NUR 700 Assignment 8.1 Presentation of Application of Nursing Theory to Clinical Practice

A Sample Answer For the Assignment: NUR 700 Assignment 8.1 Presentation of Application of Nursing Theory to Clinical Practice

Title: NUR 700 Assignment 8.1 Presentation of Application of Nursing Theory to Clinical Practice 

Introduction

Theories guide nursing practice but are not an end to the practice itself. In other words, nursing theories are used to formulate knowledge, attitudes, and commitments needed to influence the actions of care. This is to say that the fundamental care practices undertaken by a nurse should be in line with standard guidelines structured through a theoretical framework. However, principles in nursing theories should not be abandoned after a given clinical practice but instead should continue to guide decision-making in related areas of care (Arif & Nasir, 2019). Moreover, nursing theories are considered as the common thread that guides the practice of care and can be merged with other related theories to act as benchmarks for decisions on service delivery to patients.  

Nursing Model Chosen: Neuman’s Systems Model

The model as developed by Betty Neuman views a patient as an open system that directly responds to stressors in an environment. The theory breaks down patient variables as psychological, developmental, physiological, spiritual, and sociocultural all of which determine how we respond to environmental stressors. According to the theory, the client system is made up of basic core structures which are protected by lines of resistance in a person (Ahmadi & Sadeghi, 2017). In this regard, the usual health level of a client is recognized by normal lines of defense which are protected by lines of resistance as defined by the integrity of the immune system in a person. However, stressors are considered intra, extra, and inter-personal but arise from both internal and external influences in the environment (Montano, 2021). According to Neuman’s System Model, when stressors from the environment invade the flexible lines of defense, the lines of resistance in a client are activated to fight back. The scenario is known as the wellness-illness continuum and if the system of a client has sufficient energy, it will be reconstituted and restored to a normal defense line.

Betty Neuman’s Systems Model consists of four metaparadigms as outlined below:

Human being: Described as an open system that directly interacts with both internal and external forces (also known as stressors) in an environment (Montano, 2021). As a system, human is constantly changing by moving towards illness or a state of stability.

Environment: This constitutes the platform or all factors that affect a system. The environment can be internal, external, or created.

Health: This is defined as a degree of system stability viewed as a continuum from wellness to illness. According to Ahmadi and Sadeghi (2017), optimal wellness exists when the needs of a system are met. However, illness exists when the needs of a system are unsatisfactory. Nonetheless, when energy needed to support the life of a system is not available, then death occurs.  

Nursing: The main role is to identify relevant actions that can be taken to address stressors that affect a system (patient). The primary concern of nursing is to offer interventions that help a system to adjust, restore or maintain a degree of stability. It also focuses on conserving energy to avoid the death of a system.  

Personal Philosophy of Nursing Practice

As a nurse practitioner stationed at the emergency department of a care facility, I want to make my clients (system) feel respected, confident, and comfortable as they transit to different departments of the care facility. In this approach, I will provide individualized nursing care to patients whose lines of defense have been compromised by environmental stressors (Arif & Nasir, 2019). I will also offer self-care education on how they can cope with the pain associated with the ailment. The philosophy is defined by three tenets of ethics in nursing practice which include but are not limited to:

Autonomy: In this belief, I will allow patients to decide on a range of options of care available for them. This means that patients are respected for the decision they make on how they expect health services to be administered to them.

Beneficence: As for this tenet, I will strive to provide care in the best interest of the client. In other words, I will only administer nursing care that brings positive outcomes to the patient to support healing.

Nonmaleficence: Using this tenet will allow me to administer nursing services that do not cause harm to patients. As such, I will avoid any nursing procedure that causes harm by omission to a patient (Brandão et al., 2018). I purpose to administer medication in its correct dosages to avoid causing harm by commission to a patient.  

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Clinical Scenario

In my practice as a nurse, I have provided care at different sections of a health facility. However, the most intriguing part of care occurred in the emergency department which apparently is the current station of my nursing practice. The scenario occurred when a middle-aged Caucasian male was presented at the emergency department by a good Samaritan following a fatal road traffic accident that claimed seven lives. The patient sustained multiple injuries including a fracture on the left femur which affected his movement. Upon spotting the patient, I rushed to receive him by placing him in a wheelchair at the ED of the facility. I also performed immediate nursing care by dressing the bleeding wounds, counseled the patient, and reassured him that his condition will be stabilized at the facility. I noticed a sire of relief on the patient’s face and his satisfaction with the immediate care I provided to him as he awaited inpatient admission for further medical attention.

