History of Nursing Theory
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Questions and Answers

What best describes a nursing theory?

  • A collection of unrelated ideas.
  • A group of unconnected concepts.
  • A group of interrelated concepts that provide a framework for understanding nursing practice. (correct)
  • An individual opinion about nursing.
  • What is one primary purpose of nursing theories?

  • To create confusion in nursing practice.
  • To define nursing as an inferior profession.
  • To enhance healthcare costs.
  • To improve practice by positively influencing health and quality of life. (correct)
  • How did Florence Nightingale contribute to nursing theory?

  • By minimizing the importance of environment.
  • By disregarding the role of physical health.
  • By focusing solely on mental health.
  • By emphasizing the relationship between health and environmental factors. (correct)
  • Which of the following is NOT a purpose of nursing theories?

    <p>Creates a platform for conflicting practices.</p> Signup and view all the answers

    What does the definition of nursing provided by nursing theory help nurses understand?

    <p>Their purpose and role within the healthcare system.</p> Signup and view all the answers

    What is a characteristic of the data collected during research, as highlighted in the examples?

    <p>It is factual and quantifiable.</p> Signup and view all the answers

    Which term best describes the total days a patient stays in a hospital?

    <p>Length of stay.</p> Signup and view all the answers

    What characteristic is attributed to theories in nursing practice?

    <p>They provide a rationale for nursing interventions.</p> Signup and view all the answers

    What does the traditional approach in nursing research primarily focus on?

    <p>Explaining hospitalization through systematic theory</p> Signup and view all the answers

    What is the main idea behind empiricism in nursing?

    <p>Scientific knowledge should be derived from sensory experience</p> Signup and view all the answers

    In nursing, what term is used to describe the most general statement of a discipline?

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

    Which of the following is a component of the nursing metaparadigm?

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

    How is causal reasoning defined in the context of nursing research?

    <p>A theory until disproven</p> Signup and view all the answers

    What is essential for formulating differential diagnoses in nursing?

    <p>Collecting facts and creating possible theories</p> Signup and view all the answers

    Which statement is true regarding the role of a person in the nursing metaparadigm?

    <p>The person includes individuals, patients, and families</p> Signup and view all the answers

    Which of the following best describes the process of conducting nursing research?

    <p>Combining clinical and basic research</p> Signup and view all the answers

    Who is recognized as the founder of modern nursing?

    <p>Florence Nightingale</p> Signup and view all the answers

    What was a major challenge in nursing studies during the first 25 years of the journal Nursing Research?

    <p>Absence of conceptual connections and theoretical frameworks</p> Signup and view all the answers

    What did Nightingale believe nursing knowledge was based on?

    <p>Knowledge of persons and their surroundings</p> Signup and view all the answers

    In what decade did nursing begin the transition from a vocation to a profession?

    <p>1970s</p> Signup and view all the answers

    What need coincided with the call for theory development in nursing?

    <p>Standardization of nursing curricula</p> Signup and view all the answers

    What did Nightingale envision for nurses during her time?

    <p>A body of educated women in public service</p> Signup and view all the answers

    What should nursing practice be based on, according to early nursing principles?

    <p>Nursing science</p> Signup and view all the answers

    What significant question arose in nursing's evolution regarding professional education?

    <p>Should doctoral education for nurses be nursing-based?</p> Signup and view all the answers

    What characterizes middle-range theories in nursing?

    <p>They focus on a specific nursing phenomenon.</p> Signup and view all the answers

    Which theorists are categorized under needs-based theories?

    <p>Orem, Henderson, and Abdella</p> Signup and view all the answers

    What is a criticism of needs-based theories in nursing?

    <p>They rely heavily on the medical model.</p> Signup and view all the answers

    What do practice-level nursing theories primarily emphasize?

    <p>Situations specific to particular patient populations.</p> Signup and view all the answers

    Which of the following theories emphasizes the relationship between nursing and patient interactions?

    <p>King's Theory of Goal Attainment</p> Signup and view all the answers

    What leads to self-actualization in both the nurse and patient?

    <p>Acceptance of feelings</p> Signup and view all the answers

    What is the main feature of practice-level theories in nursing?

    <p>They provide frameworks for specific nursing interventions.</p> Signup and view all the answers

    Which of these theorists is NOT associated with needs-based theories?

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

    How can nurses become more genuine and authentic?

    <p>By acknowledging their sensitivity and feelings</p> Signup and view all the answers

    What is a common goal of needs-based theories in nursing?

    <p>To fulfill the physical and mental needs of individuals.</p> Signup and view all the answers

    What is a lifelong exploration for nurses meant to increase?

    <p>Personal values and belief systems</p> Signup and view all the answers

    What is crucial for transpersonal caring?

    <p>A helping-trust relationship</p> Signup and view all the answers

    Which aspect contributes to increased mindfulness in caring actions?

