This document provides an overview of nursing theories and models. It discusses that nursing models provide frameworks to guide nursing practice, and identify the patient, environment, and health aspects to consider. Nursing theories specify goals and ideas to improve practice. It then defines key terms like model and concept. The document also gives a historical perspective on nursing science and discusses why learning theories is important to guide professional nursing. It proceeds to examine specific nursing models like Orem's Self-Care Model and Henderson's 14 Fundamental Needs Model, outlining their key components and applications to practice.
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."
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."
gud evening guys
this is descrive you that this ppt is making very simple way and i hope this will help you to understand lightky about nursing theories
UNIT-IV M.Sc I year THEORIES APPLIED IN COMMUNITY HEALTH NURSING.pptxanjalatchi
What are theories and models of nursing?
Image result for community health nursing theories and models
Four major concepts are frequently interrelated and fundamental to nursing theory: person, environment, health, and nursing. These four are collectively referred to as metaparadigm for nursing. Person, Nursing, Environment, and Health – the four main concepts that make up the nursing metaparadigm.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
Theorist : Dorothea Orem (1914-2007).
She worked as a staff nurse, private duty nurse, nurse educator and administrator and nurse consultant.
Kufa University - College of Nursing
gud evening guys
this is descrive you that this ppt is making very simple way and i hope this will help you to understand lightky about nursing theories
UNIT-IV M.Sc I year THEORIES APPLIED IN COMMUNITY HEALTH NURSING.pptxanjalatchi
What are theories and models of nursing?
Image result for community health nursing theories and models
Four major concepts are frequently interrelated and fundamental to nursing theory: person, environment, health, and nursing. These four are collectively referred to as metaparadigm for nursing. Person, Nursing, Environment, and Health – the four main concepts that make up the nursing metaparadigm.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
Theorist : Dorothea Orem (1914-2007).
She worked as a staff nurse, private duty nurse, nurse educator and administrator and nurse consultant.
Kufa University - College of Nursing
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Running head GRAND THEORIST REPORT 17GR.docxcowinhelen
Running head: GRAND THEORIST REPORT 1
7
GRAND THEORIST REPORT
Grand Theorist Report
Grand Canyon University: NUR 502
April 24, 2018
Grand Theorist Report
There are many grand nursing theories that have helped to set the foundation for the nursing profession. Faye Abdellah was one of the first pioneers for shaping nursing as a profession using her framework for Patient-Centered Approaches to Nursing. Abdellah’s theory is easy to apply to nursing practice in a healthcare institution because her framework is readable and clear (McEwen & Wills, 2014). In addition, another rationale for implementing her theory into practice at a healthcare institution is the fact that it clearly addresses the four metaparadigms—person, environment, health, and nursing. In this paper, we will discuss the theorist Faye Abdellah, her theory on Patient-Centered Approaches to Nursing, and how this theory can be integrated into practice at a healthcare institution.
Description of Theorist
Faye Abdellah was born in New York City on March 13, 1919. Abdellah decided at a very young age she wanted to pursue a career in nursing. She received her original certification in nursing from Fitkin Memorial Hospital. She continued her study of nursing at Columbia University getting her BA in Nursing along with her doctorate degree, which focused on psychology and education (Dewey, 2016).
Abdellah was highly influential in the profession of nursing. She was the Chief Nursing Officer and Deputy United States Surgeon General until 1993, and she was ranked as a Rear Admiral. She retired in 2000 from her last position as Dean of the Graduate School of Nursing at the Uniform Services University of Health Sciences (McEwen & Wills, 2014). As a whole, throughout her career Abdellah received many academic honors for her achievements in nursing. Her main focus was to reshape nursing as a profession by encouraging nurses to look past a physical illness or diagnosis and see “patients as people with a complex of emotional and psychological needs” (Dewey, 2016, n.p.). Clearly, this concept of looking at patients as more complex beings significantly helped to influence and shape her Patient-Centered Approaches to Nursing.
