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Questions and Answers

What is a key characteristic that distinguishes a profession from an occupation?

  • Flexibility in work hours
  • Defined and specialized knowledge base (correct)
  • Availability of job opportunities
  • Higher earning potential
  • Which aspect of nursing emphasizes tailoring care to individual patient needs?

  • Regulatory compliance
  • Patient-centered care (correct)
  • Clinical training
  • Evidence-based practice
  • What does the accountability of nursing qualifications ensure?

  • Public trust in nursing services (correct)
  • Increased job security
  • Limited career paths
  • Higher salaries for nurses
  • Which of the following best describes nursing as an art?

    <p>Interpretive and communicative approach (B)</p> Signup and view all the answers

    What is a necessary component of nursing as a science?

    <p>Best practices based on evidence (B)</p> Signup and view all the answers

    Which characteristic contributes to the evolution of nursing as a profession?

    <p>Critical reflection and empirical knowledge (B)</p> Signup and view all the answers

    What role does formal training within institutions of higher education play in nursing?

    <p>Provides a credential for employment (C)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of a recognized profession?

    <p>Focus only on profitability (C)</p> Signup and view all the answers

    What is the primary focus of constructivist approaches in understanding individuals?

    <p>Individuals' perceptions shape their understanding of reality. (D)</p> Signup and view all the answers

    Which of the following best describes the metaparadigm of nursing?

    <p>It has a global and neutral perspective with discrete concepts. (C)</p> Signup and view all the answers

    What aspect does metatheory focus on within the nursing discipline?

    <p>Broad issues of knowledge generation and theory development. (B)</p> Signup and view all the answers

    What are the four concepts typically included in nursing's metaparadigm?

    <p>Nurse, person, environment, and health. (B)</p> Signup and view all the answers

    Which characteristic is NOT part of the criteria for a metaparadigm?

    <p>Overlapping domains. (B)</p> Signup and view all the answers

    In what way does postmodernism influence nursing practice?

    <p>It encourages questioning of established beliefs and practices. (D)</p> Signup and view all the answers

    What defines middle-range theories in nursing?

    <p>They bridge the gap between grand theories and specific practice theories. (B)</p> Signup and view all the answers

    What aspect does the environment include in the nursing metaparadigm?

    <p>Physical characteristics affecting patient interactions. (C)</p> Signup and view all the answers

    What does the term 'naturalism' refer to in the context of theory development?

    <p>Being situated in the forest and in the moment. (D)</p> Signup and view all the answers

    Which of the following best defines 'empirical indicator'?

    <p>A measurable unit used to assess a theory. (A)</p> Signup and view all the answers

    What is meant by 'taxonomy' in theory testing?

    <p>The naming and categorizing of concepts or subjects. (B)</p> Signup and view all the answers

    Which statement best describes a 'hypothesis'?

    <p>A testable prediction related to a theory. (D)</p> Signup and view all the answers

    What constitutes evidence in the context of theory testing?

    <p>Outcomes that are measurable and support the hypothesis. (C)</p> Signup and view all the answers

    What is the primary focus of bioethics?

    <p>Respect for individuals' rights to make informed healthcare decisions. (A)</p> Signup and view all the answers

    Which principle involves considering what is in the patient's best interest?

    <p>Beneficence (B)</p> Signup and view all the answers

    What does nonmaleficence mean in the context of healthcare?

    <p>Doing no harm. (C)</p> Signup and view all the answers

    What is the role of theoretical pluralism in nursing practice?

    <p>To analyze situations from multiple theoretical lenses. (B)</p> Signup and view all the answers

    What is a key benefit of evidence-based practice (EBP)?

    <p>It enhances the integration of the latest research in clinical decisions. (C)</p> Signup and view all the answers

    When did evidence-based practice (EBP) originate?

    <p>In the 1980s. (D)</p> Signup and view all the answers

    Which approach does NOT align with the principles of paternalism in healthcare?

    <p>Allowing patients full control over treatment decisions. (A)</p> Signup and view all the answers

    What was one of the initial causes for the development of evidence-based practice?

    <p>To analyze the cost-effectiveness of treatments. (C)</p> Signup and view all the answers

    What is the primary motivator that evolves into interaction theories in cognitive learning?

