Topic 4: Theory-Based Nursing Practice I
NUR 513 Topic 4: Theory-Based Nursing Practice I
Describe nursing theories and their application to the advance registered nurse’s
Nursing theories are conceptual frameworks that provide a systematic approach to understanding and explaining the various phenomena related to nursing practice. These theories help nurses to identify, explain, and predict outcomes in patient care, and provide a framework for the development of nursing practice, education, and research. There are many nursing theories, each with a unique focus and perspective. Some examples of nursing theories include:
Orem’s Self-Care Deficit Theory: This theory focuses on the patient’s ability to perform self-care and the role of the nurse in helping the patient achieve self-care independence.
Roy’s Adaptation Model: This theory focuses on the patient’s adaptation to stressors and the role of the nurse in facilitating adaptation.
Benner’s Novice to Expert Theory: This theory focuses on the development of nursing expertise and the progression from novice to expert.
Watson’s Caring Theory: This theory focuses on the importance of human caring in nursing practice and the role of the nurse as a caring presence.
Advanced registered nurses, such as nurse practitioners and clinical nurse specialists, often use nursing theories as a framework for their practice. They apply these theories to guide their assessment, diagnosis, and treatment of patients, and to inform their decision-making and communication with other healthcare providers. They also use nursing theories to guide their research and education, and to develop evidence-based practice guidelines.
Evaluate nursing theories based on intent, goal, and scope
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
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
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
Read “A Multidimensional Analysis of the Epistemic Origins of Nursing Theories , Models , and Framewor ks,” by Beckstead and Beck stead , from International Journal of Nursing Studies(2006).
One nursing theory is Orem’s Self-Care Deficit Theory. This theory focuses on the patient’s ability to care for themselves and is intended to help nurses understand how to assist patients in meeting their self-care needs. The scope of this theory is primarily on the individual patient and their specific self-care needs. The goals of this theory include promoting patients’ independence and self-care abilities, and providing a framework for nursing practice that focuses on the patient’s needs.
Another nursing theory is Roy’s Adaptation Model. This theory focuses on how individuals adapt to changes in their environment. The intent of this theory is to help nurses understand how patients adapt to illness and how nurses can support them in this process. The scope of this theory is broader than Orem’s theory, including not only the individual patient but also their environment and the interactions between them. The goals of this theory include promoting adaptation and helping patients to cope with the changes they are facing.
In comparing these two theories, Orem’s theory is more patient-centered and focuses on self-care, while Roy’s theory is more holistic and focuses on the patient’s adaptation to their environment. While both theories have their own strengths, it depends on the specific role and setting. For example, if the focus is on providing care for patients in a hospital setting, Orem’s theory might be more relevant, as it focuses on the patient’s self-care needs. On the other hand, if the focus is on community health, Roy’s theory may be more relevant as it focuses on the patient’s adaptation to the environment.
Explore the links on the Nursing Theories page of the Current Nursing website.
Topic4 DQ 1
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?
Topic4 DQ 2
Se lect two different nursing theorie s and de scribe how they relate to patient care. How could you use them for inciting behavioral changes? Discuss the pros and cons of applying each theory and how they could be integrated into your future practice . Are there any pruti cular ethical issues related to the integration of these theo ries that should be considered?
Topic 4 Participation