Category of Theory
Abdellah’s Patient Centered Approaches to Nursing is considered a grand nursing theory that is based on human needs. She believed that patients should be seen as ‘people’ who have individual unique needs that require personalized care from nurses. Furthermore, Abdellah developed her theory based on how she practiced while providing care to patients—which is what helps to make the theory highly applicable. McEwen & Wills (2014) further explain that Abdellah’s theory is applicable not only in the hospital setting, but also in the community setting.
Assumptions Underlying the Theory
Abdellah’s original theory did not have any stated assumptions; however, as time passed she did add the following six assumptions related to: 1) change ...
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Professional Nursing Practice within Nursing Care Models The A.docxbriancrawford30935
Professional Nursing Practice within Nursing Care Models
The American Nurses Association (2010) defines nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (66). The American Organization of Nurse Executives (AONE) assumptions for future patient care delivery include the following: Assumption 1: The role of nurse leaders in future patient care delivery systems will continue to require a systems approach with all disciplines involved in the process and outcome models. Assumption 2: Accountable Care Organizations will emerge and expand as key defining and differentiating healthcare reform provisions that will impact differing care delivery venues. Assumption 3: Patient safety, experience improvement and quality outcomes will remain a public, payer and regulatory focus driving work flow process and care delivery system changes as demanded by the increasingly informed public. Assumption 4: Healthcare leaders will have knowledge of funding sources and will be able to strategically and operationally deploy those funds to achieve desired outcomes of improved quality, efficiency, and transparency. Assumption 5: The joint education of nurses, physicians, and other health professionals will become the norm in academia and practice promoting shared knowledge that enables safer patient care and enhancing the opportunity for pass-through dollars to apply to APRN residencies and/or related clinical education (2010, pp. 1–3). The five NAM core competencies are interrelated with these assumptions. Also, all of these elements have been discussed in earlier chapters or will be discussed in later chapters, as they are critical aspects of leadership and management. Intertwined within these critical elements is the recognition of the importance of leadership, autonomy, responsibility, delegation, and accountability. Autonomy, which focuses on an individual’s ability to make decisions, requires competence and skills that focus on the nurse–patient relationship. It also means that there needs to be an organized assessment method to determine patient care needs and reassigning staff. Nurses also have the right to consult with others as professionals when they provide or manage care. Autonomy, control, and decision making are related, and state Nurse Practice Acts reflect on nurse autonomy. Nurses who feel that they have autonomy know that they have the right to make decisions in their daily practice and also actively participate in developing organizational policy and change. Staff autonomy, however, does not work in organizations in which leaders are authoritarian and when centralized decision making and control are key characteristics of the organization. This situation will quickly lead to conflict. In addition, the work environment must be .
Psychiatric-mental health nurse practitioner Student Nam.docxsimonlbentley59018
Psychiatric-mental health nurse practitioner
Student Name
Institution Affiliation
1
Introduction
The primary role of a psychiatric-mental health nurse practitioner is providing psychotherapy and educating patients and families.
One of the problems that has been experienced in psychiatry is stigma, discrimination and prejudice.
This issue has presented certain effects like delay in seeking help, burnout among health care providers and poor services.
One of the theories that is relevant to the specialty is the modelling and role modelling theory.
Psychiatric-mental health nurse practitioners usually play a key role in promoting health care. Their primary role is providing psychotherapy and educating patients and families. However, patients and health care providers are facing various issues particularly stigma, discrimination and prejudice which has negatively affected the provision of health care services. The modelling and role modelling theory is one of the theories that is relevant and can greatly help to deal with the problem and may be used as a framework to guide evidence-based practice.
2
Modelling and Role Modelling Theory
It was developed by Helen Erickson, Evelyn Tomlin and Mary Anne and was published in 1983.
This theory helps health care providers to care for and nurture every patient based on their needs.
Commonalities in the theory include attachment and loss, basic needs, holism and cognitive stages.
Differences in the theory include self-care, stress, adaptation, model of the world and inherent endowment.
The modelling and role modelling theory was developed by Helen Erickson, Evelyn Tomlin and Mary Anne and was published in 1983. This is a crucial theory in nursing because it helps health care providers to care and nurture patients while upholding the awareness and respect of every patient’s uniqueness (Smith, 2019). Due to that, this theory is considered to support clinical practices that concentrate on the needs of patients. The theory looks at certain elements like attachment and loss, holism, basic needs and cognitive stages. It focuses on certain differences amongst people including stress, self-care, adaptation, model of the world and inherent endowment.
