Grand Theory and Nursing Practice
Introduction
Advanced nursing practice (ANP) and advanced practice registered nursing (APRN) are both important in being able to deliver quality, patient-centered care in nursing. However, they are different in terms of what kind of (or rather the degree to which) care can be given, and this paper looks at these differences by applying Orems grand theory of nursing (self-care deficit theory), and discussing how this theory relates to the metaparadigm concepts of person/client, nurse, health, and environment. Also, this paper looks at how this theory applies in the different advanced nursing roles of practice, education, and research.
Differences between ANP and APRN
ANP refers to a higher level of nursing practice that involves applying advanced clinical skills, having professional autonomy, using leadership, making clinical judgments in patient care. Nurses in ANP roles work in clinical practice, policy-making, administration, and they apply evidence-based practice in their decision-making (York, 2023).
APRN refers to a more specific category of advancing nursing with four primary roles: Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), Certified Nurse Midwives (CNMs), and Certified Registered Nurse Anesthetists (CRNAs). APRNs have advanced education (usually at the master's or doctoral level) and are licensed to offer a range of healthcare services, such as diagnosing patients, developing interventions, managing health conditions, prescribing medications, and creating treatment plans (Cuccovia et al., 2022).
The main distinction between ANP and APRN can be found in the scope and focus of the two. APRN is a regulatory designation for nurses with advanced clinical training and certification in specific roles and thus defines scope more clearly, but ANP is a more general concept that includes advanced clinical practice as well as less-defined roles in leadership, education, and policy-making (York, 2023).
Grand Nursing Theory: Dorothea Orem's Self-Care Deficit Theory
Dorothea Orem's Self-Care Deficit Theory is a framework in nursing that looks at health through the lens of self-care. It is based on the assumption that people have the ability to care for themselves, that they are predisposed to do so, that they have a duty to do so, and that their health depends upon their doing so. Orems theory connects three sub-theories, which are the theory of self-care, the theory of self-care deficit, and the theory of nursing systems (Huffman, 2023). The Theory of Self-Care asserts that individuals have a natural ability to perform self-care activities to maintain their health and well-being. The Theory of Self-Care Deficit identifies situations where people fail to meet their...
…Nursing Roles
Orem's theory can be applied in advanced nursing practice by guiding the assessment and management of patients' self-care needs (Mahmoudi et al., 2023). Advanced practice nurses can use the theory to develop personalized care plans that empower patients to have more control over their own health. For example, NPs can use Orem's theory to educate patients on managing chronic conditions through self-care practices.
Orem's theory can also be used in nursing education to teach students about the importance of self-care and how to assess and support patients' self-care needs. It can also be a framework for research on self-care and how self-care affects patient health over time. Researchers can use the theory to design studies (such as longitudinal ones) that look at the effectiveness of self-care interventions, the factors that influence self-care behaviors, the role of nurses in promoting self-care, and the long-term affects of this approach.
Conclusion
In conclusion, nurses have different roles to play based on scope and authority and education. Advanced practices nurses can use Orem's Self-Care Deficit Theory as a framework for nursing practice, education, and research. Orem's theory supports the concepts of the nursing metaparadigm and as such this grand theory in advanced nursing roles can be used to improve patient…
