NUR 513 Worldview and Nursing Process Personal Statement
NUR 513 Worldview and Nursing Process Personal Statement
Orem’s Self-care Deficit Theory was one of the concepts I discussed last week. Orem’s concept prioritizes patient independence over self-care, with the ultimate goal of exceeding human self-care limitations (Current Nursing, 2020). When a person considers their capacity for self-care, health maintenance, and overall well-being, they are better prepared to take responsibility for their own or others’ health (Shah, et. al, 2013). Because this principle can vary greatly from patient to patient or from patient’s family to patient, its application can vary greatly depending on the group being targeted. For example, depending on age and developmental stage, this approach could be applied differently to adult and pediatric populations. This pediatric theory would almost certainly emphasize educating and assisting parents in providing care. The stage of the illness or sickness may also have an impact on how this hypothesis evolves.
In the ICU where I work, the child’s defect, arrhythmia, or illness, for example, has a significant impact on the patient’s need for self-care. In newborns with untreated congenital cardiac defects, tube feeding or oxygen therapy may be required. In this case, the parent would receive much more training on how to use and manage these modern medical devices. I could also be a young patient who was recently treated on the same unit for mechanical valve replacement. This patient may require full or partial care following surgery, but these limitations will change as the patient’s condition improves and he or she regains independence. Despite the fact that many of the teenagers in this situation have the physical and mental capacity to manage their situations,
Ultimately, because deficits can be flexible and dynamic in nature, how Orem’s Self-Care Deficit Theory is applied to a demographic focus varies greatly from scenario to situation.
Being able to articulate your personal world vie w can help you formulate a of practice and enhance yow· influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice, and the ways worldview and nursing theory influence that practice.
Draft a 1,000-1,250-word paper in which you:
- Describe your including the religious, spiritual, and cultural elements that you think most influence your personal philosophy of practice and attitude towards patient care.
- Choose a specific nursing theory that is most in line with your personal philosophy of practice and approach to patient care and discuss the similarities. Explain how the nursing theory reinforces your approach to care.
- Include in your explanation a specific example of a past or current practice and how your could assist you in resolving this issue.
- Finally, explain how your worldview and the nursing theory will assist you in further developing your future practice.
You ai·e required to cite five to 10 sources to complete this assignment. Sources must be published within the last S years and appropriate for the assignment criteria and nursing content.
Prepaire this assignment according to the guidelines found in the APA Style Guide , located in the Student Success Center. An abstract is not required.
Re: Topic 5 DQ 1
I work in a pediatric CVICU and an ongoing issue has been with advancing technologies, changes in practices, and changes in charting interfaces or forms; and nursing staff willingness and acceptance in fully utilizing technology to its intended extent. There are those who have worked on this unit for a long time and don’t like the change, there are those who just miss updates, and there is inconsistency in educating staff. A great example of this can be related to Etiometry monitoring. My unit recently spent a large amount of money installing Etiometry monitors in every single patient room. When we first got it, it was explained that these monitors can collect and analyze vital patient data, help determine risk, make informed decisions on care, and reduce costs. Etiometry monitoring was supposed to collect data from patients that is often overlooked and help with anticipation of major events. However, after getting these monitors, they are often viewed as additional pieces of equipment that are often in the way. None of the nursing staff was really trained to interpret and actually understand the etiometry data. Most of the nursing staff was just taught out to turn the monitors on, and report specific numbers to providers. This has led to a disregard in terms of etiometry monitoring. Often the monitors are pushed out of the way and are not even turned on. This is just one example of how a valuable piece of technology is not being utilized; I’m sure most of us have dozens of similar examples related to equipment, charting, software, etc.
Kurt Lewin’s Change Theory could be applied to this issue, and many issues related to nursing changes in practice, and improved use of technology. Lewin’s Change theory can be summarized into three phases: unfreezing, movement, and refreezing (Current Nursing, 2020). The unfreezing phase involves overcoming resistance and creating a driving force for behavioral change. The movement phase involves the change itself or changing the thoughts or behaviors. And refreezing is making the change or new behavior habit. In terms of whether this is the best theory, I cannot say. There are so many nursing theories that can be effectively applied to many situations.
