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Evolution of the nurse's role
The roles of the nurse in the community
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Interpretive paradigm supports different ways of viewing the world and acknowledges reality has multiple meanings. In addition, knowledge can be derived from other sources than senses (Monti & Tingen, 1999). In contrast to the empirical paradigm, the interpretive paradigm investigation is on human experience through the eyes of people in their lived situations (Weaver & Olson, 2006). The interpretive paradigm supports holistic nursing practice and “embraces esthetic, ethical and personal knowledge inherent in nursing which are patterns of knowing” essential to nursing practice (Carper 2012; Monti & Tingen, 1999 pp. 71). The contribution to nursing is essential within this paradigm as it looks at subjective experience instead of objective …show more content…
Katharine Kolcaba comfort theory is a middle range theory. Comfort theory developed to look at health practice, education and research. Kolcaba (1990) described comfort as existing in three forms relief, ease and transcendence. Holistic comfort is defined as the experience of being strengthened through having the needs for relief, ease and transcendence met in four context the physical, social, psycho-spiritual and environment (Kolcaba, 2010). The theoretical structure of Kolcaba’s comfort theory contributes to nursing by guiding the work and thinking of all health care providers (March & McCormack, 2009). The comprehensiveness of this theory will benefit nursing practice in theory development and …show more content…
Research and advantages It is advantageous to advocate for change in order to create liberation from social inequalities and oppression. Social critical theory is based on critical and self-reflection which allows increased knowledge of individuals and this knowledge will provide the tools to confront powers of domination and achieve results of emancipation (Mosqueda-Diaz et al, 2014). Butterfield (2013) supports “upstream approach in nursing to understand how the health of individuals are influenced by societal factors. Nurses can contribute by advocating for change with areas of ethics and social injustice. Theory application Feminist theory is an important example of the application of the critical paradigm. It is thought of as situation-specific theory as it applies to intervening with a specific clinical situation that produces a nursing action. Wuest, (2012) notes that the nursing profession has been primarily female dominated through history and the goal of the feminist theory is to eliminate women’s oppression, domination and to enact for social change resulting in empowerment. Furthermore, this is relevant and applicable to the nursing profession since the interest of knowledge discussed above within this paradigm can help create tools for
Nursing theories are based on four meta-paradigms which are commonly accepted in the nursing profession. These include nursing, person, health, and environment. These meta-paradigms are represented in Dr. Barnard’s Nursing PCI
Critical thinking and knowledge are the foundation of nursing practice, and the most essential elements in providing quality nursing care. Nu...
This paper is a first attempt at forming and articulating my own philosophy of nursing.
McIntyre, M. & McDonald, C. (2014). Nursing Philosophies, Theories, Concepts, Frameworks, and Models. In Koizer, B., Erb, G., Breman, A., Snyder, S., Buck, M., Yiu, L., & Stamler, L. (Eds.), Fundamentals of Canadian nursing (3rd ed.). (pp.59-74). Toronto, Canada: Pearson.
My philosophy is based on my personal values and beliefs as it relates to the body of work in nursing. The practice of nursing not only involves applying knowledge but the ability to differentiate the needs of the client and being empathetic to their needs. Hence, the importance of holistic nursing and not only being for the client but for the clients family as well. Holistic nursing is defined as “all nursin...
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.
