Theoretical Foundations Of Nursing Flashcards
A person who lacks background experience; guided by simple rules and objectives (ex: nursing student)
Novice Stage
They have enough experience to grasp aspects of a situation but not within the context of the situation. (ex: newly registered professional nurses)
Advanced Beginner (1-2 years)
They exhibit a sense of mastery, increased level of efficiency, consistency, predictability, and time management.
Competent Nurse (2-3 years)
They already has holistic view of a particular situation but still guided by maxims. They can also show intuitive grasp based on their background understanding.
Proficient Nurse (3-5 years)
They do not rely on anything anymore. They possesses embodied know-how and sees the big picture and unexpected.
Expert
Interpretively defined area of of skilled performance
Competency
It is the active process of refining and changing preconceived theories, notions, and ideas when confronted with actual situation.
Experience
mysterious definition of skilled performance and requires certain level of experience.
Maxim
Clinical experience that stands out
Paradigm case
It describes meaningful human activities or phenomena in a careful and detailed manner.
Hermeneutics
Caring, Clinical Wisdom, and Ethics in Nursing Practice
Patricia Benner
It refers to the body’s capacity to respond to meaningful situations.
Embodiment
Fetus and newborn baby
Unborn complex
Refers to body language of a person as he learned through time
Habitual skilled body
Predetermined action of the body in response to situations
Projective body
It is the body’s capacity to fit or be skilled in a given situation.
Actual projected body
It refers to the body’s awareness of itself.
Phenomenal body
Theory of Bureaucratic Caring
Marilyn Ann Ray
transcultural nursing and ethnonursing research
Dr. Leininger
It is the interrelationships among thesis, antithesis, and synthesis.
Hegel
It describes simultaneous order and disorder, and order within disorder.
Chaos Theory
Everything is whole in one context and a part in another
Holography
A complex transcultural, relational process grounded in an ethical, spiritual context
Caring
What are the 3 things under name caring?
Charity & right action
Love (compassion)
Justice (fairness)
It involves creativity and choice and is revealed in attachment, love, and community.
Spirituality
Formal and informal educational programs
Educational
It relates to physical state of being (mind & body)
Physical
Ethnicity and family structures
SOCIO-CULTURAL
Caring that includes responsibility and accountability ;rules and principles to guide behaviors.
LEGAL
nonhuman resources (machinery)
TECHNOLOGICAL
money, budget, insurance systems; allocation of human and material substances to maintain services
ECONOMIC
Power structure within helath care
POLITICAL
True or False. Caring is bureaucratic as well as spiritual & ethical.
TRUE
According to Ray, it is the primordial construct and consciousness of nursing.
CARING
Philosophy of Caring
KARI MARTINSEN
She published ______ of a book with a provocative title, Caring Without Care?
Lit torch
These are the 3 philosophers that Martinsen looked up to:
Karl Marx
Edmund Husserl
Maurice-Merleau Ponty
Martinsen said this is a fundamental precondition of our lives.
Care
It is “training not only to see, listen, and touch clinically, but to listen and touch clinically in a good way.”
Professional judgement and discernment
It is when empathy and reflection work together.
Moral practice is founded on care
This is “to demand professional knowledge which affords the view off the patient as a suffering person, and which protects his integrity”
Person-oriented profesiionalism
These are the phenomena that accompany the Creation itself. They exist as pre-cultural phenomena in all societies and are beyond human control and inflience.
Sovereign Life Utterances
This refers to a zone that we mist not interfere or boundaries for which we must have respect.
The Untouchable zone
It is given as a law of life concerning neighborly love which is foundationally human. It is a demand to take care of neighbor.
Vocation
It stems from the parable of Good Samaritan. The heart says something about the existence of the whole person.
The Eye of the Heart
Objectifying, the perspective is that of the observer.
The Registering Eye
True or False. People are independent and relational.
FALSE. The person is fundamentally dependent upon community and creation.
What is the trinity of caring?
Relational
Practical
Moral
Caritative Caring Theory
KATIE ERIKSSON
Who are the 3 philosophers that inspired Eriksson?
Plato, Socrates, and Aristotle
Caritas means ______ and _____.
love and charity
It is a form of intimate connection that characterizes caring. It is also seen as the source of strength and meaning in dating.
Caring Communion
The _____ of _____ is the art of making something very special out of something less special.
Act of caring
Enumerate the 6 caring elements.
Faith
Hope
Love
Tending
Playing
Learning
It is a dignity that was granted to the human being through creation.
Absolute Dignity
It is a dignity that influenced and formed through culture and external contexts.
Relative Dignity
It refers to the act that occurs when the carer welcomes the patient to the caring communion. Finds place where human being is allowed to rest.
Invitation
It is a human beings struggle between good and evil in a state of becoming.
Suffering
It is concept that Eriksson used to describe a patient.
