NR 501 Week 3: Development of Nursing Theory and Concept Analysis
NR 501 Week 3: Development of Nursing Theory and Concept Analysis
NR 501 Week 3: Development of Nursing Theory and Concept Analysis
The World Health Organization (WHO) defines Quality of life (QoL) as a person’s view of their situation in life in the perspective of the culture and value systems where they live, and with regard to their expectations, goals, standards, and concerns (Sarwar et al., 2019). It is the physical and mental health that a person perceives over time. QoL is further defined as how a person is healthy, comfortable, and able to engage in or take pleasure in life events. The term QoL is innately ambiguous since it can refer to an individual’s experience of their life and the living conditions in which people find themselves (Sarwar et al., 2019). The purpose of this assignment is to describe the defining attributes of QoL, the antecedent and consequence, create a model case, and theoretically apply the concept.
Having Trouble Meeting Your Deadline?
Get your assignment on NR 501 Week 3: Development of Nursing Theory and Concept Analysis completed on time. avoid delay and – ORDER NOW
Three Defining Attributes
The three defining attributes of QoL are: A feeling of satisfaction with one’s life generally; A satisfactory state of physical, emotional, social, and mental health as established by the person referred to; The mental ability to establish one’s own life as satisfactory (Van Leeuwen et al., 2019). For example, for a person to say they have a good QoL, they need to be satisfied with their overall life. Besides, they should be satisfied with their physical, emotional, social, and mental health. They should be satisfied with their body’s physiological performance to have balance and harmony with themselves and others. They should also have a positive self-esteem and body image and positive and productive social interactions, personal relationships, and social support (Van Leeuwen et al., 2019). Lastly, a person with a good QoL exhibits the mental ability to assess their life as satisfactory.
Antecedent and Consequence of The Concept
An antecedent is not necessarily a causative factor, but it is important for the concept to occur and can contribute to its cause. An antecedent of QoL is an individual’s ability to make a decision (Haraldstad et al., 2019). An individual may feel that it is important to get on with life. However, the decision often depends on the limitations their QoL imposes, such as physical activity and socialization levels. Individuals evaluate their lives and make decisions, which can sometimes improve or worsen their QoL (Haraldstad et al., 2019). On the other hand, consequences refer to factors that follow the occurrence. A consequence of QoL is acceptance of one’s circumstances. The results of a positive QoL are coping, adaptation, and satisfaction with life (Haraldstad et al., 2019). However, the results of a negative QoL are a lack of satisfaction and risk-taking behavior beyond that of a person’s age.
Struggling to Meet Your Deadline?
Get your assignment on NR 501 Week 3: Development of Nursing Theory and Concept Analysis done on time by medical experts. Don’t wait – ORDER NOW!
Model Case
A model case is an example of the use of a concept that shows all of its defining attributes. The following is a model case for QoL: A 32-year-old man gets home from work one evening. As he parks his SUV in the parking lot next to his wife’s car, his two children, 5-year-old and 3-year-old, run and scream with joy to welcome him home. He can also see his wife smiling and waving at him at the door. The children hug him and help him carry some snacks he brought for them. When he gets to the house, his wife hugs and welcomes him and offers him a cup of tea. He sits and tells himself, “I have the life I was dreaming of; there is nothing I wish to change.” He reflects on how lucky he is to have a happy family, a successful business, good health, and supportive friends. Many people look upon him and wish their life was a fraction of his.
The model case demonstrates the quality of life. The three defining attributes are presented in the case. The man has an overall sense of happiness and satisfaction with his life. He has the mental ability to evaluate his life. Besides, he feels he is in good health since he can do the things he wishes to. Furthermore, other people also assess her life be of quality.
Theoretical Applications of the Concept
Peplau’s nursing theory applies to the concept of QoL. QoL is entrenched in Peplau’s theory as an indefinable, extensive phenomenon. Peplau considers QoL as a subjective view of the condition of an individual’s life, which is equal to a person’s wellbeing and psychological wellness and often connected with health (Hagerty et al., 2018). A relationship is fundamental in Peplau’s theory, whereas QoL is considered a by-product of the relationship and thus significant to the theory. Peplau proposed that QoL is mostly a subjective perception and varies with changing conditions; (time and situation-dependent) (Hagerty et al., 2018). Nonetheless, QoL is considered an intangible quality in the theory.
