NRS 430 Topic 3 DQ 2 Discuss the difference between a nursing conceptual model and a nursing theory

NRS 430 Topic 3 DQ 2 Discuss the difference between a nursing conceptual model and a nursing theory

NRS 430 Topic 3 DQ 2 Discuss the difference between a nursing conceptual model and a nursing theory

Select a nursing theory and provide a concise summary of it. Provide an example in nursing practice where the nursing theory you selected would be effective in managing patient care.

Re: Topic 3 DQ 2

The difference between a nursing model is to provide guidance in research and a nursing theory explains the nursing process that is based on research. The Coping/adaptation Theory- Focuses on focuses on various psychological responses to stress that are considered negative, such as emotional distress, anxiety, depression, anger, and fear (Whitney, 2018). An example I can think of is when a patient presents to the ER for psychiatric evaluation due to auditory Hallucinations. The patient appears distressed, anxious, tachycardic and high blood pressure. The nurse provides a supervised, quiet environment for the patient and offers medication to help calm the Anxiety. The patient calms down, vital signs improve and the patient remains cooperative while admission to the psychiatric unit is finalized. The patient is provided with therapy and medication management to improve patients mental health.

References

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

 

RESPOND

Hello,

I agree with you that a nursing model provides a protocol that guides research but nursing theory expounds on the nursing process. Therefore, the nursing model is more elaborate than the nursing theory. In most cases, the nursing model may offer various nursing theories than can be integrated into nursing research based on the purpose. Nursing models cover various significant aspects of the research. Successful nursing studies have effective nursing models (Leviner, 2020). There are various nursing models and theories that can be used either together or differently. The coping/ adaptation theory focuses on how patients of psychological issues such as emotional distress, anger, and anxiety can react to their psychological disruptions. Adaptation theory enables a physician to prescribe to a patient with anxiety a supervised and quiet environment for their recovery. The theory also explains occasions where medical intervention may be preferred rather than other responses. The nursing model may proceed to provide a long-term schedule that may eliminate a relapse.

References

Leviner, S. (2020). Patient flow within hospitals: A conceptual model. Nursing Science Quarterly, 33(1), 29-34. https://doi.org/10.1177/0894318419881981

Re: Topic 3 DQ 2

Nursing conceptual model and a nursing theory. The nursing conceptual model guides research in nursing. The conceptual model has hypothetical connections and together defines the co-existence between two concepts. The concepts are then linked together with a hypothesis with either a mathematical or declarations (Whitney, n.d.).

The nursing theory differs from the nursing conceptual model by formulating ideas and putting it together in a concise plan. Nurses use this plan with their skills to expand their knowledge which in return improves the care provided. Florence Nightingale was a pioneer in the nursing theory model. Nightingale believed from environment, water, fresh air, proper nutrition, hygiene and sufficient sunlight the patient will improve a patient’s recovery.

An 18-year-old female was exhibiting an acute episode for sickle cell crises. This young female has pain on a scale of 1 to 10 at an 8. She has reported to not refilling her medication for over 1 month and refuses pain medication. As nightingale believed the patient needs the proper environment, hygiene and proper nutrition. The nurse assessed the patient for non compliance to medication and found that the patient did not have insurance and was homeless. In return the patient did not have the proper nutrition nor sufficient hygiene. She refused the pain medication fearing the cost associated with the medication. The nurse provided the resources for a social worker to assist with housing, insurance and medication management teaching was provided.

References

Whitney, S. (n.d.). CCC web books by AWS & CDD. https://lc.gcumedia.com/nrs430v/dynamics-in-nursing-art-and-science-of-professional-practice/v1.1/#/chapter/2

RESPOND 

Hello

I agree with your assertion that nursing conceptual model guides nursing research. The model has various connections and co-existence of two concepts.  A hypothesis is a critical part of a conceptual model. Depending on the nursing research, the hypothesis can be either in calculations or declarations (Upvall & Leffers, 2018).  Nursing theory is different since theory formulates ideas that develop a plan. The nursing plan facilitates the execution of nursing research. Florence Nightingale is an example of a successful nurse who used her nursing plan to develop a nursing theory model. Although this pioneer nurse developed her theory in the 1800s, the protocol that was used makes the theory beneficial to date. Nightingale believed that improving a patient’s recovery is a process that is determined by the presence of fresh air, proper nutrition, hygiene, clean water, and sufficient sunlight. Most contemporary healthcare facilities adhere to every element of Nightingale’s environmental theory.  The fact that the theory was generated in the 1800s but it is still relevant today shows the importance of the conceptual model in nursing.

