The nursing grand theory is the framework which guides and organizes the knowledge in nursing and explains the nursing phenomena at a more specific level. The nursing grand theory was put forth by Afaf Meleis who constructed on theory which combines the set of concepts, relationships, definitions and assumptions or propositions which are derived from the models of nursing in order to give a systematic view of the specific inter-relationships among the concept for the purpose of explaining, describing, prescribing and predicting. According to the grand theory, it is possible to reflect and provide insights which are useful for practice. However, the theory is not designed to be used for empirical testing since the theory is designed to be applicable to all instances of nursing Meleis, 2011()
Despite the many nursing theories that exist, there are four common concepts that determine and influence nursing practice. These are the…...
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References
Meleis, A.I. (2011). Theoretical Nursing Development & Progress (5th ed.). Philadelphia: Lippincott Williams & Wilkins
Melnechenko, K.L. (1995). Parse's Theory of Human Becoming: An Alternative Guide to Nursing Practice for Pediatric Oncology Nurses. Journal of Pediatric Oncology Nursing, 12(3), 122-127.
Newman, M.A. (1979). Theory development in nursing. Philadelphia F.A. Davis.
Rogers, M.E. (1989). An Introduction to the Theoretical Basis of Nursing. Philadelphia F.A. Davis.
Orlando's Nursing Process Theory
The Grand Theory chosen for this assignment is the Orlando's Nursing Process Theory. This theory was formulated by Ida Jean Orlando. The theory was based on inductive reasoning and is still considered one of the most followed nursing practice theories. The theory is based on the most basic principles of interaction between the patient and the nurse practitioner. This theory highlights how a patient makes a conversation about his needs and how a nurse provides care to him.
Background of the Theorist-Ida Jean Orlando
The grand theorist was born in the year 1926 and got her Nursing diploma from the New York Medical College. She did her Bachelor's degree in public health from St. John's University, New York. She did not stop here and got her Master's degree in Mental Nursing from Columbia University, New York. About her work experience, it is interesting to note that she attained…...
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References
Abdoli, S., & Safavi, S.S. (2010). Nursing students' immediate responses to distressed clients based on Orlando's theory. Iranian journal of nursing and midwifery research, 15(4), 178.
Butts, J.B. & Rich, K.L. (2010). Philosophies and Theories for Advanced Nursing Practice.
Faust, C. (2002). Orlando's deliberative nursing process theory: a practice application in an extended care facility. Journal of gerontological nursing, 28(7), 14-18.
Kim, H.S. (1994). Practice theories in nursing and a science of nursing practice. Research and Theory for Nursing Practice, 8(2), 145-158.
Middle ange Theory of Spiritual Well Being in Illness
Nurse meta-theorists have recently been very much concerned about the different seasons of the patient's life, which has supported and promoted the development of middle range theories in the field of nursing. This is due to the reason that these theories focus on the specific health and illness issues instead of discussing the general issues. These specific health and illness issues focused in the mid range theories are extremely important for the practicing nurses as they spotlight on the particular problem and its solution.
History of Theory Development in Nursing
The practicing nurses started incorporating the nursing theories into their research and practically applying them to real situations during 1970s and 1980s. Majority of the early nursing theories fall in the category of grand theories of nursing because the concepts that described the theories focused on…...
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References
Barss, K. (2012). T.R.U.S.T: An affirming model for inclusive spiritual care. Journal of Holistic
Nursing. 30(1). 23-35.
Burkhart, L and Hogan, N. (2008). An Experiential Theory of Spiritual Care in Nursing Practice.
With the widening of economic interdependence and spread of democratic norms, liberalism envisions a slow journey away from the realists' vision. Liberalists do not view a state as a single actor in war, but rather as a coalition of coalitions that is representing different individuals and groups. Limitations of state power, rule of law, transparency of democratic and government processes will make it easier for the sustenance of international cooperation.