Reflection
QoL concept applies to advanced nursing practice (APN) since APRNs must understand that QoL is the degree to which individuals enjoy a good life. Besides, APRNs should understand that a person enjoys a good life when they attain a balance in their relations with themselves and others by creating and maintaining adequate conditions and personal potentials over the life course. QoL, without a doubt, is relevant to APN practice. Patients often consult NP on how to achieve the best possible QoL for themselves or their loved ones. For an NP to help these patients and their families, they must themselves reflect on what is meant by QOL.
References
Hagerty, T. A., Samuels, W., Norcini-Pala, A., & Gigliotti, E. (2018). Peplau’s Theory of Interpersonal Relations: An Alternate Factor Structure for Patient Experience Data?. Nursing science quarterly, 30(2), 160–167. https://doi.org/10.1177/0894318417693286
Haraldstad, K., Wahl, A., Andenæs, R., Andersen, J. R., Andersen, M. H., Beisland, E., … & Helseth, S. (2019). A systematic review of quality of life research in medicine and health sciences. Quality of life Research, 28(10), 2641-2650. https://doi.org/10.1007/s11136-019-02214-9
Sarwar, S., Aleem, A., & Nadeem, M. A. (2019). Health-Related Quality of Life (HRQOL) and its correlation with academic performance of medical students. Pakistan journal of medical sciences, 35(1), 266–270. https://doi.org/10.12669/pjms.35.1.147
Van Leeuwen, K. M., Van Loon, M. S., Van Nes, F. A., Bosmans, J. E., De Vet, H. C., Ket, J. C., … & Ostelo, R. W. (2019). What does quality of life mean to older adults? A thematic synthesis. PloS one, 14(3), e0213263. https://doi.org/10.1371/journal.pone.0213263
Nursing theory is significant to the nursing profession since it guides nursing practice. Nursing theories give nurses a framework to guide nursing practice as well as a methodical prescription of action and a sound theoretical base (Quinn & McDonough, 2019). They present the principles that support nursing practice and help produce additional nursing knowledge. It is essential for NPs since nursing theory-guided practice enhances the quality of clinical care since it enables NPs to express the interventions they implement in patient care and their rationale (Younas & Quennell, 2019). Nursing theories help NPs to define their beliefs and values about human health and seek a deep understanding of patient care interventions. Besides, they influence NPs to recognize and evaluate their roles in various patient care settings.
Nursing theory is important for NPs because NP practice is rooted in critical thinking and understanding the theoretical background. For instance, Roy’s Adaptation theory enables NPs to understand that individuals’ behavior is influenced by an interconnected set of psychological, biological, and social systems. Therefore it informs NP practice as the NP takes action directed towards achieving a state of relative balance in each system (Quinn & McDonough, 2019). This promotes the regularity of function and the ability of every patient to adapt positively to environmental stimuli. Furthermore, nursing theories guide NPs in evaluating patient care and identifying treatment interventions based on the evaluation findings. They also provide NPs with the rationale when making certain patient care decisions. Nevertheless, nurses and NPs should understand that no one nursing theory stands alone as the most appropriate to guide nursing practice (Quinn & McDonough, 2019). Therefore, they need to mostly find a combination of relevant theories for their specific patient populations.
References
Quinn, B. L., & McDonough, A. (2019). Nursing Theory in Hospital Models of Care. AJN The American Journal of Nursing, 119(12), 11. doi: 10.1097/01.NAJ.0000615708.01269.21
Younas, A., & Quennell, S. (2019). Usefulness of nursing theory-guided practice: an integrative review. Scandinavian Journal of Caring Sciences. doi:10.1111/scs.12670
The concept this author has selected for analysis is caring. The caring concept is found in the nursing Theory of Human Caring, this Nursing Theory was developed by Jean Watson. According to Chamberlain College of Nursing (CCN) concept and theory analysis are dominant instruments that benefit and bring light to the nursing practice. There are eight steps to carry out when developing a concept analysis. These steps will be discussed by the writer during this discussion question.
The concept of interest for this discussion question is Caring. Caring and nursing are two terminologies that are impossible to be separated. According to Lindberg, Fagerstrȍm, Sivberg, & William (2014) caring is the basis of nursing and is firmly connected to ethos, whereas nursing primarily relates to actual work done by the nurses.