References

Upvall, M. J., & Leffers, J. M. (2018). Revising a conceptual model of partnership and sustainability in global health. Public Health Nursing, 35(3), 228-237. DOI: 10.1111/phn.12396

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Re: Topic 3 DQ 2

“Nursing theory is a structure of purposeful and systematic ideas that help to organize disciplinary thinking and influence practice” (Whitney, 2018, para. 28). In other words a Nursing theory provide the foundations of nursing practice. “Theories can be categorized according to their complexity. These categories include practice theories, midrange theories, and grand theories (also referred to as conceptual models). Conceptual models explain a particular way of thinking, or a mental picture of how the theory fits together, according to the theorist. A conceptual model is the organizing structure that defines the theory’ (Whitney, 2018, para. 34). In other words we can say a conceptual model provide guidance for research of a particular topic in nursing.

The Coping and Adaption Theory by Richard Lazarus says that “ The ability to cope requires the body to adapt continually to a changing environments and it centers on how an individual copes with stressful situations” (Whitney, 2018. para. 38).This theory sees stress, anxiety, depression, anger, and fear, as coping mechanisms. Nurses can apply this theory to assess the effects of stress on the patient and themselves. Unfortunately with covid, nothing is certain, we know that this virus mostly affect to adults and people who have severe underlying medical conditions. At the begging of the pandemic we were told by the CDC  that symptoms for this disease may be fever or chills, cough, Shortness of breath or difficulty breathing but after days we also had patients reporting GI symptoms like diarrhea or poor appetite, so this pandemic is constantly changing and everyday there is something new, so nurses should alway be ready to adapt to any situation that can come and also undestand that every patient has their on way to adapt to situations.

 

References

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

RESPOND 

Hello,

I agree with you that nursing theory is the foundation of nursing practice. Nursing practice is an obligation that is guided by systematic ideas that help in organizing thinking and acting.  Therefore, nursing theory ensures that decisions and deeds in nursing research are appropriate to guarantee positive outcomes. Nursing theories are classified in midrange theories, and grand theories based on the uniqueness of these theories when they are used in research (Maki & DeVon, 2018). These nursing models are further divided into various categories depending on the situation of their utilization. The conceptual model is an elaborate concept in nursing research. The model guides the thinking and the selection of the suitable nursing theory for the research. There are various nursing theories but some circumstances render some theories irrelevant.  The conceptual model plays a crucial role in the selection of the appropriate nursing model. The role of a conceptual model dictates the model to have a hypothesis that guides the thinking and other actions that are performing in nursing research.

References

Maki, K. A., & DeVon, H. A. (2018). A nursing theory‐guided framework for genetic and epigenetic research. Nursing Inquiry, 25(3), e12238. DOI: 10.1111/nin.12238

As you rightly stated, the theory of interpersonal relations by Hildegard Peplau plays a great role in the way nurses provide care to patients and the way patients receive the care provided. As nurses, the relationship we create with our patients, the way we communicate with them either through our body language or verbally and the tone of our voice makes a whole difference in how they will perceive the quality of care that is been provided to them. This why we find ourselves in situations where a patient will refuse treatment from some nurses or will ask for another nurse because they don’t like the way nurse X or Y talked to them but will gladly accept treatment from another nurse. I believe a nurse’s initial contact with a patient or client is where the nurse should clearly explain the expectations from the patient and set boundaries for their nurse-patient relationship. And when this is done, conflict will be hopefully minimized with this nurse-patient interaction.

I definitely agree that the nurse-patient relationship is the foundation of nursing practice. The way we communicate and interact with our patients is significant. A patient may not remember that you were the most efficient nurse, or that you were the most technically sound nurse, but they will remember how you made them feel. “The factors that seem to set patient care encounters apart and make them memorable are the personal connections and the provision of comforting behaviors. Recently, I reviewed letters written by patients that highlighted the care provided by the perioperative nursing team. One of the patients remarked on a perioperative nurse who went out of her way to create a calming environment in a stressful situation by staying at the patient’s side.” (Saletnik, p.1)

Reference

Saletnik, L. (2019). Patients remember the little things. AORN Journal, 109(2), 153–154. https://doi.org/10.1002/aorn.12600