DNP 815 Select a nursing theory that you will use to guide your DNP Project
DNP 815 Select a nursing theory that you will use to guide your DNP Project
Excellent patient-centered care experiences are significant because it reflects the values and beliefs of health care clinicians that drive the implementation of patient-centered care principles. To identify the agencies with best practices, John Hopkins conducted an evaluation of patient-centered care in hospitals which is connected to Watson’s theory of human caring. The attending nurse caring model is designed to oversee and deliver continuous collaborative caring-healing nursing therapeutic practices, and it incorporates a caring theory as a philosophical and ethical base grounding nurses in shared world culture and view (Ortiz, 2021). The process of collective vision, values, goals, shared knowledge and caring therapeutics can generate new care and pattern delivery structure.
The utilization of Watson’s caring theory is a way to articulate the beliefs and values embedded within nursing practice since her theory is consistent with the pillars of patient-centered care (Ortiz, 2021). My patient population is patients with End-Stage Renal Disease (ESRD). Identifying and achieving patient-centered goals is an important component of dialysis care. Targeting the best practices process may lead to a better outcome, and contingency plans must be individualized taking into account the patient’s treatment goals. I would utilize the caring theory to guide me on my DNP project as this nursing theory is linked to the conceptual elements of high-quality patient-centered care.
Chan, C.T., Blankestijin, P.J., Dember, L.M., Gallieni, M., Harris, D.C.H., Lok, C. E., Mehrota, R., Stevens, P.E., Wang, A.Y., Cheung, M., Wheeler, D.C., Winkelmayer, W.C., & Pollock, C.A. (2019). Dialysis initiation, modality choice, access, and prescription: Conclusions from a Kidney Disease Improving Global Outcomes (KDIGO) Controversies Conference. Kidney International, 96 (1), 37-47.
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Ortiz, M. R. (2021). Best Practices in Patient-Centered Care. Nursing Science Quarterly, 34 (3), 322-327.
Identification, research, teaching, and communication are very crucial in treating and managing a disease condition hence the nursing process guides the nurse in the care and management of the patients as a unique individual. Orem’s theory of framework points to theoretical constructs of Self-Care, Self-Care Deficits, and Nursing Systems which are all interrelated in providing support and foundations for nursing practice (Marques et al., 2022). Orem noted the inseparability of a person’s physical, psychological, interpersonal, and social aspects of health and suggests that human services provided by the nurse aid in recovering skills that may be deficient due to altered health status. The theory encompasses constructs that guide the nurse in rendering holistic person-centered care which includes the foundational capabilities and disposition that entails skills and traits, basic conditioning factors (BCFs) for self-care deficit ability, self-care requisites, includes actions, and items required for the patient to achieve holistic self-care, including health, development, and general well-being achieving these assist in attaining holistic self-care, including health, development, and general well-being (Yip, 2021). The context involved with Orem’s self-care theory reflects the nursing process that helps in the identification of a patient’s problem by systematically collecting and organizing data analysis, identification of people’s needs through the data analyzed, planning based on the information reviewed, implementation, and evaluation of care. Using clear and patient own language in educating a patient and revaluation and reemphasizing thought topics will empower patients to become involved and become experts in their care subsequently preventing and reducing diseases and infection. The DNP project focuses on the identification and management of the causes of urinary tract infection (UTI) among nursing home residents to reduce the rate of hospitalization. This theory introduces the use of the nursing process and individualized approach in the care of patients
Marques, F. R. D. M., Charlo, P. B., Pires, G. A. R., Radovanovic, C. A. T., Carreira, L., & Salci, M. A. (2022). Nursing diagnoses in elderly people with diabetes mellitus according to Orem’s Self-Care Theory. Revista Brasileira de Enfermagem, 75.
Yip, J. Y. C. (2021). Theory-Based Advanced Nursing Practice: A Practice Update on the Application of Orem’s Self-Care Deficit Nursing Theory. SAGE Open Nursing. https://doi.org/10.1177/23779608211011993
Professional advancement model theory is selected for this discussion. This nursing theory can be used in the process of defining and encouraging the promotion of professional contribution in nursing practices. The main role of this theory is the introduction of competency based nurses aiming to contribute in nursing profession from the unit level to advanced clinical practices. The theory encourages the professional development of nurses while focusing on all
areas of clinical practices. The clinical practice and care delivery are the important points in the professional development of nurses and advocated in this nursing theory (Paul, 2019). The production of leadership trait and incorporation of tenants’ traits in nursing profession are essential in the delivery of healthcare services and winning the satisfaction of the patients. The nurses are supposed to select a particular point and concentrate on it while developing their ndividual interest and introducing strengths. The acquisition of advanced knowledge and nursing skills will help nurses to effectively achieve the defined criteria of services while integrating the knowledge to clinical practices.
The main feature of the theory is the advancement of knowledge and implementation of integrated skills and practices into the nursing profession. This attitude is effective for me in the successful completion of my DPI project. The adoption of this theoretical model will encourage me to my professional growth and developmental skills for the successful completion of the project (Paul, 2019). The recognition of significance of professional contribution is an
important aspect of the theory and an essential trait of the advanced practice nurse to follow in the achievement of objectives and to make decisions for the enhancement of patient care outcomes.
