Introduction to Nursing Theory: Its History and Significance Flashcards
the beginning of nursing theory development can be traced to
Florence Nightingale
is the backbone of clinical care
nursing theory
highlights of significant events in this history
Florence Nightingale, The Columbia School (1950s), The Yale School (1960s), the 1970s, The 1980s, The 1990s
presents the first nursing theory that focuses on the manipulation of the environment for the benefit of the patient
Nightingale’s Notes on Nursing
The Eras of Nursing Knowledge
Curriculum Era, Research Era, Graduate Education Era, Theory Era, Theory Utilization era
- is specific to academia
- refers to a branch of education
- department of learning
- domain of knowledge
discipline
- a specialized field of practice founded on the theoretical structure of the science of knowledge of the discipline and accompanying practice abilities.
profession
led to the recognition of nursing as an academic discipline and a profession
nursing theories
this era emphasizes on courses included in nursing programs
Curriculum Era 1900-1940
This era emphasizes role of nurses and what to research
Research Era 1950-1970
the goal is to develop specialized knowledge and higher education
Curriculum Era
(emerging goal) Isolated studies do not yield unified knowledge
Research Era
emphasis is caving out an advanced role and basis for nursing practice
Graduate Education Era (1950 - 1970)
(Emerging Goal) Focus graduate education on knowledge development.
Graduate Education Era
The emphasis is that there are many ways to think about nursing
Theory Era: 1980-1990s
emphasis is that nursing theory guides research, practice, education, and administration
Theory Utilization Era (21st century)
(Emerging Goal) Theories guide nursing research and practice.
(Emerging Goal) Theories guide nursing research and practice.
emerging goal for this era is that, nursing frameworks produce knowledge
Theory Utilization Era
the gratest significance of nursing theory is that
nursing was recognized as an academic discipline and profession.
the significance of theory for the discipline of nursing is tha
the discipline is dependent on theory for its continued existence — that is, nursing can be vocation, or nursing can be a discipline with a professional style of theory-based practice
regards reason as the chief source and test of knowledge
Rationalism
any view appealing to reason as a source of knowledge or justification
Rationalism
methodology or a theory “in which the criterion of truth is not sensory but intellectual and deductive”
rationalism
based on the central idea that scientific knowledge can be derived only from sensory experience (i.e seeing, feeling, hearing facts)
Empiricism
inductive inquiry (empiricism) uses
research-then-theory approach
deductive inquiry (rationalism) uses
theory-then-research approach
describes how we experience the objects of the external world and provides an explanation of how we construct objects of experience
Phenomenology
focuses on discovering patterns that may describe, explain, and predict phenomena.
Postpositivism
tends to promote understanding by addressing the meanings of the participant’s social interaction that emphasize the situation, context, and multiple cognitive constructions individuals create from everyday experiences
interpretative paradigm
views the biophysical, psychological, and sociological subsystems as related but separate; thus the whole is equal to the sum of the parts
Wholism nursing
multiple subsystem are in continuous interaction and that mind-body relationships do exist
holistic nursing
has a metaphysical component that implies that the natural world exists; there is no nonnatural supranatural realm.
Naturalism
it is a methd for describing, explaining, and predicting causes or outcomes of interventions.
science is important because
two competing philosophical perspectives used in science are
rationalism and empiricism
a term or label that describes a phenomenon or group phenomena
concept
highest level of abstraction
metaparadigm
can be either observed or experienced through the senses
empirical concept
abstract concept
one that is not observable, such as hope or caring
the most global perspective of a discipline
metaparadigm
the global concepts that identify the phenomenon of central interest to a discipline, the global propositions that describe he concepts, and the global propositions that state the relations between or among the concepts
metaparadigm
he metaparadigm concepts for the discipline of nursing are as follows
person (human being), environment, health, nursing
individuals, families, communities, and other groups who are participants in nursing
human being or person
human being’s significant others and physical surroundings as well as local, regional, national and worldwide, cultural, social, political, and economic conditions that are associated with human being’s health.
Environment
human process of living and dying
health
the actions taken by the nurses in behalf of or in conjunction with human beings, and the goals or outcomes of nurisng actions; the process of which encompasses activities that are referred to as assessment, diagnosis (labeling), planning, ntervention, and evaluation
nursing
the actions taken by the nurses in behalf of or in conjunction with human beings, and the goals or outcomes of nurisng actions; the process of which encompasses activities that are referred to as
assessment, diagnosis (labeling), planning, intervention, and evaluation
set forth the general meaning of nursing and nursing phenomena through reasoning and the logical presentation of ideas
philosophies of nursing
are broad and address general ideas about nursing
philosophies
it contributes to the discipline by providing direction, clarifying values, and forming a foundation for theory development
philosophies
Conceptual Models of Nursing can also be called
Paradigms or Frameworks
are composed of abstract and general concepts and propositions that provide a frame of reference for members of the discipline
conceptual models
a set of concepts and statements that integrate the concepts into a meaningful configuration
conceptual model
are accepted as truth and represent the values and beliefs of the theory or concepts framework.
assumptions
form the basis for defining concepts and framing propositions
assumptions
is a statement about a concept or statement of the relation between two or more concepts
proposition
using a conceptual model or framework also helps to provide consistency in nursing by
facilitating communication and provides a mechanism for engaging in a systematic approach to nursing research, education and practice
a conceptualization of some aspect of reality (invented or discovered) that pertains to nursing
nusing theory
the primary distinction between a conceptual model and a theory is
level of abstraction
the theory that is broad in scope and highly abstract conceptually may be referred to as
grand theory
difference between conceptual models and nursing theories
a conceptual model is highly abstract system of global concepts and linking statements while a theory, in contrast, deals with one or more specific, concrete concepts and propositions.
the theory that has a narrow scope and is more concrete or practical may be referred to as
middle range theory
types of nursing theoretical works
nurisng philosophies, nursing conceptual models, nursing theories, grand theories, middle-range nursing theories
examples of philosophies in nursing
Nightingale’s Philosophy of Nursing (1946), Watson’s Philosophy of Nursing (1979), Benner’s Philosophy of Nursing (1984)
Nightingale provides an answer to the question “What is nursing?” in her work
“Nursing: What It Is and What It Is Not”
Nursing: What Is It and What It Is Not
distinguishes nursing from household servant of her day, draws a contrast between nursing and medicine, and specifies the concern of nursing to be healthy rather than illness
Watson provides a unique approach to nursing in her work
“Nursing: The Philosophy and Science of Caring”
She called for a return to earlier values of nursing, which emphasize its caring aspects
Watson
In this philosophical work, she sets forth theoretical proposotions for the human-to-human relationships of nursing and specifies ten carative factors to guide its application in nursing practice
“Nursing: The Philosophy and Science of Caring”
provides a philosophical view of nursing practice that is focused on how the knowledge of practice is aqcquaired and how it develops overtime.
Benner’s Philosophy of Nursing
Examples of Nursing Models
Johnson’s Behavioral System Model, King’s Conceptual System, LEvine’s Conservation Model, Neuman’s System Model, Orem’s Conceptual Model, etc.
Examples of Nursing Theories
Orlando’s Theory of Nursing Process, Modeling and Role-Modeling Nursing Theory, Mercer’s Theory of Becoming a Mother
are methods used to study nursing theoretical works critically
analysis, critique and evaluation
is carried out to acquire knowledge of theoretical adequacy
analysis of theory
it is an important process and the first step in applying nursing theoretical works to education, research, administration or practice
analysis of theory