3
Relevance of the Theory
Modelling involves health care providers seeking to know and understand patients’ personal model of their world.
Health care providers learn to appreciate the value of patients’ personal model of the world and its importance.
This theory acknowledges that all human beings have unique perspectives about their world.
Health care providers are able to develop an image and understanding of patients’ perspective and personal model of the world.
The modelling and role modelling theory is relevant to my nurse practitioner specialty since it entails crucial aspects that promote the well-being of patients. During the modelling process, nurses are able to find out and comprehend the personal model of patients and learn how t.
Reading Page 111-116Professional Nursing Practice within Nursi.docxsodhi3
Reading Page 111-116
Professional Nursing Practice within Nursing Care Models
The American Nurses Association (2010) defines nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (66). The American Organization of Nurse Executives (AONE) assumptions for future patient care delivery include the following:
Assumption 1: The role of nurse leaders in future patient care delivery systems will continue to require a systems approach with all disciplines involved in the process and outcome models.
Assumption 2: Accountable Care Organizations will emerge and expand as key defining and differentiating healthcare reform provisions that will impact differing care delivery venues.
Assumption 3: Patient safety, experience improvement and quality outcomes will remain a public, payer and regulatory focus driving work flow process and care delivery system changes as demanded by the increasingly informed public.
Assumption 4: Healthcare leaders will have knowledge of funding sources and will be able to strategically and operationally deploy those funds to achieve desired outcomes of improved quality, efficiency, and transparency.
Assumption 5: The joint education of nurses, physicians, and other health professionals will become the norm in academia and practice promoting shared knowledge that enables safer patient care and enhancing the opportunity for pass-through dollars to apply to APRN residencies and/or related clinical education (2010, pp. 1–3).
The five NAM core competencies are interrelated with these assumptions. Also, all of these elements have been discussed in earlier chapters or will be discussed in later chapters, as they are critical aspects of leadership and management. Intertwined within these critical elements is the recognition of the importance of leadership, autonomy, responsibility, delegation, and accountability.
Autonomy, which focuses on an individual’s ability to make decisions, requires competence and skills that focus on the nurse–patient relationship. It also means that there needs to be an organized assessment method to determine patient care needs and reassigning staff. Nurses also have the right to consult with others as professionals when they provide or manage care. Autonomy, control, and decision making are related, and state Nurse Practice Acts reflect on nurse autonomy. Nurses who feel that they have autonomy know that they have the right to make decisions in their daily practice and also actively participate in developing organizational policy and change. Staff autonomy, however, does not work in organizations in which leaders are authoritarian and when centralized decision making, and control are key characteristics of the organization. This situation will quickly lead to conflict. In addition, th ...
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
2. INTRODUCTION.
Nursing models provide a knowledge base for
nurses to practice in an efficient manner.
They provide explicit frames of reference for
professional nursing practice by identifying who
the care recipient is, what the relevant
environment is and what aspects of health are
to be considered.
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JONES H.M-MBA/DMS 2
3. The nursing theories on the other hand specify
innovative goals for nursing practice, they also give
ideas to improve practice and coordinate care.
DEFINITION OF KEY TERMS
Model” A symbolic representation of concepts or
variables and interrelation among them” Polit and
Hungler (1995).
Concept “An image or idea held in the mind”
Baillie’re Nurses dictionary (2005).
or
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4. The nursing theories on the other hand specify
innovative goals for nursing practice, they also give
ideas to improve practice and coordinate care.
DEFINITION OF KEY TERMS
Model” A symbolic representation of concepts or
variables and interrelation among them” Polit and
Hungler (1995).
Concept “An image or idea held in the mind”
Baillie’re Nurses dictionary (2005).
or
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JONES H.M-MBA/DMS 4
5. A concept is a mental image of event or reality.
Model of Nursing “A systematically
constructed, scientifically based and logically
related set of concepts which identify the
essential components of nursing practice
together with the theoretical basis of
theseconcepts and values required for their use
by the practitioner” (Chalmers and
Aggletone,1986).
