Fundamentals of Nursing Chapter 4
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Questions and Answers

Which nursing theory focuses on the patient's self-care needs?

  • Orem's Self-Care Deficit Nursing Theory (correct)
  • Leininger's Culture Care Theory
  • Peplau's Interpersonal Theory
  • Nightingale's Environmental Theory
  • What is the primary focus of Nightingale's Environmental Theory?

  • Cultural traditions and values
  • Environmental factors that affect patient care (correct)
  • Interpersonal relations between nurse and patient
  • Patient's self-care needs
  • Which theory is classified as a middle-range theory?

  • Nightingale's Environmental Theory
  • Orem's Self-Care Deficit Nursing Theory
  • Leininger's Culture Care Theory (correct)
  • Peplau's Interpersonal Theory (correct)
  • What is the purpose of the National Council of State Boards of Nursing Clinical Judgment Model?

    <p>To evaluate nursing students' clinical judgment abilities</p> Signup and view all the answers

    What is the relationship between nursing knowledge and theory?

    <p>Nursing knowledge is both theoretical and experiential</p> Signup and view all the answers

    Which phase of Peplau's Interpersonal Theory involves the nurse and patient working together to achieve a goal?

    <p>Working</p> Signup and view all the answers

    What is the main focus of Leininger's Culture Care Theory?

    <p>Cultural care diversity and universality</p> Signup and view all the answers

    What is the primary purpose of a nursing theory?

    <p>To explain the relationships among concepts in nursing practice</p> Signup and view all the answers

    What is the term for the relationships of various components that make up the knowledge of a discipline?

    <p>Metatheory</p> Signup and view all the answers

    What are the three components of a domain of nursing?

    <p>Person, Health, Environment</p> Signup and view all the answers

    What is the term for the dynamic and responsive process of nursing theory development?

    <p>Evolution of nursing theory</p> Signup and view all the answers

    What is the term for the definition of ideas or concepts in a nursing theory?

    <p>Conceptualization</p> Signup and view all the answers

    What is the primary characteristic of a grand theory?

    <p>Abstract, broad in scope, and complex</p> Signup and view all the answers

    Which type of theory is concerned with describing phenomena and identifying circumstances in which they occur?

    <p>Descriptive theory</p> Signup and view all the answers

    What is the primary focus of the research era in nursing theory development?

    <p>Conducting research to inform nursing practice</p> Signup and view all the answers

    What is the term for the process of using nursing theories to inform nursing practice?

    <p>Theory utilization era</p> Signup and view all the answers

    What is the primary goal of nursing knowledge?

    <p>To explain the practice of nursing as different and distinct from other health care disciplines</p> Signup and view all the answers

    What is the relationship between theory and nursing knowledge?

    <p>Theory generates nursing knowledge, supporting EBP</p> Signup and view all the answers

    What is a characteristic of shared theories in nursing?

    <p>They are based on systems theory</p> Signup and view all the answers

    What is the primary focus of prescriptive theories in nursing?

    <p>Addressing nursing interventions for a phenomenon and guiding practice change</p> Signup and view all the answers

    What is the role of the nursing process in theory-based nursing practice?

    <p>A system that is part of theory-based practice</p> Signup and view all the answers

    What is the primary goal of theoretical knowledge in nursing science and practice?

    <p>To stimulate thinking and create a broad understanding</p> Signup and view all the answers

    What is experiential knowledge in nursing based on?

    <p>Nurses' experiences in providing care to patients</p> Signup and view all the answers

    What do nurses consider when determining whether a theory can be used in practice?

    <p>Findings from theory-based research</p> Signup and view all the answers

    What is the outcome of both theory-generating and theory-testing research in nursing?

    <p>Refinement of the knowledge base of nursing</p> Signup and view all the answers

    How do nurses incorporate research into practice?

    <p>By incorporating research-based interventions into theory-based practice</p> Signup and view all the answers

    What type of research uses logic to explore relationships among phenomena?

