conceptualization of some aspect of nursing communicated for the purpose of describing, explaining, predicting, and/or prescribing nursing care (Potter & Perry, 2009). One of the most world renown-nursing theorists, Dorothea Orem, believed in the self-care theory, which directs it’s attention on the aspect the self-care needs of the client (2009). As a registered nurse, along with many other accomplishments, she began brewing her theory that guided many nursing schools/institutions in their program of studies. As a nurse, she felt it was necessary to do the things for patients they could not do on their own (Tiaki, 2008). Tiaki feels Orem’s theory is efficient because this theory will help patients to learn the tasks they are unable to do from the nurses, teaching them how to care for themselves (2008). The purpose of this paper is to describe Orem’s historical background, describe her self-care theory, and describe how her theory can be applied into nursing today.
The purpose of this paper is to review the theory of self-regulation and how it can be applied to practice in health care settings to improve patient outcomes. According to Johnson (1997), more than 25 years of research has influenced the development of the self-regulation theory, which is about coping with healthcare experiences. Health problems have shifted from acute to chronic where it has been identified that personal behaviors are linked to over half of societies chronic health problems (Ryan & Sawin, 2009). As the modern nurse strives to provide specialized care and improve patient outcomes, the utilization of nursing theory continues to gain importance. This theory explains how patients use specific types of information to cope with health care events thus providing a rational for selecting information that can be expected to benefit patients. The concept of self-regulation has been a part of nursing practice in a circumlocutory fashion for years. It has been most commonly referred to as self-management creating considerable ambiguity and overlapping of definitions for that term and self-regulation (SR). For the purpose of this paper these terms will imply that people follow self-set goals introduced by their health care provider.
Albert Bandura brought up the self-efficacy theory in 1977. The purpose of this paper is to explain this theory and compare it to my own personal philosophy, as well as explain how my own personal philosophy and the self-efficacy theory are demonstrated in nursing practice.
Firstly one should exactly understand what self-awareness is. Well it is one of the first components of the self-concept to emerge while self-awareness is something that is central to each and every one of us, it is not something that we are aware of at every minute of the day but it appears from different points of time depending on the situation and personality of particular situation or individual. Clients or nurses for that case are not actually born with self-awareness, but it slowly comes with age and growth. According to experts self-awareness is a psychological state in which people are aware of their thoughts, feelings and behavior. Alternately it can be defined as the “realization of oneself as an individual entity” (C...
One of the theories of nursing is Dorothea Orem’s self-care theory, also called the self-care deficit theory. Nursing theories are important for several reasons. The profession is strengthened when knowledge is built on sound theory (Black, 2014). Theory is important for reasoning, thinking, decision-making, and supporting excellence in practice (Black, 2014). Dorothea Orem’s theory is a conceptual model that provides a structure for critical thinking in the nursing process (Black, 2014). A conceptual model provides a comprehensive and holistic perspective of nursing (Black, 2014). Orem published her theory in 1959 and continued to develop her model, eventually formalizing three interrelated theories: theory of self-care, theory of self-care deficit, and theory of nursing system (Black, 2014). The focus of Orem’s model is the patient’s self-care capacity. The process helps to design a nursing process specific to each patient that will provide for the self-care deficit of the patient (Black, 2014). Self-care deficits exist when the patient has limitations and the self-care requirement is greater than he patient’s capacity (Manzini & Simonetti, 2009).
This approach is based on four principles which are; to teach patients to assume their responsibility, to be well informed about their prevailing health issues, make them realize that their cooperation and willingness in treatment and prevention plan is in their own benefit and, let them take their own decisions. As narrated by Taylor (2006), Dorothea E. Orem's Self-care deficit theory of nursing emphasize that "People should be self-reliant and responsible for their
It takes a while to get to know yourself before you are able to care for another person. Studying oneself is challenging because it allows reflection of one’s inner self, exposing your strengths, weaknesses, vulnerabilities, interests, habits, defenses, and values. On the same note, it allows a person to be more familiar with the challenges he or she faces, how they might respond to certain situations, and offers an opportunity for learning and growth. Throughout this paper, I will discuss the various pieces of myself. I will consider my personal and professional life as a nurse, what I might employ as my mental model, which may limit my frame of thinking, how it has shaped me so far in my education, and how I relate to others.
There are three primary concepts in the SCDNT. The concepts are self-care, self-care deficit and nursing systems (McEwen & Wills, 2011). In addition, authors McEwen and Willis breaks down Orem’s self-care theory with several requisites. They are universal, developmental, health deviation and therapeutic (McEwen & Wills, 2011). Plus, concepts of deliberated action and product of nursing are defined.
Self-efficacy, for the purpose of this study, may be defined as a person’s optimistic self-belief. This is the belief that a person can develop the skills to perform new or difficult tasks to cope with changes in health and functioning. When a person perceives self-efficacy, it will facilitate goal-setting, effort, investment, persistence, overcoming obstacles and recovery from disappointments and failures. It can be regarded as a positive outlook or proactive way to handle stress factors. It is the ability to successfully cope with health changes, and implies an internal and stable acceptance of changes and ability to successfully adapt to those changes. Perceived self-efficacy is functional in relationship to behavioral change, and health care maintenance or improvement. In health care, the concept of self-efficacy is important in developing effective strategies for health education and interventions.
The better they know themselves, then the better they will be able to decide what they are thinking and what decisions they are going to make in life. As we all know that it takes time to understand ourselves because everyone is so busy in their own life that they hardly have time to think about their own selves. If a person is self aware then they will be able to handle any problem in life with a happy face. Self awareness is very important because it makes us better people. Some ways which can make nurses better people are ‘empathy, admission, man in the mirror, tolerance, humility and likability’ (source:,,,,,,,,,,,,,). To begin with empathy, it is the ability to see when nurses make mistakes which allows other people to think and make decisions about them. Admission is when people make mistakes but they will not want to admit that they have made mistakes. People hardly realize that they are wrong at first place. They will always think that they are right and if they make some mistakes, they will try to blame others for their mistakes. Man in the mirror is when people are acknowledged in life when they do something good, and which can actually help them to improve their own selves. Hardly p...
Nursing theory can be used to empower nurses by giving autonomy and improve skills. With the rise of healthcare, administrative decisions involving nurses could have a negative effect on patient care. There are four concepts that make up the nursing metaparadigm, person, environment, health and nursing and act as the model for nursing care. All theories in the nursing practice proves valuable within the profession but may vary between different theorists depending on what their beliefs are. Some theorists can view the same situation entirely different. Both Rogers and Neuman were theorist that developed theories for viewing and caring for patients but in two different ways. Professionalization, coherence, and enhanced communication are three arguments when determining the importance of theory in nursing. Multi-disciplinary nursing becomes necessary to achieve positive patient