Suffering Human Being
It refers to drama of suffering. Change through which new wholeness is formed of the life of the human being has lost in suffering
Reconciliation
Concept of Environment for Eriksson
Caring culture
It is employing a hermeneutical and hypothetical deductive approach.
Use of empirical evidence
Major assumptions of Eriksson:
Axiom and Theses
The fundamental truths in relation to the conception of the world.
AXIOMS
The fundamental statements concerning the general nature of caring science.
THESES
Conservation Model
MYRA LEVINE
All physiologic and psychological processes that sustain life depend on the body’s energy balance
Conservation of Energy
All physiologic and psychological processes that sustain life depend on the body’s energy balance
Conservation of Energy
All body systems decline with aging; chronic illness also produces bodily structural changes
Conservation of Structural Integrity (body of patient)
Self-identity is intrinsically bound to wholeness and all individuals cherish the sense of self
Conservation of Personal Integrity
Individual life has meaning only in the context of social life.
Conservation of Social Integrity
Identify whether the statement is Conservation of Energy, Conservation of Structural Integrity, Personal Integrity, or Social Integrity.
1. maintaining skin integrity
2. providing meaningful social activities
3. preventing injury/infection
4. respecting one’s privacy and property (confidentiality)
5. controlling resident anxiety & pain
6. improving nutritional status
7. promoting self-identity
8. maintaining or promoting mobility
9. enhancing self-esteem
10. adjusting to life in nursing home
- Structural Integrity
- Social Integrity
- Structural Integrity
- Personal Integrity
- Energy
- Energy
- Personal Integrity
- Structural Integrity
- Personal Integrity
- Energy
Latin word which mans “to keep together”
Conservation
It connotes integrity — the oneness of person .
Wholeness
It is a process of change wherein the person is able to keep his integrity within situations. “the bridge”
Adaptation
This is the goal of adaptive change.
Conservation of wholeness and integrity
Patterned responses pass on through genetics
Historicity
Unique adaptive responses to specific environmental changes
Specificity
Availability of multiple adaptive response
Redundancy
He said that aging is a consequence f failed redundancy of psychological and physiological prcosesses.
Myra Levine
It is composed of physiological and pathophysiologic domains of a person.
Levine’s Concept of Internal Environment
The 3 Levels of External Environment (Levine’s Model)
- Perceptual Level
- Operational Level
- Conceptual Level
It refers to person’s ability to adapt to his or her environment.
Organismic response
refers to wear and tear of body
Response to stress
Occurs as the person experiences life and the world around him
Perceptual awareness/ sensory response
Scientific method of reaching a nursing care judgement
Trophicognosis
Unitary Human Being Conceptual Model
MARTHA ROGER
State in which the human being is regarded as a unified whole
Wholeness
Individual and the environment are continuously exchanging matter and energy with each other
Openness
Describe the open nature of the fields
Open systems
Refers to where the life process exists along an irreversible space time continuuum
Unidirectionality
Fundamental unit of the living and non living
Energy fields
Irreducible, indivisible, pan-dimensional energy field identified by patternand manifesting characteristic
Human field
Integral with human field; each ______ is specific to its given human field
Environmental field
Holds that energy fields are infinite
Universe of open system
Distinguishing characteristic of the energy field perceives as a single wave
Pattern
nonlinear domain,describes infinite domain without limits
Pan-dimensionality
8 concepts in Roger’s nursing theory
Energy field
Openness
Patter
Pan-dimensionality
Hemodynamic process
Resonance
Helicy
Integrality
Self Care Deficit Model
Dorothea Orem
Nurse provides total care; patient’s inability to engage in self care
Wholly Compensatory System
nurse & patient share responsibility to care; compensate for self-care limitations & assists patients as required
Partially compensatory system
Client = responsible for personal health; Nirse = consultant
Supportive-educative system
Composed of totality of nursing care meadures importantbat certain times at over a period of time
Therapeutic self-care demand
Developed capabilities of nurses
Nursing agency
Complex acquired ability of mature and maturing individuals
Self-care agency
Series and sequences of deliberate practical actions of nurses performed at times
Nursing systems
Process in which data obtained through the senses and from the memory are organized, interpreted, and transformed
Perception
Ever changing condition in which an individual seeks to keep equilibrium
Stress
Made up of thoughts and feelings related to one’s awareness of being a person separate from others
The self
They move from potential for achievement to actualization of self
Growth snd development
Way one perceived one’s body
Body image
Physical area known as territory
Space
Observable behaviors of two or more person in mutual presence
Interactions
Reciprocity in that a person maybe a giver at one time and a taker at another time
Role
Active reciprocal process of transaction in which the actors experience, understanding, and values influence those in organizational positions
Authority
Relationship of one’s place in a group
Status
Changing and orderly process through which choices related to goals are made among toward the goals
Decision-making
Interval between two events that is experienced differently by each person
Time