Concept Analysis – Adaptation Introduction
A concept is a general idea, plan or understanding of something. The concept of adaptation is something that affects every living being, from a one celled organism all the way up to human beings. We all must adjust and acclimate in order to survive. I will explore what adaptation is, as well as how it applies to our nursing careers. We often research concepts in order to give them a true and in depth meaning. The meaning is something that moves us to think deeper and allows us a better understanding about the subject. It may be a source for change in our lives. I will discuss adaptation in relation to nursing and health, as well as climate
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The following case will describe the importance of the process of adaptation. John is a 70 year old male newly diagnosed with CHF. He lives with his wife and has been retired for five years. The doctor has given the discharge orders. I will teach him about the disease before he leaves the hospital. The education started three days ago on admission. As the nurse I educate him on the six bullet points of CHF and describe the importance of this information. This begins to give John the awareness about the need for change. Next is motivation. John is very willing to take in all the information and asks questions about the low salt diet. Case management is involved to make sure John is able to buy the new medications prescribed and sets up a visiting nurse to make sure John succeeds at home. I ask John to tell me what he remembers about CHF. He does very well, with his wife’s help recalling many of the important facts. He is reminded he will have the written material to refer back to. John was called a couple days after discharge and is doing well. He takes the medications as prescribed and is weighing himself every day. John has remained out of the hospital and it has been over six months. This is a case of positive adaptation. John was able to incorporate a low salt diet; he is losing weight, and has stopped smoking. John …show more content…
Adaptation is a difficult concept to measure. We may use surveys or interviews, which allows the public to be a part of the decision making process. This helps us gather useful information in order to better understand the adaptation process. How do we define what effective adaptation is? Is it relevant, which means is it important? Is it effective, does it have the ability to produce a desired result? Is it efficient, this is often measureable and has the capability of bringing about a desired result with little waste. Is it sustainable, the ability to continue for a long period of time? I found a couple tools. The first is related to CHF patients and how they manage their
Case managers use this process to coordinate patient care, which influences both care and financial outcomes. The case manager will assess the patient and family/caregivers needs and knowledge on CHF, then provide resources and services to match. The patient is called within 3 days after discharge for education reinforcement and to answer any questions they may have. The case manager will also schedule a follow-up appointment with an outpatient clinic within a week. The patient will be assessed for symptoms associated with CHF and a medication reconciliation may be done (CHRT,
Takeda, Taylor, Khan, Krum, & Underwood. (2012) states ‘(1) case management interventions (intense monitoring of patients following discharge often involving telephone follow up and home visits); (2) clinic interventions (follow up in a CHF clinic) and (3) multidisciplinary interventions (holistic approach bridging the gap between hospital admission and discharge home delivered by a team). The components, intensity and duration of the interventions varied, as did the ‘usual care’ comparator provided in different trials’. (P. 2).
Excluding the presence of CHD, persons within the CHD cohort were found to have a greater number of chronic conditions on average than those without CDH (CHD: 3.2 ± 1.7 non CHD 2.5 ± 1.4, p<0.0001) (Figure 2).
It is made of concepts which define the discipline and is the most abstract viewpoint of a discipline. The accepted concepts that are universal in all nursing theory are human beings or persons, environment, health and nursing, commonly known as the nursing metaparadigm (p. 90). Fawcett (1984), considers nursing philosophy and knowledge development as the basis of the nursing metaparadigm concepts. They are “central concepts of the discipline” (Fawcett, p. 84) that interact and interrelate. The four metaparadigms must be considered in
Nursing theory can best be defined as a set of logically interrelated concepts, statements, propositions, and definitions, which have been derived from philosophical beliefs of scientific data and from which questions or hypotheses will be deduced, tested, and verified (McEwen & Wills, 2014, p. 26). A theory purports to account for or characterize some phenomenon (McEwen & Wills, 2014, p. 26). The Roy Adaptation Model (RAM) is a grand theory that promotes holistic patient care. Holistic patient care treats the patient as a whole. Sections prepared for this paper include important key concepts such as nursing theory, summary of the Roy Adaptation Model, views of the Roy Adaptation Model and conclusion.
Transition is the process of changing from one state to another. Transition is the core of discipline in nursing ( Schumacher & Meleis, 1994, p.120). One particular transition listed in the Conceptual Curriculum Model is Health-Illness. Health can subjectively be defined as a state of optimal well being while illness can be defined as a sickness having a negative affect on the body. Two of the four aims of nursing are to promote health and prevent illness. In order to be successful in meeting these aims, a nurse will use knowledge, skills and critical thinking. (Taylor, 2011, p. 9). Health Illness can include acute or chronic illness (Murphy, 1990, p.3) There is a correlation between health illness and program outcomes. In order to promote health and prevent illness, a nurse must care for patients,...