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JONES H.M-MBA/DMS 5
6. HISTORICAL PERSPECTIVES
Until fairly recently, nursing science was derived
principally from social, biologic, and medical
science theories.
However, from the 1950s to the present, an
increasing number of nursing theorists have
developed models of nursing that provide bases
for the development of nursing theories and
nursing knowledge.
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7. Theory is a set of concepts and definitions,
relationships, and assumptions that project a
systematic view of phenomena (Fawcett, 1995).
Nursing theory It is the conceptualization of
some aspects of nursing communicated for the
purpose of describing, explaining, predicting
and or prescribing nursing care (Meleis ,1997).
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8. Nursing theory is a group of related concepts,
definitions & statements that propose a view of
nursing phenomena from which to describe,
explain or predict outcomes.
WHY LEARN THEORIES ?
Theory Guides the Professional
Nurse in;
Organizing and analyzing patient data
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JONES H.M-MBA/DMS 8
9. Understanding connections between pieces of
data.
Discriminating between important and less
pertinent data.
Making sound clinical judgments based on
evidence.
Planning effective nursing interventions.
Predicting and evaluating outcomes of
interventions.
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10. TYPES OF NURSING MODELS AND THEIR
APPLICATION.
1. OREM’S NURSING MODEL
Proposed by Dorothea Elizabeth Orem in the
1970s. It is also refered to as the self care model.
Dorothea Orem’s theory is composed of three
related theories which are theory of self-care,
theory of self-care deficit and the theory of nursing
systems. Orem identified universal self care needs
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JONES H.M-MBA/DMS 10
11. which need to be met for an individual to gain,
restore, or maintain health.
The model is commonly applied/ used in chronic
illness.
A, Theory of self care
Implies the practice of activities that the individual
initiates and perform on their own behalf in
maintaining life, health and well being.
Under this theory you address the universal self
care needs.
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12. Universal Self-Care Needs (Requisites)
1.The maintenance of a sufficient intake of air
2. The maintenance of a sufficient intake of food
3. The maintenance of a sufficient intake of water
4. provision of care associated with elimination
processes and excrements.
5. activity balance with rest.
6.The maintenance of balance between solitude
and
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JONES H.M-MBA/DMS 12
13. social interaction (time spent alone balances
with time spent with others).
7)The prevention of hazards to human life,
human functioning and human well being.
8) Being normal (Maintaining normalcy)
Promotion of human functioning and
development within social groups in accordance
with human potential, known human limitations
and the human desire to be normal.
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JONES H.M-MBA/DMS 13
14. Self care agency
You look at the individual’s ability to perform
self care activities. Will the patient manage or
will there be need for a self care agent.
• Self-care Agent – refers to the person who
provides the self care. ( the individual patient,
the nurse or family member).
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JONES H.M-MBA/DMS 14
15. B. Theory of self care deficit
Self care deficit provides a guide for the
selection of methods for helping and
understanding the patient’s roles in self care.
Self care deficit occurs when the demand to
care for oneself is greater than the individual’s
capacity or ability to meet it.
It is the self care deficit that determines the
need for
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JONES H.M-MBA/DMS 15
16. nursing care.
Nursing is required when the client is incapable
of continuous and effective self care.
Methods of help that can be used in meeting
the self care deficit include;
Acting or doing for
Guiding
Teaching
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17. Supporting
Providing an environment to promote the
patient’s ability to meet current or future
demands.
C. Theory of nursing systems
Focus upon;
The specific roles and responsibilities of the
patient and the nurse in the nurse patient
relationship.
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18. It specifies/ describes how the client’s self care
needs will be met by the nurse, client or both.
With this theory, the nurse determines whether
there is a legitimate need for nursing care and if
a self care deficit exists.
It is also the time when a nurse plans care and
identifies what should be done and who should
do it.
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19. The nursing system can be wholly
compensatory, partly compensatory or
supportive educative.
Wholly compensatory - when the nurse or
caregiver does all care for patient. Patient is
unable to care for themselves.
Partly compensatory –when the patient can do
some care for them self but still relies on the
nurse or caregiver for
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20. assistance.
Supportive educative -person is able to perform
required self care, but can not do without
assistance .
