30 Questions
What is the primary role of theory in nursing practice?
To explain and predict patient outcomes
What is metatheory in the context of nursing?
An examination of the relationships between components of knowledge in a discipline
What is the domain of nursing that focuses on the external factors that influence a patient's health?
Environment/Situation
Who is considered the first nursing theorist?
Florence Nightingale
What era of nursing theory development saw a focus on graduate education and research?
Graduate education era
What is the current era of nursing theory development characterized by?
The application of existing theories in practice
What is a key feature of nursing theories?
They are dynamic and responsive to the changing environment
Which type of theory is broad in scope and complex?
Grand
Which of the following is a characteristic of prescriptive theories?
Guiding practice change
What is the primary goal of nursing knowledge?
To explain the practice of nursing
What is the relationship between theory and nursing knowledge?
Theory generates nursing knowledge
What is a characteristic of shared theories in nursing?
They explain a phenomenon specific to the discipline
What is the nursing process an example of?
A system
Which type of theory is narrow in scope and focuses on a specific aspect of nursing?
Practice
Which nursing theory is classified as a grand theory and focuses on the patient's self-care needs?
Orem's Self-Care Deficit Nursing Theory
Which component of the nursing process involves continually assessing how much self-care a patient is able to perform?
Orem's Self-Care Deficit Nursing Theory
What is the primary focus of Nightingale's Environmental Theory?
Environment as the focus of nursing care
Which nursing theory is classified as a middle-range theory and integrates patients' cultural traditions, values, and beliefs into care plans?
Leininger's Culture Care Theory
What is the primary purpose of the National Council of State Boards of Nursing Clinical Judgment Model?
To evaluate nursing students' abilities to make clinical judgments
What type of nursing knowledge is theoretical and experiential?
Nursing knowledge
Which phase of Peplau's Interpersonal Theory involves the nurse and patient working together to achieve a common goal?
Working
What is the primary goal of theoretical knowledge in nursing science and practice?
To stimulate thinking and create a broad understanding of nursing science and practice
What is the basis of experiential knowledge in nursing?
Nurses' experiences in providing care to patients
What is the purpose of considering findings from theory-based research in nursing practice?
To determine the effectiveness of a theory in practice
What is the focus of theory-generating research in nursing?
To explore relationships among phenomena using logic
What is the purpose of theory-testing research in nursing?
To determine how accurately a theory describes a nursing phenomenon
What is the outcome of both theory-generating and theory-testing research in nursing?
The refinement of the knowledge base of nursing
What is the role of research-based interventions in nursing practice?
To be incorporated into theory-based practice
What is the relationship between theory and research in nursing?
Theory and research inform and refine each other
What is the ultimate goal of the interaction between theory and research in nursing?
To refine the knowledge base of nursing
Study Notes
Nursing Foundation
- Theory serves as the foundation for nursing care.
- Theory, research, and practice are bound together in a continuous interactive relationship.
Theory
- Helps explain an event by defining ideas or concepts, explaining relationships among the concepts, and predicting outcomes.
- Metatheory looks at the relationships of various components that make up the knowledge of a discipline.
- Nursing theory conceptualizes some aspect of nursing to describe, explain, predict, or prescribe nursing care.
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
- Curriculum era: 1900s-1940s
- Research era: 1950s-1970s
- Graduate education era: 1950s-1970s
- Theory era: 1980s-1990s
- Theory utilization era: 2000s-today
- Theories are dynamic and responsive to the changing environment.
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.
- The nursing process is a system.
- Nursing process components
- Input
- Output
- Feedback
- Content
Select Nursing Theories
- Nightingale’s Environmental Theory
- 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
- Focuses 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
Links Among Theory and Knowledge Development and Research in Nursing
- 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.
- Sometimes research is used to develop new theories.
- Theory-generating research uses logic to explore relationships among phenomena.
- Theory-testing research determines how accurately a theory describes a nursing phenomenon.
- Both theory-generating and theory-testing research refine the knowledge base of nursing.
- Nurses incorporate research-based interventions into theory-based practice.
Understand the role of theory in nursing care, its relationship with research and practice, and how it conceptualizes nursing aspects to describe, explain, and predict outcomes.
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