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NUR 513 Worldview and Nursing Process Personal Statement Assignment
NUR 513 Worldview and Nursing Process Personal Statement Assignment
Nurses have a critical role to play in the provision of care that promotes safety, quality, and efficiency. In doing this, they practice in accordance with their worldview. According to Garrett (2018), worldview refers to the sets of assumptions and beliefs that influence the practice of nurses. It represents the manner in which nurses interpret as well as explain their experience. Culture has a significant influence on the worldview of nurses. It provides them with ontological and epistemic foundation that determines their belief system. Therefore, this essay examines my personal worldview, nursing theory that aligns with my philosophy, and an example in which the theory could help me in addressing a healthcare issue. It also examines the manner in which the worldview will assist me in developing my future practice as a nurse.
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I believe that nursing practice is holistic in nature. It takes into consideration the multiple aspects that interplay to influence one’s response to nursing care. The aspects include religious, spiritual, and cultural elements that influence the uptake of nursing care. Patients have religious practices that must be respected during the provision of nursing care. It is important that nurses incorporate the diverse religious practices of their patients into their plan of care. This is critical because religious beliefs and practices can influence the uptake of a given approach to healthcare. For instance, it would be appropriate for the nurses to incorporate the services of clergies in situations where a patient believes that the health problem could be solved with a combination of medical and religious interventions (Mauk & Hobus, 2019).
Moreover, I also believe that culture has a significant impact on the provision of quality, safe, and efficient nursing care. Thus, the practice of nursing should take into consideration the cultural values, beliefs, and practices that influence care. Nurses should demonstrate cultural competence when working with patients from diverse cultural backgrounds. The competence is developed by being aware of the values and beliefs of the patients and respecting them. Nurses need to work in collaboration with their patients in identifying the cultural aspects that need to be considered in the provision of healthcare and their roles in promoting them (O’Brien, 2018). Through it, nurses will provide holistic care that is not only focused on the patient’s health problem but also the factors influencing the recovery process. NUR 513 Worldview and Nursing Process Personal Statement Assignment
Theories have a significant influence on the care that nurses offer to their patients. They inform the decisions of care that the nurses embrace. Theories also form the basis of research in nursing. As a result, they also inform evidence-based practice in nursing. One of the nursing theories that inform my practice as a nurse is Virginia Henderson’s theory of need. The theory asserts that the focus of nursing care should be to enable patients to have the independence to undertake activities that will meet their health needs. Henderson observed that optimum health could only be achieved with the provision of care that meets the fundamental needs of the patients. The assumptions of Henderson’s theory resonate significantly with my assumptions on nursing practice. According to her, nurses have the professional responsibility of providing patients with care until a period when they are able to take care of themselves. Nurses should also be devoted to their professional practice. They should explore the ways in which optimum nursing care is provided to match the healthcare needs of the patients. Henderson also asserts in her theory that nurses should be educated for them to provide appropriate care to their patients (Peate, 2019). They should undergo a long period of training to inform their safe, efficient, and quality practice in their settings.
My philosophy is centered on providing care that addresses the basic concepts of nursing care. The concepts include nursing, health, individual or patient, and the environment. These concepts are also evident in the theory of Virginia Henderson. According to her, nursing entails assisting patients in doing things they could have done if they were not sick or ill (Raingruber, 2017). Individuals are perceived to have fundamental needs that must be met. They may need assistance in situations where they lack the independence in meeting them. Henderson asserts that the environment entails both the internal and external factors that influence health. As a result, nurses provide patients with environments that promote optimum health and recovery from a disease. The last aspect in Henderson’s theory that influences my practice is the components of needs that nurses must promote in their patient care. They include ensuring that patients’ breath normally, eliminates wastes, sleeps and rests, moves to their desire postures, and maintain hygiene among other elements (Raingruber, 2017). Therefore, this theory reinforces my practice of nursing by acting as a guide on the manner in which prioritized care is given to those in need. It informs the basis of the decisions that I make in relation to patient care.
