Lecture 5 - Nursing Theory and Research Flashcards
Theory
purposeful set of assumptions or propositions that identify the relationship between concepts
Nursing Theory
communicates a systematic view for explaining, predicting, and prescribing nursing care
- needed to determine the focus and scope of nursing, how it is unique from other health care professionals, and discipline-specific knowledge for professional nursing practice
Why can the role of a nurse be differentiated from other health care professionals?
nursing theory
Nursing Science
a unique body of knowledge about the practice of nursing
The Nursing Process (5 steps)
- Assessment
- (Nursing) Diagnosis
- Planning
- Intervention
- Evaluation
Levels of Nursing Theories
- Nursing Metaparadigm
- Grand Theories
- Middle-Range Theories
- Practice Level theories
Nursing Metaparadigm
Illustrates the relationships between:
- Nursing - the attributes, characteristics, and actions a nurse provides on behalf of their patient
- The Person - the individual receiving care
- Health - the degree of wellness or well-being that a person experiences
- Environment/ Situation - the person is a part of and interacts with their internal and external environment
Grand Theories
Provide a general guide for nurses to follow in abstract, broad situations –> does not provide a specific intervention
ex. the general idea that nursing care can be utilized to improve patient care and outcomes
Middle-Range Theories
nursing theories that are more limited in scope and present explanations of, or guidelines to follow in more specific situations
ex. The Theory of Human Caring - describes that the primary concern of nursing is to “promote health, prevent illness, care for the sick, and restore health”
Practice-Level Theories
situation-specific theories that are narrow in scope, focusing on a specific population at a specific time
ex. nursing care aimed at lowering incidence of drug use among underage mothers in Ottawa
Descriptive Theories
used to describe phenomena, identify its properties and conditions or factors that predict its occurrence –> DOES NOT ATTEMPT to produce change, only recognize situations
ex. if A occurs, then B is likely to follow
–> if aseptic procedure’s are not followed, the patient is likely to contract an infection
Perspective Theories
address nursing actions for a phenomenon, guide practice, and predict consequences –> ATTEMPTS to produce change
ex. If A occurs, then B is likely to follow, so C will be implemented to prevent it
–> if aseptic procedures are not followed, the patient is likely to contract an infection, so monitoring of aseptic procedures will be implement to prevent this outcome
Importance of Nursing Theories
nursing theories help recognize what should set the foundation of practice by describing the purpose, roles, and responsibility of nurses in the health care setting
- serve as rationale or scientific reasons for nursing intervention and the knowledge base for nursing actions
Ways of Knowing (5)
Patterns of knowledge in nursing practice
- Empirics - the science of nursing (objective)
- Esthetics - the art of nursing (being with people, connectedness)
- Personal Knowledge - personal contribution to the field, attentiveness, mindfulness of others
- Ethics - the moral component
- Emancipatory Knowledge - the social, economic, and political component
Entry to Practice Competencies for Registered Nurses - CNO
the foundation for nursing practice - outlines competencies that entry-level nurses are required to possess upon initial registration with the CNO prior to working as a licensed RN in Ontario