NRS 430 CLC Nursing Theory Discussion

NRS 430 Topic 3 CLC Nursing Theory and Conceptual Model Presentation GCU

NRS 430 CLC Nursing Theory Discussion

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The person-centered care framework by McCormack and McCane addresses all of the nursing metaparadigm concepts, which are the environment, nursing, health, and the person. The framework centers upon respecting clients and acknowledging them as partners in the course of giving them care. The PCN framework recommends placing the patient as the most important aspect of nursing care. Nurses should consider and respect the opinions of patients regarding their care (Wolstenholme, Ross, Cobb, & Bowen, 2017). The theory posits that the role of nursing is to make patients fully functional. Hence, nurses should advocate for patients regardless of their ability, health status, or age. To enhance the nursing environment, the framework recommends creating therapeutic situations, including effective teamwork and positive staff relationships.

Family nursing practitioners can improve patient outcomes by applying the PCN nursing framework. First, they can improve outcomes by making patients part of nursing care. The nurse can create healthy relationships with the family that is receiving care. Such relationships are critical in ensuring trust between the patient and the nurse (Van der Cingel et al., 2016). This can help in learning about progress and changes that need to be addressed.  Nurses can also use the theory in their practice to advocate for the patients.

By applying the PCN framework, nurses can be more compassionate with their clients. Regarding the environment, nurses can work closely with other professionals to enhance the experience of their clients (McCormack et al., 2015). They can also ensure that the home or hospital environment wherein care is provided is auspicious to the patient. Similarly, family nurse practitioners ought to ensure that the nursing care provided to clients are of the highest quality. The goal should be to help families meet their health needs. Working closely with clients can enable nurses to achieve better patient outcomes. Lastly, nurses can also use evidence-based values to enhance patient care

References

McCormack, B., Borg, M., Cardiff, S., Dewing, J., Jacobs, G., & Janes, N. et al. (2015). Person-centredness – the ‘state’ of the art. International Practice Development Journal5(Suppl), 1-15. doi: 10.19043/ipdj.5sp.003

Van der Cingel, M., Brandsma, L., van Dam, M., van Dorst, M., Verkaart, C., & van der Velde, C. (2016). Concepts of person-centred care: a framework analysis of five studies in daily care practices. International Practice Development Journal6(2), 1-17. doi: 10.19043/ipdj.62.006

Wolstenholme, D., Ross, H., Cobb, M., & Bowen, S. (2017). Participatory design facilitates Person Centred Nursing in service improvement with older people: a secondary directed content analysis. Journal of clinical nursing, 26(9-10), 1217–1225. doi:10.1111/jocn.13385

For example, the Cultural Care theory requires a deeper understanding of cultural diversity in nursing care in order to deliver meaningful and efficacious care services to patients based on their healthy-illness context and cultural values (Sitzman, & Eichelberger, 2017).

Clinicians in nursing are expected to recognize that different cultures exhibit distinct caring behaviors, beliefs, behavioral patterns, and health and sickness values.

Most healthcare workers lack the comprehensive skills and understanding required when dealing with patients from diverse cultural backgrounds as a result of their education, environment, and experiences. Leininger provided examples of these inequalities when demonstrating the existing practice’s lack of a thorough awareness of the patient’s demands (Sitzman, & Eichelberger, 2017). As a result, the concept was developed to assist learners in acquiring the knowledge and skills required to deal with patients from various ethical backgrounds while maintaining their cultural values and beliefs, as well as the healthy-illness context, in order to promote health. Caring behavior, health and illness values, and behavioral patterns differ across cultures. As a result, regardless of cultural background, it is critical for the nurse to understand these concepts in order to provide quality care that meets the patient’s expectations and pleasure.

Concepts in Nightingale’s Environmental Theory

  • The theory presents several concepts such as :
  • Patients need safe water and warm house temperature (Pirani, 2016).
  • Patients should have access to direct sunlight (AliSher, Atta, Yasin, & Sohail, 2019).
  • Patients should not be exposed to unnecessary noise (AliSher et al., 2019).
  • Should need to be kept clean (Pirani, 2016).
  • Hospitals structures must be well constructed (AliSher et al., 2019).