Relationship Between The Model and Clinical Scenario

The immediate nursing procedures and care provided to the client have a direct relationship with Neuman’s Systems Model of care. The premise is based on the argument that the system represents the patient who was exposed to multiple stressors emanating from injuries sustained from the accident (Ahmadi & Sadeghi, 2017). The client variable was his psychological perception of pain which made him endure a lot of suffering. The environment was represented by both the internal and external stressors at the emergency department of the care facility. Health on the other hand was defined by the state of wellness manifested by the client and from my observation, the patient experienced acute pain.

How Personal Philosophy is Represented in Clinical Scenario

My philosophy of nursing practice and care was manifested when I administered immediate intervention to the client as he awaited admission to the inpatient unit of the facility. I provided ambulatory service in form of a wheelchair to make the patient feel comfortable as he moved from one department to the other (Leoni‐Scheiber, Mayer & Müller‐Staub, 2019). Such an act goes hand in hand with the tenet of beneficence which advocates that nurses should do good to patients. I as well performed a minor dressing procedure on the patient by wiping his bleeding wound and wrapping it with a bandage. The action ensured that the patient felt respected and that he was cared for at the emergency department of the care facility.

Such an act is consistent with the tenet of autonomy principle of patient care in which the nurse should display utmost respect to patients regardless of their health status (Arif & Nasir, 2019). Finally, I reassured the client that his health status would be addressed amicably in the health facility. The assurance made the patient develop confidence with the healthcare team at the health facility. Such an act goes hand in hand with the principle of nonmaleficence which entails not doing any harm to the patient. Providing reassurance does not pose any harm to the patient but instead, boosts mood and alleviates stress which is important in the healing process of clients.  

Conclusion

Nurses require theories to identify relevant patient needs and understand how to connect between accurate assessment and interventions needed by these clients to improve the quality of health outcomes. As illustrated in the preceding illustrations, Neuman’s System Model theory guided in the identification of metaparadigm related to disease manifested by the client. The theory is essential as it instills critical thinking and reasoning skills for nurses as they administer care to patients. However, the role of theories in clinical practice cannot be ignored. Other than providing knowledge to guide clinical nursing practice, theories offer a foundation for implementing philosophies of nursing care based on the health situation manifested by patients. As such, nursing theories provide ethics on codes of practice for professionals in order to optimize quality care to patients and should never be ignored by nurses during practice.

References

•Ahmadi, Z., & Sadeghi, T. (2017). Application of the Betty Neuman systems model in the nursing care of patients/clients with multiple sclerosis. Multiple Sclerosis Journal–Experimental, Translational and Clinical3(3), 2055217317726798. https://doi.org/10.1177/2055217317726798

•Arif, S., & Nasir, A. (2019). Experiences of BSN Students regarding Application of Nursing Theories at Clinical. Journal of Liaquat University of Medical & Health Sciences18(03), 241-244. http://ojs.lumhs.edu.pk/index.php/jlumhs/article/view/185

•Brandão, M. A. G., Martins, J. S. D. A., Peixoto, M. D. A. P., Lopes, R. O. P., & Primo, C. C. (2018). Theoretical and methodological reflections for the construction of middle-range nursing theories. Texto & Contexto-Enfermagem26. https://doi.org/10.1590/0104-07072017001420017

•Leoni‐Scheiber, C., Mayer, H., & Müller‐Staub, M. (2019). Measuring the effects of guided clinical reasoning on the Advanced Nursing Process quality, on nurses’ knowledge and attitude: Study protocol. Nursing open6(3), 1269-1280. https://doi.org/10.1002/nop2.299

•Montano, A. R. (2021). Neuman Systems Model With Nurse-Led Interprofessional Collaborative Practice. Nursing Science Quarterly34(1), 45-53. https://doi.org/10.1177/0894318420965219