Key Components of Care
The nature of people
Orem views a person as a functional integrated
whole with a motivation to achieve self-care.
For a healthy individual, Orem identified eight
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21. Universal self care needs that require
satisfaction.
The Causes of Problems Likely to Require
Nursing Interventions
a. Universal needs.
b. Developmental- Conditions that support life
processes and promote specific developmental
stages( Infancy, childhood, adolescence).
c. Health deviations.
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22. a. Nursing intervention is required only when
b. individuals (or their relatives and significant
others) are unable to achieve or maintain a
balance between self care abilities and self-care
demands.
The Nature of the Assessment Process
Orem Calls assessment ‘investigative operation’
The Nurse has to assess those demands being
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23. made on the individual for self care.
Assess also the Individual’s ability to meet these
demands.
Assess the self care deficit and reasons for it
which could be:
◦ Insufficient knowledge to respond to self care
demands
◦ Insufficient skill to carry out the self care
activities
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24. ◦ Motivation to achieve self care
Assess whether the individual’s present state
allows for safe involvement in self-care.
Assess the patient’s potential for re establishing
Self-care in the future.
Orem emphasises the importance of involving
the patient , family and significant others in the
care.
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25. The patient or family member should be
involved from the onset of care.
The Nature of the Planning and Goal Setting
Goals are patient centred.
Short term, intermediate or long term goals can
be set.
Negotiate with the patient whether the nursing
interventions should be:
◦ Wholly compensatory – act for the patient
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26. completely
◦ Partly compensatory- share certain tasks with
the patient
◦ Supportive educative – consultative and
facilitative
The Nature of the Process of Evaluating
the Care Given
◦ Evaluated in terms of the patient’s or family’s
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27. subsequent ability to perform self care.
THE ROLE OF THE NURSE.
Major role is complementary one
Nurses may intervene in the lives of patients in
order to:
◦ help the individual to sustain health
◦ recover from disease and injury or
◦ cope with the effects of disease and injury.
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28. 2. HENDERSON’S MODEL OF NURSING
Henderson’s model of Nursing emphasizes the
existence of both biological and psychological
even social needs that can sometimes lead to a
need for nursing care.
Henderson came up with 14 fundamental needs
for a person to stay healthy.
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29. 14 fundamental needs
1. To breath normally.
2. To eat and drink adequately.
3. To eliminate body waste.
4. To move and maintain desired posture.
5. To sleep and rest.
6. To Select suitable clothing (dress and undress).
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30. 7. To Maintain body temperature within normal
range.
8. To keep body clean and well groomed.
9. To avoid dangers in the environment that cause
injury to ourselves and others.
10. To communicate to others in expressing our
needs, fears and dangers.
11. To worship according to one’s faith.
12. To work in such a way that there is a sense of
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31. accomplishment.
13. To play and participate in social activities/
recreation of your choice.
14. To learn, discover and satisfy curiosity that
lead to normal development and health.
ROLE OF A NURSE
The role of a nurse is to maintain or restore
independency.
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32. to meet the 14 fundamental needs and help.
A person can fail to meet the 14 fundamental
needs because of lack of skills, knowledge, will
or strength.
The nursing intervention will seek to replace,
add, reinforce or increase the strength,
knowledge, skill or will of the client to enable
them meet the 14 fundamentals needs.
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33. 3. NANCY,ROPER& LOGAN THEORY
This model is focused on activities of living
which can influence man well being.
It identifies 6 factors which can influence the
health of man.
These factors are; Biological factors,
Psychological factors, Social-cultural factors,
Environmental factors, Spiritual factors and
Political factors.
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34. The activities of daily living are derived from
these factors.
The Nancy Roper Logan theory is mostly used in
acute care settings.
ACTIVITIES OF DAILY LIVING
Maintaining a safe environment
Communicating
Breathing
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35. Eating and drinking
Eliminating
Personal cleansing and dressing
Controlling body temperature
Mobilising
Working and playing
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36. Expressing sexuality
Sleeping
Dying.
According to this theory a nurse must be able to
help the client to maintain these activities in
order to fulfill the basic needs.
The nurse must prioritize the needs of the
patient in relation to the condition.
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