TFN_chap3.pdf

29/08/2024 1 2  Theory promotes rational(sensible) and systematic(logical/organized)...

29/08/2024 1 2  Theory promotes rational(sensible) and systematic(logical/organized)  Nursing practice is the THEORY practice THEORY source of concepts for  Theory leads to less theory development fragmented care.  Nursing practice  Define and clarify nursing and the purpose of nursing provides basis for PRACTICE practice some theories  Theories differentiates nursing PRACTICE  Nursing practice from other caring professions by setting professional proves the usefulness boundaries (limitations). or utility of some theories 3 4  29/08/2024  may validate, modify  Theory serves as or invalidate a RESEARCH RESEARCH framework (basis) for theory research  It may strengthen or  Theory is a valuable weaken a theory’s source of claim (by refuting or information. It gives accepting the THEORY the researcher an hypotheses or THEORY idea of what to assumptions of the investigate theory) 5 6  Nursing practice could  Research leads to an NURSING be the source of idea for NURSING evidenced-based PRACTICE research PRACTICE  Nursing practice could practice provide the setting of a  Research helps nurses research to provide safe and  Nursing practice could quality nursing care to RESEARCH strengthen or weaken all clients the claims of a research RESEARCH 7 8  29/08/2024  Theory, research and theory nursing practice are What is Nursing Knowledge interdepen dent  These are set of complete (reliant) research practice with one information that actually another tested and proven. 9 10 1. Metaparadigm  It presents the structure and 2. Philosophies analysis of specialized nursing 3. Conceptual Models knowledge. 4. Theories  Structure of Knowledge that was 5. Empirical Indicators used to organized the units of the text and the definitions of the analysis criteria used for the review process of theoretical works. 11 12  29/08/2024  Itspeaks to the meaning of  It is highly valued in nursing theory term used, and definitional development. consistency and structure  It discussed the degrees of simplicity speak to the consistent and call for simple forms of theory, structural form of terms in the such as middle range, to guide practice. Complex practice situation theory. may call for more complex theory 13 14  Itspeaks to the scope of application  “Accessible addresses the extent to and the purposewithin the theory which empiric indicators for the (Chinn & Krammer, 2015). concepts can be identified and to what extent the purposes of the theory can be attained”  It is vital to developing nursing research to test theory. 15 16  29/08/2024  “Does this theory create understanding that is important to nursing?”  Because research, theory, and WHAT IS A practice are closely related, nursing METAPARADIGM? theory lends itself to research testing and research testing leads itself to knowledge of practice 17 18  Meta- with  The first component of the structural  Paradigm”–pattern of shared hierarchy of knowledge understanding and assumptions.  it is the most abstract component of the  The broad conceptual boundaries structural hierarchy of the discipline of nursing, human  The concepts and propositions of a beings, environment, and health metaparadigm are admittedly extremely (Person, Health, Environment, global and provide no definitive direction Nursing). for such activities in research and clinical practice. 19 20  29/08/2024 refers to a being composed of physical, intellectual, biochemical, and psychosocial needs person health an open system-allows input and output to and from its boundaries and is constantly affected by matter, energy and information environment nursing 21 22 an integrated whole-the different organs and systems function together to achieve a particular purpose (no organ or system  Ability to function independently functions on each own)  Successful adaptation to life’s stressors an adaptive system-man’s behavior is  Unity of mind, body and soul directed towards maintaining integrity  Health is a state of complete physical, and balance mental and social well-being and not a being who is greater than the sum of merely the absence of disease or his parts-man is not simply a composite infirmity (WHO) of physiologic body parts. Man is gifted  Health is a value term defined by the with intellect, will, judgment, decision- culture or individual making, talents, strengths, and other numerous enabling powers. 23 24  29/08/2024  Refers to external elements that affect the person  Nursing is a science, an art and a  Is the internal and external practice discipline which involves conditions that influence the caring organisms  Nursing is the act of utilizing the  Is the significant others with whom environment of the patient to the person interacts assist him in his recovery  An open system with boundaries that permit the exchange of matter, energy and information with human beings 25 26  Nursing is a humanistic science dedicated to compassionate  Person - this includes individuals, concern with maintaining and families and groups promoting health and preventing  Environment – includes the physical, illness and caring for and social, political, etc. environments rehabilitating the sick and disabled.  Health - a state of well-being, not just  Nursing is a helping profession that the absence of disease assists individuals or groups in  Nursing - the actions taken between society to attain, maintain and nurse and patient to return to health restore health. If this is not possible, nurses help individuals die with dignity 27 28  29/08/2024 Kim (1989) 1. Client 2. Practice 3. Client-nurse 4. Environment 29 30 Meleis (2005) 7 Central Concepts 1. Interaction 2. Environment  The second component of the 3. Nursing client STRUCTURAL HIERARCHY OF CONTEMPORARY NURSING 4. Nursing therapeutics KNOWLEDGE. 5. Transitions(changes)  A statement encompassing ontological 6. Health claims about phenomena of central interest to a discipline, epistemic claims 7. Nursing process about those phenomena come to be known and ethical claims about what the members of a discipline value. 31 32  29/08/2024  It is to communicate what the members of a discipline believe to be true in relation to  The third component of the the phenomena of interest to that STRUCTURAL HIERARCHY OF discipline, what they believe about the CONTEMPORARY NURSING development of knowledge about those KNOWLEDGE phenomena, and what they value with regard to their actions and practices.  Inform the general public about the beliefs and values of a particular discipline. 33 34 A set of relatively abstract and general concepts that address the phenomena of central interest to a discipline, the propositions that broadly describe those concepts, and the propositions that state relatively abstract and general relations between two or more of the concepts 35 36  29/08/2024 1. Provides distinctive frame of 4. Provides a structure and a rationale for the reference. scholarly and practical activities of its adherents, who comprise a subculture, or community of scholars 2. Tells how to observe and interpret the within a discipline. phenomena of interest to the 5. Conceptual model gives direction to the search for discipline. relevant questions about the phenomena of central interest to a discipline and suggests solutions to 3. Simplification of reality that includes practical problems. only those concepts that the model 6. Provides general criteria for knowing when a author considers relevant and as aids problem has been solved. to understanding 37 38 Conceptual models of Nursing–are the explicit and formal presentations of some nurses’ implicit, private images of nursing 39