TFN Flashcards
A creative & rigorous structuring of ideas that projects a tentative, purposeful and systematic view of phenomena (Chinn & Kramer,1991)
THEORY
An organized system of accepted knowledge that is composed of concepts, propositions, definitions, and assumptions intended to explain a set of fact, event, or phenomena.
THEORY
An organized framework of concepts and purposes designed to guide the practice of nursing.
NURSING THEORY
A group of interrelated concepts that are developed from various studies of disciplines & related experiences which aims to view the essence of nursing care.
NURSING THEORY
An articulated & communicated conceptualization of invented or discovered reality (central phenomena & relationships) in or pertaining to nursing for the purpose of describing, explaining, predicting or prescribing nursing care (Meleis, 1991).
NURSING THEORY
3 COMPONENTS OF NURSING THEORY
(Barnum, 1994)
o Context – resembles environment to which nursing act takes place.
o Content – subject of the theory.
o Process – method by which the nurse acts in using nursing theory.
The majority of nursing theories are developed by ____, but at times other ___________, such as _______have provided input into the development of nursing theories.
Nurses, Healthcare Professionals, Physicians
The first nursing theories appeared in the _________ when a strong emphasis was placed on __________.
Late 1800’s, Nursing education
developed to explain and describe nursing care, guide nursing practice and provide a foundation for clinical decision making
Nursing theories
Division of Nursing Theories
-Grand Theories
-Middle-range Theories
-Nursing Practice Theories
affect everyday nursing practice. Most nurses employ a number of theories in practice rather than using one theory exclusively. Using a variety of nursing theories during a given day, allows the nurse to choose the best theory to fit the situation.
Nursing theories
CLASSIFICATION OF NURSING THEORIES
According to function by Dickoff & James, 1968
o Descriptive/Factor-Isolating Theory
o Explanatory/Factor-Relating Theory
o Predictive/Situation-Relating Theory
o Prescriptive/Situation-Producing Theory
To know the properties & workings of a discipline.
o Descriptive/Factor-Isolating Theory
To examine how properties, relate and thus affect the discipline.
o Explanatory/Factor-Relating Theory
To calculate the relationships between properties and how they occur.
o Predictive/Situation-Relating Theory
To identify under which conditions relationships occur.
o Prescriptive/Situation-Producing Theory
o Can correlate concepts as to generate a different way of looking at a certain fact or phenomenon.
Theory
o Must be logical in nature.
o Should be simple but generally broad in nature.
Theory
o Can be a source of hypotheses that can be tested for it to be elaborated.
o Contribute in enriching the general body of knowledge through the studies implemented to validate them.
Theory
o Can be used by practitioners to direct & enhance their practice.
o Must be consistent with other validated theories, laws & principles but will leave open unanswered issues that need to be tested.
Theory
CLASSIFICATION OF NURSING THEORIES
According to scope
(degree or complexity of abstraction)
o Metatheory/Philosophy/Worldview
o Grand Theory/Macro Theory
o Middle-Range Theory/Midrange Theory
o Practice Theory/Situation-Specific Theory/Micro-Theory/Prescriptive Theory
developed to improve the quality of care rendered by nurses to their clients. Theory development is inherent in the different nursing fields.
NURSING THEORIES
Different nursing fields
Education
Research
Practice
NURSING THEORIES were primarily used to develop & guide ———— in universities & institutions.
Nursing Education
Nursing theories were known to be strongly established in this field rather than in clinical practice
Field of Academics
In years ______________, a number of nursing programs recognized the major concepts of some nursing models, structured these concepts into a conceptual framework & built the complete curriculum around the framework (Kozier, 2008).
1970s & 1980s
The general purpose of theory development is to ensure adequate & quality nursing delivery & to clarify & improve the status of ________ as a __________
NURSING as a PROFESSION
Nursing researches are frequently based on _______________ which focus on the discovery of concepts such as pain, self-esteem & learning. It has been known that theoretical concepts from social sciences served as one of the foundations of __________.
Middle ranged, Qualitative Nursing Research
A NURSE’s _________is enriched through the help of different NURSING THEORIES.
ability
________ strengthen professional independence by guiding the deepest & most important part of their practice.
Nursing theories
always critical in assisting nurses to facilitate questions, reflections & critical thinking in every aspect of care.
Nursing theories
is significant because it helps us to settle on what we know and what we need to know in the future.
It helps to differentiate what should form the basis of practice by clearly describing what nursing does and what nursing is all about.
THEORY
main exponent of Nursing
caring
______provide the principles that support nursing practice
NURSING THEORY
As _______tries to make a move towards adopting a more multi-disciplinary approach to health care, ____________continues to strive to establish a unique body of knowledge
Medicine, Nursing
The commitment to _____ is helpful to the nurse-patient relationship because it provides an organized, educated approach to nursing practice.
theory-based practice
______requires a systematic approach that is focused on the patient. Nursing theoretical works provide a perspective of the patient.