In terms of security, liberalists differ from realists as they not only view it in military terms, but also as the promotion and protection of individual rights. In the fight on terrorism, the liberal approach would emphasize on application of legal instruments instead of military force. The liberal approach to the United States war on terrorism would involve issues like organized crime and its potential for creating terrorists.
This would be in contrast to the realist approach of force on the state…...
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References
Drezner, Daniel W. "Does Obama Have a Grand Strategy? Why We Need Doctrines in
Grand Jury: Needed or Not?
The United States is the only common law jurisdiction in the world that still uses the grand jury for purposes of screening criminal indictments. The grand jury issues an indictment for crime only if based on the evidence that has been presented it finds that there is a probable cause for one to believe that a crime has been committed by the suspect .this is unlike a petit jury that only resolves a specific type of criminal or civil cases, a grand jury serves as a group for a particular period of time in all or many cases that come up in the jurisdiction which is under the supervision of the federal; state attorney, a court district attorney or even a state general attorney and listens to the evidence without having suspect or person of interest being involved in the proceedings (Leipold, 2005).
Moreover, because of the secrecy surrounding the grand jury system, there is a very real concern that a defendant may not have the opportunity to actually confront his accusers. While improper evidence may not come in at trial, it is a fallacy to assume that simply protecting someone from conviction is protecting him or her from all of the possible negative effects of an improper indictment. The very real time, expense, and risk of trial means that even an actually innocent person who is indicted may consider a plea bargain rather than face the risk of trial.
While there is some merit to the idea that grand juries listen to prosecutors, individual grand juries behave in different manners. Some of them simply act as rubber stamps for prosecutors, while other grand juries more carefully consider the charges before them. However, the secrecy surrounding the proceedings makes it difficult to know…...
range theory nursing. If accepts premise grand theories nursing longer, implications nursing education, practice, research? Question 2: due 11/29/11 There controversy nursing direction development nursing knowledge .
There is an emphasis at present on the development and use of mid-range theory in nursing. If one accepts the premise that grand theories of nursing are no longer necessary, what are the implications for nursing education, practice, and research?
Nursing theories can be classified in many different ways, but one of the most common methods is to group them into grand and middle range theories. A grand theory "provides a conceptual framework under which the key concepts and principles of the discipline can be identified," while, in contrast, a "middle range theory is more precise and only analyzes a particular situation with a limited number of variables" (Nursing theories: An overview, 2011, Nursing Theories). Mid-range theories of nursing do not attempt to define…...
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References
Entry-to-practice competencies. (2011). College & Association of Registered Nurses of Alberta.
Range Nursing Theory
A clinical nurse is generally involved with specialized research; for example, a clinical nurse specializing in oncology would likely be heavily involved in the treatment of patients with cancer, according to Andrea Santiago. That clinical nurse specialist (CNS) working with cancer patients may also create helpful protocols or other strategies to improve the delivery of services in a hospital (Santiago, 2013). This paper delves into the reasons why the CNS can (and will) benefit from the use of the middle range theory.
hat are middle range theories?
Judy Davidson (RN, DNP, CNS) explains that middle range theories are designed to "guide practice" for nurses (including clinical nurse specialists) and are "more focused than grand theories" because they zero in on a "single aspect of practice" and are not as general as grand theories (Davidson, 2010, p. 28). Moreover, because grand theories only offer a framework in terms of descriptions…...
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Works Cited
Andershed, Birgitta, and Olsson, Kristina. (2009). Review of research related to Kristin
Swanson's middle-range theory of caring. Scandinavian Journal of Caring Sciences, 23(3),
598-610.
Davidson, Judy E. (2010). Facilitated Sensemaking: A Strategy and New Middle-Range Theory
As mentioned earlier, the desired outcome of nursing care is comfort and there are many articles in which the researchers have talked about the needs of the patients and the things that alter the comfort of the patients. Kolcaba suggested that the cancer patients who are terminally ill can benefit from comfort care as it pays attention to the perspective and needs of the patients. Through such kind of care, the patient is not only provided with pain relief, but the depression of the patient is also addressed adequately. As she said that patients who are not in pain but are depressed seek comfort in the transcendental sense as well as in the psycho-spiritual sense (Kolcaba, 1992 p 4). In some of her works, she has explained the use of the instruments and their application by the nurses. Kolcaba reckons that the instruments presented by her to evaluate the…...
