NR 501NP Week 4: Nursing Theory

Sample Answer for NR 501NP Week 4: Nursing Theory Included After Question

Purpose 

The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required. Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.

Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to:

Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO 2 and 5) Weeks 2, 6
Examine broad theoretical concepts as foundational to advanced nursing practice roles. (PO 1 and 2) Weeks 1, 2, 4

Analyze theories from nursing and relevant fields with respect to the components, relationship among the components, and application to advanced nursing practice. (PO 1) Weeks 4, 6

Due Date: Sunday, 11:59pm MT 

A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0). Week 8 discussion closes on Saturday at 11:59pm MT.

Total Points Possible:  75

Requirements:

Discussion Criteria

Application of Course Knowledge: The student post contributes unique  perspectives  or insights gleaned from personal  experience  or examples from the healthcare field. The student must accurately and fully  discuss  the topic for the week in  addition  to providing personal or professional  examples. The  student must completely answer the entire initial  question.

Engagement in Meaningful Dialogue: The student responds to a student peer and course faculty to further dialogue.

Peer Response: The student respondssubstantively to at least one topic-related post by  a  student peer. A substantive post  adds content  or insights or asks  a  question that will add to the  learning  experience and/or generate discussion.

A post of “I agree”  with a repeat of the other student’s post  does  not count as a substantive  post.  A collection of shallow posts does not equal a  substantive post .

The peer response must occur on a separate day from the initial posting.  
The peer response must occur before Sunday, 11:59 p.m. MT.

Faculty Response: The student responds substantively  to at least  one question by course faculty. The faculty question may be directed to the student, to another student, or to the entire class.

A post of “I agree”  with a  repeat of the faculty’s post  does  not count as a substantive  post.  A collection of shallow posts does not equal a  substantive post .

The faculty response must occur on a separate day from the initial posting.

Integration of Evidence:The student post provides support from  a  minimum of one scholarly in-text citation with a matching reference and assigned readings or online lessons, per discussion topic per week.

What is a scholarly resource? A scholarly resource is one  that comes  from a professional, peer-reviewed  publication  (e.g., journals and government  reports such as those  from  the FDA or (CDC).

Contains references for sources cited
Written by a professional or  scholar  in the field and indicates credentials of  the author(s)

Is no more than 5 years old for  clinical  or research articles

What is not considered  a  scholarly resource?

Newspaper articles and layperson literature (e.g., Readers Digest, Healthy Life Magazine, Food, and Fitness)
Information from Wikipedia  or  any wiki
Textbooks

Website homepages
The weekly lesson
Articles in healthcare and nursing-oriented trade magazines, such  as  Nursing Made Incredibly Easy and RNMagazine (Source: What  is a scholarly article.docx; Created 06/09  CK/CL   Revised: 02/17/11,  09/02/11 nlh/clm)

Can the lesson for the week  be  used as a scholarly source ?

Information from the weekly lesson  can  be cited in a posting; however, it is  not  to be the sole source  used  in the post.

Are resources provided from CU acceptable sources (e.g., the readings for the week)?

Not as a sole source  within the  post. The textbook and/or assigned  (required)  articles for the week can be used, but  another  outside source must be cited  for full  credit. Textbooks are not  considered scholarly sources  for the purpose of  discussions.

Are websites acceptable as  scholarly resources for discussions?

Yes, if they are  documents  or  data cited from credible websites. Credible websites usually end in .gov or edu however, some .org sites that belong to professional associations (e.g., American Heart Association, National League for Nursing, American Diabetes Association) are also considered credible websites. Websites ending with .com are not to be used as scholarly resources.

Professionalism in Communication: The post presents information in logical, meaningful, and understandable sequence, and is clearly relevant to the discussion topic. Grammar, spelling, and/or punctuation are accurate.
NR 501NP Week 4: Nursing Theory

Wednesday Participation Requirement: The student provides a  substantive  response to the graded discussion question(s) or topic(s),  posted by  the >course faculty (not  a  response to a peer), by Wednesday,  11:59 p.m. MT  of each week.

Total Participation Requirement: The student provides at least three substantive posts (one to the initial question or topic, one to a student  peer,  and one to a faculty question) on two different days during the week.

  DISCUSSION CONTENT

DISCUSSION CONTENT
Category	Points	%	Description
Application of Course Knowledge:	20	27	Answers the initial discussion question(s)/topic(s), demonstrating knowledge and understanding of the concepts for the week.
Engagement in Meaningful Dialogue With Peers and Faculty	20	27	Responds to a student peer and course faculty furthering the dialogue by providing more information and clarification, adding depth to the conversation
Integration of Evidence	20	27	Assigned readings or online lesson and at least one outside scholarly source are included. The scholarly source is: 1) evidence-based, 2) scholarly in nature, 3) published within the last 5 years

			Total CONTENT Points= [60 pts]
DISCUSSION FORMAT
Category	Points	%	Description
Grammar and Communication	8	10	Presents information using clear and concise language in an organized manner
Reference Citation	7	9	References have complete information as required by APA  In-text citations included for all references  and references included for all in-text citation
			Total FORMAT Points= [15 pts]
			DISCUSSION TOTAL= 75 points

Preparing the Assignment

Identify your specialty area of NP practice. Select a nursing theory, borrowed theory, or interdisciplinary theory provided in the lesson plan or one of your own findings. Address the following:

Origin
Meaning and scope

Logical adequacy
Usefulness and simplicity
Generalizability
Testability

Finally, provide an example how the theory could be used to improve or evaluate the quality of practice in your specific setting. What rationale can you provide that validates the theory as applicable to the role of the nurse practitioner.

