Podcast
Questions and Answers
What ability do novice nurses primarily lack when facing patient situations?
What ability do novice nurses primarily lack when facing patient situations?
Which statement best describes the nursing stage of Competent nurses?
Which statement best describes the nursing stage of Competent nurses?
What is a key characteristic of Proficient nurses?
What is a key characteristic of Proficient nurses?
In which stage of nursing expertise are nurses considered to have some knowledge but insufficient experience?
In which stage of nursing expertise are nurses considered to have some knowledge but insufficient experience?
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What does the allowance for existential-phenomenological spiritual forces entail in nursing?
What does the allowance for existential-phenomenological spiritual forces entail in nursing?
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What is a key characteristic of nurses at the expert stage of skill acquisition?
What is a key characteristic of nurses at the expert stage of skill acquisition?
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Which of the following concepts is NOT part of Rogers' nursing theory?
Which of the following concepts is NOT part of Rogers' nursing theory?
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Experiential learning is significant for nurses because it helps in attaining what?
Experiential learning is significant for nurses because it helps in attaining what?
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Martha Rogers' theory primarily emphasizes the relationship between which two elements?
Martha Rogers' theory primarily emphasizes the relationship between which two elements?
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What is the primary focus of nursing according to Rogers' theory?
What is the primary focus of nursing according to Rogers' theory?
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Study Notes
Transpersonal Concept
- The transpersonal concept is an intersubjective human-to-human relationship.
- Both the nurse and the patient are fully present in the moment.
- They share a phenomenal experience, becoming part of each other's life story.
Subconcepts
- Phenomenal field: The totality of human experience in one's world.
- This is unique to each individual.
- Self: Organized perceptions of the "I" and "Me", relationships with others, and life aspects.
- Time: The present is more subjectively real, the past is objectively real but distinguishable.
10 Carative Factors
- 10 factors are critical for caring human experiences.
- Watson devised these, and translated them into clinical caritas processes.
- These factors form a philosophical foundation for the science of caring.
Carative Factors and Caritas Processes
- 1. The formation of humanistic-altruistic system of values: Practice loving-kindness and equanimity while caring.
- 2. The instillation of faith-hope: Being present and enabling deep belief.
- 3. Cultivation of sensitivity to self and others: Cultivating spiritual practices beyond self.
- 4. Development of a helping-trust relationship: Developing helping-trusting, authentic caring relationships.
- 5. Promotion and acceptance of positive and negative feelings: Being present to and supportive of all feelings.
- 6. Systematic use of scientific problem-solving method: Using creative problem-solving methods for decision making.
Patricia Benner: Nursing Expertise Model
- Experience-based skill acquisition is faster and safer when built on sound education.
- Levels of skill acquisition (novice, advanced beginner, competent, proficient, and expert).
Levels of Skill Acquisition
- Novice: Nursing student with limited clinical experience and inflexible behaviors.
- Advanced Beginner: New grads with experience who recognize recurrent situations, but lack in-depth experience.
- Competent: Experienced nurses with strong organizational skills, though lack speed and flexibility of proficient nurses.
- Proficient: Nurses who view situations holistically, learn from experience, and adapt quickly.
- Expert: Nurses who recognize all needs and resources quickly and intuitively apply knowledge and skills.
Martha Rogers: Science of Unitary Human Beings
- Nursing is a science and an art, viewing the unitary human being (human/environment) as one.
- Energy field: Fundamental unit of both living and nonliving things.
- Openness: Human/environment is an open system with energy flowing between them.
- Pattern: The distinguishing characteristics of an energy field, seen as a single wave.
- Homeodynamics: Related to maintaining a relatively steady internal state in a dynamic way.
- Resonance: Description of how two separate patterns/energy fields interact.
- Helicy: Continuous and evolving change in the human/environment field.
- Integrality: Human and environment are inseparable.
- Synchrony: Change is determined by the simultaneous interaction of human and environmental fields.
Ida Jean Orlando: Deliberative Nursing Process
- Focuses on the reciprocal relationship between patient and nurse.
- Nursing addresses situations where patients need immediate help and are unable to cope.
- Presenting behavior: Patient's problematic situation which is a cry for help.
- Nurse reaction: Internal response triggered by the presented behavior.
- Nurse's action: May be automatic or deliberative (actions taken due to need).
Stages of Deliberative Nursing Process
- Assessment: Gathering data about patient needs.
- Diagnosis: Analyzing health problems/needs.
- Planning: Setting goals, outlining interventions.
- Implementation: Carrying out planned interventions.
- Evaluation: Assessing progress towards goals.
Nola Pender: Health Promotion Model
- Focus on health-promoting behaviors.
- 10 Determinants of health-promoting behaviors (prior experiences, perceived benefits/barriers, self-efficacy, factors).
- Actions are motivated by wanting to increase well-being and promote health potential.
Myra Levine: Conservation Principles of Nursing
- Focus on conserving energy, structural integrity, personal integrity, and social integrity for patients.
- Four principles are helpful in applying nursing principles in various settings (geriatric, etc).
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