Example of Current Practice
An example of current practice that can be resolved using my worldview and nursing theory is the need for 24-hour nursing care for patients in hospital settings. Generally, the provision of nursing care is a continuous process. Nurses engage in the provision of continuous care as a way of ensuring that actual and potential needs of patients are addressed in a timely manner. The need for this practice is informed by my worldview as well as Henderson’s theory. As shown earlier, nursing practice should be holistic in nature. It should address current and emerging health needs of the patients. The needs can only be identified with the provision of continuous care that aims at responding to immediate needs of the patient for optimum health and wellbeing. Henderson’s theory also informs the need for continuity of nursing care. According to her, patients have multiple healthcare needs that must be addressed by the nurses (Raingruber, 2017). Consequently, it make it relevant for nurses to engage in continuous care for them to provide care that meet the actual and potential needs of the patients.
How my Worldview and Nursing Theory will help in Developing my Future Practice
My worldview and nursing theory will help in developing my future practice in many ways. Firstly, it will help me engage in research that will contribute to the practice of safe and efficient care. It will also help me engage in care that protects the rights and needs of the patients. The principles of my worldview and the theory will also help me explore the ways in which care in our setting can be improved. This includes exploring the need for a change in institutional practices and policies to influence the quality of care offered to those in need (Raingruber, 2017). Therefore, I believe that my worldview and nursing theory will influence significantly the development of my future practice as a nurse. NUR 513 Worldview and Nursing Process Personal Statement Assignment
NUR 513 Worldview and Nursing Process Personal Statement Assignment Conclusion
In summary, my worldview about nursing has a significant influence on the care that I provide to the patients in need. It influences the need for a consideration of aspects such as cultural, spiritual, and religious beliefs in the provision of care. Virginia Henderson’s theory has a significant influence on my professional practice. It informs the values and beliefs that I use in providing my nursing care. Therefore, I believe that the use of nursing theories and my philosophy will influence my future practice as a nurse.
NUR 513 Worldview and Nursing Process Personal Statement Assignment References
Garrett, B. (2018). Empirical nursing: The art of evidence-based care. Bingley, UK: Emerald Publishing Limited.
Mauk, K. L., & Hobus, M. E. (2021). Nursing as ministry. Burlington, MA: Jones & Bartlett Learning.
O’Brien, M. E. (2018). Spirituality in nursing: Standing on holy ground. Burlington, MA: Jones & Bartlett Learning.
Peate, .(2019). Fundamentals of assessment and care planning for nurses. New York, NY: JOHN WILEY.
Raingruber, B. (2017). Contemporary health promotion in nursing practice. Burlington, MA: Jones & Bartlett Learning.
Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice, and the ways worldview and nursing theory influence that practice.
Draft a 1,000-1,250 word paper in which you:
- Describe your personal worldview, including the religious, spiritual, and cultural elements that you think most influence your personal philosophy of practice and attitude towards patient care.
- Choose a specific nursing theory that is most in line with your personal philosophy of practice and approach to patient care and discuss the similarities. Explain how the nursing theory reinforces your approach to care.
- Include in your explanation a specific example of a past or current practice and how your worldview and the nursing theory could assist you in resolving this issue.
- Finally, explain how your worldview and the nursing theory will assist you in further developing your future practice.
You are required to cite five to 10 sources to complete this Worldview and Nursing Process Personal Statement assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the Worldview and Nursing Process Personal Statement assignment to become familiar with the expectations for successful completion.
You are required to submit this Worldview and Nursing Process Personal Statement assignment to LopesWrite. Please refer to the directions in the Student Success Center.
SAMPLE 2: Worldview and Nursing Process Personal Statement
Nurses play crucial roles in the promotion of optimum health and wellbeing of the populations that they serve. They explore the available best practices that can be utilized to achieve care outcomes such as safety, quality, and efficiency. In doing so, worldviews guide nurses in making their decisions. Worldviews encompass the philosophies that guide one’s decisions in their daily lives. Therefore, this essay examines my worldview as a nurse, an appropriate theory that aligns with it, and its effect on my future practice.
My Personal Worldview
My worldview as a nurse focuses on the provision of holistic nursing care to patients. I believe that nursing care should not only focus on the patient’s health problems but also the factors that influence their experience with a disease. The care should aim at identifying the different factors that influence patient’s adherence to the treatment plan and their ability to transform their lifestyles and behaviors (Murgia et al., 2020). Holistic nursing care empowers patients to take responsibility for their health needs, hence, sustained outcomes. I also believe that patients play a vital role in the realization of optimum care outcomes. Patients should be involved in assessing, planning, implementing, monitoring, and evaluating their care outcomes (Hertz & Santy-Tomlinson, 2018). Patient involvement in the care process contributes to their satisfaction as well as adherence to the treatment plans.