    <p>Self-actualization (B)</p> Signup and view all the answers

    Which assumption is NOT part of the adult learning theories?

    <p>Teachers must instruct all aspects of learning (A)</p> Signup and view all the answers

    Which component of the Information Processing Model refers to the immediate processing of sensory input?

    <p>Sensory store (A)</p> Signup and view all the answers

    What does Cognitive Load Theory suggest about working memory capacity?

    <p>Working memory can manage a limited amount of information at one time (D)</p> Signup and view all the answers

    What are the factors that can contribute to forgetting according to Forgetting Theories?

    <p>Decay, interference, and loss of retrieval cues (A)</p> Signup and view all the answers

    In the context of learning styles, what does 'tactile' refer to?

    <p>Learning through physical interaction (B)</p> Signup and view all the answers

    Which statement best captures the essence of Humanistic learning theory?

    <p>Emotions positively influence learning and self-actualization (B)</p> Signup and view all the answers

    What defines the 'working memory' in the Information Processing Model?

    <p>It manages information that may be lost if not acted upon within 20 seconds (D)</p> Signup and view all the answers

    Which principle states that learning is activated by the learner's own actions?

    <p>Learning is personal and individualized (C)</p> Signup and view all the answers

    In virtue ethics, what is emphasized as essential for making moral decisions?

    <p>Knowledge and wisdom (A)</p> Signup and view all the answers

    What does the categorical imperative emphasize in ethical decision-making?

    <p>Universal respect for others (C)</p> Signup and view all the answers

    What is a key characteristic of deontology?

    <p>Duties are absolute and non-negotiable (C)</p> Signup and view all the answers

    What does Rawls’ theory of ethics emphasize for fair decision-making?

    <p>Veil of ignorance for equality (C)</p> Signup and view all the answers

    What is the primary focus of utilitarianism in ethical decision-making?

    <p>Maximizing pleasure and minimizing pain (D)</p> Signup and view all the answers

    Which of the following best describes morality?

    <p>Cultural beliefs about right and wrong (C)</p> Signup and view all the answers

    What describes the process of casuistry in ethics?

    <p>Analyzing new cases against past influential cases (A)</p> Signup and view all the answers

    What is a key requirement for clinical expertise in nursing?

    <p>Education, experience, literature review, and supervision (A)</p> Signup and view all the answers

    Which approach emphasizes the patient's right to make their own healthcare decisions?

    <p>Participatory model of decision-making (D)</p> Signup and view all the answers

    What concept serves as the foundation for the principles of Relationship Centred Care (RCC)?

    <p>Complex responsive process of relating (A)</p> Signup and view all the answers

    What is one future issue concerning theory development in nursing?

    <p>Enhancements in middle range and practice-specific theories (A)</p> Signup and view all the answers

    Which statement about the implementation of Best Practice Guidelines (BPG) is accurate?

    <p>Implementation requires adaptation to specific contexts. (C)</p> Signup and view all the answers

    What is a primary feature of middle-range theories in nursing?

    <p>They facilitate the measurement and prediction of relationships between variables. (C)</p> Signup and view all the answers

    Which of the following concepts is NOT one of the five central concepts of Benner's theory?

    <p>Patient autonomy (D)</p> Signup and view all the answers

    In Benner's model of skill acquisition, what stage comes after 'advanced beginner'?

    <p>Competent (B)</p> Signup and view all the answers

    Which relationship type between concepts describes the ability to foresee outcomes based on observed data?

    <p>Prediction (C)</p> Signup and view all the answers

    What role do theories play in nursing practice?

    <p>They help determine real-world applications of nursing care. (D)</p> Signup and view all the answers

    What does Meleis' transition theory specifically address?

    <p>The patterns and nature of patient transitions. (D)</p> Signup and view all the answers

    Which of the following is NOT a step in the theory process relevant to nursing?

    <p>Ignoring variables (B)</p> Signup and view all the answers

    Which of the following describes the primary product of a theory in nursing?

    <p>Concepts and relationships (B)</p> Signup and view all the answers

    What is defined as the most complex and broadest type of theory?

    <p>Grand theory (A)</p> Signup and view all the answers

    Which theory focuses on specific behaviors to build trust?