    <p>Sensitivity to self and others</p> Signup and view all the answers

    What is the goal of cultivating sensitivity in nurses?

    <p>To improve interpersonal relationships</p> Signup and view all the answers

    What does transpersonal self-care primarily focus on?

    <p>Going beyond personal ego</p> Signup and view all the answers

    What might be a consequence of not recognizing one's feelings as a nurse?

    <p>Lack of authenticity</p> Signup and view all the answers

    Study Notes

    History of Nursing Theory

    • The history of professional nursing began with Florence Nightingale.
    • Nightingale envisioned nurses as educated women when women were not typically educated and employed in public service.
    • Nightingale wrote that nursing knowledge is distinct from medical knowledge.
    • She proposed care of the sick is based on knowledge of persons and their surroundings – a different knowledge base than that of physicians.

    The Evolution of Nursing Theory

    • Nursing began with a strong emphasis on practice.
    • Throughout the century, nurses worked to develop nursing as a profession through successive periods.
    • These periods are recognized in various historical eras.
    • The mid-1800s, Nightingale wrote on the distinct nature of nursing knowledge in relation to medical knowledge.

    Mid 1970s:

    • An evaluation of the first 25 years of the Nursing Research journal revealed that nursing studies lacked conceptual connections and theoretical frameworks.
    • The 1970s saw a shift in nursing from vocation to profession as more nurses questioned the nature of their practice.
    • This era saw increasing emphasis on theory-based practice, including middle-range theory.
    • This era also witnessed the standardization of curricula for nursing master’s education and the establishment of nursing doctoral programs.

    Empiricism

    • The empiricist view emphasizes that scientific knowledge can be derived solely from sensory experience.
    • This viewpoint is exemplified in the process of formulating differential diagnoses, where clinical data is collected and analyzed to determine the most likely cause of a patient’s condition.

    Nursing Metaparadigm

    • The term "metaparadigm" comes from the Greek words “meta” (with) and “paradigm” (pattern).
    • It acts as a framework for conceptual models within a discipline.
    • It is a general statement of the discipline as a whole.
    • The nursing metaparadigm includes four major concepts: person, health, environment, and nursing.
    • It represents the most general statements of a discipline.

    Nursing Theory

    • Nursing theory is a group of interrelated concepts that are developed from various studies and experiences within the discipline of nursing.
    • It aims to view the essence of nursing care.
    • Theories serve as a rationale for nursing interventions, providing nurses with the knowledge base necessary for effective decision-making and action.
    • Provides a definition of nursing and helps nurses understand their purpose and role in healthcare settings.

    Purposes of Nursing Theories

    • The primary purpose of nursing theory is to improve the delivery of care and favorably impact the health and quality of life of patients.
    • Theories guide nursing practice, contributing to evidence-based care delivery.
    • They help to standardize and improve the quality of nursing care.

    Middle-Range Theories

    • These theories are more limited in scope than grand theories and focus on a specific phenomenon or concept.
    • They present concepts and propositions at a lower level of abstraction.
    • Most middle-range theories are based on grand theories, but can also be developed from research, nursing practice, or theories from other disciplines.

    Practice-Level Nursing Theories

    • Practice-level theories are situation-specific theories with a narrow scope and focus on a specific patient population.
    • These theories guide nursing interventions and suggest potential outcomes or the effect of nursing practices.
    • They provide a framework for nursing practice and are directly applicable to real-world nursing care.

    Needs-Based Theories

    • These were the first group of theories focused on fulfilling the physical and mental needs of individuals.
    • Authors of these theories include Orem, Henderson, and Abdella.
    • These theories have been criticized for relying on the medical model of health while placing patients in an overly dependent position.

    Interaction Theories

    • These theories emphasize nursing as a means of establishing and maintaining relationships between nurses and patients.
    • They highlight the impact of nursing interactions on patients and their interactions with the environment, other people, and situations.
    • Theorists in this group include King, Orlando, and Travelbee.

    Cultivation of One's Own Practices and the Transpersonal Self

    • This theory underscores the importance of self-awareness, self-acceptance, and personal growth for both nurses and patients.
    • Recognizes that by acknowledging feelings and emotions, nurses become more authentic and sensitive to others.
    • Nurses move beyond feelings to a deeper understanding of personal values and beliefs.
    • The goal of cultivating one's own practices is to increase mindfulness in caring actions.

    Development and Sustaining a Helping-Trust Caring Relationship

    • This theory stresses the critical role of a helping-trust relationship between nurse and patient in facilitating transpersonal caring.
    • It emphasizes the importance of building trust and nurturing a strong therapeutic connection for effective nursing care.

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    Description

    Explore the development of nursing theory from its inception with Florence Nightingale to modern times. This quiz covers key historical milestones and the evolution of nursing as a professional discipline. Test your knowledge on the distinct nature of nursing knowledge and its relation to medicine.

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