Monday, May 20, 2019

Grand Theory Written Assignment Essay

A haughty surmise is a systematic construction for the nature of nurse that has a clear mission and goals for breast feeding c atomic number 18. There are four categories of trains of survey within the realm of grand theories to entangle postulate theories, interaction theories, outcome theories, and lastly caring/comme il faut theories. In the following tables I subscribe highlighted a theorist from each school of thought and briefly discussed their learningal background, my perception of their description and philosophy of nursing, and the goal/ heading of their opening.Needs theorist Faye AbdellahEducational BackgroundFaye Abdellah received her nursing education at Fitkin Memorial Hospital School of Nursing, Nepture, N.J. and calibrated in 1942. She then went on to study chemical science at Rutgers University prior to receiving her Bachelor of Science, Master of Arts, and Doctor of Education degrees from the instructors College of Columbia University, N.Y. Retriev ed from http//fayeabdellah.blogspot.com/p/backgroud-publications.htmlPhilosophy of nursingAccording to Meleis, her philosophy of nursing includes the use of problem solving approach to grip with 21 distinct problems related to needs of tolerants. She described a problem as a break faced by the patient for which a nurse quite a little assist, overtly and covertly. This is done by deterrent care (to include hygiene, safety, exercise, rest, sleep, and body mechanics), sustenal care (psychological), remedial care (oxygen, fluid, nutrition, and elimination), and finally restorative care (coping with the unsoundness and life adjustment). Meleis, A.I. (2012), p. 162-164.Definition of nursingNursing is based on an art and science that moulds the attitudes, intellectual competencies, and practiced skills of the individual nurse into the desire and ability to armed service people, sick or well, cope with their healthneeds as stated by Faye Abdellah in her Twenty-one Nursing Problems theory (1960).Goal/purpose of theoryTo help the individual or patient meet health needs and adjust to their health problems. Meleis, A.I. (2012), p. 164.fundamental interaction theorist Hildegard PeplauEducational BackgroundHildegard Peplau graduated from the diploma nursing program Pottstown, PA in 1931 and went on to be a staff nurse. Peplau then was recommended to work as a school nurse at Bennington College located in Vermont. While working there she earned her Bachelors Degree in Inter person-to-person Psychology in 1943. From there she went on to earn her Masters and Doctoral degrees from Teachers College of Columbia University. In addition she became certified in psychoanalysis thru the William Alanson White Institution of sore York City. Retrieved from http//nursing-theory.org/nursing-theorists/Hildegard-Peplau.phpPhilosophy of nursingPeplaus philosophy of nursing focused on harnessing energy psychological disturbances such(prenominal) as anxiety and tension to define under standing with patients and deal with the problem at hand. She felt the goals of nursing included developing patients personalities to make illness an eventful experience. She felt nurses need to develop problem-solving skills via the interpersonal put to work (educational, therapeutic, and collaborative).Definition of nursingPeplaus concept and view of nursing is that it is a therapeutic, interpersonal, goal oriented make that is a healing art. It involves recognizing and assisting the patient (individual who is ill or in need of health care) in achieving a common goal. This requires the nurse and patient to build a trusting relationship by way of orientation, identification, exploitation, and result (the phases of growing an interpersonal relationship). Meleis, A.I. (2012), p. 165-166. She identified the many shares that nurses must take in enjoin to have a meaningful relationship withpatients and that nurses must understand the relationship to provide good care.Goal/purpose o f theoryThe ultimate goal of Peplaus theory was to understand the principles of interpersonal relationships between the nurse and patient in order to facilitate problem solving skills. This is to be done by using education and substantiating interactions. She went on to explain the seven nursing roles (stranger, resource, teacher, counselor, surrogate, and technical expert). These roles can be applied in contrasting situations to provide the best care possible and goal attainment. Retrieved from http//nursing-theory.org/theories-and-role models/peplau-theory-of-interpersonal-relations.phpOutcomes theorist Callista RoyEducational BackgroundSister Callista Roy graduated with her first degree Bachelor of Arts in Nursing from Mount St. Marys College in California in 1963. Then in 1966, she went on to obtain her Masters Degree in Pediatric Nursing from the University of California. In addition she earned a Masters Degree in Sociology in 1973 and Doctoratal degree in Sociology in 1977. Retrieved from http//nursing-theory.org/nursing-theorists/Sister-Callista-Roy.phpPhilosophy of nursingFrom what I can see from Roys writings she believes that the focus of nursing to her is a focus on leaf nodes stimuli and the effect it has on them for adaptation. Adaption modes include physiologic, self-concept, role function, and interdependence. Goals of nursing include promoting these changes/adaption in the above mentioned areas by way of manipulating the stimuli (focal, residual, and contextual) by way of affirmative coping. ). Meleis, A.I. (2012), p. 169-172.Definition of nursingCallista Roy is known to believe that nursing is a system of knowledge based on theory that views the client (sick or potentially sick) as a biopsychosocial being. Clients adapt to changes within their environment and as nurses we provide care through the nursing process to help promoteadaption to state of well-being. In order to do this we must ensure that the client have effective coping mechanis ms and responses to avoid disruption in the integrity of the client.Goal/purpose of theoryThe goal and purpose of Roys theory is to promote client adaptation by nursing interventions such as facilitation of adaptive tasks via counseling, effective nurse-client communication, health education, active manipulation, support, and by identifying resources for the client. Roy states that by adapting that the patient is then freed for him to respond to other stimuli which may be present The Roy adaptation model Comment (as sited by Meleis, A.I. (2012), p. 494.Caring/ human Becoming theorist Rosemarie dissectEducational BackgroundRosemarie dissect initially was educated at Duquesne University of Pittsburgh. She then went on to get her MSN and Ph.D. from the University of Pittsburgh.Philosophy of nursingThe goal of nursing to Parse appears to be co-creating meaning and finding way of being. This is done by not focusing on the illness or problem in itself, but by transforming in new ways o n purpose through the human universe process. Nurses are to illuminate meaning, synchronize rhythms and mobilize transcendence by connecting and actually understanding and being present with patients. Decision making is done together with the patient and nurse. Meleis, A.I. (2012), p. 172-174.Definition of nursingParses definition of nursing is that it is a human science and art that uses knowledge to help people. Nurses should not focus on fixing problems, but rather view the patient as a whole living experiences through their environment which help them evolve. She believes that nurses must help guide patients co-create their own health and deal with illness.Goal/purpose of theoryThe goal or purpose of Parses Human Becoming Theory of Nursing is to focus of the quality of life from each separate persons perspective. It does not focus on bio-medical or bio-psycho-social-spiritual approaches as with mosttheories, but instead views the patient as a person and combination of all aspec ts. Retrieved from http//nursing-theory.org/nursing-theorists/Rosemarie-Rizzo-Parse.phpI agree with all of the above listed schools of thought and have incorporated each in my own personal nursing care practice. Abdellah thoughts that nursing is centered on problem solving on the needs of patients in order to assist them in restoring health are near and dear to my heart. Depending on the field you work in this can include a armament of cares. I personally work mainly in obstetrics and medical aesthetics.In the obstetric realm I provide care to help patients have a happy and healthy delivery of a child whereas in my medical spa my goal is help clients improve their aesthetic appearance, thus helping them feel more attractive and confident. Both have a goal, although widely different. This school of thought largely is incorporated in my obstetric care as I assist patients to understand and incorporate impediment care, sustenal care, remedial care, and obviously restorative care as becoming a parent is a big adjustment in life.Peplau brought out the impressiveness of building a therapeutic interpersonal relationship with patients in order to facilitate their skills in coping with the problem at hand. Peplaus interaction school of thought is also very congruent with my nursing philosophy as I feel it is of upmost importance to build a solid trusting interpersonal relationship with patients/clients no matter what area of nursing one is working in. Without doing so, the patient/client will not believe and trust what we are assay to accomplish with them. The event of birthing a child and learning how to care for them is a very personal process where the nurse-client relationship is of upmost importance. Also in aesthetics the client must feel gentle with me as a nurse in order to trust me in helping them attain their goals.Roys theory is seeding in the outcomes school of thought which is also easy to incorporate into nursing care as adaption is required with all processes of life. As nurses we truly do help our clients adapt to their healthstatus and can assist them to become able to care for themselves independently. In obstetrics parents must adapt to having and caring for a newborn infant. The mother has been thru months of adaption to being pregnant, and now must instantly step into a new role that is often times scary and confusing As a nurse I am responsible for(p) to ensure that they are prepared and adapting to this change prior to discharge.Lastly the caring/human becoming school of thought is probably the most utilized type of grand theory that I personally use. Parse points out that we should not focus on fixing the problem, but concentrate on the whole of the patient including experiences lived and how this has helped them evolve. Basically we must think of the patients quality of life, especially from the patients point of view. This can be applied in all fields of nursing as we strive to help patients have the quality of life that they expect and deserve.In conclusion Id like to think that as a nurse I practice from a variety of theories to incorporate the best, quality care possible for patients no matter what the purpose of treatment may be. I try to tailor my approaches taking into account their medical history, environment, and family. Nursing is forever changing and so is the patient population. We must as nurses continue to educate ourselves and evolve with time, never becoming stagnant.ReferencesAbdellah, F. G., Beland, I. I., Martin, A., & Matheney, R. V. (1960). Patient-centered approaches in nursing. New York Macmillan. Meleis, A.I. (2012). Theoretical Nursing Development & Progress, Fifth Edition. Philadelphia, PA Wolters Kluwer Health Lippincott Williams & Wilkins. http//fayeabdellah.blogspot.com/p/backgroud-publications.html http//nursing-theory.org/theories-and-models/peplau-theory-of-interpersonal-relations.php http//nursing-theory.org/nursing-theorists/Hildegard-Peplau.php http//n ursing-theory.org/nursing-theorists/Rosemarie-Rizzo-Parse.php http//nursing-theory.org/nursing-theorists/Sister-Callista-Roy.php

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