Patients’ environment entails everything that the patients interact with in a physical world (AliSher et al., 2019). They Safe water, warms, light, fresh air, noise, clean environment, drainage system, and diet (AliSher et al., 2019). Improving these factors leads to improved patient care (AliSher et al., 2019).  The concept of nightingale environmental theory entails all the environmental factors as described by the theory.

Generally, all patients need warm in-house environment, clean environment that is free from sharp objects, dirt and which is well arranged. Patients need light both from sun and electricity to light the house. Hospitals must be well structured with ventilations, toilets, and easily accessible even to patients with disabilities (AliSher et al., 2019). Furthermore, noise triggers bad experience and may disturb patients physically and emotionally hence must be avoided.

NRS 430 CLC Nursing Theory Discussion

NRS 430 Topic 3 CLC Nursing Theory and Conceptual Model Presentation GCU
This is a Collaborative Learning Community (CLC) assignment.

This assignment is to be completed in a group, which will be assigned by your instructor. The presentation will be submitted and graded as a group assignment.

Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 10?15 slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:

Present an overview of the nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model.
Explain how the nursing theory incorporates the four metaparadigm concepts.
Provide three evidence?based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each.
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Replies to Billie Gabbard

With such a detailed history, I’ll just mention a few things that piqued my interest. Nursing practice has progressed dramatically from trial and error to research, evidence-based practice, and technological advancements. Originally, sick care was provided by men known as “Medicine men,” who frequently blamed illness on evil spirits. During the midcentury, Christianity became involved in health care, and people were still primarily cared for by men. Women working in health care were frequently regarded as witches at the time. Because of the technological revolution, many people moved to cities, which increased trash, disease, and unsanitary living conditions. These historical events and conditions resulted in the establishment of the Centers for Disease Control and Prevention and the Department of Health, Education, and Welfare (Whitney, 2018). These departments work hard to protect people from disease, educate them about various health issues, and help prevent the spread of such diseases. Florence Nightingale was a trailblazer in the field of nursing. She is best known as “The Lady with the Lamp,” who cared for British soldiers. According to History.com (2022), Florence Nightingale’s “experience as a nurse during the Crimean War was foundational in her views about sanitation.” In 1860, she founded St. Thomas’ Hospital and the Nightingale Training School for Nurses.” She was a modern nursing pioneer who influenced the advancement of quality care.

Lillian Wald and Lina Rogers were public health pioneers. Lina Rogers became the first school nurse after these women helped organize public school nursing in 1902. (Whitney, 2018). Antibiotics had a significant impact on the nursing profession because they could cure and treat infections. This aided in shifting the emphasis in health care. Training programs from the nineteenth and twentieth centuries evolved into entry-level programs, and then into associate and baccalaureate degrees. These programs would prepare the student to take the National Council Licensing Exam- Registered Nurse (NCLEX) (Whitney, 2018). Many employers are now requiring a bachelor’s degree in nursing (BSN). As a result, many people, including myself, are turning to online schools to earn their BSN while working and raising a family. The nursing profession is constantly changing and evolving, all while focusing on community needs. As nurses, we transitioned from providing in-home comfort care to being educated individuals who collaborate with other health care professionals to provide detailed and excellent care.

 

Hisory.com Editors. (2022, March 9). Florence Nighingale. https://www.history.com/topics/womens-history/florence-nightingale-1

 

Whitney, Stacey. (2018). Dynamics in Nursing: Art and Science of Profession Practice. History of Profession Nursing. Grand Canyon University. https://lc.gcumedia.com/nrs430v/dynamics-in-nursing-art-and-science-of-professional-practice/v1.1/#/chapter/2

NRS 430 CLC Nursing Theory Discussion
NRS 430 CLC Nursing Theory Discussion

Topic 5 DQ 2

Sep 19-23, 2022

Discuss the importance of advocacy as it pertains to client care. What is the nurse’s role in client advocacy? Describe a situation in which you were involved with client advocacy. Explain what the advocacy accomplished for the client, and what the repercussions would have been if the client would not have had an advocate.

