DNP-815A Topic 8 DQ 2 Explore various science-based theories

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Topic 8 DQ 2

Aug 25-29, 2022

Explore various science-based theories. Select two theories and describe their relevance to your role as a DNP-prepared nurse.

REPLY TO DISCUSSION

Ruby Minda Dangan

Aug 29, 2022, 11:54 PM

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Replies to Ruby Minda Dangan

The scientific underpinnings of DNP practice are not confined to nursing science and theory. Nursing theory improves our care by giving its unity and structure, by providing more efficient continuity of care, and by giving us a framework for the effectiveness of our interventions. When DNP-prepared nurses use theory to guide care, they achieve higher quality in their care while simultaneously elevating nursing professional standards, accountability, and autonomy (Zaccagnini & White, 2017). A nursing theory-guided practice is needed, and the DNP-prepared nurses’ responsibility is to become knowledgeable about a broad range of theoretical frameworks for clinical practice. Roy’s Adaptation Theory contains four essential elements: the person receiving care, the environment, health, and nursing. Roy’s model is applicable to all types of nursing practice and research. The other theory that I think it has relevance to our role as DNP-prepared nurses is King’s Theory of goal attainment in the nursing process, which strengthened the theory’s use and applicability in clinical practice.

The DNP-prepared nurses possess advanced competencies for increasingly complex leadership and clinical roles, enhanced knowledge to improve nursing practice and patient outcomes, enhanced leadership skills to strengthen practice and delivery, and manage collaborative efforts with other healthcare clinicians to improve health care (Astalos, 2023). In order for the DNP-prepared nurses to meet the changing healthcare demands, they should be proficient in the following skills:

Delivering care
Developing interdisciplinary standards
Leading and managing clinical care and the healthcare system
Solving healthcare dilemmas
Developing healthcare policy
Reducing disparities in healthcare
Evaluating evidence-based practices for care

Philosophies and theories of nursing also guide research and practice.

References

Astalos, L. (2023). The doctor of nursing practice: a guidebook for role development and professional issues. Jones & Barlett Learning.

Zaccagnini, M.E. & White, K.W. (2017). The doctor of nursing practice essentials: a new model for advanced practice nursing. Jones & Barlette Learning.

The Doctor of Nursing Practice Essentials – Google Books

Usama Saleh

replied toRuby Minda Dangan

Aug 30, 2022, 9:28 AM

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Replies to Ruby Minda Dangan

Interesting discussion. Thank you

Jenevieve Chibuike

replied toRuby Minda Dangan

Aug 31, 2022, 5:57 AM

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Replies to Ruby Minda Dangan

I must commend you for this post. I shall respond to your informative post by noting that critical to the nursing profession is caring, which is a role associated with patient engagement. Quality care is delivered when practice is underpinned by a theory (Dewey, 2020). Patient engagement has been demonstrated to boost a partnership that encourage smooth and effective communication in clinical encounter with patients. The middle range theory of caring stimulates the partnership earlier discussed as it relates to nursing practice. Welch and Fournier (2018) suggests that the middle range theory provides clarity on the role of nurses in patient engagement. Further, the delivery of quality care, as provided for by the middle range theory, fosters the alignment between informed nurse caring and patient engagement, which reinvigorate the expression of nursing core values in clinical setting.

Thanks for sharing.

References

Dewey, J. (2020). Nursing theory. Salem Press Encyclopedia of Health.

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

Emilia Wogu

Aug 29, 2022, 7:27 PM

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Replies to Ruby Minda Dangan

The application of science-based theories in nursing represents an opportunity for nurses to combine experience-associated knowledge with evidence developed on the basis of scientific rigor. The nursing profession has evolved greatly over time. Moving from dependence upon total medical direction providing basic care into an independent practice modality.

The central philosophy of the Self-Care Deficit Nursing Theory is that all patients want to care for themselves, and they are able to recover more quickly and holistically by performing their own self-care as much as they’re able (nursing theory,2021). This theory is particularly used in rehabilitation and primary care or other settings in which patients are encouraged to be independent.

A DNP prepared nurse can benefit from this theory(selfcare deficit) because it can easily be applied to a variety of nursing situations and patients. The generality of its principles and concepts makes it easily adaptable to different settings, and nurses and patients can work together to ensure that the patients receive the best care possible, but are also able to care for themselves. Patient education and communication as the main key to its goal attainment .

Another theory that can be beneficial to my DNP role is the theory of Planned Behavior which was developed to predict behaviors in which individuals have incomplete voluntary control. Taking self-esteem and self-efficacy into consideration, the TPB expands on the concept of perceived behavioral control. (keiba,2021). If a patient’s perceived control or self-efficacy or self-esteem is low, the perception and belief that he or she can influence own behaviors in a positive manner is undermined.