    <p>Middle range theory (B)</p> Signup and view all the answers

    What best describes a practice theory?

    <p>A microtheory that is situation specific (B)</p> Signup and view all the answers

    Which of the following is considered a building block of theory?

    <p>Conceptual framework (C)</p> Signup and view all the answers

    What is an example of a phenomenon in theory building?

    <p>The nature of therapeutic relationships (C)</p> Signup and view all the answers

    Which statement best describes middle range theories?

    <p>They consist of concrete concepts and can be empirically tested (D)</p> Signup and view all the answers

    What differentiates a construct from a concept in theory building?

    <p>Constructs can be operationally defined and tested when broken down (D)</p> Signup and view all the answers

    Which term refers to a hypothesized relationship between concepts?

    <p>Theorem (A)</p> Signup and view all the answers

    What does cognitive behavioral theory emphasize as a changeable aspect of personality?

    <p>Learned behavior (A)</p> Signup and view all the answers

    Which concept is central to rational emotive theory?

    <p>Distorted thoughts (D)</p> Signup and view all the answers

    What is the primary focus of humanistic theories in psychology?

    <p>Self-actualization and personal potential (B)</p> Signup and view all the answers

    What does Maslow's hierarchy of needs suggest about psychological development?

    <p>Basic needs must be met before higher needs can be pursued (D)</p> Signup and view all the answers

    Which of the following best describes operant conditioning?

    <p>Manipulating behavior through reinforcement (A)</p> Signup and view all the answers

    What is a key tenet of general adaptation theory?

    <p>Adaptation to stress includes phases of alarm, resistance, and exhaustion (B)</p> Signup and view all the answers

    Which statement best reflects the principle behind cognitive restructuring in cognitive theory?

    <p>Recognizing and altering false cognitions can change behaviors (D)</p> Signup and view all the answers

    What distinguishes stress coping adaptation theory from other stress theories?

    <p>Emphasis on the uniqueness of individual stress responses (A)</p> Signup and view all the answers

    What is a primary concern of not using theory in nursing practice?

    <p>Higher risk of errors (A)</p> Signup and view all the answers

    When selecting a nursing theory for practice, what factor is NOT essential to consider?

    <p>The educational background of the nurse (B)</p> Signup and view all the answers

    In nursing administration, which model focuses on creating a vision and sustaining organizational trust?

    <p>Transformational leadership model (A)</p> Signup and view all the answers

    Which of the following describes the relationship between theory and practice in nursing?

    <p>The theory-practice gap refers to the disconnect between learned theories and actual nursing practice (B)</p> Signup and view all the answers

    Which aspect is NOT addressed by a nursing theory when considering its appropriateness for practice?

    <p>What medications will be prescribed (D)</p> Signup and view all the answers

    What is a major drawback of relying solely on past experiences in nursing?

    <p>It can disregard individual patient needs (A)</p> Signup and view all the answers

    In theory application, which of the following elements is crucial to determine before implementing a nursing theory?

    <p>The specific timing for when the theory should be applied (C)</p> Signup and view all the answers

    What is the main focus of patient care delivery models like total patient care and team nursing?

    <p>Promoting collaborative care among various healthcare professionals (D)</p> Signup and view all the answers

    What is a primary reason that nursing cannot be defined with a single, globally applicable definition?

    <p>Global variations in nursing practice and education standards exist. (C)</p> Signup and view all the answers

    Which characteristic is NOT typically associated with a recognized profession?

    <p>Informal training and development (C)</p> Signup and view all the answers

    What distinguishes nursing as an art in practice?

    <p>Emphasis on creativity, intuitiveness, and tailored care for patients (B)</p> Signup and view all the answers

    What is necessary for nursing to continue evolving as a profession?

    <p>Critical reflection and empirical evidence (D)</p> Signup and view all the answers

    Which of the following attributes best defines nursing as a discipline?

    <p>A philosophy and conceptual framework guiding practice (C)</p> Signup and view all the answers

    Why is the concept of autonomy important in nursing?

    <p>It provides control over professional activities. (B)</p> Signup and view all the answers

    Which component is essential for establishing a profession like nursing?

    <p>Altruistic service to society (C)</p> Signup and view all the answers

    In what way does nursing as a science differ from nursing as an art?

