TFN Flashcards
Nursing as a Profession?
specialized knowledge base, altruistic services, formal training of higher educ, credentialing, code of ethics, control authority over traning
Nursing as an Academic Discipline ?
Branch of educational instruction/ deparfment of learning
- Basic sciences?
- Humanities?
- Professional discipline?
- Applied science?
- physics, biology, chemistry, sociology, anthropology
- philosophy, ethics, history , fine arts
- Law, medicine, nursing.
- engineering, architecture, medicines pharmacology
Science and Philosophy in Nursing, science is what? philosophy is what?
science? concerned with cause and effect the scientific approach are observation.
philosophy? is concerned with purpose of human life, and nature of reality, theories and limitations.
Philosophy
- Study of problems that are ultimate, abstract, and general.
- Concerned with the nature of existence, human purpose, reason, morality, and knowledge.
Philosophy of science?
study science and scientific practice
KINDS OF PHILOSOPHY: Metaphysics
study of fundamental reality of existence
KINDS OF PHILOSOPHY: Ontology?
Study of theory of being.
(what is or what exist) purpose
KINDS OF PHILOSOPHY: Cosmology?
Study of physical universe
KINDS OF PHILOSOPHY: Logic?
Principles and methods of reasoning
KINDS OF PHILOSOPHY: Political philosophy?
Study of citizen and state
KINDS OF PHILOSOPHY: Ethics (axiology)?
right and wrong, moral philosophy
KINDS OF PHILOSOPHY: Esthetics?
study of arts. beautiful things, aesthetic.
KINDS OF PHILOSOPHY: Epistemology?
study of knowledge
ways of knowing, nature of truth, and relationship between knowledge and belief.
KNOWLEDGE DEVELOPMENT AND NURSING SCIENCE
purpose is to improve the nursing practices
Epistemology
study of theory of knowledge, ways of knowing
Methodology
means of acquiring knowledge.
Empirics
comes from observation, testing, replication. medical care
Personal Knowledge
person’s thoughts and knowledge from experience
Intuitive Knowledge
feeling and hunches, relies on nonconscious pattern recognition and also experience.
Somatic knowledge
knowledge in the body in relation of movements
Metaphysical ( Spiritual Knowledge)
Seeking the presence of high power. Aspects of spiritual knowing include magic, miracles, near-death experiences.
Moral/Ethical Knowledge-
Knowledge of what is right and wrong
Esthetics
related to beauty
NURSING EPISTEMOLOGY
origin of nursing knowledge
Clinical knowledge
individual nurse’s personal knowledge
Conceptual knowledge
uses knowledge from nursing and other disciplines
Empirical Knowledge
NURSING PRACTICES YOU DO AND EXPLAINED
Esthetic knowledge
Includes sensing the meaning of a moment. empathy to a patient, the attitude of the nurse in the patient, connections
Personal Knowledge
nurses view themselves and the client
ETHICS
Moral code of nursing, norms.
NURSING PHILOSOPHY
value, beliefs, ethics, and motivation for their profession
NURSING SCIENCE
Development of theory, improving the practical concepts of clinical care and conditions.
Grand theory ( macro-theory )
Broad/global concept of theory. addressing the patient/person, health, environment, nursing.
Middle-Range theories
middle reality view and specifically generalized practice for the nursing and it can be used as guide in everyday practice
Practice-Level Nursing Theories
situation-specific theories that focus on patients at a time and suggest intervention and outcomes.
ex, case study
PHILOSOPHY OF SCIENCE IN NURSING
understand the meaning, concept, law of nursing and apply it to nursing.
NURSING THEORY; Meleis (1991)
Nursing theory- explains. describes. predicts, prescribe nursing care.
NURSING THEORY; Barnum (1994)
complete nursing theory has context, content, and process.
Context
Barnum: which nursing acts takes place. saan. lugar ng pagcoconductan nursing care
Content
Subject of the theory or patient
Process
Clinical practice and nursing act that you’ll do
OVERALL NURSING THEORY
ALL ACTIONS OF NURSING HAS REASONS BEHIND
HISTORICAL ERA: THEORY ERA
guide nursing research and practice, many ways to think nursing and focus in theoretical work shift and the patient.
HISTORICAL ERA: Theory Utilization Era 21st century
Guides- research, practice, education and administration and produce knowledge evidence for quality care.