Part of the holistic care in my worldview encompasses respecting patients’ cultural values, beliefs, and practices. Nurses should make care decisions that align with the diverse cultural values and practices of their patients. They should possess the cultural competencies to provide care that addresses the prioritized and potential needs of their patients (Frisch & Rabinowitsch, 2019). I also believe that nursing care should also consider the religious beliefs and practices of the patients. Nurses should assess the meaning of religious beliefs and practices to patients and their recovery process (Hertz & Santy-Tomlinson, 2018). Aspects such as having clergies attend to patients’ spiritual needs should be adopted to ensure holism in nursing care.
My worldview also focuses on the utilization of evidence-based interventions to ensure optimum care outcomes. I believe that nurses should make their decisions based on best clinical and research evidence, expertise knowledge and the consideration of patient values (Chien, 2019). I also consider patients as unique beings with the abilities to meet their self-care needs. Nurses play the roles of assisting them to meet their needs when unable in times of illnesses. Nurses should empower patients to develop self-care abilities and meet their daily needs. Lastly, I believe that nursing is a caring profession that relies mainly on interprofessional collaboration (Camargo et al., 2018). Nurses should collaborate with other healthcare providers to meet the diverse needs of their patients.
Dorothea Orem’s theory of self-care deficit aligns the most with my philosophy of nursing. According to Orem, nurses’ roles in the patient care is an act of assisting them in the management and provision of self-care to ensure the maintenance or improvement in human functioning. Nursing care roles aims at helping patients to perform self-care, maintain their lives, wellbeing, and health (Ali, 2018). Orem considered that nurses help patients in times of illness to connect among themselves as well as their environment. In their role, nurses help patients to identify their self-care deficits and work towards meeting them independently for their optimum health and functioning. Orem’s theory also asserted the need for legitimate relationship between nurses and patients (Hartweg & Metcalfe, 2022). Nurses develop therapeutic relationships with their patients with the aim of influencing their behaviors and promoting healthy decisions that contribute to their health.
Orem’s theory of self-care deficit shares some similarities with my worldview. First, I believe that patients are independent agencies that have the will and power to meet their health needs. Illness affects these abilities, increasing the need for nurses to assist patients achieve the independence they desire. The other similarity lies in the focus on the provision of holistic patient care. Orem recognized the need for nursing care to focus on aspects that include patient, health, environment, and nursing. This focus is important in ensuring that nurses provide care that is multifaceted in nature (Hartweg & Metcalfe, 2022). For example, besides providing care that aims at the identified illness, nurses should ensure that the environment and nurse-patient relationship facilitate the recovery process.
Orem’s theory enforces my approach to care in some ways. First, it helps me identify the prioritized and potential self-care deficits for my patients. This focus helps in the development of patient-centered and appropriate plans that promote recovery and patient’s wellbeing. Orem’s theory also informs my approach to helping others to achieve their self-care needs. For example, it informs my use of approaches such as acting and doing for others, guiding, supporting, teaching, and providing an environment that supports development for those I care in my practice (Yip, 2021). Lastly, Orem’s theory informs my approach to nursing process. I incorporate the theory into the different phases of nursing process such as assessment, planning, implementation, monitoring, and evaluation (Helou & Zumstein-Shaha, n.d.). For example, I evaluate the developed nursing care plans based on the achieved self-care abilities by patients.
I apply my worldview in caring for my patients in my practice. An example of the way in which I recently applied it was when caring for a patient practicing Christianity. The patient believed that his health would improve if prayed by a clergy. As a result, I organized for a clergy to visit and have a prayer with the patient. The patient was satisfied with the care given and was discharged afterwards. He believed that besides treatment, prayers helped him recover from his illness.