Professional practice
Theory helps Nurses to : (T or F)
* Organize, examine & analyze patient’s data
* Make decisions about effective & efficient nursing interventions
* Make a S-M-A-R-T (Specific, Measurable, Attainable, Realistic & Time-bounded) plan of care
* Predict & evaluate outcomes of care
T
CRITERIA OF PROFESSION:
(William Shephered, 1948)
logical, systematic, & coherent way to solve problems and answer questions
It is a collection of facts known in area and the process used to obtain that knowledge
science
studies concepts that structure thought processes, foundations, and presumptions.
Philosophy
a branch of philosophy that is concerned with the nature and scope of knowledge; the ‘theory of knowledge’
* The power of reason and power of sensory experience (Gale)
EPISTEMOLOGY
the power of sensory experience & experimentation
* Research-then-theory
EMPIRICISM
- Francis Bacon believed that _______was discovered through the generalization of observed facts in the natural world; a posteriori
scientific knowledge
_____makes use of objective & tangible data or those that are perceived by the senses (smell, sight, taste & feeling) to observe & collect data
These data are then used to formulate general knowledge, which is the use of ______
EMPIRICISM , INDUCTIVE-TYPE OF REASONING
highly important in the assessment of patients throughout the entire nursing process.
Enpiricism
In philosophy, the view that all concepts originate in experience, that all concepts are about or applicable to things that can be experienced, or that all rationally acceptable beliefs or propositions are justifiable or knowable only through experience
EMPIRICISM
the power of reason or logic which emphasizes the importance of a priori reasoning (from general to specific/from cause to effect) as the appropriate method for advancing knowledge
* Theory-then-research strategy
RATIONALISM
makes use of reason gained through expert study, tested theory & established facts to evidently prove something. It emphasizes the use of REASONING for the main purpose of knowing the harm or benefits of an act to an individual
RATIONALISM
used to generate rationalist view which starts from the GENERAL TO SPECIFIC knowledge
DEDUCTIVE TYPE OF REASONING
A belief or theory that opinions and actions should be based on reason and knowledge rather than on religious belief or emotional response.
RATIONALISM
The arrival of nursing as a ______ and a “____” and the central importance of nurses to hospitals was clearly evidenced in the architecture of grand and imposing nursing schools that were attached to hospitals.
profession, calling
They were deliberately designed with impressive entrances and private rooms, as well as lobby and recreational areas (nurses)
“women of refinement”
knowledge should be based on the understanding of existing theories
Philosophers point of view
knowledge should not only focus on theoretical existence but also an understanding what there is still to be observed
scientists
- The use of _____to gain new knowledge emerged during this period as nurses strive to base their actions on evidence and scientific data
experimentation
which encloses the use of both logical reasoning & empiricism, became prevalent during this era in the discovery of truth for the development of science
- POSITIVISM
co-exist as the focus of interest of study ads one of each need to be tested in order to determine as to what is true or what is not
- EMPIRICAL & OBJECTIVE DATA
radical thinking
RATIONALISM & EMPIRICISM
His major thesis stated that empirical knowledge was arranged in different patterns at a given time and in a given culture.
Michel Foucault’s
in his Phenomenology of the Social World, argued that scientists seeking to understand the social world could not cognitively know an external world that is independent of their own life experiences.
Alfred Schutz
the objectivism of science precluded adequate apprehension of the world
Phenomenology
set forth phenomenology
Edmund Husserl (1859-1938)
A phenomenological approach reduces observations or text to the meanings of phenomena, independent of their particular occasions. (Who)
Edmund Husserl
In 1977, he argued an intellectual revolution in philosophy that emphasized that the history of science was replacing formal logic as the major analytical tool in the philosophy of science.
Richard D. Brown
a process of continuing research rather than as a product focused on findings.
science
emphasis shifted to understanding scientific discovery and process as theories change over time.
emergent epistemology
they view phenomena objectively, collect data, and analyze them to inductively propose a theory (Brown,1977).
empiricists
maintained that a pre-supposed theoretical framework influences perception; however, theories are not the single determining factor of the scientist’s perception.
(Brown,1977).
Brown identified the following three different views of the relationship between theory and observation
- Scientists are merely passive observers of occurrences in the empirical world. Observable data consist of objective truth waiting to be discovered.
- Theories structure what the scientist perceives in the empirical world.