    <p>Nursing as science is based on empirical evidence and best practices. (A)</p> Signup and view all the answers

    Flashcards

    Naturalism influence on theory

    Naturalism in theory development emphasizes understanding phenomena within their specific context, like being in a forest.

    Positivism theory development

    Positivism in theory development highlights a scientific, measurable approach, emphasizing testing and structured methods.

    Empirical Indicator

    An empirical indicator is something measurable, allowing for data collection and analysis to evaluate a theory.

    Hypothesis

    A testable prediction in a theory, a proposed explanation that can be examined through research.

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    Evidence-informed practice

    Using research evidence to guide practice decisions and improve outcomes.

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    Metaparadigm of Nursing

    Nursing's worldview, encompassing the concepts of person, environment, health, and nursing. It's a global perspective.

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    Metaparadigm Concepts

    The four key elements within nursing's worldview: person, environment, health, and nursing itself.

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    Constructivist Approach

    An approach that emphasizes the individual's perceived reality, where knowledge is created subjectively.

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    Metatheory (Nursing)

    A theory about theory, focusing on knowledge generation and theory development within nursing.

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    Environment in Nursing

    The surroundings affecting a patient, including physical aspects, familiarity, and safety.

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    Middle Range Theories

    Theories in nursing that are more focused and specific than grand theories.

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    Grand Theories

    Broad, encompassing theories in nursing.

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    Postmodernism/Positivism

    Approaches to understanding that emphasizes change, questioning the old, and learning from the past with a modern lens.

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    Nursing's broad definition challenge

    Defining nursing universally is hard due to varying practices and standards globally, and the emphasis on individualized patient care.

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    Nursing as a profession vs. occupation

    Nursing as a profession has a recognized status, specialized knowledge, and control over training, leading to accountability and public service.

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    Nursing's required elements as a profession

    Key characteristics include a defined knowledge base, training control, credentialing, altruism, ethics, formal education, socialization, and autonomy.

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    Nursing as a discipline

    Nursing is a field with a philosophy, conceptual framework, and specific knowledge development methodology.

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    Nursing art vs. science

    Nursing art involves creativity, individual patient approaches, and intuitive care, while nursing science relies on evidence, best practices, and theories to inform care.

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    Nursing's defining philosophy

    Nursing requires a defined philosophy to guide its practice and knowledge development, often influencing the approach and treatment of patients.

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    Nursing's conceptual framework

    Nursing utilizes a conceptual framework to organize and understand unique concepts and processes in the profession of nursing.

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    Nursing's knowledge development methodology

    A specified method nursing uses to develop and prove its knowledge and practices.

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    Cognitive Learning

    Learning that happens over time through the interaction of behavior, mental processes, and the environment. It's sequential and experimental, adapting to the world.

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    Humanistic Learning

    Learning that emphasizes emotions as a positive influence. It focuses on human potential and improving human relations skills.

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    Information Processing Model

    A model of human memory where information flows through sensory, short-term, and long-term stores. Short-term memory is also known as working memory.

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    Forgetting Theories

    Explanations for why we forget information, including decay (the loss of information over time), interference, and loss of retrieval cues.

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    Cognitive Load Theory

    The idea that working memory has a limit on the amount of information it can process. Long-term memory creates schemas to store large amounts of information.

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    Adult Learning Theories

    Theories about how adults learn, emphasizing their self-directedness and the application of learning to real-life situations. 

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    Learning Styles

    Different ways people prefer to learn such as visual, auditory, tactile, analytic, and global.

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    Working Memory

    Temporary storage of information used for cognitive operations, such as reasoning and problem-solving. Short-term store.

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    Bioethics

    A set of principles that guide ethical decision-making in healthcare, emphasizing respect for patient autonomy, beneficence, non-maleficence, and justice.

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    Patient Autonomy

    The patient's right to make informed decisions about their own healthcare, even if those decisions differ from the clinician's recommendations.

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    Beneficence

    The ethical principle of acting in the best interests of the patient, weighing potential benefits against risks and burdens.

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    Non-maleficence

    The ethical principle of avoiding harm to the patient, including both physical and psychological harm.

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    Justice in Healthcare

    The fair and equitable distribution of healthcare resources to all members of society, regardless of factors such as socioeconomic status or other characteristics.