Effect of My Worldview and Theory on My Future Practice
My worldview and Orem’s theory will assist me in developing my future practice in some ways. First, my worldview and theory will inform my research in nursing. I will utilize the concepts of Orem’s theory in investigating the different issues that affect nursing and nursing practice (Gligor & DOMNARI, 2020). My philosophy will also inform my personal and professional development initiatives as a nurse. In this case, I will reflect on my professional experiences and explore opportunities for growth with the aim of improving my practice as a nurse. The theory and worldview will also strengthen my understanding of patient needs and the delivery of patient-centered care (Hartweg & Metcalfe, 2022). Nursing theory will help me learn about new evidence-based interventions guided by theory that I can utilize to enhance patient care outcomes.
NUR 513 Worldview and Nursing Process Personal Statement Assignment Conclusion
In summary, worldview is an important part of nursing practice. Worldview affects our approach to different issues in nursing and the delivery of patient care services. My worldview shares similarities with Orem’s theory of self-care deficit. I believe that my worldview and nursing theories will strengthen my ability to offer high-quality, safe, efficient, and patient-centered care as I advance my practice in nursing.
NUR 513 Worldview and Nursing Process Personal Statement Assignment References
Ali, B. H. I. (2018). Application of Orem self care deficit theory on psychiatric patient. Annals of Nursing and Practice, 5(1), 1–3.
Camargo, F. C., Iwamoto, H. H., Galvão, C. M., Pereira, G. de A., Andrade, R. B., & Masso, G. C. (2018). Competences and barriers for the evidence-based practice in nursing: An integrative review. Revista Brasileira de Enfermagem, 71, 2030–2038.
Chien, L.-Y. (2019). Evidence-based practice and nursing research. The Journal of Nursing Research, 27(4), e29.
Frisch, N. C., & Rabinowitsch, D. (2019). What’s in a definition? Holistic nursing, integrative health care, and integrative nursing: report of an integrated literature review. Journal of Holistic Nursing, 37(3), 260–272.
Gligor, L., & DOMNARI, C. D. (2020). Patient care approach using nursing theories-comparative analysis of Orem’s Self-Care Deficit Theory and Henderson’s Model.
Hartweg, D. L., & Metcalfe, S. A. (2022). Orem’s Self-Care Deficit Nursing Theory: Relevance and Need for Refinement. Nursing Science Quarterly, 35(1), 70–76.
Helou, N., & Zumstein-Shaha, M. (n.d.). Applying Orem’s Self-Care Deficit Nursing Theory to Promoting Diabetic Kidney Disease Outcomes in Interprofessional Collaboration.
Hertz, K., & Santy-Tomlinson, J. (2018). Fragility Fracture nursing: Holistic care and management of the orthogeriatric patient.
Murgia, C., Notarnicola, I., Rocco, G., & Stievano, A. (2020). Spirituality in nursing: A concept analysis. Nursing Ethics, 27(5), 1327–1343.
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Worldview and Nursing Process Personal Statement
20.0 %Personal Worldview, Including the Religious, Spiritual, and Cultural Elements That Most Influence Personal Philosophy of Practice and Attitude Towards Patient Care A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is not included. A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is present, but it lacks detail or is incomplete. A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is present. A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is clearly provided and well developed. A comprehensive discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is thoroughly developed with supporting details.
15.0 %Specific Example of a Past or Current Practice Problem and How Worldview and the Nursing Theory Could Assist in Resolving This Issue A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is not included. A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is present, but it lacks detail or is incomplete. A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is present. A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is clearly provided and well developed. A comprehensive discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is thoroughly developed with supporting details.
15.0 %Specific Nursing Theory in Line With the Personal Philosophy of Practice and Approach to Patient Care, Including Similarities and How the Nursing Theory Reinforces the Approach to Care A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is not included. A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is present, but it lacks detail or is incomplete. A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is present. A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is clearly provided and well developed. A comprehensive discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is thoroughly developed with supporting details.
15.0 %How Worldview and the Nursing Theory Will Assist in Further Developing Future Practice A discussion of how worldview and the nursing theory will assist in further developing future practice is not included. A discussion of how worldview and the nursing theory will assist in further developing future practice is present, but it lacks detail or is incomplete. A discussion of how worldview and the nursing theory will assist in further developing future practice is present. A discussion of how worldview and the nursing theory will assist in further developing future practice is clearly provided and well developed. A comprehensive discussion of how worldview and the nursing theory will assist in further developing future practice is thoroughly developed with supporting details.
