Ch 8

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Ch 8
2011-09-29 00:40:35

Module 3
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  1. Conceptual framework
    • also reffered to as a theoretical framework, s a set of concepts that are related to form a whole or pattern.
    • Frameworks are not developed using research processes and have not been tested in practice.
    • concepets are described in less detail than in a theory
    • assumptions are not stated
    • Frameworks tend to be broader and more philosophical than theories.
  2. Holistic Nursing
    • is meeting the needs of the whole person.
    • An example of mechanistic nursing is taking vital signs, because they are due at a specific time, but not talking to the patient to determine how she is feeling. Holistic nursing calls for the vital signs to be taken while talking to and assessing the patient, observing the family, and in general examining the "whole" picture of the patient's needs.
  3. Theory
    • is an organized set of related ideas and concepts that helps us find meaning in our experiences (such as nursing) organized our thinking around an idea(such as caring) and develope new ideas and insights into the work we do.
    • Based on observations of facts.
    • defines and illustrates concepts and explains how they are related or linked.
  4. Stress and adaptation theory
    Han Selye - some stress is good, too much stress is distresse and our body's response to it with illness.
  5. Clinical Practice Theories
    a theory that is immediatly applicable in the clinical setting
  6. Compare and cotrast how jean watson's theory of caring differente from florence Nightingale's theory of patient care
    • J. Watson: the science of human caring: improve the health of a patient by holistic nursing approach
    • F. Nightingale's: to anable the patient to heal himself by improving environment, more of a mechanical approach.
  7. 9 Key concepts of Watson's theory
    • Forming a humanistic-altruistic system of values
    • Instilling faith and hope
    • Cultivating sensetivity to self and others
    • forming helping and trusting relationships
    • Conveying and accepting the epression of positive and negative feelings
    • Systematic use of the scientific problem-solving method that involves caring process
    • Promoting traspersonal teaching-learning
    • Providing for supportive, protective, and correrive mental, physical, sociocultural, and spiritual environment
    • Assistin with gratification of human needs
    • Sensitivity to existential-phenomenological forces
  8. How Patricia Benner's THeory "From Novice to Expert" addresses the 4 Components of a theory
    • 4 components of a Theory:
    • Nurse
    • Person
    • Health
    • Environment
    • "From Novice to Expert" addresses those components:
    • Knowing the nurse's skill level(novice, adv beginner, competent, proficient, or expert) provides for an intelligent way to match the nurse's skill with the patient's(person) acuity. Nurse contributes to the person's health according to her skill level. The environmentis is ICU.
  9. Theoris from other Disciplines
    • Maslow's Hierarchy of Basic Human Needs
    • Validation theory
    • Developmental theories (Erickson, Piaget, family theories, Kohlberg's and Gilligan's moral development theories)
    • Selye's theory of stress and adaptation
    • System theory
  10. Maslow's theory
    • Basic human needs
    • Physiological
    • Safety and security
    • Love and belonging
    • Self-esteem
    • Self-actualization
  11. Validation theory
    arises from social work and provides for a way to communicate with older peple with dementia."go where the demented person is in his own mind"
  12. Developmental Theory
    looks at stages that individuals, groups, families, and communities progress through over time. these theories are useful in nursing practice becuase they identify norms and expectations at various stages in development and help you identify activities and interventions that are appropriate for you client.
  13. System Theory
    is that all complex phenomena, regardless of their type, have some principles, laws, and organization in common. Components of systems interract with eachother.
  14. Evidence base practice and discuss how it is used in the care of the client
    Research provides the data for evidence-based practice. when there is a body of research on a topic, experts and professional groups evaluate the quality of the research reports and tranlsate them into guidelines of practice.
  15. Nursing research and why it is important.
    • Nursing research:systemic objective process of analzing phenomena of importance to nursing
    • Its purpose is to develope knowledge about issues that are important in nursing.
    • