Select two different nursing theories and describe how they relate to patient care.

Select two different nursing theories and describe how they relate to patient care.

Re: Topic 4 DQ 2

Nola Pender’s Health Promotion Model. This model looks at the patient’s characteristics and behaviors and how nursing interventions can help adapt, add, or improve the patient’s healthy behaviors. Pender believed that health is a positive dynamic state, meaning that overall health includes physical, mental, and social wellbeing, not merely the absence of illness or disease (Current Nursing, 2020). Pender’s model is foundational in public health and disease prevention and has helped outline how nursing practice can spark the patient’s healthy lifestyle changes. This theory focuses on inciting behavioral changes that promote self-care and prevention of illness by looking at biological, psychological, and sociocultural factors (Gonzalo, 2021). This is done by examining the benefits, barriers, influences, commitment, and self-efficacy of the patient’s actions. This model can be used to prevent disease, obesity, and future spread of infection. A limitation of this model can be related to the patient’s willingness to change and the nurse’s ability to provide adequate education and reassess interventions when necessary. Increasing responsibilities at the bedside, increased charting, increased acuity, and a lack of nurse-patient ratios can significantly impact the success of this model in an acute care setting. Additionally, ethical issues can be raised in terms of the scope of public health and disease prevention and how it relates to religious beliefs. For example, sexual health promotes the use of birth control and contraceptive methods, and some religions disapprove of contraception and have procreation views. Another example of ethical issues in health promotion can be seen with the highly politicized 2020 mask mandates and the individual’s right to choose their health behaviors.

Dorothea Orem’s Self-Care Deficit Theory focuses on the idea of promoting patient independence over self-care (Current Nursing, 2020). This theory can be applied to guide nursing care, essentially individualizing plans of care where deficits lie. Orem believed that a patient could better recover if nurses worked to maintain patient independence. This can range from providing total care, assistance with using the restroom and bathing, and providing education to allow the patient to care for self. The nurse’s role is to assess the patient’s strengths, weaknesses, limitations, and needs; and then form appropriate interventions that promote patient independence (Current Nursing, 2020). I believe that having patient autonomy and independence can help institute behavioral changes within the patient. Promoting self-care in patients can also promote health maintenance; encouraging and advocating for patient self-care can help patients make lifelong behavioral changes. A limitation of Orem’s theory is that it is very focused on self-care tasks and can often overlook the patient’s spiritual and emotional needs (Current Nursing, 2020). Additionally, this theory can be limited by the patient’s understanding of their illness, ability to understand teaching, or the family’s ability to assist with self-care needs successfully. For example, if a patient needs assistance with home wound care, the patient and family may be taught how to dress the wound appropriately, but perhaps the patient and family members don’t have the stomach for wound care. Or maybe there are barriers to learning. Ethical concerns can arise if nursing interventions go against a patient’s cultural or religious beliefs.

I find both of these models useful, but I believe as a future informatics nurse that Pender’s Health Promotion Model would help incite behavioral changes. Pender’s model essentially embodies provoking behavioral changes; keeping this in mind, future research and implementation of technologies can be used within this model’s framework to promote disease prevention and optimal health behaviors.

References

Current Nursing. (2020). Nursing theories: Open access articles on nursing theories and models. https://currentnursing.com/nursing_theory/application_self_care_deficit_theory.html

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.

Gonzalo, A. (2021, March 5). Nola Pender: Health promotion model. Nurseslabs. https://nurseslabs.com/nola-pender-health-promotion-model/

RESPOND TO GINA HERE (150 WORDS, 2 REFERENCES)

Indeed Gina Nola Pender’s Health Promotion Model is suitable in inciting behavioral change.  The model examines individual traits and characteristics. The patient information will determine a behavioral change introduced based on the expected outcome. Pender’s model takes a wholesome model when examining the patient. The model allows a nurse to evaluate the physical, emotional, and spiritual well-being of a patient before deciding on the right intervention (Khoshnood et al., 2018). Pender’s protocols reduce the chances of committing errors. Dorothea Orem’s Self-Care Deficit Theory is also a theory that supports behavioral adjustments. However, Dorothea believes in patient independence’s influence on behavioral change and patient recuperation.  The self-care deficit theory mandates the healthcare provider with the obligation of granting patient autonomy (Hernández et al., 2017). All nursing theories are important most nurses may want to incorporate them in nursing practice. Nevertheless, Pender’s health promotion model will be preferable due to its holistic approach to patient’s behavioral assessment before initiating the transformational process.

References

Hernández, Y. N., Pacheco, J. A. C., & Larreynaga, M. R. (2017). The self-care deficit nursing theory: Dorothea Elizabeth Orem. Gaceta Médica Espirituana, 19(3).