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    Theoretical Pluralism

    The use of multiple theories to understand a phenomenon, recognizing that no single theory can fully explain complex situations.

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    Evidence-Based Practice (EBP)

    A problem-solving approach to clinical decision-making that integrates the best available evidence from research, clinical expertise, and patient values.

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    EBP's Key Influence

    EBP emphasizes the use of data-based studies and research evidence over expert opinions to guide clinical decisions and education.

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    Ethics vs. Morality

    Ethics is the systematic study of right and wrong, aiming to find objective justifications for how we should treat others. Morality, on the other hand, refers to cultural beliefs and values about what is right and wrong. It often reflects societal customs and may contain biases.

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    Virtue Ethics

    Virtue ethics, as proposed by Aristotle, emphasizes developing a virtuous character through fulfilling one's potential. It involves cultivating rational abilities, controlling emotions with wisdom, and acting with knowledge and good judgment.

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    Categorical Imperative

    A key principle in modern ethical theories, the categorical imperative states that we should only act according to rules that we would universally want everyone to follow. This emphasizes treating others with respect and never as mere means to our own ends.

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    Deontology

    Deontology, based on the work of Kant, focuses on duty-based ethics. It emphasizes absolute and non-negotiable moral laws, regardless of consequences. These laws are considered universal guiding principles.

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    Egalitarianism (Rawls)

    Egalitarianism, as proposed by Rawls, emphasizes treating everyone equally. It suggests a neutral approach to decision-making by imagining a 'veil of ignorance' where we don't know our own position or advantages.

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    Utilitarianism

    Utilitarianism focuses on maximizing overall happiness and well-being by choosing actions that produce the greatest good for the greatest number of people. It weighs consequences and aims to minimize pain and suffering.

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    Knowledge-Dependent vs. Knowledge-Independent

    Some ethical theories are knowledge-dependent, relying on experience and evidence from social sciences. Others are knowledge-independent, based on principles of reason and logic, independent of experience.

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    Casuistry

    Casuistry is a method of ethical reasoning based on analogy. It analyzes new cases by comparing them to past, well-established cases with similar features.

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    Nursing's Defining Challenge

    Defining nursing universally is complex due to global practice variations and the emphasis on personalized patient care.

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    What makes nursing a profession?

    Nursing is a profession because it has a recognized status, specialized knowledge, control over training, and accountability to the public.

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    Key elements of a profession

    A profession has a defined knowledge base, authority over training, credentialing, altruistic service, a code of ethics, formal education, long-term socialization, and autonomy.

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    Nursing's philosophy

    A guiding set of beliefs that informs nursing practice and knowledge development. Reflects a philosophy of care.

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    Nursing's 'art' vs. 'science'

    Nursing art involves creativity, intuition, and personalized care, while nursing science applies evidence, best practices, and theories to care.

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    Nursing's evolving nature

    Nursing constantly evolves through critical reflection and scientific evidence, shaping its methods and knowledge base.

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    Nursing's impact on society

    Nursing provides valuable services to society, improving the well-being of individuals and communities.

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    Benner's Skill Acquisition Model

    A middle-range theory that describes the stages of skill development for nurses, from novice to expert, focusing on the gradual accumulation of experience and knowledge.

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    Meleis' Transition Theory

    A middle-range theory that examines the process of transition in individuals and groups, including the nature of transitions, patterns, and interventions.

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    Importance of Practice Theories

    Practice theories provide a framework for applying theoretical concepts to real-world nursing practice, bridging the gap between academic knowledge and practical application.

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    Four Steps in the Theory Process

    The steps involved in developing and refining theories include analyzing concepts, constructing relationships, testing relationships, and validating relationships.

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    Two Products of Theory

    Theories produce two key outputs: concepts, which are the building blocks of a theory, and relationships, which explain how these concepts interact.

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    Four Types of Relationships

    Relationships between concepts can be described as descriptive, predictive, explanatory, or prescriptive, revealing how these concepts influence each other.

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    Theory Informs Autonomy

    Theories provide nurses with a foundation for making informed and independent decisions, promoting professional autonomy and critical thinking in practice.

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    Clinical Expertise: What's needed?