- Pre-supposed theories and observable data interact in the process of scientific investigation
Afaf Meleis characterized the years of progress in nursing in four stages:
1.Practice
2.Education and Administration
3.Research
4.Development of Nursing Theory
developed the first theory of nursing practice in her book, Interpersonal Relations in Nursing
Hildegard Peplau
FOUR FUNDAMENTAL PATTERNS OF KNOWLEDGE IN NURSING (Barbara Carper, 1978)
1.Empirical knowledge (nursing science)
2.Esthetic knowledge (nursing as an art)
3.Moral knowledge (ethics in nursing)
4.Personal knowledge (therapeutic use of self)
vital parts in development of the structure of nursing knowledge
FOUR C’s
STRUCTURE OF NURSING KNOWLEDGE
FOUR C’s
- Caring
- Competence
- Conscience
- Creativity
a set of theories or ideas that provide structure for how a discipline should function
META-PARADIGM
For a nursing discipline, metaparadigm consist of four basic concepts that address the patient as a whole:
- the person
- patient’s health and well-being
- the patient’s environment
- the nursing responsibilities
degree of wellness or well-being
health
internal and external surrounds that affect the client
environment
recipient of nursing care
person
attributes, characteristics, and actions of the nurse providing care on behalf of or in conjunction with the client.
nursing
- focuses on the receiver of care
- also includes family members and other groups important to the patient
- the care structure considers the person’s spiritual, social needs & health care needs
- the resulting health outcome is attributed to how the person interacts with these physical and social connections
person component
- the extent of wellness and health care access that a patient has
- characterized as one with multiple dimensions in a constant state of motion
- health and wellness cover a person’s lifespan and genetic makeup, & how the physical, emotional, intellectual, social and spiritual well-being is integrated in health care for maximum health benefits
health component
- involves the delivery of optimal health outcomes for the patient through a mutual relationship in a safe and caring environment
nurisng component
- focuses on the surroundings that affect the patient
- consists of internal and external influences
- interactions with family, friends & other people
- physical & social factors such as economic conditions, geographic locations, culture, social connections & technology
environment component
is a statement, sometimes written, that declares a nurse’s beliefs, values, and ethics regarding their care and treatment of patients while they are in the nursing profession
a philosophy of nursing
representation of an idea or body of knowledge based on the understanding of a person or a researcher of a certain topic/phenomena/theory provides a coherent, unified and orderly way of envisioning related events or processes relevant to a discipline (Fawcett 2005)
CONCEPTUAL MODELS & FRAMEWORK
conceptual models:
-word structure
-verbal
-schematic
provide specific view on nursing through the interrelationship of concepts in the structure
word structure
worded statements, a form closely related to knowledge development.
verbal
diagrams, drawing, graphs or pictures that facilitate understanding.
schematic
- Self: Nurses promote personal health and wellness
- Healthcare Consumer: Nurses emphasize the interpersonal helping relationship while practicing holistic, culturally congruent care
- Profession: Nurses invest and commit to the advancement of professional nursing
caring
- Self: Nurses utilize logical, analytical, intuitive, and creative thinking
- Healthcare Consumer: Nurses utilize critical thinking to make sound clinical decisions
- Profession: Nurses act as advocates and change agents
critical thinking
- Self: Nurses understand their own personal attributes, values and beliefs
- Healthcare Consumer: Nurses recognize human experiences, needs and responses in varying states of health
- Profession: Nurses understand the theories, research, issues, trends, and forces that shape the practice of nursing.
knowledge
- Self: Nurses develop and maintain the cognitive, interpersonal, and psychomotor skills for safe, effective nursing care
- Healthcare Consumer: Nurses demonstrate professional standards of practice using evidence-based practice to deliver safe, effective nursing care
- Profession: Nurses understand and abide by the legal and ethical aspects of practice set forth by professional standards and policy.
competence
- Self: Nurses promote self-awareness to enhance interactions
- Healthcare Consumer: Nurses share and exchange information in collaboration with the healthcare consumer
- Profession: Nurses communicate appropriately with colleagues and stakeholders
communication
- Self: Nurses develop professional attributes and values through ongoing self-assessment, self-determination, and life-long learning
- Healthcare Consumer: Nurses advocate for healthcare consumers
- Profession: Nurses shape and influence the profession and global health through active involvement in health care policy
professionalism
reflect particular views of person, health, environment, nursing & other concepts that contribute to the development of a body of knowledge specific to nursing.
nursing theory
types of theories: most abstract to least
grand, middle range, practice
Purpose of nurisng theories
- Enlightening and Understanding – Descriptive theories
- Explanation and Prediction – Explanatory theories
- Control and Manipulation – Prescriptive theories
Descriptive theories
- Enlightening and Understanding
Explanatory theories
- Explanation and Prediction
Prescriptive theories
- Control and Manipulation
TYPES OF THEORY BY SCOPE
o GRAND THEORIES
o MIDDLE-RANGE THEORIES
made up of concepts representing common & extremely complex phenomena. A general framework for creating & structuring broad & abstract ideas
o GRAND THEORIES