Being an advocate for patients is something nurses do daily. But how do we advocate for them?  When do we advocate for them?

Lampert (2016) makes a good point stating “The first step in successfully advocating for your patient revolves around knowing your patient’s wants and needs” (para. 2). Lampert goes on to remind nurses of the importance of advocating for the patient and what they want not the wants of others such as family members or even the wants of the nurse (2016).

Advocating for the patient requires the nurse to be assertive in discussing the wants and needs of the patient. Being assertive is different than being aggressive according to Lampert (2016). Learning this balance is important.

What are your thoughts on these things? How do you find you can be assertive in advocating for patients?

Lampert, L. (2016). How to advocate for your patient.

 

https://www.ausmed.com/articles/how-to-advocate-for-your-patient/

Lampert brings up a great point between aggression and assertiveness. I think bedside nurse and advocating for your patients is a huge and very important part of our job because we have a responsibility to keep our patient safe from harm. I believe one can be assertive without being aggressive when advocating for their patient by collecting as much objective information about the patients as possible and presenting it to whomever in this case most likely the hospitalist in charge of the patient in a manner where you have to show legitimate concerning information and direct advocation for your patients health and well being. I believe if you present information in this manner it is assertive and shows concern without being aggressive.

Advocating for your patient helps build trust and overall helps that patients wellbeing and outcome. You’re putting that patients needs and wants above all else, and involving them in their care. We must listen to what our patient wants and think about what is best for that patient when following through with their care plan, making sure they are involved also!

We can advocate for our patients by being diligent in our documentation, paperwork, charting and directions. Make sure to carefully read all orders and double check with doctors, pharmacists, nurse practitioners to prevent errors, misinformation or oversight. When do we advocate for our patients? All the time. Anytime we see or have the hunch that things might be wrong, we have to follow up on it and make sure we are doing everything we are supposed to do to ensure patient safety.

Brounetta Johnson

Sep 23, 2022, 9:58 PM

Advocating for patients can help improve patient wellbeing and help to improve patient outcomes. It’s important that nurses advocate for their patients because it gives patients a voice in their own care and helps them to keep up with their treatment and procedures. By having a voice patients can also communicate confidently with physicians and the ones that are invested in their care. Those advocates will take the time to explain and answer questions that they may have (2022).

I’ve advocated for this particular patient because of the lack of care the patient was receiving. The patient had a Specialist a nephrologist as her primary care physician, under normal circumstances the hospitalist will act as the primary medical physician and the specialist would be consulted to suit the patient’s needs and care. The patient was seen earlier that day by the specialist in the office for follow-up but complained about having periods of confusion, Patient was sent to the ED and admitted under his care. The family complained that they felt that the patient their mom was only worsening and requested to see someone else. The nursing staff also complained of the objective data and asked for a consultation with other disciplinaries, neuro, cardiology, and pulmonary.  The specialist refused and stated that this was a result of the patient’s kidney injury and wanted us, the nursing staff to agree to that. This without doubt goes against the standards of care, (2017), therefore we as nurses disagreed and were asked by the family to seek help for their mom elsewhere, I advised the primary nurse to immediately contact the patient advocate and explain the situation we were dealing with. Within an hour the patient had a primary medical doctor, and consults, for neuro, cardiology, and pulmonary. Although there was a delay in patient care, in the end, the patient was able to receive the proper care she deserves. The family even requested that he to be removed as her nephrologist. Once the other doctors came on board, we noticed a significant change in patient status.

Avoiding Liability Blog (2017) Are There Limits to a Nurse’s Duty to Advocate for Patients Retrieved September 2022 from https://www.chins.com/are-there-limits-to-a-nurses-duty-advocate-for-patients/

Haft, J. (2014) What is Advocacy Communication Retrieved September 21, 2022 from eliteplusmagazine.com