Caring is the core of nursing
and is closely connected to ethos, whereas nursing mainly
relates to the actual work done by the nurses
According to Lindberg, Fagerstrȍm, Sivberg, & William (2014) caring quality encompass respect for patient self-determination, practice aspect of nursing, caring relationships that nurses and patients establish and the health and wellness attitude. In other words, it is crucial in caring to have an understanding of the culture, attitude, variability, relationship, action and acceptance.
To provide a description of one antecedent and one consequence of the concept we could start by stating that nursing education is of paramount importance for the profession. The achievement of nursing accomplishments is a key antecedent for nursing. In order for a nursing student to become an RN the candidate ought to complete and be successful in completing nursing school as well as achieving passing scores on the board exam. The student nurse must fulfill a set of clinical practice hours in the clinical settings in which the student will achieve the necessary clinical skills where they will apply the theoretical content learnt in the classroom setting. Once the nursing student accomplishes the degree and becomes a professional registered nurse, and get a job, there is a necessary training period to confirm that this newly graduated nurse is self-sufficient, confident and has adequate skills that is safe to care for patients.
Identification of at least one empirical referent is how the concept of caring may be measured or assessed (CCN, 2017). Caring may be challenging to define and measure, since judgement and perception depends on both, the person providing and receiving the care. At the institution I currently work patient satisfaction is measured by a survey. This survey is mailed to patients at their home or by a telephone call survey after care is provided. This is a convenient tool that is able to set and maintain good quality standards within an institution.
There are many variations and perceptions of caring that may cause difficulties to explain in the sense of nursing, and can be perceived differently across cultures (Lindberg, Fagerström, Sivberg & Willman, 2014). This writer selected the concept of caring, focusing specifically on the care nurses provide to patients utilizing Jean Watson’s Theory of Human Caring.
References
Chamberlain College of Nursing. (2017). NR-501 Week 3 Development of Nursing Theory and Concept Analysis [Online lesson]. Talley, IL: DeVry Education Group
Lindberg, C., Fagerstrȍm, C., Sivberg, B., & William, A. (2014). Concept analysis: patient autonomy in a caring context, Journal of Advanced Nursing 70(10), 2208-2221. http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1111/jan.12412/epdf (Links to an external site.)
Thank you for your additions and insights made to my response on this week discussion questions, I appreciate your observations and recommendations.
According to Ozan, Okumus, & Lash (2015) even though caring might represent an empirical and challenging form of a concept analysis; as a nurse I strongly believe that caring and its monitoring is of crucial importance. Indeed, the theory of Watson’s Human Caring focuses on human and nursing paradigm, which affirms that a human being is unable to be cured as an object. It disputes on the contrary that a human being, whether male or female, is an element of his or her environment, essence, and the macro world. Environment is described in this theory as appropriate, pleasant, appealing, and peaceful and that caring is the moral optimal that encompasses mind-body-soul commitment with one another. Nursing, classified as a humanitarian science, also described as a career that carries out personal, scientific, ethical, and aesthetical practice. Watson’s caring theory focus on assuring equity and cooperation between health and disorder that a person experience.
Measuring and evaluating care, is of extreme importance and is needed for the improvement of care and satisfaction of patient needs, however it is an abstract action, since it is based on perceptions. According to Ozan, Okumus, & Lash (2015) the theory of Human Caring is people-oriented that acquires the distinct character of human virtue without compromising its mind-body spirit. The theory postulates that the highest and most powerful curative source in nursing care is love. Watson’s caring theory describes nursing as the process of human-to-human caring that encompasses four elementary ideas: healing processes, interpersonal maintenance of relationship, the caring moment, and awareness of healing. Caring involves being present, a detailed observant, conscious, and intentional.
Reference
Ozan, Y. D., Okumus, H., & Lash, A, A. (2015). Implementation of Watson’s Theory of Human Caring: A Case Study. International Journal of Caring Sciences, 8(1), 25-35. Retrieved from http://www.internationaljournalofcaringsciences.org/docs/4-Lash%20-%20Original.pdf (Links to an external site.)
The nursing concept I selected is health literacy. Babnik, Kolnik, & Bratuz (2013) define health literacy as ones ability to understand, process and evaluate basic health-related information in order to make an informed decision about your health.
Several attributes of improved health literacy include the perception of better communication between patient and provider, improved patient health outcomes and better management of chronic diseases.