I still believe that this profession revolves around the nursing metaparadigm, which involves the aspects of nursing, health, the person, and the environment (Bender & Feldman, 2015), but I now see that it is also grounded in critical thinking. This critical thinking allows for nurses to gain a deeper understanding into each aspect of the metaparadigm and without this aspect or lack thereof, Arli, Bakan, Ozturk, Erisik, and Yildirim (2017) believes that the care being provided could be negatively affected. Moreover, while reflecting on what my philosophy entails, I first inquired into what I believe nursing to be. For me, nursing is a profession unlike any other and contrary to what I used to believe in first year, only those who are registered under the College of Nurses can be a part of this profession. It is important to remember that although anyone can help bandage a cut, this does not mean that they are a nurse or part of the profession. The difference between how nurses bandage a cut and everyone else is that nurses do so in a way that is more therapeutic and patient-centred. Next, while exploring my beliefs on the concept of health, I noticed that they parallel the beliefs I had during my first year. To me, health is a holistic concept that will always convey a different meaning for each person. As a result of these differences, nurses must engage in conversation with patients about their perception(s) of their current state of health and what health means to them so that care can be guided accordingly. From here, I thought about the concept of the person and how I originally believed that a patient could only be a single, holistic individual who has specific needs that must be cared for. Despite still agreeing with this, my definition of who the person is has expanded to also encompass the patient’s family and even their community if either/or are said to be within the
As a new nursing student with limited clinical experience, my philosophy of nursing is an area that I am quickly expanding upon each day. It is exhilarating to observe the core aspects that comprise my theory of nursing in practice, such as caring for the individual’s needs or the effects of the environment on a patient. Looking forward into the future, I am eager to add to my nursing philosophy as I continue to gain clinical
This means that it seeks to offer an interpretation of the contextual meaning of phenomena in the world of clinical nursing. She wrote that, in a practice discipline such as nursing, the development of knowledge “consists of extending practical knowledge through theory-based scientific investigations and through the charting of existent 'know-how ' developed though clinical experience in the practice of that discipline” (Alligood, 2014). This is also in line with the hermeneutic approach, which is the analysis of meaningful phenomena in a manner meant to recognize their practical value without influence from prior theoretical assumptions (Alligood,
Since its establishment as a profession more than a century ago, Nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore it is in a constant process of being redefined.
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
Nursing theories are actions care that a nurse provides to a patient to prevent a sickness, maintain and promote health. Many of the theorists contribute to a frame work or a blueprint of how nurses should provide care to patients. Many these theories are part of nursing care and most of them they go hand in hand. Nursing theory aims to describe, predict and explain the phenomenon of nursing (Chinn and Jacobs1978).Nursing is apprehensive with laws and principles governing the life processes and functioning of sick or well human beings. Nursing theories are beneficial in understanding the knowledge of nursing and its application (Smith and Liehr, 2008).
Nursing behaviors that improve patient comfort are as simple as positioning and repositioning, knowing patients special comfort habits, and advocating for family presence (Kolcaba & DiMarco, 2005). It is important to use a measurement tool to assess comfort and remember to reassess for a positive outcome or plan a new intervention. Comfort is associated with the pursuit of healthy behavior, increased patient satisfaction, and better cost-benefit ratios (Kolcaba & DiMarco, 2005). Although Watson’s caring model is a broad philosophy that applies to nursing practice in general, nurses utilizing this theory would find Kolcaba’s middle-range comfort theory aligns well within the framework those
Healthcare professionals must remember that although their following a proven set of guidelines, it is important to treat each patient as an individual as well. The nursing theorists have taken individuality in care into account and mentioned the importance of structuring nursing based on each individual’s needs, (Wadensten and Carlsson, 2003). Diiferent theorists have come up with different points on view on the practice of nursing. For example, Martha Rogers and Betty Neuman are both theorists that developed different theories to describe human-environment interaction. Martha Rogers believed in using three principles; reasonancy, helicy, and integrality to predict human behavior influencing healing. Reasonancy, which relates to wave patterns; helicy, which is concerned with non-repeating rhythmicities; and integrality, which is the continuous mutual human field and environmental field process (Chapman, 1987). Rogers also believed that a patient environment has a direct effect on the healing process. Betty Neuman believed in a holistic view and that we must treat patients as a whole. Neuman also describe nursing interventions as three principles primary, secondary and tertiary preventions. Primary referring to the protection and strengthening of the line of defense, secondary prevention refers to increased resistance factors and reduction in reaction. Tertiary prevention refers to the patients
Introduction Nurses have a vital role in the rapidly changing healthcare setting, which is characterized by critical care patients and shortages of nurses to meet the demands of patient care (Ning, Zhong, Libo, and Qiujie, 2009). Therefore, it is important to maintain a good working environment for nurses. Empowerment is seen as an effective method to advance a nurse’s satisfaction (Ning, Zhong, Libo, and Qiujie, 2009). Empowerment, as stated by Wittmann-Price (2004), is “the process of reaching a more positive state of being, a state of relative freedom in choice by first acknowledging an affective experience of oppression”. The purpose of this paper is to write a narrative about an experience as a student nurse practicing in a clinical setting where we felt oppressed due to class, race, cultural or gender biases.