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WELCOME TO THE
PRESENTATION ON
TYPES OF THEORIES &
MODELS IN NURSING
DR. MAHESWARI JAIKUMAR.
maheswarijaikumar2103@gmail.com
THEORIES & MODELS CAN BE
CATEGORIZED
ACCORDING TO HOW
THEY DESCRIBE, EXPLAIN
& CONNECT THE FOUR
CONCEPTS OF THE
NURSING
METAPARADIGM
THEORIES
DEVELOPMENTAL THEORIES
& MODELS
SYSTEM THEORIES &
MODELS
INTERACTION THEORIES &
MODELS
MODELS
Describe a set of ideas that
are connected to illustrate a
larger, more general
concept.
Are symbolic depiction of
reality.
Provide a schematic
representation of some
relationship among
PHENOMENA
CHARECTERISTICS OF A
MODEL
• Attempt to describe, explain
& sometimes predict the
relationship among
phenomena.
•Are composed of empirical,
inferential & abstract
concepts.
• Provide an organized
framework for nursing
assessment, planning,
intervention, & evaluation.
DEVELOPMENTAL
THEORIES & MODELS
Emphasizes growth,
development & maturity
The primary focus is on
change in a particular
direction
This change is orderly &
predictable occurring in
specific stages, levels or
phases.
SYSTEMS THEORIES &
MODELS
Each open system can
receive input from the
environment, process in &
provide output to the
environment & receive
feedback while
maintaining a dynamic
tension of forces.
Each system strives for a
steady state – balance
between internal &
external forces.
The goal is to view whole
rather than the sum of
the parts.
INTERACTION
THEORIES & MODELS
The primary focus is on
the person as an active
participant
Emphasis is on a person’s
perceptions, self
concept, & ability to
communicate & perform
roles.
The goal is achievement
through reciprocal
interaction
DEVELOPMENT OF
THEORIES & MODELS
Is relatively new concept.
The nursing profession
has nor reached a
consensus on the
meaning OF CONCEPTS,
THEORIES, & MODELS.
Areas of agreement
include four concepts of
nursing.
Like any discipline nursing
must have a theoretical
base.
THEORIES
Are a set of inter-related
concepts that provide a
systematic explanatory &
predictive view of a
phenomena.
Can begin as an untested
premise (hypothesis)
that becomes a theory
when tested.
Are tested & validated
through research &
provide direction for this
research.
CHARACTERISTICS
Must be logical, simple &
generalizable.
Are composed of concepts &
prepositions.
Inter relate concept to create a
view to look at the phenomena
Must be consistent with the
other theories.
Contribute & assist to
general body of knowledge.
Provide specific direction to
guide practice
LEVELS OF THEORY
DEVELOPMENT
META THEORIES
META PARADIGMS
MIDDLE RANGE THEORIES
PRACTICE THEORIES.
META THEORIES
Meta theories focus on
broad issues –Eg THEORY
OF THEORIES BY P.James.
These theories focus on
types of theory needed,
proposal & critique of
sources & methods of
theory development &
proposal of criteria for
theory evaluation
META PARADIGMS
These are referred to as
grand theories.
Are abstract in content &
broad in scope.
They attempt to explain
global view useful in
understanding key
concepts & principles –Eg
Orem’s theory, Roy,s
theory.
MIDDLE RANGE THEORIES
Middle range theories
target a specific
phenomena or
concept such as pain,
stress.
They are limited in scope
yet general enough to
promote research.
HISTORICAL PERSPECTIVE
1860-Florence Nightingale
Envoronmental theory.
1952-Journal of Nursing
Research established.
1952-Hildegard Peplau’s
Inter personal relations
theory.
1955-Virginia Henderson
defined nursing.
• 1950-Teacher’s College
Columbia University offered
master’s & doctoral
programme in nursing.
• 1960-Yale university school of
nursing defined nursing
process.
•1960-Faye Abdellah
published 21 nursing
problems.
• 1961-Ida Orlando
published The dynamic
nurse patient
relationship.
•1962-Lydia Hall published
Core, Care & Cure model.
• 1964-Ernestine Weidenbach
published Clinical Nursing
A Helping Art.
•1965-ANA stressed the need
for theory development.
•1966-Myra Levine published
Four Conservation
Principles.
•1969-Dorothy Johnson’s
Behavioral Systems Model
1970-Western
University,Cleveland
sponsored symposia to
stimulate theory development.
Mid 1970s-The NLN established
an accreditation requirement
for school of nursing to base
their curricula on nursing
conceptual framework.
1970-Martha Rogers
published her model-
Unitary Human Beings
Model.
1971-Dorothea Orem published
Self Care Deficit theory.
1971-Imogene King published
Theory Of Goal Attainment,
& Joyce Travelbee
published Interpersonal
Aspects of Nursing.
1972-Betty Neuman
published Health Care
Systems Model.
1976-Sister Callista Roy
published Adaptation
Model.
1976-J.G Paterson & L.T
Zderad published
published Humanistic
Nursing.
1978-Madeleine Leininger
published Humanistic
Nursing.
1979-Jeam Watson
published Human
Science & Human
Care – A theory of
nursing.
1980 To Present
1980-Evelyn Adam
published To Be A Nurse &
Joan published Symbolic
Interactionism.
1982-Joyce Fitzpatrick
published Life Perspective
Model
1983-Kathryn Bernard
published Patient – Child
Interaction Model.
1083-Mary Ann published
Modeling & Role
Modeling.
1984-Patricia Benner
published From Novice to
Expert :Excellence &
Power in Clinical Nursing.
1985-Ramona Mercer
published Maternal Role
Attainment.
1986-Margaret Newman
published Model of
Health.
PREDICTIONS FOR
THEORY DEVELOPMENT
The number of theories &
models will increase.
The use of nursing theory
will be challenged as a result
of nursing shortage.
1986-Margaret Newman
published Model of
Health.
Nursing Theorists
Florence Nightingale -
Environment theory
Hildegard Peplau -
Interpersonal theory
Virginia Henderson - Need
Theory
Fay Abdella - Twenty One
Nursing Problems
Ida Jean Orlando - Nursing
Process theory
Dorothy Johnson - System
model
Martha Rogers -Unitary
Human beings.
Dorothea Orem - Self-care
theory.
Imogene King - Goal
Attainment theory.
Betty Neuman - System
model.
Sister Calista Roy -
Adaptation theory.
Jean Watson - Philosophy
and Caring Model.
Madeleine Leininger -
Transcultural nursing
Patricia Benner - From
Novice to Expert
Lydia E. Hall - The Core,
Care and Cure
Joyce Travelbee - Human-
To-Human Relationship
Model
Margaret Newman - Health
As Expanding
Consciousness
Katharine Kolcaba -
Comfort Theory
Rosemarie Rizzo Parse -
Human Becoming Theory
Ernestine Wiedenbach -
The Helping Art of Clinical
Nursing
THANK YOU

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