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THE FUNDAMENTALS OF NURSING > Module 04: Grand Nursing Theory (Part 01) > Flashcards

Module 04: Grand Nursing Theory (Part 01) Flashcards

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1
Q

These are derived from conceptual models and is perceived to be the most complex and widest in scope

A

Grand Theory

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2
Q

How are the concepts in grand theories perceived?

A

The concepts are abstract and lack operational definitions

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3
Q

How are the propositions in grand theories perceived?

A

The propositions abstract and not directly amenable to testing

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4
Q

How are grand theories perceived?

A

It provides a background of philosophical reasoning that
allows nurse scientists to develop middle range theories

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5
Q

What is the set of criteria of grand nursing theories?

A

(1) Background of the theorist
(2) Philosophical underpinnings
(3) Major assumptions concepts and relationships
(4) Usefulness
(5) Testability
(6) Parsimony
(7) Value in extending nursing science

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6
Q

Where did Virginia Henderson receive her diploma?

A

Received diploma in nursing from the Army School of Nursing at Walter Reed Hospital in 1921

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7
Q

She is a well known nursing educator and author. She also created with other nursing scholars a curriculum in which education was “patient centered and organized around nursing problems rather than medical diagnoses”

A

Virginia Henderson

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8
Q

What book did Virginia Henderson publish?

A

Wrote Harmer’s classic book of nursing and
added her personal definition of nursing

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9
Q

What were the philosophical underpinnings Nursing Need Theory?

A

(1) Presents the patient as a sum of parts with biophysical needs and the patient is neither client nor consumer
(2) Recognized the importance of increasing patient’s independence so that progress post-hospital would not be delayed

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10
Q

What were the theoretical assumptions of Nursing Need Theory?

A

(1) Nurses care for patients until patients can care for themselves once again
(2) Patients desire to return to health
(3) Nurses are willing to serve
(4) Nurses will devote themselves to the patient day and night
(5)Nurses should be educated at the university level in both arts and sciences

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11
Q

How did Henderson perceive nursing?

A

The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery that he would perform unaided if he had the necessary strength, will or knowledge

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12
Q

How did Henderson perceive the patient?

A

Someone who need nursing care, but did not limit nursing to illness care

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13
Q

How did Henderson perceive the matter of health?

A

Health pertains to the balance in all realms of human life

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14
Q

How did Henderson perceive the environment?

A

The nurse should maintain a supportive environment as
part of the 14 activities

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15
Q

This pertains to anything that the individual may require “to maintain or sustain himself comfortably or capably in his situation

A

Need for Help

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16
Q

What happens when the nurse cannot fulfill the patient’s need for help?

A

If the individual do not see that they need help, they may not
take any action to resolve the situation that affect health and
wellness

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17
Q

What are the 3 levels of nurse-patient relationship?

A

(1) Substitute for the patient
(2) Helper to the patient
(3) Partner with the patient

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18
Q

According to Henderson’s Nursing Need Theory, what are the 14 need components?

A

(1) Breathe Normally
(2) Eat and Drink Adequately
(3) Eliminate Body Waste
(4) Move and maintain desirable postures
(5) Sleep and Rest
(6) Select suitable clothes-dress and undress
(7) Maintain body temperature by adjusting clothing and modifying environment
(8) Keep the body clean and well groomed and protected from integument
(9) Avoid dangers in the environment and avoid injuring others
(10) Communicate with others
(11) Worship according to one’s faith
(12) Work in such a way that there is a sense of accomplishment
(13) Play or participate in various forms of recreation
(14) Learn discover and satisfy the curiosity that leads to normal development and health and use of available health facilities

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19
Q

What theory did Lydia Hall develop?

A

Core, Care, Cure Model

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20
Q

She is a a rehabilitation nurse who argued that follow-up or evaluative care is where professional nursing is most important

A

Lydia Hall

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21
Q

Where did Lydia Hall work first?

A

Worked as the first director of the Loeb
Center for Nursing in the elderly

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22
Q

How did Lydia Hall perceive nursing?