5.0 %Required Sources Sources are not included. Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
20.0 %Organization and Effectiveness
7.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
8.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
5.0 %Paper Format (Use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
100 %Total Weightage
The nursing profession provides many areas in healthcare and patient care that one can practice in. Within the healthcare system, nurses make up the largest workforce but are still struggling with staffing shortages that create a threat to public health, the healthcare system and patient care. One area of suffering that is seeing the effects of the shortage is in nursing faculty. According to the American Association of Colleges of Nursing (2020), “Faculty shortages at nursing schools across the country are limiting student capacity at a time when the need for professional registered nurses continues to grow; Budget constraints, an aging faculty, and increasing job competition from clinical sites have contributed to this crisis” (para. 1). This issue was highlighted during the start of the COVID-19 pandemic. In my home state of New York, we were hit hard by the outbreak which left many of our hospitals in chaos. Many of the nursing students I knew were expedited through their course if they were in their final semesters and funneled into hospitals because of the staffing shortages. Prior to the pandemic I do remember there were a few friends of mine who had to look for other online schools because the schools near them didn’t’ have enough classes as a result of not having enough nursing faculty to conduct those classes. Many of my nursing colleagues who are in education say that their class sizes have doubled as a result of understaffing and now with the need for more nurses, students are having a hard time enrolling in nursing courses because of classrooms being over capacity. This is a threat to health care as the shortage of faculty means less class rooms and courses being made available and longer waiting periods to enroll in courses. It was very difficult to find a nursing theory that would best solve this problem. The only theory I found that could work was the Middle Range Nursing Theory which is a type of nursing theory. “Middle-range theories get into more specific areas of nursing as opposed to grand theories; They can come from day-to-day nursing practice, research, or from theories of similar disciplines” (Western Governors University, 2021). This theory will allow the individual(s) to focus on the problem (nursing faculty shortages) and gather resources and information from various areas of research and experience to develop effective and efficient solutions and new approaches to nursing education such as more online learning versus being in the class room, financial incentives to recruit and retain nursing faculty.
NUR 513 Worldview and Nursing Process Personal Statement Assignment References:
American Association of Colleges of Nursing (AACN). (2020). Nursing Faculty Shortage. https://www.aacnnursing.org/news-information/fact-sheets/nursing-faculty-shortage
Western Governors University (WGU). (2021). Understanding Nursing Theories. https://www.wgu.edu/blog/understanding-nursing-theories2109.html#close
Topic 5 DQ 2: Applying Nursing Theory in Advanced Nursing Practice
react positively. Working together to achieve mutual goals improves the nurse-patient relationship.
Many interactions demonstrate the relevance of goal attainment theory in the current practice as acute care nurses provide care to individuals, families, communities, and populations. Regularly, elderly adults seek acute care services due to their reduced independence stemming from chronic diseases and reduced mobility (Abdi et al., 2019). In response, nurses engage these patients and relevant family members in setting mutual goals and Nurses work as they acquire more skills to enable them to serve patients better in the future. As applied in the current practice, nursing theories will be instrumental in the success of future roles in advanced nursing practice. They will be crucial since self-care, the environment, and patient engagement will remain valuable for effective, holistic, and satisfactory care.
Among many theories, Imogene King’s theory of goal attainment applies to my future role as an acute and geriatric care nurse. King’s theory is established on the tenet that the care process is transactional and that the patients should be active participants in goal setting and accomplishment. If differently stated, the nurse and the patient should communicate information, set mutual goals, and act appropriately to achieve the set goals (Adib-Hajbaghery & Tahmouresi, 2018). The implication is that the desired goals are achieved through mutual perceptions and each participant playing their part as required. As Adib-Hajbaghery and Tahmouresi (2018) further mentioned, the nurse’s role is to care for the patient while initiating appropriate actions to enable patients to developing the treatment plan. As Kneuertz et al. (2020) noted, patient engagement improves adherence to medication, which is witnessed among this unique patient group when the nursing process is transactional. A similar approach to care will be instrumental in the future as acute care practitioners seek innovative ways of improving health among patients and populations.
