Week 1: Importance of Theory in Nursing

Week 1: Importance of Theory in Nursing

Week 1 Importance of Theory in Nursing

For many students enrolled in NR501, this is an initial course for nursing theory.  So, let’s have a debate!!!  Is nursing theory important to the nursing profession?  If you believe that it is important, explain why it is useful.  If you do not believe that it is useful, explain why nursing theory is not necessary to the profession?  Be sure to provide an example that demonstrates your opinion and a scholarly reference (not using the required textbook or lesson) which supports your opinion

I do believe that theory in nursing is very important. Theory has been a part of nursing since the time Florence Nightingale began to change and develop procedures and explanations as to why nurses do what they do. A theory is defined as “a coherent group of tested general propositions, commonly regarded as correct, that can be used as principles of explanation and prediction for a class of phenomena” (Theory [Def. 1], n.d.) Theory in nursing has been an ever-evolving topic. Expanding on reasoning for what we do, why we do stuff, and what affects we do have on our patients. Peplau was a theorist who developed the theory of interpersonal relationships. Explaining the interactions with the patient as it evolves into a more therapeutic relationship. The nurse and patient start off as strangers in the orientation phase and progress to the exploitation phase where the nurse and patient interact and finally the resolution phase when the care has been provided and the relationship at that time is terminated. This theory is a foundation of each interaction we have with our patients starting the moment that we get our assignment. Peplau “enabled the nurse to begin to move away from the disease model orientation to one where the psychological meaning of events, feelings and behaviors could be explored and incorporated into nursing interventions” (Adams, 2017).

Week 1 Importance of Theory in Nursing
Week 1 Importance of Theory in Nursing

As nurses at the bedside we don’t often think too much about how we are using every day. As explained above the most common theory that has been developed and explained is the foundation to how we interact during the day. There are countless numbers of theories out there that we function based on, but don’t always know it. As identified by Sheri Jacobson, the best way to help nurses make the connection between theory and practice is by helping nurses make the connection using real example of practice (2017). An example she gave was of a nurse who is providing teaching for a patient on how to care for themselves when they leave (i.e. dressing changes, medication administration, exercises, etc.). Without theory in our practice we would have no foundation to go from to guide our practice and care methods.

Week 1: Importance of Theory in Nursing  References:

Adams, L. (2017). Peplau’s Contributions to Psychiatric and Nursing Knowledge. Retrieved December 27, 2017, from http://jmhan.org/index.php/JMHAN/article/view/3

Jacobson, S. (2017). Building Bridges from Theory to Practice: Nursing Theory for Clinical Nurses. Med-Surg Matters, 26(3), 1-15.

Theory [Def. 1]. (n.d.). Dictionary.com. Retrieved December 26,2017, from http://www.dictionary.com/browse/theory.

Hi Professor,

I watched Sr. Callista Roy’s video on the background behind her developing the Roy Adaptation Model. RAM has been used by individual nurses as a framework to conceptualize and plan the care of patients one at a time, or use the model to create an intervention for a discrete clinical population (Senesac, 2006). This model has proven to be a great tool to use in several different areas of the profession from the student nurse environment to being a tool to aid with staff retention. The model has been successful in guiding facilities in obtaining the knowledge to effective come up with communication styles and establishing committees that productively promote change. Senesca writes a case study applying the Roy Adaptation Model where a nurse and Julie P. (a juvenile diabetes patient), work together to effectively manage her disease process by using the best adaptive strategies to promote a healthy lifestyle and maintain control of her diabetes while developing as a teenager.

Week 1: Importance of Theory in Nursing References

Senesac, P. (2006). Implementing the Roy Adaptation Model: From theory to Practice [PDF document]. Retrieved from http://www.bc.edu/sites/nurse-theorist/the_roy_adaptationmodel.html

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I really enjoyed reading your post. My specialty is Family Nurse Practitioner as well, Amanda. I, too, believe theory plays a major role in how we practice now as well as how we will practice in our future roles as advanced practice nurses no matter what specialty we choose. I see you mentioned that nurse practitioners attempt to separate or don’t use nursing theory often in their practices. I would want to utilize and incorporate nursing theory in my practice to make the best decisions for my patients. This way I know that I am delivering the best care to them. Thus, incorporating theory into our practice is pivotal to changes that may need to be made. This course will enlighten us and guide and be the basis of our theory knowledge as advanced practice nurses. The use of conceptual and theoretical frameworks in our educational curriculum is essential to protect and preserve the focus and clarity of nursing’s distinct contribution to healthcare (Wilson, et al., 2015). Advanced practice registered nurses (APRNs) are expected to perform functions that were previously reserved for physicians and expand the scope of nursing into the realm of medicine. I believe that there is a sacred opportunity to merge the theoretical underpinnings of the discipline with the clinical realities of the profession, for bedside as well as advance practice alike.

