Discuss the importance of theoretical framework in nursing
Identify the concepts of nursing theory
Discuss different terms including theory, framework and models
Discuss overview of nursing process
outlines are Introduction
Basic assumptions
Major concepts
Proposition of king’s theory
Nursing paradigms
Theory of Goal Attainment and Nursing Process
References
Virginia henderson's theory of nursingMandeep Gill
Virginia Henderson was born in Kansas City, Missouri in 1897, the fifth of eight children in her family. During the World War 1, Henderson developed an interest in nursing. So in 1918 she entered the Army school of Nursing in Washington D.C. Henderson graduated in 1921 and accepted a position as a staff nurse with the Henry Street Visiting Nurse Service in New York. After 2 years, in 1923, she started teaching nursing at the Norfolk Protestant Hospital in Virginia. She has enjoyed a long career as an author and researcher. She is known as, “The Nightingale of Modern Nursing” & “The 20th century Florence Nightingale."
outlines are Introduction
Basic assumptions
Major concepts
Proposition of king’s theory
Nursing paradigms
Theory of Goal Attainment and Nursing Process
References
Virginia henderson's theory of nursingMandeep Gill
Virginia Henderson was born in Kansas City, Missouri in 1897, the fifth of eight children in her family. During the World War 1, Henderson developed an interest in nursing. So in 1918 she entered the Army school of Nursing in Washington D.C. Henderson graduated in 1921 and accepted a position as a staff nurse with the Henry Street Visiting Nurse Service in New York. After 2 years, in 1923, she started teaching nursing at the Norfolk Protestant Hospital in Virginia. She has enjoyed a long career as an author and researcher. She is known as, “The Nightingale of Modern Nursing” & “The 20th century Florence Nightingale."
9320141Nursing Theories & Health AssessmentNUR.docxransayo
9/3/2014
1
Nursing Theories & Health
Assessment
NUR 3069: Advanced Health Assessment
Key Terms
• Health and health pattern
• Holism
• Holistic
• Theory
• Nursing theory
• Health assessment
• Health promotion
Perspectives on Nursing Theory
• What is a theory as opposed to a conceptual framework?
• What is nursing theory?
• How do nursing theories relate to health assessment?
• What theory can nurses use?
9/3/2014
2
Definition of Theory
• Theory:
A creative and rigorous structuring of ideas that projects a tentative,
purposeful, and systematic view of phenomena.
• Purpose:
Theory is developed for a reason that can be identified and specifies
the context and situation in which the theory applies.
Why Nursing Theory?
• Nursing theory:
• Guides nursing education, research, and practice.
• Strengthens links between nurses in education, research, and practice.
• Contributes to a well-founded basis for practice.
• Helps nurses develop better understanding of factors affecting family
function.
• Directs nurses to more specific purposes than merely filling a gap.
• Considers significant factors that influence nursing , and, therefore, helps
nurses in nursing-specific situations.
Nursing Theorists
• Florence Nightingale:
Environment is the central concept.
• Viewed as all external conditions and influences affecting the life and development of an
organism (1860).
• Virginia Henderson:
Mind and body are inseparable
• No two individuals are alike; each is unique (1966).
9/3/2014
3
Nursing Theorists
(continued)
• Martha Rogers:
• A science of unitary human beings.
• Person-environment are energy fields that evolve negentropically (1970).
• Family system approach.
• Callista Roy:
Adaptation/Independence model (1974).
• Dorothea Orem:
Self-care maintains wholeness (1971).
• Madeleine Leininger:
Caring is universal and varies transculturally (1978).
• Imogene King:
• General systems framework.
• Transactions within the dyad of nurse and client.
• Margaret Newman:
Total person approach to patient problems. Disease is a clue of preexisting life
patterns (1979).
Definition of Health, Health Pattern, & Health Promotion
• Health:
A state of complete physical, mental, and social well-being.
• Health pattern:
A set of related traits, habits, or acts that affect a client's health.
