NUR 513 How do nursing theories differ based on their intent, scope , and goals?
Sample Answer for NUR 513 How do nursing theories differ based on their intent, scope , and goals? Included After Question
Topic4 DQ 1
Description:
Compare and contrast two nursing theories. How do they differ based on their intent, scope , and goals? Which one might be more relevant to your future role, and why?
A Sample Answer For the Assignment: NUR 513 How do nursing theories differ based on their intent, scope , and goals?
Title: NUR 513 How do nursing theories differ based on their intent, scope , and goals?
Hildegard Peplau’s Theory of Interpersonal Relations was developed in the 1950s and focuses on the nurse-patient relationship and the therapeutic process. The theory emphasizes the nurse’s role, the importance of communication, and individualized patient care. According to Peplau, the successful nurse-patient relationship must transition through three phases: orientation (the patient recognizes they need help meanwhile the nurse meets the patient and identifies individual needs; working (the nurse assesses the patient and utilizes information for developing the plan of care and patient education; and termination (the discharge planning process). The theory clearly defines the framework for the nurse to care for most patients, but it does not address patients who are unable to communicate (Hagerty et al., 2017).
The Nursing Need Theory was developed by Virginia Henderson. The theory emphasizes the importance of patient independence in the hospital and focuses on basic human needs and how the nurse can meet those needs to prevent delay in the patient’s post-discharge progress. The Need Theory can be applied when creating an individualized plan of care for patients in most care settings. One area the theory does not address is caring for the dying patient as the focus is on helping patients become independent to hasten discharge (Gonzalo, 2023).
I believe I would be able to apply both the Theory of Interpersonal Relations and the Need Theory in my role as an advanced practice nurse who specializes in Quality and Patient Safety. Patient satisfaction scores and length of stay are common quality indicators that are monitored by healthcare organizations and other shareholders.
References:
Gonzalo, A. (2023, July 1). Virginia Henderson: Need theory study guide. Nurseslabs. https://nurseslabs.com/virginia-hendersons-need-theory/
Hagerty, T. A., Samuels, W., Norcini-Pala, A., & Gigliotti, E. (2017, April 30). Peplau’s theory of Interpersonal Relations: An alternate factor structure for patient experience data? Nursing science quarterly. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5831243/
A Sample Answer 2 For the Assignment: NUR 513 How do nursing theories differ based on their intent, scope , and goals?
Title: NUR 513 How do nursing theories differ based on their intent, scope , and goals?
Nursing theories are developed as a foundation for nursing care. Some nursing theories have been around for hundreds of years and are still being used today. Within each theory there are four components of nursing. These four components are person, environment, health, and nursing. Two theories that are still commonly used today are the Theory of Interpersonal Relations and the Theory of Human Caring.
The Interpersonal Relations Theory was developed by Hildegard Peplau in 1952. This theory promotes the idea of the nurse-client relationship as the foundation of nursing practice. It is defined as “An interpersonal process of therapeutic interactions between an individual who is sick or in need of health services and a nurse especially educated to recognize, respond to the need for help” (Gonzalo, 2023). Peplau believed that the nurse-client relationship goes through stages and all stages must be met for the relationship to be successful. The three phases are the orientation phase, the working, or identification and exploitation, phase, and the termination, or resolution, phase. Within this framework, Peplau gives character roles that are typical in nursing: “the stranger role, in which the nurse receives the patient the way a stranger is met in other situations, and provides an atmosphere to build trust; the resource role, in which the nurse answers questions, interprets data, and gives information; the teaching role, in which the nurse gives instructions and provides training; the counseling role, in which the nurse helps the patient understand the meaning of current circumstances, as well as provides guidance and encouragement for change to occur; the surrogate role, in which the nurse acts as an advocate on behalf of the patient; the active leadership role, in which the nurse helps the patient take responsibility for meeting treatment goals; and the technical expert role, in which the nurse provides physical care for the patient and operates equipment” (Petiprin, 2023). This theory can be useful in helping the nurse to make decisions in various situations of patient care because nurses understand that the nursing practice requires the nurse to play different roles within patient care. Some strengths of this theory is that it “helped later nursing theorists and clinicians develop more therapeutic interventions regarding the roles that show the dynamic character typical in clinical nursing. Its phases provide simplicity regarding the nurse-patient relationship’s natural progression, which leads to adaptability in any nurse-patient interaction, thus providing generalizability” (Gonzalo, 2023). A weakness of this theory is that it does not focus on health promotion or health maintenance.
The Theory of Human Caring was developed by Jean Watson in 1979. This theory focuses on how nurses express care to their patients. Watson believes that caring promotes better health outcomes than simple medical cures and is central to the nursing practice (Petiprin, 2023). The nursing theory states that “nursing is concerned with promoting health, preventing illness, caring for the sick, and restoring health” (Gonzalo, 2023). This theory incorporates research as a form of caring. This process includes assessment, care planning, intervention, and evaluation; all of which are the foundation for every area of nursing. “One advantage to Watson’s Philosophy and Science of Caring theory is that it creates a generalized framework for nursing that can be applied to a variety of situations and patients. It also places the patient in the context of the family, community, and culture. The patient is the focus of practice rather than the technology. However, the “looseness” of Watson’s framework can also be a drawback in instances when something more structured is needed for the care of a patient” (Petiprin, 2023).