    Becoming a skilled clinician requires a mix of real-world experience, reading scientific articles, applying theoretical knowledge, and receiving guidance from experienced mentors.

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    Person-Centered Care Principle: Shared Decision Making

    Patients have the right to participate in decisions about their health, choosing treatments and interventions that align with their personal values and priorities.

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    Relationship-Centered Care: A Key Theory

    This philosophy emphasizes building strong partnerships between healthcare providers and patients, promoting open communication, shared decision-making, and self-awareness.

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    Evidence-Based Practice: Adaptation is Key

    While best practice guidelines provide valuable information, their implementation needs adaptation to each patient's individual needs, clinical context, and organizational resources.

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    Future Challenges in Nursing Theory

    Nursing theory is constantly evolving, with ongoing needs for developing middle range theories, rigorous testing and refinement, and a strong connection between theory, practice, and research.

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    Theory in Nursing

    A set of ideas that explain how nursing works and helps nurses understand and improve patient care.

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    Why Use Theories in Nursing?

    Theories help nurses make better, safer decisions, base their practice on evidence, and justify their actions.

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    Theory-Practice Gap

    The disconnect between the theories learned in school and the practical realities of nursing.

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    Choosing the Right Theory

    Nurses must consider the goal, context, and specific situation when selecting a theory to guide practice.

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    Factors to Consider When Choosing a Theory

    Nurses need to consider WHO (recipient), WHERE (location), WHAT (problem), HOW (implementation), WHEN (timing), and the THEORY'S purpose.

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    Theory in Nursing Administration

    Theories used to guide organizational design, leadership, and quality improvement initiatives in healthcare settings.

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    Theories in Nursing Education

    Theories that guide the development and delivery of nursing curriculum, focusing on the core concepts of the profession.

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    Nursing Research & Theory

    Theories are vital for guiding research questions, analyzing findings, and informing best practices in nursing.

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    Phenomenon

    A broad, abstract idea that's hard to measure directly. It represents a big picture concept or a general aspect of reality.

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    Construct

    A specific concept made up of smaller, more concrete ideas. It's measurable and testable when broken down into its parts.

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    Concept

    The smallest building block of a theory. It's a well-defined idea that can be observed and measured.

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    Theorem

    A proposed explanation that describes the relationship between concepts. It's a statement that can be supported or refuted through research.

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    Conceptual Framework

    A set of guidelines that outlines the steps for studying a particular phenomenon. It's like a roadmap for your research.

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    Model (in theory)

    A representation of a theory or concept. It helps to visualize and explain complex relationships.

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    Dynamism

    Recurring patterns of energy exchange in relationships. These patterns, consistent over time, are often characteristic of an individual's life.

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    Personification

    The way we perceive ourselves based on our interpersonal experiences, including feelings, attitudes, values, and beliefs. These are shaped by how we fulfill our needs and manage anxiety in relationships.

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    Cognitive Behavioural Theory

    Explains personality as learned behavior that can be altered. It focuses on how thinking and behavior are interconnected and emphasizes thought patterns and processes that influence actions. The theory highlights the malleability of thoughts and behaviors.

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    Operant Conditioning

    This theory proposes that behaviors are learned through reinforcement. When a behavior is followed by a reward, it is more likely to be repeated. Conversely, unpleasant stimuli can be used to decrease unwanted behaviors. Consistency is key.

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    Cognitive Theory

    Based on the idea that thoughts can be distorted or inaccurate representations of reality. These distorted interpretations, often rooted in the unconscious mind, can lead to repeated errors in perception and automatic thinking. Cognitive restructuring aims to address these distortions.

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    Rational Emotive Theory

    This theory posits that thoughts, feelings, and behaviors are interconnected and can be either rational or irrational. Repeated irrational thinking leads to maladaptive behaviors, potentially causing issues like paranoia or self-blame.

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    Humanistic Theories

    Focus on the person's capacity for self-actualization, emphasizing the inherent ability within each individual to achieve growth and well-being. Humanistic theories value self-determination and individual potential.

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    Hierarchy of Needs

    Maslow's concept proposes a hierarchy of psychological needs, starting with basic needs like physiological security, and progressing to higher needs like love, belonging, esteem, and self-actualization. Lower needs must be met before moving to higher ones.

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