terms Flashcards
philosophy
Broad statements of values and beliefs that propose general ideas about what nursing is
building blocks of theory
Concepts are the building blocks of theory
model
“A model provides a perspective of the person for whom you are caring, specifies the approach to be taken in the delivery of care, and structures critical thinking, reasoning and decision making in practice.”
theory
A theory takes concepts and links them together using propositional statements and proposes more specific outcomes.
grand theory/middle range theory
Grand theories are more abstract and middle-range theories are more specific.
metaparadigm
the most abstract set of central concepts for the discipline of nursing (ie. person, environment, health, nursing)
conceptual model aka paradigm aka framework
frameworks or paradigms that address the person, environment, health, and nursing metaparadigm. the way you think about people and about nursing has a direct impact on how you approach people, what questions you ask, how you process info, ect
Nightingale’s Philosophy in Nursing Practice
Ø Nursing action is the provision of an
environment conducive to healing and health promotion
Ø Assessment / Planning / Intervention / Evaluation
Levine’s Conservation Model in Nursing Practice
Nursing is human interaction
Conservation
Keeping together the life system
Energy sources and its exchange results in predictable, manageable and recognizable consequences
Adaptation
Ongoing process of change; life process
Wholeness
Present when the interactions and adaptations to the environment permit the assurance of integrity
This model includes metaparadigm concepts
Goal: Promote adaptation and well-being
King’s Conceptual System and Theory of Goal Attainment in Nursing Practice
3 interacting systems:
Personal
Perception/self/growth & development/body image/time-space
Interpersonal
Interaction/communication/transaction/stress/role
Social
Power/authority/status/decision making/role/organization
Interactive process between patient and nurse
Neuman’s Systems Model in Nursing Practice
“Helping each other live” is Neuman’s philosophy
Client – an individual / group / family / community system
5 variables that interact synergistically :
physiological / psychological / developmental / sociocultural / spiritual
Environmental stressor:
Intrapersonal / interpersonal / extrapersonal
Wellness-Illness Continuum
Optimal system stability = greatest degree of client wellness
Greatly affected by client perceptions
Orem’s Self-Care Deficit Nursing Theory in Practice
Nurse focus: person’s need for self-care action; provision and management on continuous basis
Nurse goal: overcome human limitations
3 Central Themes:
Nursing care required when inability to perform self-care due to limitations of client
Mature adults deliberately learn / perform actions to direct their survival /quality of life / well-being
Product of Nursing is Nursing Systems
Nursing Process (ADPIE)
Rogers’ Science of Unitary Human Beings in Nursing Practice
Abstract system of ideas Central concern – Nursing of unitary human beings (UHB) Dynamic constantly evolving energy fields Integral with the universe UHB and environment are one Changes in pattern and organization manifest as observable events Concepts: Energy Field Openness Pattern Pandimensionality Unitary Human Being Environment Homeodynamic Principles
Neuman’s Theory of Health as Expanding Consciousness in Nursing Practice
Nurse interacts with patients and views pattern of entire life
Relationship with time/space/movement
Nurse relates to patient to discover perceptions of health
Leininger’s Theory of Culture Care Diversity and Universality in Nursing Practice
Specific to culture and transcultural nursing
Culture care preservation / accommodations
Expressions of caring - vigilance