One antecedent of improving health literacy is the nurse is able to spend enough time to provide an extensive literacy assessment in order to recognize and provide a care plan for any literacy deficits. Additionally, the nurse must establish a trusting relationship with the patient in order to perform a meaningful assessment and have the patient positively receive their recommendations.
One consequence of health literacy is for the patient to have a better perception of their health and be engaged in improving and maintaining a healthy lifestyle because of increased health literacy.
An empirical referent of better health literacy is a patients perception of improved provider communication with will lead to improved patient outcomes because patients won’t feel like their healthcare provider is talking over their head but in terms, they can understand.
One nursing theory that uses the nursing concept of health literacy is Watson’s caring theory, in which one of the main goals of the theory is to improve health and wellbeing by human caring. Watson (2008) states in two of her core concepts that caring should be ” authentic presence enabling deep belief of other ( patient, colleague, family, etc) and the practice of loving-kindness and equanimity” for which the success of good health literacy depends on as a foundation.
References
Babnik, K., Kolnik, T.S., & Bratuz, A., (2013). Health literacy concept integration of definitions and the role of nursing in the further development of concepts. Obzomik Zdravstvene Nege. 47(1), 62-73. Cinahl complete
Watson, J.,(2008). Nursing: the philosophy and science of caring. Boulder, CO. University Press of Colorado.
For this week’s topic I will discuss the concept of caring and how it is supported by the Nursing as Caring theory. Additionally, I will begin to develop a concept analysis of caring.
Caring is defined by the Oxford Dictionary (n.d.) as “The work or practice of looking after those unable to care for themselves” (para. 1).
Three attributes that serve as descriptors for the concept of caring include having concern for another, listening, and altruism. For these attributes to be realized, the individual offering care must be in a moment where they are able to focus their attentiveness on another. An antecedent to the concept of caring is emotional stability. A person in crisis is not able to offer caring to another. When caring is given to another, especially as a component of one’s job function, there is a consequence for the caregiver in the form of moral distress or compassion fatigue.
The presence of caring can be measured by the response of the recipient (spoken, actions, or changes in demeanor). Lenette and Sherman (2014) found that as a result of implementing caring into the day-to-day interactions between nurse managers and nurses, that collaboration increased between mangers and nurses as well as nurses and patients. They found that nurses showed more courage in taking on tasks, and that they were able to better recognize caring in others while also becoming more caring with their patients at the bedside as a result of their nurse leaders fostering a caring environment (Lenette & Sherman, 2014). These outcomes could be measured with surveys or questionnaires to evaluate a recipient’s perception of the care they received.
Linette and Sherman (2014) applied caring utilizing Boykin and Schoenhofer’s theory of Nursing as Caring. The Nursing as Caring theory outlines that one should live caring in their practice. The authors summarized that the theory’s basic assumptions include every person being innately caring, and that living is grounded in caring. Caring is central to the theory and could be summarized as live caring through your practice (2014).
The concept of caring is at the core of the nursing profession, and spans mosts nursing theories. This discussion has summarized the beginning of a concept analysis of caring, and description of how the concept of caring is central to the theory of Nursing as Caring.
References
caring. (n.d.) In The Oxford Dictionary. Retrieved from https://en.oxforddictionaries.com/definition/caring
Linette, D., & Sherman, R. O. (2014). Transforming a practice environment through caring-based nursing leadership. Nurse Leader, 1235-38. doi:10.1016/j.mnl.2013.09.014. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edselp&AN=S1541461213002693&site=eds-live&scope=site
Participation for MSN
Threaded Discussion Guiding Principles
The ideas and beliefs underpinning the threaded discussions (TDs) guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of TDs provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The TD’s ebb and flow is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the TDs generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. TDs foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines.
Participation Guidelines
Each weekly threaded discussion is worth up to 25 points. Students must post a minimum of two times in each graded thread. The two posts in each individual thread must be on separate days. The student must provide an answer to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week. If the student does not provide an answer to each graded thread topic (not a response to a student peer) before the Wednesday deadline, 5 points are deducted for each discussion thread in which late entry occurs (up to a 10-point deduction for that week). Subsequent posts, including essential responses to peers, must occur by the Sunday deadline, 11:59 p.m. MT of each week.
Direct Quotes
Good writing calls for the limited use of direct quotes. Direct quotes in Threaded Discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the Grammar, Syntax, APA category.