As APRNs roles are expanded, evidence-based practice will be important to implement into practice in that without a basis or foundation of what we know, how we know and how to integrate what we know depends on theories that were discovered long before we even thought about practicing nursing. The intent of theory is to examine the phenomenon of professional nursing in systematic ways as a means of clarifying its unique body of knowledge, making visible the nature of its domain, informing clinical practice, and forming a basis for research related to its practice domain (Arnold & Boggs, 2015). By providing safe, effective care, patients are satisfied with that care. As a Nurse Practitioner, we will be utilizing caring, which is a theory, in our everyday practice. One of our roles will be a resource person, as we are now as nurses, but, even more so as we will be more advanced in our practice. Within our resources, there had to be some evidence of theories that made an impact on how we practice.  We will be handling comprehensive healthcare situations and treating patients holistically, so it is imperative that theory play a part in that process.

Week 1: Importance of Theory in Nursing References

Wilson, R., Godfrey, C., Sears, M., Medves, J., Ross-White, A., & & Lambert, N. (2015). Exploring Conceptual and theoretical frame works for nurse practitioner education: a scoping review protocol. JBI Database of Systematic Reviews and Implementation Reports, 13(10), 2150. doi:10.11124/jbisrir-2015-2150

Arnold, E., & Boggs, K. (2015). Interpersonal Relationships-E-Book: Professional Communication Skills for Nurses. Elsevier Health Sciences.

Week 1: Importance of Theory in Nursing  Grading Rubric

Performance Category 100% or highest level of performance

100%

16 points

Very good or high level of performance

88%

14 points

Acceptable level of performance

81%

13 points

Inadequate demonstration of expectations

68%

11 points

Deficient level of performance

56%

9 points

 

Failing level

of performance

55% or less

0 points

 Total Points Possible= 50           16 Points    14 Points 13 Points        11 Points           9 Points          0 Points
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic topics.

Presentation of information was exceptional and included all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information was good, but was superficial in places and included all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information was minimally demonstrated in all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
 

Presentation of information is unsatisfactory in one of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
 

Presentation of information is unsatisfactory in two of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information is unsatisfactory in three or more of the following elements

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
 16 Points  14 Points  13 Points 11 Points 9 Points  0 Points
Application of Course Knowledge

Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations

Presentation of information was exceptional and included all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information was good, but was superficial in places and included all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information was minimally demonstrated in the all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in one of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from and scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in two of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in three of the following elements

  • Applies principles, knowledge and information and scholarly resources to the required topic.
  • Applies facts, principles or concepts learned scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
   10 Points 9 Points  6 Points  0 Points
Interactive Dialogue

Initial post should be a minimum of 300 words (references do not count toward word count)

The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count)

Responses are substantive and relate to the topic.

Demonstrated all of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
Demonstrated 3 of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
Demonstrated 2 of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
Demonstrated 1 or less of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
  8 Points 7 Points  6 Points         5 Points          4 Points  0 Points
Grammar, Syntax, APA

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

Error is defined to be a unique APA error. Same type of error is only counted as one error.

The following was present:

  • 0-3 errors in APA format

AND

  • Responses have 0-3 grammatical, spelling or punctuation errors

AND

  • Writing style is generally clear, focused on topic,and facilitates communication.
The following was present:

  • 4-6 errors in APA format.

AND/OR

  • Responses have 4-5 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is somewhat focused on topic.
The following was present:

  • 7-9 errors in APA format.

AND/OR

  • Responses have 6-7 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is slightly focused on topic making discussion difficult to understand.
 

The following was present:

  • 10- 12 errors in APA format

AND/OR

  • Responses have 8-9 grammatical, spelling and punctuation errors

AND/OR

  • Writing style is not focused on topic, making discussion difficult to understand.
 

The following was present:

  • 13 – 15 errors in APA format

AND/OR

  • Responses have 8-10 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is not focused on topic, making discussion difficult to understand.

AND/OR

  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor.
The following was present:

  • 16 to greater errors in APA format.

AND/OR

  • Responses have more than 10 grammatical, spelling or punctuation errors.

AND/OR

  • Writing style does not facilitate communication
  0 Points Deducted 5 Points Lost
Participation

Requirements

Demonstrated the following:

  • Initial, peer, and faculty postings were made on 3 separate days
Failed to demonstrate the following:

  • Initial, peer, and faculty postings were made on 3 separate days
  0 Points Lost 5 Points Lost
Due Date Requirements Demonstrated all of the following:

  • The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT.

A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.

Demonstrates one or less of the following.

  • The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT.

A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.