Nursing Theory and Practice
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Questions and Answers

Which of the following theories focuses on the patient's self-care needs?

  • Peplau's Interpersonal Theory
  • Leininger's Culture Care Theory
  • Orem's Self-Care Deficit Nursing Theory (correct)
  • Nightingale's Environmental Theory
  • Which of the following is NOT a phase of Peplau's Interpersonal Theory?

  • Evaluation (correct)
  • Preorientation
  • Orientation
  • Resolution
  • What is the primary focus of Nightingale's Environmental Theory?

  • Interpersonal relations between nurse and patient
  • Patient's self-care needs
  • Environment as the focus of nursing care (correct)
  • Cultural care diversity and universality
  • Which of the following is a middle-range theory?

    <p>Leininger's Culture Care Theory</p> Signup and view all the answers

    What is the main purpose of the National Council of State Boards of Nursing Clinical Judgment Model?

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

    Which of the following is a characteristic of nursing knowledge?

    <p>Both theoretical and experiential</p> Signup and view all the answers

    What is the primary goal of nursing knowledge?

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

    Which type of theory is narrow in scope and focuses on specific nursing practices?

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

    What is the primary goal of using the National Council of State Boards of Nursing Clinical Judgment Model?

    <p>To help nurses make clinical decisions</p> Signup and view all the answers

    What is the primary purpose of prescriptive theories in nursing?

    <p>To address nursing interventions and guide practice change</p> Signup and view all the answers

    Which of the following is a characteristic of middle-range theories?

    <p>Limited in scope and less abstract</p> Signup and view all the answers

    What is the relationship between theory and evidence-based practice (EBP)?

    <p>Theory generates EBP</p> Signup and view all the answers

    What is the primary focus of descriptive theories in nursing?

    <p>Describing phenomena and identifying circumstances in which they occur</p> Signup and view all the answers

    What is the primary role of theory in nursing practice?

    <p>To predict outcomes and explain relationships among concepts</p> Signup and view all the answers

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

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

    What is the characteristic of shared theories in nursing?

    <p>Explain a phenomenon specific to the discipline that developed the theory</p> Signup and view all the answers

    What is the term for the aspect of nursing that is conceptualized to describe, explain, predict, or prescribe nursing care?

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

    What is the component of a theory that refers to the specific phenomenon being studied?

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

    What is the era of nursing theory development that is characterized by the development of nursing curriculum frameworks?

    <p>Curriculum era</p> Signup and view all the answers

    What is the term for the overall framework that includes the concepts of person, health, and environment/situation?

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

    What is the current era of nursing theory development, which is characterized by the use of theories to guide practice?

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

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

    <p>To create a broad understanding of nursing science and practice</p> Signup and view all the answers

    What type of knowledge is based on nurses' experiences in providing care to patients?

    <p>Experiential knowledge</p> Signup and view all the answers

    What is the purpose of considering findings from theory-based research in nursing practice?

    <p>To determine whether the theory can be used in practice</p> Signup and view all the answers

    What is the primary focus of theory-generating research in nursing?

    <p>Using logic to explore relationships among phenomena</p> Signup and view all the answers

    What is the purpose of theory-testing research in nursing?

    <p>To determine how accurately a theory describes a nursing phenomenon</p> Signup and view all the answers

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

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

    How do nurses incorporate research-based interventions into their practice?

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

    What is the relationship between theory and research in nursing?

    <p>Theory and research are intertwined, with research informing theory and theory guiding research</p> Signup and view all the answers

    What is the ultimate goal of the links between theory, knowledge development, and research in nursing?

    <p>To improve patient care and outcomes</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

    Learn about the theoretical foundations of nursing practice, including components of a theory and the domain of nursing. Understand how theory, research, and practice interact in nursing care.

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