References
Current Nursing. (2020). Nursing theories: Open access articles on nursing theories and models. https://currentnursing.com/nursing_theory/change_theory.html
RESPOND TO GINA HERE (150 W0RDS, 2 REFERENCES)
Gina integrated any form of change is a process that attracts mixed reactions. Technological change may be complicated for some nurses. However, some nurses may be flexible to incorporate change hoping that the adjustment will improve the healthcare services. Educating the staff is the right protocol towards incorporating nurses as change agents (Peukert, 2019). Technological transformation is an expensive engagement due to the gadgets’ costs. Installing Etiometry monitors in patient’s room enable the collection and analysis of vital information. The monitor fastens the patient health information collection (Lammi & Pantzar, 2019). Therefore, the monitors increase the healthcare quality and accuracy. The technological change value in healthcare services cannot be understood by nurses who have been educated about the change. Sadly, uninformed nurses may bar installing Etiometry monitors. Educating the staff allows the facility leadership to educate nurses on how to use and interfere with the data collected by the monitors. The monitors store crucial information in bulk. The patient information may be required at any time so the nurses should be flexible to retrieve the information.
References
Lammi, M., & Pantzar, M. (2019). The data economy: How technological change has altered the role of the citizen-consumer. Technology in Society, 59, 101157.
Peukert, C. (2019). The next wave of digital technological change and the cultural industries. Journal of Cultural Economics, 43(2), 189-210.
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.
Orem’s theory is an all-encompassing nursing theory that covers a wide range of topics and general concepts that apply to all nursing. Nursing is required when an adult, or the parent or guardian of a child, is unable or unwilling to provide effective self-care. Self-care deviations can occur as a result of illnesses, injuries, or diseases. There are five ways to help others: acting or doing for others, guiding, supporting, and teaching others, and providing an environment that encourages demands and future development. When nursing care is required, it is clearly stated. Her approach to health promotion and maintenance is modern, but she does not address emotional needs. This theory promotes independence, implying that all patients want to care for themselves and recover more quickly by providing their own care.
Dr. Jean Watson had firsthand experience with her theory after two life-changing events. Caring is at the heart of both nursing practice and Watson’s theory. The emphasis is on disease prevention and health promotion as a whole. Health is a high level of overall mental, physical, and social functioning, society provides values and goals, and nursing is a human science (Gonzalo et al., 2021).
Both theorists are well-known in nursing academia, having written books and spent their lives advancing and developing their theories. Both are broad theories that all nurses can employ to promote health and prevent illness. These two theories will assist the nurse leader in understanding their role, the patients’ roles, and how to promote or facilitate health balance. Humans are empowered when they can make decisions and manage their own care. Caring is essential in nursing and should be prioritized, particularly in this age of cost containment and efficiency.
Also Read:
Description:
Identify a population that you will likely se1v e as an advanced registered nurse that you think is pa1ticularly vulnerable to issues of health dispari ties/inequi ty. Discuss the contribution of your paiticular specialty to health promotion and disease prevention for this population. How do issues of diversity and global perspectives of cai·e contribute to your understanding of health equity as it relates to this population?
Topic 3 DQ 2
Description:
What is your personal worldv iew? Connect yo ur world view to cultural and spiritual competence. How will yow· worldview and cultural and spiritual competence affect yow· futw·e practice and role? Consider both the provision of safe , quality care to diverse populations and inte1professional relationships.
Topic 3 Participation
Description:
NA
II Topic 4: Theory-Based Nursing Practice I
Description
Objectives:
- Describe nursing theories and their application to the advance registered nurse’s practice.
- Evaluate nursing theories based on intent, goal, and scope.
Study Materials
Advanced Practice Nursing: Essential Knowledge for the Profession
Description:
Read Chapters 19 and 23 in Advanced Practice Nursing: Essential Knowledge for the Profession.
The Living Tree of Nursing Theories
Description:
Read “The Living Tree of Nursing Theories,” by Tourville and Ingalls, from Nursing Forum (2003).
