Nursing Theories Flashcards
Author of “Comfort Theory and Practice: A Vision for
Holistic Health Care and Research.”
Katherine Kolcoba
What is the role of Nurses in the Comfort Theory
assess a patient’s comfort needs and create a nursing care
plan to meet those needs.
Patient Comfort can exist in 3 forms…
Relief / Ease / Transcendence
Relief / Ease / Transcendence can exist in 4 contexts…
Physical / Psychospiritual / Environmental / Sociocultural
Usually comes in the form of pain management through medications.
When medications are administered, the patient has a sense of relief
Relief Comfort
focused more
on the
environment and
psychological
state of the
patient.
Ease Comfort
Comes when a
patient is able to
rise above
challenges that
occur in care and
recovery.
Transcendence Comfort
Needs identified
by the patient
and/or family in a
particular nursing
practice setting
Health Care Needs
factors that
are not likely to
change, and over
which health care
providers have
little control.
Intervening Variables
the value,
financial stability,
and wholeness of
health care
Institutional Integrity
United Kingdom’s FIRST PROFESSOR OF
PSYCHIATRIC NURSING at Newcastle University
Author Of the Tidal Model
Phil Barker
protocols and
procedures
developed by an
institution for
overall use after
the collection of
evidence.
Best Policies
views health and illness as fluid,
portraying life as a journey on an ocean of
experience
The Tidal Model
A belief in the virtue of curiosity
Recognition of the power
Respect for the patient’s wishes
Acceptance of the paradox
Acknowledging that all goals must belong to the
patient
The virtue of pursuing elegance
6 Philosophical Assumptions of the Tidal Model
In the tidal Model, the Person is represented in 3
domains.
Self, World and Others Domain
where people
feel their
experiences, and
it includes an
emphasis on
making patients
more secure
Self Domain
Represents the
relationships of
the patient, past,
present, and
future.
Others Domain
Is where people
hold their stories.
World Domain
Values of the Tidal Model revealed in 10 commitments
Value the voice
Respect the language
Develop genuine curiosity
Become the apprentice to learn from the person
being helped.
Reveal personal wisdom
Be transparent.
Use the available toolkit
Craft the step beyond.
Give the gift of time to foster change
Know that change is constant.
Where the main Philosophical metaphor is drawn
Chaos Theory
Authors of the Nursing: Caring Theory
Anne Boykin & Savina O. Schoenhofer
All persons Caring / Enhanced through their participation
Human Beings
Throughout life, each person grows in the
capacity to express caring.
Caring
Involves the nurse knowing self as caring person
and coming to know the other as caring
Nursing
Aims to discover,
create, develop,
and refine
nursing
knowledge
Discipline
Focuses on the
application of this
nursing
knowledge in
response to
human needs
and situations
Profession
Developed a theory that has become a nursing
discipline (TRANSCULTURAL THEORY)
Madeleine Leininger
Discover and explain diverse and universally culturally based care factors influencing health
Transcultural Care
3 Modes of Nursing Care
Culture Care preservation / Culture Care Accommodation or Negotiation / Cultural Care Restructuring
Refers to assisting, supporting, or enabling
behaviors that ease a person’s condition
Human Caring
Refers to patterned lifeways, values, beliefs,
norms, symbols, and practices of individuals
Culture
Refers to the values and beliefs that assist,
support, or enable another person or group to
maintain well-being
Cultural Care
Indicates the differences in meanings, patterns,
values, lifeways, or symbols of care within and
between cultures and human beings
Cultural Care Diversity
Commonalities of values, norms of behavior and
life patterns that are similar among different
cultures.
Cultural Universals
Refers to the dynamic holistic and interrelated
patterns of structured features of a culture.
Cultural and Social Structure Dimensions
designated a Living Legend of the
American Academy of Nursing
Margaret Newman
Author of the Human Becoming Theory
Rosemarie Rizzo Parse
3 major assumptions of human becoming
Meaning / Rhythmicity / Transcendence
Human Becoming is freely choosing personal
meaning in situations in the intersubjective
process of living value priorities.
Meaning
Human Becoming is co-creating rhythmical
patterns of relating in mutual process with the
universe.
Rhythmicity
Human Becoming is co-transcending
multidimensionally with emerging possibles.
Transcendence