The scope of nursing practice is multidimensional and comprehensive. I believe that both of these theories are an integral part of delivering quality nursing care. A relationship between the nurse and the patient must be established to gain trust and rapport. This relationship allows for easier and more effective communication between nurse and patient. When a patient feels that they are cared for, they are more inclined to trust the nurse to make the best decisions for their care.
Gonzalo, A. (2023). Hildegard Peplau: Interpersonal Relations Theory. Nurse Labs. https://nurseslabs.com/hildegard-peplaus-interpersonal-relations-theory/
Petiprin, A. (2023). Jean Watson-Nursing Theorist. Nursing-Theory.org. https://nursing-theory.org/nursing-theorists/Jean-Watson.php
Petiprin, A. (2023). Hildegard Peplau-Nursing Theorist. Nursing-Theory.org. https://nursing-theory.org/nursing-theorists/Hildegard-Peplau.php
A Sample Answer 3 For the Assignment: NUR 513 How do nursing theories differ based on their intent, scope , and goals?
Title: NUR 513 How do nursing theories differ based on their intent, scope , and goals?
Nursing theories promote evidence-based practice both in schools and hospitals. Pioneered by Florence Nightingale, nurses continue to utilize different theories in their specific practice. Florence Nightingale environmental theory (ET) stated that “nursing ought to be to signify proper use of fresh air, light, warmth, cleanliness, quiet, and the proper selection of administrative diet that was affordable to patients (Gaines, 2023). ET focuses on maintenance of sanitary conditions while providing care to prevent infections. Unsanitary conditions could lead to unavoidable deaths, prolonged hospital stay and subsequent increase in the cost of healthcare. Tourville & Ingalls (2003) observed that upon implementation of the ET Nightingale was able to reduce the mortality rate caused by unsanitary hospital conditions among the injured soldiers. Environmental theory helps the nurses to always adhere to hand hygiene sterile techniques and maintenance of infection prevention. If taught to nursing students, it fosters a safe environment as they transition to hospitals however its downside is that if a conscious decision is not made to involve patients in implementing the ET and educating them there is a high likelihood of them coming back with recurrent infections, hence undoing the gains.
Dorothea Orem’s self-care deficit theory focuses on provision of individualized care with regards to age and capabilities. Nurses provide care by leading, assisting, educating, adjusting, adapting and role modeling to enhance the individuals’ daily lives (Isik & Fredland, 2023). This empowers patients to be able to conduct most functions for themselves as possible which is achieved by nurses assessing the patient’s self-care capabilities, identifying deficits, and providing appropriate education on the importance of self-care (Ali, 2023). One of the pros is that the theory could be used in multiple settings such as hospitals and communities to promote well-being of patients. The con to both theories is that they unilaterally focus on either patient or the nurse and do not define the nature of nurse-patient relationship for the successful implementation. Both the theories are in line with the nurse ethics where the nurse has the responsibility to promote health and safety of the patients with an aim of yielding optimal patients’ outcome.
References
Ali, N. S. (2023). Optimizing Quality of Care by Integrating Orem’s Self-Care Deficit Theory with Orlando’s Nursing Process Theory. I-Manager’s Journal on Nursing, 13(2), 48–51. https://doi-org.lopes.idm.oclc.org/10.26634/jnur.13.2.19853
Gaines, K. (2023, August 11). Nursing Theories & Theorists Explained. Nurse.org. https://nurse.org/education/nursing-theories/
Isik, E., & Fredland, N. M. (2023). Orem’s self-care deficit nursing theory to improve children’s self-care: An Integrative Review. Journal of School Nursing, 39(1), 6–17. https://doi-org.lopes.idm.oclc.org/10.1177/10598405211050062
Tourville C, & Ingalls K. (2003). The living tree of nursing Theories. Nursing Forum, 38(3), 21–36. https://doi-org.lopes.idm.oclc.org/10.1111/j.0029-6473.2003.t01-1-00021.x
Description
Objectives:
1. Describe nursing theories and their application to the advance registered nurse’s practice.
2. Evaluate nursing theories based on intent, goal, and scope.
Study Materials
Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapters 19 and 23 in Advanced Practice Nursing: Essential Knowledge for the Profession.
The Living Tree of Nursing Theories
Description:
Read “The Living Tree of Nursing Theories,” by Tomville and Ingalls, from Nursing Forum (2003).
A Cross -Cultural Comparison of a Clinical Nurse Competency Path Model
Description:
Read “A Cross-Cultural Comparison of a Clinical Nurse Competency Path Model,” by Sportsman , Hamilton, and Schumacker, from International Journal of Nursing Education(2014).
A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Frameworks
Description:
Read “A Multidime nsional Analysis of the Epistemic Origins of Nursing Theories , Models , and Framewor ks,” by Beckstead and Beck stead , from International Journal of Nursing Studies(2006).
Nursing Theories
Description:
Explore the links on the Nursing Theories page of the Current Nursing website.
APA Resources
Description:
Review the American Psychological Association (APA) writing style guidelines and resources located in the Student Success Center. APA format is required for most assignments, so students should become familiar with these resources to facilitate the successfu l completion of course assignments.
Discussion Forum Guidelines and Example
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Review the “Discussion Forum Guidelines and Example”.
Initial Course Survey
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