A Cross-Cultural Comparison of a Clinical Nurse Competency Path Model
Description:
Read “A Cross-Cultural Comparison of a Clinical Nurse Competency Path Model,” by Sportsman, Hamilton, and Schumacker, from International Journal of Nursing Education(2014 ).
A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Frameworks
Description:
Read “A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Framewor ks,” by Beckstead and Beckstead , from International Journal of Nursing Studies(2006).
Nursing Theories
Description:
Explore the links on the Nursing Theories page of the CmTent Nursing website.
II Tasks
Topic 4 DQ 1
Description:
Compare and contrast two nursing theories. How do they differ based on their intent, scope, and goals? Which one might be more relevant to your future role, and why?
Topic 4 DQ 2
Description:
Select two different nursing theories and describe how they relate to patient care. How could you use them for inciting behavioral changes? Discuss the pros and cons of applying each theory and how they could be integrated into your future practice. Are there any paiticular ethical issues related to the integration of these theories that should be considered?
Topic 4 Participation
II
Description
Objectives:
- Discuss relevant theories applicable to advanced nursing practice for individuals, families, communities, and special populations.
- Relate nursing theories to your personal worldview.
Study Materials
Advanced Practice Nursing: Essential Knowledge for the Profession
Description:
Review Chapters 19 and 23 inAdvunc:ed Pruc:tic:e Nursing: Essential Krwwledgefor the Profession.
The Living Tree of Nursing Theories
Description:
Review ”The Living Tree ofNmsing Theories,” by Tou1ville and Ingalls, from Nursing Forum (2003).
Competencies Create Expert, Accountable Nurses Delivering Quality Care
Description:
Review “Competencies Create Expert , Accountable Nurses Delivering Quality Care,” by Pi.rschel, from ONS Voice
(2017).
A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Frameworks
Description:
Review “A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Frameworks ,” by Beckstead and Beckstead , from International Journal of Nursing Studies( 2006 ).
How Worldview and the Nursing Theory Will Assist in Further Developing Future Practice 15.0% A discussion of how worldview and the nursing theory will assist in further developing future practice is not included. A discussion of how worldview and the nursing theory will assist in further developing future practice is present, but it lacks detail or is incomplete. A discussion of how worldview and the nursing theory will assist in further developing future practice is present. A discussion of how worldview and the nursing theory will assist in further developing future practice is clearly provided and well developed. A comprehensive discussion of how worldview and the nursing theory will assist in further developing future practice is thoroughly developed with supporting details.
Organization and Effectiveness 20.0%
Thesis Development and Purpose 7.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 8.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
An ineffective leadership trait I have observed in the perioperative area was to shorten orientation for all new employees from 1 year to 6 months at a level 1 trauma center. While on orientation, the orientees are only required to work 1 weekend shift before finishing orientation. Most do not work a weekend and get a rude awakening. On the weekends, 4 cases will be starting at 7:00 a.m… The orientee don’t think they will be on their own without a preceptor. The orientees are conditioned to call the nurses’ station for everything like a safety strap, an arm board, a doppler probe. They are not taught the location for certain items. There are no extra staff to assist because the weekend staff consists of 4 nurses, 4 surgical techs and 2 nursing assistants. The focused areas for services are Neurosurgery, Orthopedics, General, GU, and ENT. The services that are omitted are Cardiothoracic, Vascular, Ophthalmology, Gyn, and OMFS. In the trauma room, there is a CV major set, thoracotomy set, thoracotomy retractor set. What’s the point if no one was trained to use the sets? The orientees feel overwhelmed and discouraged. I try to help management brainstorm ideas on ways to make the orientees more productive. I encourage the preceptors to ask the orientees on what they would like to learn while rotating through the services to try to keep them interested and possibly motivated. Some orientees have surprised me by scrubbing in small cases like circumcisions and tonsillectomies when I ask if they would like to try. They get a sense of accomplishment and somewhat of a better understanding. I would like to see the orientees work more than 6 weekend shifts before complete orientation. I would like to pair them up with strong preceptors or more experienced staff who work other shifts. I think that exposing the orientees to different scenarios will ease the intimidation of working without a preceptor.
Word count 315
