Helen Erickson, Evelyn M. Tomlin, and Mary Anne P. Swain developed the Modeling and Role Modeling Theory. Their book Modeling and Role Modeling: A Theory and Paradigm for Nursing was first published in 1983. This theory focuses on the nurturing care provided to patients with the knowledge that each patient is unique, which uses theory-based clinical practice that focuses on the clients’ needs. “Modeling is the process used by the nurses as she develops an image and understanding of the client’s world, as the client perceives it, and role modeling is the facilitation and nurturance of the individual in attaining, maintaining or promoting health through purposeful interventions” (Erickson, Tomlin, & Swain, 1983/2009, p. 254). …show more content…
Each person has his or her own way of coping, healing, and learning. “Human being [beings] are seen as holistic person [people] who have multiple interacting, subsystem, including: biophysical, cognitive, psychological, and social subsystem. Intersecting these subsystem are the genetic base and the spiritual drive” (Erickson, Tomlin, Swain, 1983/2009,p.44). The environment can also have a great impact on the patient’s when using this theory. If the patient has a safe and comfortable environment the patient is more likely to comply with the nurse and care that is being provided; rather than, if the patient is in an uncomfortable or negative setting the patient can become resilient and …show more content…
Health is anything physical, mental, and the social well being in a persons life. “Health is not the absence of disease or infirmity. Health is viewed as a state of dynamic equilibrium among the various subsystems that make up the person and the environment (Erickson, Tomlin, & Swain, 1983/2009, p. 46).” Lastly, this theory defines how a nurse should be compassionate and nurturing to all patients depending on their individual care demands and situation by observing the patients overall needs. “As a facilitator, the nurse helps the patient take steps toward health, including providing necessary resources and information. As a nurturer, the nurse provides care and comfort to the patient. In unconditional acceptance, the nurse accepts each patient just as he or she is without any conditions” (Nursingtheory.org). Next, applying this theory to the nursing practice, nurses need to be caring, nurturing and understanding. Building trust with a patient can help with coming up with the best healthcare plan possible for the patient. Also, giving the patient a positive orientation can help promote the client’s control over their care and strengths. “Nursing is assisting persons holistically to use their adaptive strengths to attain and maintain optimum bio-psycho-social-spiritual functioning” (Erickson,Tomlin,Swain,1983/2009,
Still, the previous advantages discussed should influence the nurse to improve in identifying patient vulnerability. This is evident by this patient where I utilized my interpersonal skills to communicate to this patient so that he/she is aware that he/she is not alone in this journey. Nurses need to utilize models and theories to guide nursing practice. For instance, McCormack’s framework focuses on patient-centered care which influences nurses to understand the patient as a whole and their values (Abley, 2012, p. 42). Being able to identify values will give nurses and myself a better comprehension about the patients resulting in worthiness and belonging expressed. As a result, informing nurses about patient’s subjective vulnerability because a trust and understanding relationship is established. This is supported in a clinical experience where a patient “felt understood and opened up for further interactions based on trust” through an honest, supportive relationship with a nurse (Gjengedal, 2013, p. 134). Nurses should provide patient-focused provision of service, and assist this patient in overcoming his/her obstacle as a way of encouragement. Furthermore, Sellman (2005) explains how encouragement may compromise human flourish (p. 7), it is dependent on the situation and it cannot be assumed all encouragement will lead to harm. This informs nurses to be aware of the consequences that prevent the
In the most fundamental form the theory is put into practice using two general steps, modeling then role-modeling. Modeling can be done by acquiring information about how the patient perceives their health in relation to their life, allowing the nurse to see through the patient’s perspective (Campbell, Finch, Allport, Erickson, & Swain, 1985). Once the nurse is aware of the patient’s level of understanding of illness, acceptance level of illness, stage of dev...
