STUDENT THEORY Flashcards
PURPOSE OF A THEORY
- DIRECTS THE NURSING PROFESSION
- IDENTIFIES STANDARDS
- IDENTIFIES RECIPIENTS OF CARE
- FOCUS OF A PRACTICE
PHENOMENON
Designation ofan aspect of reality
CONCEPTS
Identify, define, and establish structure for the ideas generated about a phenomenon.
ASSUMPTION
Accepted knowledge of personal beliefs and values to explain the nature of concepts, definitions, purpose, relationships, and the structure of a theory
METAPARADIGM
The subject matter of greatest interest to members of a discipline.
CONCEPTS OF THE NURSING METAPARADIGM
- PERSON
- HEALTH
- ENVIRONMENT
- NURSING
PERSON
NURSING METAPARADIGM
The recipient of nursing care, including a single person, families, kinship groups, communities, and cultures
HEALTH
NURSING METAPARADIGM
ability to function independently; unity of mind body, and soul
ENVIRONMENT
NURSING METAPARADIGM
Internal and external influences
NURSING
NURSING METAPARADIGM
promotes harmony between the individual and environment to support the well being of individuals
TYPES OF THEORIES
METATHEORY
GRAND THEORY
MIDDLE RANGE THEORY
PRACTICE THEORY
METATHEORY
TYPES OF THEORIES
Broad theory focused on generating knowledge and theory development
GRAND THEORY
TYPES OF THEORIES
Structural framework for general, global ideas about nursing.
MIDDLE RANGE THEORY
TYPES OF THEORIES
Describe a specific phenomenon and reflects the relationship between the phenomena and practice.
PRACTICE THEORY
TYPES OF THEORIES
Guide the nursing care of a specific patient population at a specific time
GRAND THEORIES
OVERVIEW
Henderson’s Nursing Need Theory
Abdallah: Patient-Centered Approaches toNursing (21 Nursing Problems)
Orem Self Care Deficit
King Theory of Goal Attainment
Roy Adaptation Model of Nursing
Watson Transpersonal Caring
MIDDLE RANGE THEORIES
Pender Health Promotion
Leininger Transcultural Nursing Theory
Swanson Theory of Caring
Kolbaca Comfort Theory
DOROTHEA OREM
WHAT THEORY
Created the Self-care Deficit Theory in 1971
– Updated in 1980, 1995, & 2001
ASSUMPTIONS 1-3
SELF CARE DEFICIT THEORY
- People should be self-reliant, and responsible for their care, as well as others in their family who need care
- People are distinct individuals
- Nursing is a form of action. It is an interaction between two or more people
ASSUMPTIONS 4-6
SELF CARE DEFICIT THEORY
- Successfully meeting universal and development self-care requisites is an important component of primary care prevention and ill health.
- A person’s knowledge of potential health problems is needed for promoting self-care behaviors.
- Self-care and dependent care are behaviors learned within a socio-cultural context
5 METHODS OF HELPING
SELF CARE DEFICIT THEORY
*Acting for and doing for others
*Guiding others
*Supporting another
*Providing an environment promoting personal development about meet future demands
*Teaching another
WHAT DOES THE THEORY DELINEATE
SELF CARE DEFICIT THEORY
This theory delineates when nursing is needed. Nursing is required when an adult (or in the case of a dependent, the parent or guardian) is incapable of or limited in providing continuous effective self-care
PERSON/CLIENT
SELF CARE DEFICIT THEORY
- “Men, women, and children cared for either singly or as social units”
- Are the “material object” of nurses and others who provide direct care
NURSING
SELF CARE DEFICIT THEORY
- An art through which the practitioner of nursing gives specialized assistance to persons with disabilities which makes more than ordinary assistance necessary to meet needs for self-care.
- Intelligently participates in the medical care the individual receives from the physician
HEALTH
SELF CARE DEFICIT THEORY
- “Being structurally and functionally whole or sound”
- A state that encompasses both the health of individuals and of groups, and human health is the ability to reflect on one’s self, to symbolize experience, and to communicate with others
ENVIRONMENT
SELF CARE DEFICIT THEORY
- Has physical, chemical, and biological features * Includes the family culture & community
Madeleine Leininger
CULTURAL CARE DIVERSITY AND UNIVERSALITY THEORY
Transcultural Nursing
“a substantive area of study and practiced focused on comparative cultural care (caring) values, beliefs, and practices of individuals or groups of similar or different cultures to provide culture-specific and universal nursing care practices in promoting health or well-being or to help people to face unfavorable human conditions, illness, or death in culturally meaningful ways.”
Culture Care Theory’ Assumptions
1-3
Different cultures perceive, know, and practice care differently, yet there are some commonalities about care among all world cultures.
* Values, beliefs, and practices for culturally related care are shaped by, and often embedded in, “the worldview, language, religious (or spiritual), kinship (social), political (or legal), educational, economic, technological, ethnohistorical, and environmental context of the culture.
* While human care is universal across cultures, caring may be demonstrated through diverse expressions, actions, patterns, lifestyles, and meanings
Culture Care Theory’ Assumptions
4-6
- Cultural care is the broadest holistic means to know, explain, interpret, and predict nursing care phenomena to guide nursing care practices.
- All cultures have generic or folk health care practices, that professional practices vary across cultures, and that there will be cultural similarities and differences between the care-receivers (generic) and the professional caregivers in any culture
.* Care is the distinct, dominant, unifying, and central focus of nursing, and while curing and healing cannot occur effectively without care, care may occur without a cure
Culture Care Theory’ Assumptions
7-8
Care and caring are essential for humans’ survival and their growth, health, well-being, healing, and ability to deal with handicaps and death.
* Nursing, as a transcultural care discipline and profession, has a central purpose of serving human beings in all areas of the world; that when culturally based nursing care is beneficial and healthy, it contributes to the well-being of the client(s) – whether individuals, groups, families, communities, or institutions – as they function within the context of their environments
Culture Care Theory’ Assumptions
9-10
Nursing care will be culturally congruent or beneficial only when the nurse knows the clients. The clients’ patterns, expressions, and cultural values are used in appropriate and meaningful ways by the nurse with the clients
.* If clients receive nursing care that is not at least reasonably culturally congruent (that is, compatible with and respectful of the clients’ lifeways, beliefs, and values), the client will demonstrate signs of stress, noncompliance, cultural conflicts, and/or ethical or moral concerns
CARE
which assists others with real or anticipated needs in an effort to improve a human condition ofconcern, or to face death
CARE AS A NOUN
those abstract and concrete phenomena related to assisting, supporting,or enabling experiences or behaviors toward or for others with evident or anticipated needs toameliorate or improve a human condition or lifeway
CARE AS A VERB
actions and activities directed toward assisting, supporting, or enabling another individual or group with evident or anticipated needs to ameliorate or improve a human condition or lifeway or face death
CARING
is an action or activity directed towards providing care.
CULTURE
refers to learned, shared, and transmitted values, beliefs, norms, and lifeways to a specific individual or group that guide their thinking, decisions, actions, and patterned ways of living.