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)
Concept analysis includes defining a concept while determining related causes and outcomes. There are several different methods of completing a concept analysis; however, the Walker and Avant’s method is often utilized. This is an eight-step method that entails selecting the concept, determining a purpose, identifying antecedents and consequences, and defining empirical referents (Kalisch, Landstrom, & Hinshaw, 2009). The information obtained provides a more embedded understanding of the concept and its significance.
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.
A Review of the Fundamental Patterns of Knowing in Nursing Nursing takes on a different form of learning that reflects several different aspects and abilities that encompass a wide range of skills and forms the ways of knowing in nursing. The article, “The Fundamental Patterns of Knowing in Nursing,” incorporates multiple theories associated with the learning patterns in nursing. It is a review of literature that helps identify and understand the knowledge practiced by nurses and to better understand the nursing profession. The purpose of the paper was to evaluate the expectations of learning within the nursing realm based on the four areas of nursing that include, empirics, esthetics, personal knowledge and ethics. Empirics: The first step in learning is to understand the objective data.
Roy’s adaptation theory has had a significant impact on nursing and the way we view and approach patient care. It is a systemic approach to understanding and addressing the physiological, self-concept, role function and interdependence needs of a patient and helping them adapt to their environment. By addressing each of theses needs we are able to treat them as a whole. It can be compared to the web of causation in that just as there are many factors that influence disease, by understanding addressing each factor individually, nurses can better treat the disease as a whole. Nurses can benefit by utilizing Roy’s adaptation theory during the nursing process to assist them with conducting a more thorough assessment and developing a more effective care plan.
There are two types of extraneous variables: Intrinsic variables and external factors. Intrinsic variables are factors intrinsic to the subjects, such as, age, gender, and diagnosis. External factors arise from the research itself. Multiple comorbidities, such as, renal insufficiency and diabetes would be intrinsic variables that could influence the study. Patients with these conditions may be more likely to be admitted into the hospital for these conditions within thirty days of being discharged from the hospital with a primary diagnosis of congestive heart failure. This could be controlled by creating sub-groups of each population and further comparing them to each other. For example, data analysis could take the population with a primary diagnosis of congestive heart failure and a secondary diagnosis of diabetes that were provided the teach-back intervention and comparing this group with the control group with the same primary and secondary diagnosis to determine if there was a difference in 30 day readmission rates. A second extraneous variable would be age, as younger individuals might be able to retain new knowledge, and have the means of applying self-management behaviors more consistently. Randomization is the best way to control intrinsic variables. Consistent data collection and communication is an external factor that needs to be controlled. Using the same instrument, and entering data electronically will standardize data collection. While following the same teach-back format will be utilized to standardized communication.
Nursing’s metaparadigm consists of four concepts. These concepts include the person, health, environment and nursing. The concept of person refers to the recipient of care, which may include a person, their family or even the community. Nurses must respect the unique qualities of each patient, family and community and should provide individualized care to meet those needs. Health refers to an individual’s state of health being a balance between their developmental and behavioral wellness to the fullest extent possible. Since health is dynamic and constantly changing one must constantly adapt to change, which may lead to stressors that can have a negative affect on health if not addressed. Environment refers to all the outside conditions that affect the patient within the setting where health care needs occur. These may include health care needs that are being influenced by factors at home, in school or at the workplace. Finally nursing is the diagnosis and treatment of the current or potential health problems....
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
Sister Callista Roy developed the Roy Adaptation Model during her graduate studies at the University of California. The model was published in 1970 and is one of the most famous and useful conceptual frameworks in the nursing practice (Alligood & Tomey, 2010). In the model, adaptation is defined as the process and outcome resulted from interaction between each individual and their environment. Therefore adaptation is a life coping process, which includes innate and acquired coping mechanisms. Innate coping processes are genetically determined while acquired coping processes are developed by each individual (Alligood & Tomey, 2010). Specifically to nursing, four metaparadigm concepts are mentioned in the model. The first one is person, who is described as an adaptive system, the main focus and receiver of nursing care. Next is environment, which is all the surrounding aspect that influences the development and behavior of persons. The third one is health that reflects the state of being and process of adaptation. The last one is nursing,...