A

Required when persons are not able to provide intimate
bodily care for themselves. The nursing intent of this care is to comfort.

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23
Q

How did Lydia Hall visualize the 3 aspects of the nursing process?

A

Visualized 3 aspects of nursing process related
(1) to the patient,
(2) to supporting sciences and
(3) underlying philosophical dynamics

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24
Q

According to Lydia Hall, there are 3 aspects in terms of viewing the patient. What are they?

A

(1) the person,
(2) the body and
(3) the disease which overlaps and influence each other

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25
Q

According to Hall’s theory, this aspect of nursing that is concerned with intimate bodily care (e.g., bathing, feeding, toileting, positioning, moving, dressing, undressing, and maintaining a healthful environment) belongs exclusively to nursing

A

Care

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26
Q

According to Hall’s theory, this is an aspect of nursing that is shared with medicine. The nurse may assume medical functions, or help the patient with these through comforting and nurturing

A

Cure

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27
Q

According to Hall’s theory, this is an aspect that emphasizes social, emotional, spiritual and intellectual needs of the patient in relation to family, institution, community and the world

A

Core

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28
Q

How is nursing and the concept of core related?

A

The nurse who knows self by the same token can love and trust the patient enough to work with him professionally, rather than for him technically, or at him vocationally

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29
Q

According to her, “the Experience of watching the nurses caring for my aunt in her illness created in me a fascination with the work of nursing”

A

Nola J. Pender

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30
Q

What theory did Nola Pender develop?

A

Health promotion model

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31
Q

what are the assumptions of the Health Promotion Model?

A

(1) persons seek to create conditions of living through which they can express their unique human health potential
(2) persons have the capacity for reflective self-awareness,
including assessment of their own competencies
(3) persons value growth in directions viewed as positive and
attempt to achieve a personally acceptable balance between
change and stability
(4) individuals seek to actively regulate their own behavior

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32
Q

what are the major assumptions of the Health Promotion Model?

A

(1) Individuals in all their biophycho-social complexity interact with the environment, progressively transforming the environment and being transformed over time
(2) Health professionals constitute a part of the interpersonal
environment which exerts influence on persons throughout their lifespans

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33
Q

This of a person-environment interactive patterns is essential to behavioral change

A

Self-initiated reconfiguration

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34
Q

This pertains to the frequency of the same or similar behavior in the past

A

Prior-related behavior

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35
Q

This pertains to the age, gender, BMI, pubertal status, aerobic capacity

A

Biological Personal Factors

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36
Q

This pertains to the self-esteem, motivation, personal competence

A

Psychological Personal Factors

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37
Q

This pertains to the race, ethnicity, acculturation, education

A

Sociocultural Personal Factors

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38
Q

According to the Health promotion model, this pertains to the judgment of personal capability to organize and execute a health-promoting behavior

A

Perceived self-efficacy

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39
Q

According to the Health promotion model, this pertains to the subjective positive or negative feelings that occur before, during and after behavior

A

Activity related affect

40
Q

According to the Health promotion model, this pertains to the cognitions concerning behaviors, beliefs or attitudes [norms, social support, modeling]

A

Interpersonal

41
Q

According to the Health promotion model, this pertains to the personal perceptions and cognitions of any given situation or context that can facilitate or impede behavior

A

Situational

42
Q

According to the Health promotion model, this pertains to the concept of intention and identification of planned strategy

A

Commitment to a plan of action

43
Q

According to the Health promotion model, this pertains to the alternative behaviors over which individuals have low control, due to unvital contingencies

A

immediate competing demands and preferences

44
Q

According to the Health promotion model, this pertains to the end point or action outcome that is directed toward attaining positive outcomes

A

Health Promoting Behavior

45
Q

She is Instrumental in demonstrating to nurses the importance of the impact of culture on health and conceptualize transcultural nursing in 1950s while working in anthropology

A

Madeleine Leininger

46
Q

What was the first qualitative research book in nursing and developed the research method,

A

Ethnonursing

47
Q

What theory did Madeleine Leininger develop?

