DNP-815A Topic 8 DQ 1 Which science-based theories do you think are the most useful to the DNP-prepared nurse?

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Topic 8 DQ 1

Aug 25-27, 2022

Which science-based theories do you think are the most useful to the DNP-prepared nurse? Why?

REPLY TO DISCUSSION

Emilia Wogu

Aug 29, 2022, 5:56 PM

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Replies to Emilia Wogu

Nursing theories are a set of predictive models that support nursing practice today. These theories are essential to nursing practice, scientific research and education because they help in determining what is known and any additional skills and knowledge that is needed.

Lewin’s Kurt change model proposes three fundamental strategies, i.e., unfreezing, movement and refreezing. The first is unfreezing, which supposes disruption. It supposes creating awareness about the need for change, thereby promoting support for said change. The second stage is movement, which means deciding on how to proceed with actual implementation of the change intervention. The third and final stage refreezing, implies assimilating and normalizing the change intervention as standard practice (Teguh et al., 2019). Orem’s nursing care deficit theory describes how the patient’s self-care needs will be met by the nurse, the patient, or by both. Orem’s theory on the other hand is comprised of three related parts: theory of self-care; theory of self-care deficit; and theory of nursing system. The steps in the approach are thought of as the technical component of the nursing process. Orem emphasizes that the technological component “must be coordinated with interpersonal and social pressures within nursing situations.

The DNP prepared nurse will be more equipped when utilizing these two nursing theories because they provide a guidance to nursing. It allows the nurse to provide current best practice care to their patients while also impacting them beyond the bedside. Theories help guide evidence-based research which then leads to best practices and policies. This gives the DNP prepared nurse the opportunity to organize principles that will help evaluate patient care and improve the nursing interventions based on the evaluation findings. The theories can also provide nurses with basis or rationale for making decisions.

References

Nursing Theories(2021) Orem’s self care deficit nursing theory . available https://nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php

Teguh, A., Hariyati, R. T. S., & Muhaeriwati, T. (2019). Applicability of Lewin’s change management model for optimization management function in nursing delegation between head nurse and team leader: A mini project in Jakarta military hospital. International Journal of Nursing and Health Services (IJNHS), 2(2), 66-74.

Jenevieve Chibuike

replied toEmilia Wogu

Aug 30, 2022, 12:15 PM

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Replies to Emilia Wogu

You have a laudable post here. In response to your instructive post, nursing science provides the avenue for nurses to play the essential role of caring because practices are underpinned by theories in the form of evidence-based practice. Fawcett (2020) noted that nurses are at the center of most health professional teams, and they play significant roles in the promotion of health, prevention of disease and treatment. Patient engagement in the clinic facilitates the development of a partnership whereby solid communication is established in patient-nurse relationship (Welch & Fournier, 2018). A theory that validates the establishment of this partnership should guide a DNP project. And one of such theories is the Faith Community Nursing Theory proposed by Alligood and Fawcett (2017). Due to the fostering of patient-nurse relationship in the delivery of quality health care, I am using the theory as one of the theories that will guide my DNP project.

Thanks for sharing.

References

Fawcett, J. (2020). Thoughts About Nursing Science and Nursing Sciencing Revisited. Nursing Science Quarterly, 33(1), 97–99. https://doi.org/10.1177/0894318419882029

Welch, J., & Fournier, A. (2018). Patient Engagement Through Informed Nurse Caring. International Journal for Human Caring, 22(1), 1–10. https://doi-org.lopes.idm.oclc.org/10.20467/1091-5710.22.1.pg5

Ruby Minda Dangan

Aug 27, 2022, 11:54 PM

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The nursing profession has remained a unique and evolving specialty, but its development has been complicated by the ever-changing healthcare delivery system. Doctor of Nursing Practice programs prepares nurse leaders for unique roles to address healthcare needs across the quality spectrum (Reynolds et al., 2021). As DNP-prepared nurses, we will have the opportunity to evaluate current practices and implement strategies directed to improve health care within an evidence-based framework. The focus is on translating nursing research into evidence-based standards of care and practice.

Theories serve as a guide and influence how we practice nursing. Kurt Lewin’s three-step theory is highly applicable and widely used, and I think this is the most useful for me as I navigate through this journey. Unfreezing is the first stage of Lewin’s theory wherein the anticipated change must first “unfreeze” the mindset to prepare that change is necessary. Moving is the second stage that follows implementing the change that has been identified. Finally, “refreezing” occurs when the change is successful and stabilized.

DNP-prepared nurses should be able to work productively with other key personnel within the organization and be able to share critical information regarding evidence-based practice with the frontline staff and advocate for the patient’s needs within the complexity of the health care systems (Doyle & Kwong, 2018). As we cross many milestones on this journey, with the ever-changing health care environment at high speed and become systems-level experts, we will have the opportunities to identify quality improvement projects, identify gaps needing improvement, implement strategies, and occurrence of organizational change.

References:

Doyle-Lindrud, S., & Kwong, J. (2018). “Leadership skill set for the advance practice registered nurse.” DNP Education, Practice, and Policy: Redesigning Advanced Practice for the 21st Century, 147.

DNP-815A Topic 8 DQ 1 Which science-based theories do you think are the most useful to the DNP-prepared nurse

Memon, F. A. (2021). Improving employee’s engagement in change: reassessing Kurt Lewin’s Model, City University Research Journal, 11(1).

https://www.cusitjournals.com/index.php/CURJ/article/view/282

Reynolds, S. S., Howard, V., Uzarski, D., Granger, B. B., Fuchs, M. A., Mason, L., & Broome, M. E. (2021). An innovative DNP post-doctorate program to improve quality improvement and implementation science skills. Journal of Professional Nursing, 37(1), 48–52.

https://doi-org.lopes.idm.oclc.org/10.1016/j.profnurs.2020.12.005

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Performance Category	10	9	8	4	0
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Also Read: DNP-815A Topic 7 DQ 2 Examine change theories in scholarly literature