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Bibliography:
Kolcaba K. (1994). A theory of holistic comfort for nursing. Journal of Advanced Nursing, 19(10): 1178-1184.
Kolkaba, K. (1992). Holistic comfort: Operationalizing the construct as a nurse-sensitive outcome..Advances in Nursing Science, 15 (1), pp. 1-10.
Kolkaba, K. (1997). The primary holisms in nursing..Journal of Advanced Nursing, 25 pp. 290-296.
Kolkaba, K. And Fisher, E. (1996). A holistic perspective on comfort care as an advance directive..Critical Care Nursing Quarterly, 18 pp. 66-76.
Introduction
Theory guides practice. This is true of many things, but is especially true of nursing. While many processes, actions, and rules are involved in becoming a great nurse, understanding and applying theory must be the most important aspect. Nursing theory allows for one to examine concepts and then attempt practical application of these concepts when theories are tested. Evidence-based practice for example, is the wonderful lovechild of theory and application in that when theories are constructed, they are then tested, and if they work, are applied to standard practice via modification. This essay aims to provide a deeper synthesis of nursing theory by examining two important nursing theories: Orem's Self-care Theory and Watsons Nursing Theory. Additionally, one will see how nursing theory has evolved since its beginnings.
Background on Nursing Theory
Many say nursing is as old as humankind. If there was someone sick, there was someone willing to take care of…...
nursing is both a discipline and a profession
All of these affect fundamental nursing values such as emotional support for patients and the importance of touch.
Imogene King's conceptual model includes three types of dynamic, interacting systems: personal systems (represented by individuals), interpersonal systems (represented by such dyadic interactions as nurse-patient dialogue), and social systems (represented by larger institutions such as hospitals and families). (Imogene King, J.P. Riehl-Sisca, 1989) further example of theory developing into concept and ultimately into model and practice is Katharine Kolcaba's Theory of Comfort. Holistic comfort is defined as the immediate experience of being strengthened through having the needs for relief, ease, and transcendence met in four contexts of experience (physical, psycho spiritual, social, and environmental) (Kolcaba, 1994)
The Concept of Philosophy in Nursing
Despite over a century of philosophical thinking in nursing, philosophical inquiry has yet to be positioned as contributing substantially to the field of nursing's inquiry.…...
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Bibliography
Austgard, K. (2008). What characterises nursing care? A hermeneutical philosophical inquiry.
Scandinavian Journal of Caring Sciences, 314-319.
Barbara Pesut, Joy Johnson. (2008). Understanding Philosophical Inquiry in Nursing. Journal of Advanced Nursing, 115-121.
Dr Sharon L. Van Sell, Ioannis a Kalofissudis. (2002). A Complexity Nursing Theory.
ange Theory in Nursing
The credibility of a profession is mainly based on the professional's ability to create and apply the appropriate theory. Theories are notions or concepts used for inferring observations, elucidating experiences, and unfolding relationships of project results. Theories are derived from conceptual models. The main function of a theory is to narrow and fully specify the phenomena that is contained in the conceptual model. The theory should also provide a relatively concrete and specific structure for interpreting the initially puzzling situations, behavior, and events. A nursing theory is defined as a set of concepts, relationships, definitions, and assumptions that are derived from nursing models and project a systematic view of phenomena by designing particular inter-relationships among concepts with the purpose of explaining, describing, predicting, and prescribing. Theories are derived using either deductive reasoning or inductive reasoning (Smith & Liehr, 2013). Nurses make use of various theories in…...
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References
Davydov, M. (2014). Middle-Range Theory for Nursing. Journal for Nurses in Professional Development, 30(6), 316.