This theory enables the DNP prepared nurse to understand how individuals behave across different settings, scenarios and situations. Unlocking insight based on attitudes towards behaviors, norms and perceived control enable practitioners and marketers to understand where barriers exist and how to encourage a change in behavior.

References

Keiba L. Shaw(2021) patient education , motivation , compliance and adherence to physical activity , exercise and rehabilitation . Pathology and Intervention in Musculoskeletal Rehabilitation (Second Edition), 2016

Nursing Theories (2021) Dorothea Orem – Nursing theorists . Available from ; https://nursing-theory.org/nursing-theorists/Dorothea-E-Orem.php

Lydia Williams

replied toEmilia Wogu

Aug 30, 2022, 2:03 PM

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Replies to Emilia Wogu

Clinical nurse specialists apply theory by providing or directing patient care in their work as consultants to staff nurses, and as leaders influencing and facilitating system change. Knowledge of technology and pharmacology has far outpaced knowledge of how to facilitate health behavior change, and new theories are needed to better understand how practitioners can facilitate health behavior change. The Integrated Theory of Health Behavior Change is described, and an example of its use as foundation to intervention development is presented.

The Integrated Theory of Health Behavior Change suggests that health behavior change can be enhanced by fostering knowledge and beliefs, increasing self-regulation skills and abilities, and enhancing social facilitation. Engagement in self-management behaviors is seen as the proximal outcome influencing the long-term distal outcome of improved health status. Person-centered interventions are directed to increasing knowledge and beliefs, self-regulation skills and abilities, and social facilitation. Using a theoretical framework improves clinical nurse specialist practice by focusing assessments, directing the use of best-practice interventions, and improving patient outcomes. Using theory fosters improved communication with other disciplines and enhances the management of complex clinical conditions by providing holistic, comprehensive care.

Patient participation in transitional care is largely based on perceptions of self-efficacy, confidence, and skill. Patient-centric transitional care interventions targeting these factors and delivered beyond the hospital setting may improve care outcomes. Implications and direction for further studies includes conceptual clarity, the study of a broader-reaching patient population demographic, and use of multidisciplinary interventions.

Reference

Bailey, A., Mallow, J., & Theeke, L. (2022). Perceived Self-Efficacy, Confidence, and Skill Among Factors of Adult Patient Participation in Transitional Care: A Systematic Review of Quantitative Studies. SAGE open nursing, 8, 23779608221074658. https://doi.org/10.1177/23779608221074658

Lydia Williams

Aug 29, 2022, 5:23 PM

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Replies to Ruby Minda Dangan

Many science-based theories have been categorized as grand nursing theories, mid-range, and practice level theories. These theories have not only been involved in shaping the concepts of nursing but are also important in the delivery of healthcare services. The nursing theories tend to assist the nurses in providing quality healthcare services through the integration of skills and knowledge for the achievement of efficiency and efficacy in services (Dillon, 2020). The

implementation of nursing theories in various situations is the need for time to meet the changing demands of the patients. Science-based theories are committed to providing a theoretical framework to support the principles and basic concepts in nursing. The following two theories have been selected to predict the related role of DNP- prepared nurses.

The self-care theory supports the DNP-prepared nursed to focus on strengthening their ability of quality caring the patients by being self-sufficient and responsive. For the provision of appropriate healthcare services, the patient must have some knowledge about self-care.

The concept of self-care is dependent on self-care deficit theory, the theory of self-care, and the theory of the nursing system. The theory is relevant to my role as a DNP- a prepared nurse in terms of providing self-management education to patients suffering from chronic diseases. In the successful application of the self-care concept, there is a high need of knowing about the disease and its relevant remedies.

The second theory that has been selected for this discussion is the culture care theory. The conceptual framework of this theory is based on the importance of the presence of cultural and care knowledge for the provision of quality healthcare services to patients of a

DNP-815A Topic 8 DQ 2 Explore various science-based theories

different culture. Being a DNP-prepared nurse, the knowledge about trans -culture, will support me to effectively treat patients from different cultures and identities.

The nurse can better perform by following their beliefs about treatment and perceptions about medicines (Rivaz et al., 2021). The nurses with transcultural knowledge and experience can help patients in making the right decision about their health issues and taking the benefits of quality services and affiliation of the physicians. Hence, the presence of specific cultural knowledge can help in the retention of core cultural values relevant to healthcare services.

Reference

Rivaz, M., Shokrollahi, P., Setoodegan, E. (2021). Exploring the necessity of establishing a doctor of nursing practice program from experts’ views: a qualitative study. BMC Med Educ, 328 https://doi.org/10.1186/s12909-021-02758-w.

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Grading Rubric Guidelines

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. *(5 points possible per graded thread)*	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
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Also Read: DNP-815A Topic 8 DQ 1 Which science-based theories do you think are the most useful to the DNP-prepared nurse?