Abdi, S., Spann, A., Borilovic, J., de Witte, L., & Hawley, M. (2019). Understanding the care and support needs of older people: a scoping review and categorisation using the WHO international classification of functioning, disability and health framework (ICF). BMC Geriatrics, 19(1), 1-15. https://doi.org/10.1186/s12877-019-1189-9
Adib-Hajbaghery, M., & Tahmouresi, M. (2018). Nurse–patient relationship based on the Imogene King’s theory of goal attainment. Nursing and Midwifery Studies, 7(3), 141-144. doi: 10.4103/2322-1488.235636
Kneuertz, P. J., Jagadesh, N., Perkins, A., Fitzgerald, M., Moffatt-Bruce, S. D., Merritt, R. E., & D’Souza, D. M. (2020). Improving patient engagement, adherence, and satisfaction in lung cancer surgery with implementation of a mobile device platform for patient reported outcomes. Journal of Thoracic Disease, 12(11), 6883–6891. https://doi.org/10.21037/jtd.2020.01.23
The one theory I would choose is the Modeling and Role modeling nursing theory by Erickson, Tomlin, and Swain. This theory provides a practilce based theoretical framework to attain the goals of improving current health status, disease prevention, and supporting the maximum state of health and well-being (Alligood, M. R., 2022). The premise of this nursing theory is to appreciate the individuality and uniqueness of each and every patient. This aids in developing relationships with patients and opens up lines of communication. Having the space to be comfortable and feel appreciated without judgment encourages open communication channels. Once the channels of communication are established ideas can be shared freely. This allows the nurse to develop a plan of care with measurable goals for the specific individual. This theory and all other theories are developed to aid in providing a structured framework to achieve the best patient outcomes. This theory would apply to my current position as caring for one individual at a time who does form a larger group. Each individual has very specific needs. The population I work in and will continue to work in is the veteran population. The nursing theory of Modeling and Role Modeling helps focus on the uniqueness of the individual with the goal of improving and maintaining their health. This population is unique and requires certain techniques and identifying their particular needs. By listening to the expressed needs and by prioritizing care based on need a treatment plan can be developed. If the patient has multiple comorbidities but is homeless housing would be a priority if they are interested in housing. If they are not interested then the next question would be about having their other physical needs met. This would then progress to addressing physical, mental, and emotional health. All the will be reevaluating the patient and their particular needs. Healthcare is a continuum and requires assessment after intervention and modification to the treatment plan as necessary. Applied nursing theories are not done singularly rather a combination of theories is generally applied to achieve the best patient outcomes.
In my current role in the Neonatal Intensive Care Unit (NICU), one area of potential growth is the practice of providing oral immunotherapy (oral care) with expressed breast milk. The current barriers to regular use of oral breastmilk in tube fed and NPO infants are an unclear workflow and lack of staff knowledge about the benefits of this practice. Due to these barriers, this practice is only being provided infrequently or not at all. The benefits of providing oral care with expressed breast milk to intubated infants include decreased ventilator-associated pneumonia, decreased necrotizing enterocolitis, decreased time on the ventilator and length of hospital stay (Cai et al., 2022).
To address this issue, Faye Abdellah’s 21 Nursing Problem’s theory can be applied. The intervention to solve this problem must be directed at staff. Education needs to be provided regarding the benefits of providing oral breast milk to non-oral feeding infants as well as clarification of how this milk is to be prepared, labeled and scanned according to hospital policy. As Abdellah’s theory argues,
“Nursing is based on an art and science that molds the attitudes, intellectual competencies, and technical skills of the individual nurse into the desire and ability to help people, sick or well, cope with their health needs” (Gonzalo, 2021, section 2.1). Her theory is patient-centered and therefore focused on the best-interest of the patient. Studies have shown, as mentioned above, that oral care with breast milk is beneficial to patients. In order for the NICU to serve the best interest of the patients, education and information must be provided to advance the knowledge and skill of the nurses to consistently provide this beneficial intervention, as Abdellah called nurses to do. Abdellah’s theory is the best one to address this issue because it is patient-centered and health-focused.
Cai, M., Lin, L., Peng, Y., Chen, L., & Lin, Y. (2022). Effect of Breast Milk Oral Care on Mechanically Ventilated Preterm Infants: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Frontiers in pediatrics, 10, 899193. https://doi.org/10.3389/fped.2022.899193
Gonzalo, A. (2021, March 5) Faye Abdellah: 21 nursing problems theory. Nurselabs.