Nursing Theory Flashcards
What are the different levels of nursing theories?
Which type of nursing theories are most suitable for practice?
Mid range theories are suggested as most suitable for practice
What concept did Hildegard Peplau introduce?
- Introduced the concept of the nurse-patient relationship
- She believed the interactive nurse-patient process assists the patients boundary management; independent problem solving & decision making that promotes autonomy.
- She said the nurse-patient relationship propels both the nurse & the patient forward
What did Peplau identify as the foundation of nursing practice?
- Peplau identified the nurse/patient relationship as the foundation of nursing practice
- Shifted the focus from what nurses do to patients to what nurses do with patients
- Saw nursing as an educative instrument designed to help individuals & communities use their capacities to live more productively.
- Sees illness as a unique opportunity for experiential learning, personal growth & improved coping strategies
What is Peplau’s theory called?
Theory of Interpersonal Relations
What are the phases of the nurse-patient relationship?
Pre- Orientation (self-reflection, milieu management)
Orientation phase (Rapport, discussion of how things will work, confidentiality)
Exploitation (Working) phase (The heart of the matter)
Resolution (Termination) phase
What is needed for something to be a profession?
Utilizes body of knowledge
Constantly enlarging that body of knowledge
Entrust education to institutions of higher learning
Apply knowledge
Function autonomously and manage profession
Attract people with intellect and choose this as their life’s work
Apply and meet certain criteria
Compensation matches education
Opportunity for growth
Provides financial security
What are the 6 nursing roles proposed by Peplau?
Stranger
Resource Person
Teacher
Leader
Surrogate
Counselor
Who developed the Tidal Model?
Dr. Phil Barker
What is the Tidal Model?
A philosophical approach to recovery…helping the nurse begin to understand what mental health might mean for the person in care and how that person might begin the complex voyage of recovery.
Emphasizes the lived experience of the person, their story and how they narrate it. Sees the nurse as entering a sacred space.
What are the 3 domains of the person as outlined in the Tidal Model?
The world domain – where people bring out some of these private experiences and share them selectively with others. Connected to the “assessment piece” in nursing.
The Self – the self domain is the place we maintain our private thoughts & experiences. Here is where nurses might learn about risk to self or others. A co-created safety plan becomes part of “the self”
The others domain – where people act out their life story with other people; influencing & being influenced by others. Connected to supports/protective factors.
What is a cornerstone of the Tidal Model?
Growth is primarily accomplished through story-telling
We know ourselves better through telling our stories.
What are the 10 commitment of the Tidal Model?
- Value the voice (my story – not your interpretation of my story)
- Respect the language (our language of our own story is unique)
- Develop genuine curiosity (seek to better understand the storyteller)
- Become the apprentice (I am my own expert on my own story)
- Use the available tool kit (listen for my examples of what has worked for me)
- Craft the step beyond (help me envision moving forward)
- Give the gift of time (We find the time for what is important to us)
- Reveal personal wisdom (I have a powerful storehouse of wisdom, find it)
- Know that change is constant (change is inevitable, growth is optional, help me reveal my wisdom to sustain me through recovery)
- Be transparent (I am a team with the patient; I am in a privileged position as your nurse & you need me to model confidence & transparency so I know what is being done & why)