Fawcett, J. (2005). Middle range nursing theories are necessary for the advancement of the discipline. Aquichan, 5(1), 32-43.
Imenda, S. (2014). Is there a conceptual difference between theoretical and conceptual frameworks. Journal of Social Sciences, 38(2), 185-195.
Lenz, E. R., Pugh, L. C., Milligan, R. A., Gift, A., & Suppe, F. (1997). The middle-range theory of unpleasant symptoms: an update. Advances in Nursing Science, 19(3), 14-27.
Trancedence Theory
Middle ange Theory of Self Transcendence
There are several nursing-related theories and these have the function of explaining, evaluating and applying the field in order to enhance quality of treatment. These theories are divided into three classes; low rang theories, middle age theories and grand theories. All these classes each have their specialized roles towards the improvement of the nursing practice dependent on the various treatment types they are concerned with. Middle range theories possess a number of well-defined models which are applied for experimental testing on a concept in order to determine if it is useful and effective in the nursing profession. Several active forms of middle range theories exists and they include those which are concerned with self-efficiency, empathy, human interactions, carrying out of nursing duties, reasoned action, adverse symptoms, self-transcendence etc. Generally, the benefits of these theories are evident when nursing challenges, especially those concerned with the…...
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References
Coward, D. D. (2003). Facilitation of Self-Transcendence in a Breast Cancer Support Group: II. Oncology Nursing Forum, 30(2), 291-300.
Masters, K (2012). Nursing Theories: A framework for Professional Practice. Sudbury, MA: Joones & Bartlett, LLC
McEwen, M. & Wills, E. M. (2011). Theoretical Basis for Nursing. China: Lippincott Williams & Wilkins.
Reed O (2008). "The Theory of Self-Transcendence." In M.J. Smith & P.R Liehr (Eds.). Middle Range Theory for nursing (2nd ed.). New York, Springer.
Nursing TheoriesTheory is very important in nursing as it helps with guiding and informing practice, framing approaches, and understanding factors that impact health. Theory aids in enhancing and improving patient care and in supporting professional development. Because there are so many different theories of nursing, however, the judicial application of theory should be supported by evidence-based practice, with principles from nursing theories incorporated in practice once they are verified and validated by evidence. This paper looks at how theories are used in nursing, illustrates their application through my own personal experience, and discusses the advantages and disadvantages of using theories to guide nursing practice.Nursing theories can range from broad and abstract grand theories to more specific middle-range theories; all in all, however, they tend to serve as frameworks to understand health, illness, and the human experience within the context of care (Im, 2021). These theories help by offering a systematic…...
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ReferencesDevi, B., Pradhan, M. S., Giri, M. D., & Lepcha, M. N. (2022). Watson’s theory of caring in nursing education: challenges to integrate into nursing practice. Journal of Positive School Psychology, 1464-1471.Im, E. O. (2021). Different Types of Theories by Level of Abstraction in Nursing: A DiscussionPaper. Research and Theory for Nursing Practice, 35(1), 50-66.Mazzocca, P. (2023). Bedside Care: Nursing Practice in the Emergence of the Modern Hospital. In Architectures of Care (pp. 69-85). Routledge.
Middle Range Theories
Middle range theories are among the most commonly used theories in research alongside grand theories. This capstone project seeks to examine whether the use of a multidisciplinary approach helps to decrease readmissions within 30 days of newly diagnosed patients with Chronic Heart Failure (CHF). The middle range theory that will be applied on nursing research for this project is the Core, Care and Cure Theory, which was developed by Lydia Eloise Hall. This theory suggests that core, care, and cure are interconnected though they vary depending on the patient’s condition (Cosejo, 2018). This theory identified the core as the individual or patient receiving nursing care based on his/her own goals while the cure is the attention provided to patients by clinical professionals and care is the primary role of a professional nurse. Core, Care and Cure Theory suggests that these three components work together toward promoting the health…...
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