• Health promotion:
Behavior motivated by the desire to increase well-being and actualize
human potential.
Health Assessment & The Nursing Process
• Health assessment is a systematic method of collecting data about a
client for the purposes of:
• Determining the client’s current and ongoing health status.
• Predicting risks to health.
• Identifying health promotion activities.
• The nursing process is a systematic, rational, dynamic, and cyclic
process used by the nurse to plan and provide care for the client.
9/3/2014
4
Models of Health
• Ecological Model:
Examines the interaction of agent, host, and environment.
• C.
Nursing is both an art and a science. The science of nursing examines the relationship among person, health and environment. The art of nursing is embedded in caring relationship between nurse and client.
As an increasingly emerging profession, nursing is now deeply involved in identifying its own unique body of knowledge that is essential to nursing practice.
Appraise the component of various nursing theories; description, purpose, concepts, definition.
Discuss the application of nursing theories in nursing practice.
Nursing is both an art and a science. The science of nursing examines the relationship among person, health and environment. The art of nursing is embedded in caring relationship between nurse and client.
As an increasingly emerging profession, nursing is now deeply involved in identifying its own unique body of knowledge that is essential to nursing practice. The development of a body of knowledge is basic to any professional discipline, which can be applied to its practice. Such knowledge often expressed in terms of concepts and theories in the area of the behavioral or social sciences.
At the completion of this unit, learners will be able to: 1. define the digestive system and list its functions 2. Identify the various organs of digestive system 3. Describe the anatomy & physiology of digestive organs
29
4. Discuss the role of accessory organs in digestion 5. Discuss digestion of food with in Mouth Stomach Small intestines Large intestines 6. Discuss the absorption of nutrients in the digestive system 7. Discuss the process of defecation
At the completion of this unit, learners will be able to: 1. Describe the structure of two layers of skin Epidermis Dermis 2. Briefly discuss the structure & function of skin derivatives. Sweat gland Sebaceous gland Hair Nail
28
3. Discuss the following functions of skin Protection Regulation of body temperature Sensation Absorption Excretion
At the completion of this unit, learners will be able to: 1. Define skeletal system 2. Discuss the structure, types and functions of bone 3. List the functions of the skeletal system 4. Identify the bones of axial & appendicular skeleton
27
5. Describe the various markings on the surface of bones 6. Describe the bones of: The skull Vertebral column The rib cage or chest Pectoral girdle and upper extremity Pelvic girdle and lower extremity 7. Briefly discuss the difference between male & female pelvis.
At the completion of this unit, learners will be able to: 1. Define the following terms fascia, epimysium perimysium, endomysium, tendons and aponeurosis 2. Describe the location and function of major muscles of: The neck The face The back The arms The legs
At the completion of this unit, learners will be able to: 1. Define lymph & the lymphatic system 2. Identify the organs of lymphatic system 3. Describe the general functions of the lymphatic system 4. Describe how lymph is formed 5. Describe the lymph vessels & how lymph is returned to the blood vessels 6. Describe the structure and functions of the lymph nodes, nodules, spleen and the thymus glands.
At the completion of this unit, learners will be able to: 1. Define the term joint. 2. List three types of joints I.e. Fibrous Cartilaginous Synovial 3. Describe the common characteristic features of a synovial joint. 4. List the types of synovial joints. 5. Discuss the types of movements possible at synovial joints.
At the completion of this unit, learners will be able to: 1. Define blood and list its functions 2. Describe the composition, sites of production and functions of cellular parts of blood and plasma 3. Briefly explain the ABO blood groups & Rh factor. 4. Explain the structure and function of: Arteries Veins & Capillaries 5. Describe the location, structure and functions of the heart and its great blood vessels. 6. Discuss the blood flow through the heart 7. Describe the structure and functional features of the conducting system of the heart. 8. Describe the principle events of a cardiac cycle. 9. Describe the following types of blood circulation: Pulmonary circulation Systemic circulation (coronary & hepatic portal circulation).