HISTORICAL ERA: Curriculum Era
curriculum for diploma programs and developed specialized knowledge and higher education
HISTORICAL ERA: Research Era
Problem studies and nurses studies
HISTORICAL ERA: Graduate Education Era
Nurses have important rule in healthcare, focus graduate education and knowledge development.
COMPONENTS OF NURSING THEORIES?
It must contain concepts, definitions, relational statements, and assumptions that explain a phenomenon.
COMPONENTS OF A THEORY: KNOWLEDGE
perception, asscociation, learning, reasoning, communication.
COMPONENTS OF A THEORY: Concept
abstract idea
COMPONENTS OF A THEORY: Philosophy
always conncted in science
COMPONENTS OF A THEORY: Principle
An idea that explain how something happen
COMPONENTS OF A THEORY: Theory
Just a theory, not a reliable
COMPONENTS OF A THEORY: Law
It cannot be change, must be followed.
THEORY DEVELOPMENT: Theory- practice- theory
Borrowed theory from other discipline and use it or relate it to our discipline or situation
THEORY DEVELOPMENT: Practice theory
Knowledge-based practices. skills-based practices
Grounded theory-
Problem prediction in your area and find theory and relate it.
example. dirty environment then theory environmental sanitation by florence
THEORY DEVELOPMENT: Research theory
You formulate the theory. make a research
THEORY DEVELOPMENT: Theory-research-theory
Testing the theory.
is it applicable or nah?
PROCESS OF THEORY DEVELOPMENT:
Concept development
theory-practice -theory, kase concept eh
PROCESS OF THEORY DEVELOPMENT:
statement development
Practice theory
PROCESS OF THEORY DEVELOPMENT:
theory construction
Based on research theory
PROCESS OF THEORY DEVELOPMENT:
Testing theoretical relationship
Theory - research- theory
PROCESS OF THEORY DEVELOPMENT: Application theory in research
CLINICAL PRACTICE
Historical Views on Theory Evaluation:
WHALL (1989-2005)
Provide criteria on different level of theory such as
grand, middle, and practice theories. and examines basic considerations, evaluations,
WHALL: Three-phase process theory evaluation
Theory description, analysis and evaluation.
WHALL: Theory description
Theorist are reviewed with the a focus on the historical context of theory.
WHALL: Theory analysis
Systematic process of examining the content, structure and function of the theory
WHALL: Theory Evaluation ( theory critique)
critical reflection and how the theory is used directly in nursing practices and intervention. favorable or nah
Florence Nightingale
Founder of nursing, lady with a lamp
proposed the person-nursing- health- environment?
Florence nightingale
DROP THE FLORENCE SUMMARY STORY
florence is famous in environmental theory/ philosophy. Cleanliness. In nursing care we need cleanliness, proper place/ ventilation and the work housekeeping or cleanliness in today’s generation is based from her. florence teach us to be more skillful in terms of clinical eye, objective, subjective, how to observe and make a report.
Virginia Henderson
nursing educator and author, mother of modern-day of nursing
“ patient-centered organized nursing problem rather than medical course”
Virginia Henderson
VIRGINIA HENDERSON SUMMARY EXPLAIN
Henderson is an educator and has a big impact on nursing. She believes that nursing is a concept. she influenced us through her experiences and ideas in nursing. She’s also patient-centered in her theories
Faye Glenn Abdellah
was a leader in nursing research, nursing theorist, and military nurse.
‘’ Twenty- One Nursing Problems’’
Faye Glenn Abdellah
abdellah: progressive patient care change from?
critical care
abdellah: immediate care change from?
home care
abdellah change the profession’s focus to?
disease-centered approach
abdellah change the disease-centered approach to?
patient-centered approach
Patient Assessment of Care Evaluation or PACE.
Faye Glenn Abdellah
FAYE ABDELLAH SUMMARY EXPLAIN
she is a nursing researcher and her research is focused on how to improve the care for the patient since she is focused on the patients need, she made the 10 steps to identify the patients problem.
10 steps to identify the patient’s problem
- ) know the patient. 2.) get significant data
- ) Generalizations of data 4.) therapeutic plan
- ) Test generalizations with the patients 6.) validate patient’s conclusions 7.)continue to observe and evaluate the patient and identify their attitude that affects their behavior 8.) Explore patients/ family reactions and make a therapeutic plan that involves them 9.) Identify the nurse’s feel about the patient’s problems 10.) Discuss and explain the nursing care plan