**To see view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric.

The week’s lesson makes the point that a nursing theory or any theory can be abstract to the reader at first (Chamberlain University College of Nursing, 2023). I found this to be a valid statement as I have always felt that way and wondered if I was the only one. A nursing theory is designed to guide the thinking and doing of nursing (Chamberlain University College of Nursing, 2023). Therefore, it is important to find nursing theories that relate to one’s specific practice to guide them along their professional journey.

A Sample Answer For the Assignment: NR 501NP Week 4: Nursing Theory

Title: NR 501NP Week 4: Nursing Theory

My specialty area of nurse practitioner is family practice. Going into family practice as a nurse practitioner has the positive stigma with nurse practitioner’s being more caring and understanding of patients holistically, not just medically. Healthcare systems today are attempting to shift the focus of patient care from medically minded and disease oriented to healthcare that is relationship focused, collaborative, and comprehensive (Balqis-Ali et al., 2022).

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The Person-Centred Practice Framework (PCPF) by McCormack and McCance originates from studying person-centred practice amongst older populations and the experience of caring in nursing. The theory consists of four domains: (1) prerequisites, (2) practice environment, (3) person-centred processes, and (4) outcomes. The prerequisites focus on the staff. This includes the staff being competent, having interpersonal skills, being committed to the job, and having beliefs, values, and knowing self.

The practice environment relates to the healthcare environment at an organizational level. This includes an appropriate staff skill mix, shared decision making between systems, sharing of power, effective staff relationships, innovation and risk taking, and physical environment. The person-centred processes include ways of engaging among people. This includes working with the beliefs and values of an individual, being authentic, sympathetic, shared decision making, and working holistically.

The outcome domain includes a healthy culture that promotes growth, stemming from the positive development of person-centred practice (McCance et al., 2021). The meaning and scope of the PCPF theory was originally older populations and their relationship with nurses. This has since shifted to include all ages and specialties of healthcare. The idea is that nurses treat the patient as a person and not as a diagnosis. Nurses need to discover what is important to the patient in terms of care and gear medical treatment in that direction.

In terms of logical adequacy, the PCPF theory guides nurses and nurse practitioners to make logical healthcare related decisions based on the needs of the patients. The theory also guides the organization to be built of employees that can properly care for a holistic patient. This theory is moderate in simplicity. The theory has four main domains. The span of the domain is from the staff, the organization, to the patient. With this vast span, I would say the theory is moderately simple.

The PCPF theory is useful to providers as it can be used as a guide to establish a plan of care for the patient that is holistic. The outcomes of the plan can be measured based on patient satisfaction of care. The theory is generalizable in that it has such a large span of population; therefore, it can be applied to various scenarios. The PCPF theory is testable directly from the outcome domain. This domain leads into testability of whether an individual experienced a healthy medical culture, which promoted growth in a positive environment, which promoted person-centred care. 

The PCPF theory could be used to improve or evaluate the quality of practice in my current settings if my current organization would look at the prerequisites and practice environment and how they could be improved. My current organization could also look at current person-centred processes in place and improve on them greatly. Lastly, they could look at outcomes from improving on those three domains. I can rationalize the PCPF theory as applicable to the role of the family nurse practitioner by applying the PCPF theory to leadership nurse practitioner roles and ensuring the organization or team being lead applies the theory as well as apply it to person practice outside of leadership roles in direct patient care. 

References

Balqis-Ali, Saw, P. S., Anis-Syakira, J., Fun, W. H., Sararaks, S., Lee, S. W. H., & Abdullah, M. (2022). Healthcare provider person-centred practice: relationships between prerequisites, care environment and care processes using structural equation modelling. BMC Health Services Research, 22(1), 576–576. https://doi.org/10.1186/s12913-022-07917-3

Chamberlain University College of Nursing. (2023). NR-501 Week 4: Nursing theories
[Online lesson]. https://chamberlain.instructure.com/login/canvas 

McCance, McCormack, B., Slater, P., & McConnell, D. (2021). Examining the theoretical relationship between constructs in the person-centred practice framework: A structural equation model. International Journal of Environmental Research and Public Health, 18(24), 13138-13138. https://doi.org/10.3390/ijerph182413138

     I think that theory acknowledges culture in a positive way. As nurse practitioners, we are going to be taking care of many patients from different cultures. It is important for the patient to know his/her own self and values first in order to respect and care for individuals with different cultures. The Person-Centered Practice Framework includes working with each patient at his/her level and culture. This is where holistic nursing comes in. There are many cultures around the world, and with so many immigrants and refugees coming into the United States, it is very important for the nurse practitioner to try and understand that patient’s cultural beliefs.

I have taken care of patients in the hospital that do not believe in receiving blood products. They will choose to die before receiving blood. While this is not my belief, I have to respect their beliefs and let them choose their fate. I have taken care of an Indian patient in his home doing home health and was asked to take my shoes off every time I walked into their home. I’m not truly sure what that was about, but I respected his wishes and took off my shoes as he asked.

It is important for the nurse practitioner to be sympathetic and have empathy for the patients, as their lives and cultures are different from ours. A lot of immigrants are coming to the United States looking for better lives and we do not know what they have been through in their lives. Many of these people have been traumatized in their country of origin and we have to be a support system for them to be able to get on their feet and live better lives.