Khoshnood, Z., Rayyani, M., & Tirgari, B. (2018). Theory analysis for Pender’s health promotion model (HPM) by Barnum’s criteria: a critical perspective. International journal of adolescent medicine and health, 1(ahead-of-print).

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 particular ethical issues related to the integration of these theories that should be considered

Including Similarities and How the Nursing Theory Reinforces the Approach to Care 15.0% A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is not included. A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is present, but it lacks detail or is incomplete. A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is present. A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is clearly provided and well developed. A comprehensive discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is thoroughly developed with supporting details.

Re: Topic 4 DQ 2

Many nursing models have come into practice since the early 1950’s (DeNisco & Barker, 2016). May of these theories focus on a patient as a individual and therefore focus their behavioral modifications and goals on an individual’s unique circumstances (DeNisco & Barker, 2016). While this path is incredibly important, it is also pivotal to understand that many of our patients belong to a family unit and this will directly impact their care (DeNisco & Barker, 2016). This discussion will focus on the Calgary family assessment Model and the Modeling and Role Modeling theory.

The Calgary Assessment Model is a framework that is multidimensional and focuses on assessing a family with the aim and focus of resolving issues within the family environment (All Answers Ltd, 2018). This model focuses on assessing based on three categories, structural, developmental and functional (All Answers Ltd, 2018). The structural component focuses on the how the familial unit is structured based on three key concepts, internal structure, external structure and context (All Answers Ltd, 2018). This model can be applicable to nursing practice by understanding that all patients are part of a larger family unit that can directly impact their health care. In my practice this is incredibly true for patients who have had strokes. In order to change behaviors in the patients it’s incredibly important to include families in post stroke education.

The Modeling and Role Modeling theory was developed in 1983 by Helen Erickson, Evelyn Tomlin and Mary Swain (“Model and Role Modeling Theory”, n.d.). This theory focuses on the nurse’s ability to care for each patient and enables them to identify the uniqueness of the patient (“Model and Role Modeling Theory”, n.d ).This theory is built on foundational principles of many other theorist including Maslow, Piagets and Erikson (“Model and Role Modeling Theory”, n.d). This theory identifies commonalties with all patients, these are holism or the belief that people are the more than a sum of their parts, basic needs that drive all patients, affiliation, attachment, psychological stages and, cognitive stages (“Model and Role Modeling Theory”, n.d). The differences that exist between patients are unique to an individual and they focus on genetics, view of the world, adaption, stress and self-care process (“Model and Role Modeling Theory”, n.d). Understanding that each patient is unique and has specific behaviors, genetics and self-care practices that make them uniquely them helps to tailor a care plan that is specific to each patient.

Both of these models do not present ethical dilemmas in the way they are integrated into care. They should be a platform to build care that aims to be of quality and safe.

References

All Answers Ltd. (November 2018). Calgary Family Assessment Model | Case Study. Retrieved from https://nursinganswers.net/essays/calgary-family-assessment-model-study-7564.php?vref=1

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.

Model and Role Modeling Theory. (n.d.). Nursing Theories. Role-modeling_theory.html.

Reply to Meagan

I concur with you that since the early 1950s many nursing models have been generated due to the increase in nursing research. Many nursing models have increased the range of choice among nurses.  However, most nursing models focus on a patient as an individual with behaviors that must change to facilitate recovery from most health complications. Calgary family assessment Model and the Modeling and Role Modeling theory are examples of nursing theories. Calgary family assessment model focuses on the family environment. The assessment model allows a nurse to examine the family and find out issues that require intervention (Tucci & Oliveira, 2019).  Resolving family issues will automatically lead to family and family members’ recuperation. The Modeling and Role Modeling theory allows nurses to determine similarities among patients. The commonalities allow the nurse to develop a framework that will consider the similarities (Matouš et al., 2017). Calgary family assessment Model and the Modeling and Role Modeling theory can all be applied in nursing practice. The models do not create an ethical dilemma that will compromise their suitability.

References

Matouš, K., Geers, M. G., Kouznetsova, V. G., & Gillman, A. (2017). A review of predictive nonlinear theories for multiscale modeling of heterogeneous materials. Journal of Computational Physics, 330, 192-220.

Tucci, B. F. M., & Oliveira, M. D. (2019). Alcoholic beverage users: structural and functional aspects based on the Calgary Model. Revista da Rede de Enfermagem do Nordeste, 20, 1-8.

Specific Example of a Past or Current Practice Problem and How Worldview and the Nursing Theory Could Assist in Resolving This Issue 15.0% A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is not included. A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is present, but it lacks detail or is incomplete. A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is present. A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is clearly provided and well developed. A comprehensive discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is thoroughly developed with supporting details.

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.

Important information for writing discussion questions and participation

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Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

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Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
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Required Sources 5.0% Sources are not included. Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.