    <p>Theory-generating research</p> Signup and view all the answers

    What is the relationship between theory and research in nursing?

    <p>Research is used to develop new theories</p> Signup and view all the answers

    What is the ultimate goal of integrating theory, knowledge, and research in nursing?

    <p>To improve patient outcomes through evidence-based practice</p> Signup and view all the answers

    Study Notes

    Theoretical Foundations of Nursing Practice

    • Theory serves as the foundation for nursing care, and it is bound together with research and practice in a continuous interactive relationship.
    • Theory helps explain an event by defining ideas or concepts, explaining relationships among the concepts, and predicting outcomes.

    Components of a Theory

    • Phenomenon
    • Concepts
    • Definitions
      • Theoretical/conceptual
      • Operational
    • Assumptions

    Domain of Nursing

    • Domain
    • Paradigm
    • Conceptual framework
    • Nursing metaparadigm
      • Person
      • Health
      • Environment/Situation

    Evolution of Nursing Theory

    • First nursing theorist: Florence Nightingale
    • Stages of evolution:
      • Curriculum era: 1900s-1940s
      • Research era: 1950s-1970s
      • Graduate education era: 1950s-1970s
      • Theory era: 1980s-1990s
      • Theory utilization era: 2000s-today

    Types of Theory

    • Grand: Abstract, broad in scope, complex
    • Middle-range: Limited in scope and less abstract
    • Practice: Narrow in scope and focus
    • Descriptive: Describe phenomena and identify circumstances in which phenomena occur
    • Prescriptive: Address nursing interventions for a phenomenon, guide practice change, and predict the consequences

    Theory-Based Nursing Practice

    • Nursing knowledge is derived from basic and nursing sciences, experience, aesthetics, nurses' attitudes, and standards of practice
    • Goal of nursing knowledge: To explain the practice of nursing as different and distinct from the practice of medicine, psychology, and other health care disciplines
    • Theory generates nursing knowledge for use in practice, thus supporting EBP

    Shared Theories

    • Explain a phenomenon specific to the discipline that developed the theory
    • Several nursing theories are based on systems theory, which includes the nursing process as a system
    • Nursing process components:
      • Input
      • Output
      • Feedback
      • Content

    Select Nursing Theories

    • Nightingale's Environmental Theory
      • Focus on environment as the focus of nursing care
      • Grand theory
    • Peplau's Interpersonal Theory
      • Focus on interpersonal relations between nurse, patient, and patient's family
      • Phases: preorientation, orientation, working, resolution
      • Middle-range theory
    • Orem's Self-Care Deficit Nursing Theory
      • Focus on patient's self-care needs
      • Continually assess how much self-care a patient is able to perform
      • Grand theory
    • Leininger's Culture Care Theory
      • Theory of cultural care diversity and universality
      • Integrates patients' cultural traditions, values, and beliefs into care plans
      • Middle-range theory
    • National Council of State Boards of Nursing Clinical Judgment Model
      • Developed to help guide nursing educators in evaluating nursing students' abilities to make clinical judgments
      • Model with multiple layers that help explain the cognitive process nurses use to make clinical judgments
      • Students can use this model to learn how to think like a nurse and make safe clinical decisions
    • Nursing knowledge is theoretical and experiential
    • Theoretical knowledge: goals are to stimulate thinking and create a broad understanding of nursing science and practice
    • Experiential knowledge: based on nurses' experiences in providing care to patients
    • Nurses consider findings from theory-based research to determine whether the theory can be used in practice
    • Research is used to develop new theories and refine the knowledge base of nursing
    • Theory-generating research: uses logic to explore relationships among phenomena
    • Theory-testing research: determines how accurately a theory describes a nursing phenomenon

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    Description

    This quiz covers the theoretical foundations of nursing practice, including the relationship between theory, research, and practice. It's based on the 11th edition of the Fundamentals of Nursing textbook.

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