I never stops to educate myself. I consider myself as a life-long learner. The profession of nursing offers an opportunity for me to learn daily because I always learn something every day. Once I learn something new, I like to apply it to my practice. Duffy’s quality of caring guides me to practice. I just had a 64-year-old patient who is going to have dialysis the first time. Understanding the anxiety that she had was more important than educating the process of dialysis. The patient stated that she wanted to live longer and finally decided to have the dialysis, but she was nervous about this. A care plan relate to coping mechanism was developed because showing a sense of sympathy and caring could help her to relieve the anxiety. When caring is evident, patients enhance self-esteem, quality of life, knowledge and coping mechanisms, as well as decreased lengths of stay and healthcare costs (Desmond, et al., 2014). On the other hand, in an uncaring situation, a patient feels humiliated, vulnerable, and
A model is a simplified representation of the structure and content of a phenomenon or system that describes or explains the complex relationships between concepts within the system and integrates elements of theory and practice (Creek et al 1993).
Health is described as physical and mental well-being and freedom from disease, pain or defect. However, such descriptions only superficially define the actual meaning of health. There may be many occasions when individuals are not necessarily ill or in pain but may be overweight, stressed or emotionally unstable. Health is a quality of life involving dynamic interaction and interdependence among the individual’s physical state, their mental and emotional reactions, and the social context in which the individual exists. There are many factors that influence your health, but three major components contribute to general well-being: Self-awareness, a balanced diet and, regular physical activity.
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...
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).
The notion of health is contextual and an interactive, dynamic process between person and environment (Schim et al, 2007). Both wellness and illness are conceptualized by the ‘person’, existing on a continuum across the lifespan (Arnold & Boggs, 2001).
My journey to nursing began with my personal healthcare experience, and has continued to evolve since entering the nursing program at State University. My personal philosophy of nursing is related my life experience and my personal philosophy of life. Using reflection-on-action, I have begun to understand the influences that have lead me to nursing. I discovered client and family centered care to be an important quality when I look at the influential nurses in my life. To develop a positive therapeutic nurse-client relationship, nurses must integrate all 5 dimensions of the therapeutic nurse-client relationship into their practice (CNO, 2006). When it comes to providing client-centered care, the dimensions of trust, empathy and respect are particularly important (CNO, 2006). Illness can be a traumatic experience for patients and their families, and it is important to be empathetic to the patient’s needs, while still trusting the patient to be an expert in their illness and care.
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
In 1948 the World Health Organisation (WHO) defined health as “a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity”. (World Health Organization. 1946). Illness is what
Walker, L. O. & Avant, K. C. (2011). Strategies for theory construction in nursing. Upper Saddle River, NJ: Pearson Education, Inc.
The theory that Florence Nightingale discovered puts the patient’s care first. It is important that the patient has a healthy and clean environment to recover in (Smith & Park, 2015, p. 51). According to Florence Nightingale the “five environmental components essential to an individual’s health [are] clean air, pure water, efficient drainage, cleanliness, and light” (Smith & Park, 2015, p. 51). The environment that the patient is in has a great influence on the patient’s health and recovery. If a patient is in a dark and dirty room the patient might be sad or depressed and then the patient will not heal well. However, if a patient is in a clean environment and has natural light they might feel like they have a little more energy and will heal faster. A clean environment will also prevent infections; infections can cause prolonged
This also requires the person to be socially and economically productive in order to be seen as healthy. According to Mildred Blaxter (1990), there are different ways of defining health. Furthermore, disease can be seen as the presence of an abnormality in part of the body or where there is a harmful physical change in the body such as broken bones. So, illness is the physical state of disease, that is to say, the symptoms that a person feels because of the disease. However, there is some limitation of these definitions which is not merely an absence of disease but a state of physical, mental, spiritual and social wellbeing.
Nursing theories are critical for education and practice. The theories suppose to provide a foundation for general knowledge and assist in practice. Thus, healthcare professionals, managers, and patients recognize the unique healthcare service. However,