NRS 430 Topic 3 Discussion Question Two
Select a nursing theory and provide a concise summary of it. Provide an example in nursing practice where the nursing theory you selected would be effective in managing patient care.
Re: Topic 3 DQ 2
The difference between a nursing model is to provide guidance in research and a nursing theory explains the nursing process that is based on research. The Coping/adaptation Theory- Focuses on focuses on various psychological responses to stress that are considered negative, such as emotional distress, anxiety, depression, anger, and fear (Whitney, 2018). An example I can think of is when a patient presents to the ER for psychiatric evaluation due to auditory Hallucinations. The patient appears distressed, anxious, tachycardic and high blood pressure. The nurse provides a supervised, quiet environment for the patient and offers medication to help calm the Anxiety. The patient calms down, vital signs improve and the patient remains cooperative while admission to the psychiatric unit is finalized. The patient is provided with therapy and medication management to improve patients mental health
Whitney, S. (2018). History of professional nursing. In Grand Canyon University (Eds.), Dynamics in Nursing: Art and Science of Professional Practice. https://lc.gcumedia.com/nrs430v/dynamics-innursing-art-and-science-of-professional-practice/v1.1/#/chapter/2
RESPOND TO BONNIE
I agree that a nursing model provides a protocol for research, but nursing theory elaborates on the nursing process. As a result, the nursing model is more complex than the nursing theory. Depending on the purpose, the nursing model may offer various nursing theories that can be integrated into nursing research. Nursing models cover a wide range of important aspects of the research. Nursing models that are effective are used in successful nursing studies (Leviner, 2020). There are numerous nursing models and theories that can be used together or separately. The coping/adaptation theory examines how patients suffering from psychological issues such as emotional distress, anger, and anxiety respond to psychological disruptions. Adaptation theory allows a physician to prescribe a supervised and quiet environment for an anxious patient’s recovery. The theory also explains when medical intervention may be preferable to other responses. The nursing model could go on to provide a long-term schedule that could eliminate relapses.
Leviner, S. (2020). Patient flow within hospitals: A conceptual model. Nursing Science Quarterly, 33(1), 29-34. https://doi.org/10.1177/0894318419881981
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Re: Topic 3 DQ 2
Nursing conceptual model and a nursing theory. The nursing conceptual model guides research in nursing. The conceptual model has
hypothetical connections and together defines the co-existence between two concepts. The concepts are then linked together with a hypothesis with either a mathematical or declarations (Whitney, n.d.).
The nursing theory differs from the nursing conceptual model by formulating ideas and putting it together in a concise plan. Nurses use this plan with their skills to expand their knowledge which in return improves the care provided. Florence Nightingale was a pioneer in the nursing theory model. Nightingale believed from environment, water, fresh air, proper nutrition, hygiene and sufficient sunlight the patient will improve a patient’s recovery.
An 18-year-old female was exhibiting an acute episode for sickle cell crises. This young female has pain on a scale of 1 to 10 at an 8. She has reported to not refilling her medication for over 1 month and refuses pain medication. As nightingale believed the patient needs the proper environment, hygiene and proper nutrition. The nurse assessed the patient for non compliance to medication and found that the patient did not have insurance and was homeless. In return the patient did not have the proper nutrition nor sufficient hygiene. She refused the pain medication fearing the cost associated with the medication. The nurse provided the resources for a social worker to assist with housing, insurance and medication management teaching was provided.
Whitney, S. (n.d.). CCC web books by AWS & CDD. https://lc.gcumedia.com/nrs430v/dynamics-in-nursing-art-and-science-of-professional-practice/v1.1/#/chapter/2
RESPOND TO ROSS
I agree with your assertion that nursing conceptual model guides nursing research. The model has various connections and co-existence of two concepts. A hypothesis is a critical part of a conceptual model. Depending on the nursing research, the hypothesis can be either in calculations or declarations (Upvall & Leffers, 2018). Nursing theory is different since theory formulates ideas that develop a plan. The nursing plan facilitates the execution of nursing research. Florence Nightingale is an example of a successful nurse who used her nursing plan to develop a nursing theory model. Although this pioneer nurse developed her theory in the 1800s, the protocol that was used makes the theory beneficial to date. Nightingale believed that improving a patient’s recovery is a process that is determined by the presence of fresh air, proper nutrition, hygiene, clean water, and sufficient sunlight. Most contemporary healthcare facilities adhere to every element of Nightingale’s environmental theory. The fact that the theory was generated in the 1800s but it is still relevant today shows the importance of the conceptual model in nursing.
Upvall, M. J., & Leffers, J. M. (2018). Revising a conceptual model of partnership and sustainability in global health. Public Health Nursing, 35(3), 228-237. DOI: 10.1111/phn.12396
Re: Topic 3 DQ 2
“Nursing theory is a structure of purposeful and systematic ideas that help to organize disciplinary thinking and influence practice” (Whitney, 2018, para. 28). In other words a Nursing theory provide the foundations of nursing practice. “Theories can be categorized according to their complexity. These categories include practice theories, midrange theories, and grand theories (also referred to as conceptual models). Conceptual models explain a particular way of thinking, or a mental picture of how the theory fits together, according to the theorist. A conceptual model is the organizing structure that defines the theory’ (Whitney, 2018, para. 34). In other words we can say a conceptual model provide guidance for research of a particular topic in nursing.
The Coping and Adaption Theory by Richard Lazarus says that “ The ability to cope requires the body to adapt continually to a changing environments and it centers on how an individual copes with stressful situations” (Whitney, 2018. para. 38).This theory sees stress, anxiety, depression, anger, and fear, as coping mechanisms. Nurses can apply this theory to assess the effects of stress on the patient and themselves. Unfortunately with covid, nothing is certain, we know that this virus mostly affect to adults and people who have severe underlying medical conditions. At the begging of the pandemic we were told by the CDC that symptoms for this disease may be fever or chills, cough, Shortness of breath or difficulty breathing but after days we also had patients reporting GI symptoms like diarrhea or poor appetite, so this pandemic is constantly changing and everyday there is something new, so nurses should alway be ready to adapt to any situation that can come and also undestand that every patient has their on way to adapt to situations.
Whitney, S. (2018). History of professional nursing. In Grand Canyon University (Eds.), Dynamics in Nursing: Art and Science of Professional Practice. Retrieved from: https://lc.gcumedia.com/nrs430v/dynamics-in- nursing-art-and-science-of-professional-practice/v1.1/#/chapter/2
I agree with you that nursing theory is the foundation of nursing practice. Nursing practice is an obligation that is guided by systematic ideas that help in organizing thinking and acting. Therefore, nursing theory ensures that decisions and deeds in nursing research are appropriate to guarantee positive outcomes. Nursing theories are classified in midrange theories, and grand theories based on the uniqueness of these theories when they are used in research (Maki & DeVon, 2018). These nursing models are further divided into various categories depending on the situation of their utilization. The conceptual model is an elaborate concept in nursing research. The model guides the thinking and the selection of the suitable nursing theory for the research. There are various nursing theories but some circumstances render some theories irrelevant. The conceptual model plays a crucial role in the selection of the appropriate nursing model. The role of a conceptual model dictates the model to have a hypothesis that guides the thinking and other actions that are performing in nursing research.
Maki, K. A., & DeVon, H. A. (2018). A nursing theory‐guided framework for genetic and epigenetic research. Nursing Inquiry, 25(3), e12238. DOI: 10.1111/nin.12238