In this unit learners will explore various hazards in the environment and will identify ways to minimize or eliminate these hazards.
At the completion of this unit learners will be able to:
1. Define safety 2. Describe the characteristics of safety 3. Identify physical and microbial hazards in environment 4. Discuss various ways to minimize hazards 5. Discuss the assessment for environmental safety 6. Identify physical and microbial hazards in the hospital environment, which interfere with patients‟ safety 7. Explain general preventive measures for safe environment for health team members and patient 8. Using assessment, identify people at risk for safety dysfunction.
At the end of the session learners will be able to:
1. Define decubetic ulcer (bed sore) 2. List the causes of decubetic ulcer 3. Apply nursing interventions to prevent decubetic ulcer. 4. Identity rise bactars of bedsores
Nervous system physiology PowerPoint presentations are highly beneficial for students pursuing physical therapy, nursing, and other allied health disciplines. These materials are particularly useful for enhancing understanding and application of key concepts. Regards, Syed Yousaf Shah, Assistant Professor at Dow University of Health Sciences, Karachi, and Ph.D. scholar at Lincoln University.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
2. Objectives
• Discuss the importance of theoretical
framework in nursing
• Identify the concepts of nursing theory
• Discuss different terms including theory,
framework and models
• Discuss overview of nursing process
• References
2Unit 1
3. • A system of idea intended to explain
something, especially one based on
general principle.
- Oxford dictionary
• Principle : Fundamental truth or
proposition serving as the foundation for
belief or action.
3Unit 1
4. • Concepts – Ideas and mental images that help
to describe phenomena (Alligood and Marriner-
Tomey, 2002).
• Definitions – Convey the general meaning
of the concepts.
• Models – These are representations of
the interaction among and between the
concepts showing patterns.
4Unit 1
5. • Prepositions -are statements that
explain the relationship between the
concepts.
• Assumptions – Statements that
describe concepts.
• Phenomenon – Aspect of reality that
can be consciously sensed or
experienced (Meleis, 1997).
5Unit 1
6. • A theory is a set of statements that is
developed through a process of continued
abstractions. It is a generalized statement
aimed at explaining a phenomenon.
• A model, on the other hand, is a
purposeful representation of reality.
6Unit 1
7. • A nursing paradigm is a concept that has
developed over time from the beliefs and
practices of professionals in the healthcare
sector.
• According to Nursing Theories, a nursing
paradigm is a pattern that shows the
relationship between a person, the
environment in which she lives and her
health.
7Unit 1
9. • Nursing theory aims to describe, predict
and explain the phenomenon of nursing
(Chinn and Jacobs 1978).
• It provides the foundations of nursing
practice, help to generate further
knowledge and indicate in which direction
nursing should develop in the future
(Brown 1964).
9Unit 1
10. • Theory is important because it helps us to
decide what we know and what we need to
know (Parsons1949).
• It helps to distinguish what should form the
basis of practice by explicitly describing
nursing.
• This can be seen as an attempt by the
nursing profession to maintain its
professional boundaries. 10Unit 1
11. overview of Nursing process
• Nursing process is a critical thinking
process that professional nurses use to
apply the best available evidence to care
giving and promoting human functions
and responses to health and illness
(American Nurses Association, 2010).
11Unit 1
12. Purposes of nursing process
• To identify a client’s health status and
actual or potential health care problems or
needs.
• To establish plans to meet the identified
needs.
• To deliver specific nursing interventions to
meet those needs.
12Unit 1
13. Components of nursing process
• It involves assessment (data collection),
nursing diagnosis, planning,
implementation, and evaluation.
13Unit 1
15. References
• Johnson, B. M., & Webber, P. B. (2013). An
introduction to theory and reasoning in
nursing (4th ed.). Philadelphia, PA: Wolters
Kluwer Health, Lippincott Williams & Wilkins.
• Tomey, M.A. &Alligood, M.R. (2002). Nursing
Theorists and Their Work (5thed) St. Louis,
Missouri: Mosby, Inc.
15Unit 1