A

Transcultural Nursing

48
Q

This uses research-based knowledge to provide safe, responsible, meaningful care to people of different cultures, supporting their health needs and dealing with illness, disabilities and death

A

Transcultural Nursing

49
Q

What does Transcultural Nursing form?

A

expressions, patterns and processes of human care vary among all cultures of the world

50
Q

What are the major tenets of Transcultural Nursing?

A

(1) Commonalities
(2) Worldview and social structure factors
(3) Professional and Generic Care.

51
Q

This major tenet of the Transcultural Nursing pertains to the cultural care diversities and similarities exist within and between cultures

A

Commonalities

52
Q

This major tenet of the Transcultural Nursing pertains to the includes religion, political and economic considerations are essential to understand and powerful influences on care outcomes

A

Worldview and social structure factors

53
Q

This major tenet of the Transcultural Nursing pertains to the care differences and similarities with professional and generic knowledge and practice influence health

A

Professional and Generic Care.

54
Q

What is Transcultural Nursing?

A

Refers to a humanistic and scientific knowledge and practices focused on holistic CULTURE CARE phenomena and competencies

55
Q

What are the three modalities Transcultural Nursing?

A
  1. Culture care preservation/ maintenance
  2. Culture care accommodation/ negotiation
  3. Culture care Restructuring or repatterning
56
Q

What is the purpose of Transcultural Nursing?

A

PURPOSE: To discover, document, analyze and interpret cultural and caring factors influencing human beings in health, sickness or dying

57
Q

What is the goal of Transcultural Nursing?

A

GOAL: use research-based knowledge to provide culturally congruent, safe and beneficial care to people of diverse or similar cultures for their health

58
Q

What are the major assumptions of Transcultural Nursing?

A
  1. Care is essential for human growth, development and survival and when facing death
  2. Care is essential for curing and healing
  3. Forms, expressions, patterns and process of human care vary among cultures
  4. Every culture has generic care and professional practice
  5. Culture care values and beliefs are embedded in various cultural aspects
  6. Therapeutic nursing care can occur when client culture values are known and used explicitly to provide care
  7. Culturally congruent, specific, universal care modes are essential to health
  8. Nursing is a transcultural care profession and discipline
59
Q

According to the Transcultural Nursing, this is the abstract and manifest phenomena with expressions of assistive, supportive, enabling and facilitating ways to help

A

Human Care and Caring

60
Q

According to the Transcultural Nursing, this is the patterned lifeways, values, beliefs, norms, symbols and practices that are learned, shared and transmitted

A

Culture

61
Q

According to the Transcultural Nursing, this is the synthesized and culturally assistive, supportive, enabling or facilitative caring acts toward self or others

A

Culture Care

62
Q

According to the Transcultural Nursing, this is the cultural variability or differences in care beliefs, meaning, patterns, values, symbols and lifeways

A

Culture Care Diversity

63
Q

According to the Transcultural Nursing, this is the commonalities based on care meanings

A

Culture Care Universality

64
Q

According to the Transcultural Nursing, this is the way an individual or group looks out on and understands the world

A

Worldview

65
Q

These are cultural and social structure dimensions of the Transcultural Nursing:

A

(1) Environmental Context
(2) Ethnohistory
(3) Emic
(4) Etic
(5) Health

66
Q

This was developed to provide holistic and comprehensive
conceptual picture of the major influences of CULTURE CARE Diversity and Universality

A

Sunrise Enabler

67
Q

What is the use of the sunrise enabler model?

A

Can be used as valuable guide for doing culturalogical health-care assessment of clients

68
Q

She is the founder of the institute of human becoming and a 21ST century nurse theorist

A

Rosemarie Rizzo Parse

69
Q

According to Parse, what is the goal of nursing?

A

Goal of Nursing as discipline is to expand knowledge about human experiences through creative conceptualization and
research

70
Q

What theory did Parse develop?

A

Theory of Human Becoming

71
Q

What are the dimensions of Parse’s Theory?

A

(1) Meaning
(2) Rhythmicity
(3) Transcendence

72
Q

What is the assumption in the dimension meaning in parse’s theory?