Alligood. (2018). Nursing theorists and their work (Alligood, Ed.; Ninth edition.). Elsevier.
Paul ,F., Abecassis,L., Freiberger,D. and Hamilton,S. (2019). Competency-based Professional
Advancement Model for Advanced Practice RNs. J Nurs Adm, 66-72.
A theory, as a general term, is a notion or an idea that explains experiences, interprets observation, and describes relationships and projects outcomes. There are several theory definitions in the nursing literature but simply think of theory as a guide to your nursing intervention.
To better understand nursing theory, you need to be familiar with the terminology used. First, the term concept which is the building block of a theory. Concepts are a major component of theory and convey the abstract ideas within the theory. On the other hand, construct is abstract and complex concept. They are formed from multiple less-abstract or more empiric concepts.
Let us take an example that can help us understand the difference between concepts and constructs. The term “Quality of Life” can be viewed as a multi-dimensional construct consisting of several concepts such as physical, psychological, social, and spiritual well-being. The purpose of this example is to assist you in understanding that constructs are composed of more than one concept.
Effective care guidance requires systematic and rational planning through an appropriate method, using the theoretical framework as a tool to aid recording of nursing activity and to reinforce this activity as a discipline, science and profession that bases its practice on theories and on philosophical and ethical principles. Virginia Henderson developed the nursing need theory. Her goal was not to develop a theory but to define the unique focus of nursing practice. In the theory the patient’s independence and progress post hospitalization is very important. She wanted the basic human needs to be the focus of care and practice. She listed components of basic human needs that are needed to maintain daily functions. According to Lopez et al. (2020), Virginia Henderson model helps to standardize the nursing assessment and establish precise and personalized nursing diagnoses. Henderson’s terminology is directly related to nursing interventions and the attainment of nursing objectives.
This theory will guide my DNP project as my project focusses of measures that need to be implemented to sustain life and or promote best practice measures. In this theory Virginia Henderson suggested that nursing’s unique role to independently initiate and support basic patient care activities to promote self-sufficiency forms the basis of independent nursing practice. She promoted the idea that nursing is much more than simply following physicians’ orders. She wrote that critical thought (knowledge utilization) regarding basic nursing care distinguished nursing practice from other disciplines. She was dedicated to the concept of nursing excellence.
Lopez, M., Jimenez, J.-M., Fernández-Castro, M., Martin-Gil, B., Garcia, S., Cao, M.-J., Frutos-Martin, M., & Castro, M.-J. (2020). Impact of Nursing Methodology Training Sessions on Completion of the Virginia Henderson Assessment Record. Nursing Reports, 10(2), 106–114. https://doi-org.lopes.idm.oclc.org/10.3390/nursrep10020014
Rodríguez-Huerta, M. D., Álvarez-Pol, M., Fernández-Catalán, M. L., Fernández-Vadillo, R., Martín-Rodríguez, M., Quicios-Dorado, B., & Díez-Fernández, A. (2019). An informative nursing intervention for families of patients admitted to the intensive care unit regarding the satisfaction of their needs: The INFOUCI study. Intensive & Critical Care Nursing, 55, N.PAG. https://doi-org.lopes.idm.oclc.org/10.1016/j.iccn.2019.102755
Nursing theories provide the foundational knowledge that enables nurses to care for their patients and guides their actions. Orem’s self-care theory was put forward by the American nursing scientist Orem in 1971. She believes that individuals are able to be responsible for their own health. When an individual can’t meet his own self-care needs, there will be defects. It is more lasting and effective for the nurses to improve the patients’ self-care abilities through health education and skill training than to directly meet their needs (Zhu,et al 2021) . Self-care theory aims to constantly awaken the patients’ self-awareness, encourage them to take part in their own nursing plans and medical activities, and give full play to their self-care abilities, so as to enhance their quality of life and prognoses.
Based on my DNP project chosen topic on fall among hospitalized patients Orem’s self-care model will be utilized because of its theory on self-care . Recognizing that some of these activities are not performed by the patient, it is the nurse’s role to determine the best way to fulfill the deficit. This can be achieved by restoring a person’s capacity for self-care if the patient lacks the physical capacity or on the other hand if the patient lacks knowledge the nurse can offer guidance and education.(studycorgi,2021) For instance, most falls are affected by an injury, the nurse should offer help in the management of the injury so that the patient could recover faster and return to normal functioning. The nurse is also required to provide information that could help the person to care for the injury after being released from acute care and formulate measures to prevent future occurrences thereby promoting better health outcomes.
Orem’s nursing theory stresses the importance of health care and sees restoring the person’s capacity for self-care as the key goal behind nursing. It offers a comprehensive view of nursing in contemporary practice settings, which is applicable to various cases and circumstances.
StudyCorgi. (2021, October 1). Orem’s Self-Care Deficit Theory in Nursing Practice. Retrieved from https://studycorgi.com/orems-self-care-deficit-theory-in-nursing-practice/
Zhu, T., Liu, H., Han, A., Gu, H., & Li, X. (2021). Orem’s self-care to treat acute coronary syndrome after PCI helps improve rehabilitation efficacy and quality of life. American journal of translational research, 13(4), 2752–2762.