A

Human becoming is freely choosing personal meaning in
situations in the intersubjective process of relating value priorities

73
Q

What is the principles in the dimension meaning in parse’s theory?

A

Structuring meaning multidimensionally is co-creating reality through the language of valuing and imaging

74
Q

What is the practice dimensions in the dimension meaning in parse’s theory?

A

Illuminating meaning is shedding light through uncovering the what was is and will be as it is appearing now

75
Q

What is the assumption in the dimension rhythmicity in parse’s theory?

A

Human becoming is cocreating rhythmical patterns of relating in open interchange with the universe

76
Q

What is the principles in the dimension rhythmicity in parse’s theory?

A

Cocreating rhythmical patterns of relating is living the paradoxical unity of revealing, concealing, enabling-limiting, while connecting separating

77
Q

What is the practice dimensions in the dimension rhythmicity in parse’s theory?

A

Synchronizing rhythms happens in dwelling with the pitch, yaw and roll of the interhuman cadence

78
Q

What is the assumption in the dimension transcendence in parse’s theory?

A

Human becoming is transcending multidimensionally with the unfolding possibilities

79
Q

What is the principle in the dimension transcendence in parse’s theory?

A

Co-transcending with the possible is powering originating in the process of transforming

80
Q

What is the practice dimensions in the dimension transcendence in parse’s theory?

A

mobilizing transcendence happens in moving beyond the meaning movement to what is not yet

81
Q

She is known as the dean and professor of CON at Florida Atlantic University, who wrote numerous books and founded the center for Caring

A

Anne Boykin

82
Q

She came from a family of musicians and spent 3 years in the Amazon in Brazil as a volunteer

A

Savin Schoenhofer

83
Q

What are the Major assumptions of the Theory of Nursing as Caring?

A

(1) Persons are caring by virtue of their humanness
(2) Persons are whole and complete in the moment
(3) Persons live caring from moment to moment
(4) Personhood is a way of living grounded in caring
(5) Personhood is enhanced through participation in nurturing relationships with caring others
(6) Nursing is both a discipline and a profession

84
Q

What theory did Boykin and Schoenhofer develop?

A

Theory of Nursing as Caring

85
Q

According to the Theory of Nursing as Caring, this is an altruistic, active expression of love and is the intentional and embodied recognition of value and connectedness

A

Caring

86
Q

Based on the Theory of Nursing as Caring, what is the relationship between nursing and caring?

A

Nursing uniquely focuses on caring as its central value, its primary interest and the direct intention of practice

87
Q

This key theme in the Theory of Nursing pertains to the nurturing persons living and growing in caring

A

Focus

88
Q

This key theme in the Theory of Nursing pertains to know persons as caring and to support and sustain them as they live caring

A

Intention

89
Q

This key theme in the Theory of Nursing pertains to fundamentally, potentially and actually each person is caring even though every act might not be understood as caring

A

Person

90
Q

This key theme in the Theory of Nursing pertains to shared, lived experience in which caring between nurse and nursed enhances personhood

A

Nursing Situation

91
Q

This key theme in the Theory of Nursing pertains to process of living that is grounded in caring

A

Personhood

92
Q

This key theme in the Theory of Nursing pertains to the call for nurturance perceived in the mind of the nurse

A

Call for Nursing

93
Q

This key theme in the Theory of Nursing pertains to when the nurse enters the world of the other person with the intention of knowing the other as a caring person

A

Caring Between

94
Q

This key theme in the Theory of Nursing pertains to the co-created in the immediacy of what truly matters and is a specific expression of caring nurturance to sustain and enhance the other

A

Nursing Response

95
Q

This pertains to the method of knowing and medium of all forms of nursing inquiry. These embody the lived experience of nursing situations involving the nurse and the nurse

A

Story as a Method

96
Q

Situations are best communicated through what?

A

aesthetic media such as storytelling, poetry, graphic arts and dance

97
Q

Visual representation of the theoretical assertion that lived caring between the nurse and the nursed expresses underlying relationships

A

Dance of Caring Persons

THE FUNDAMENTALS OF NURSING (10 decks)

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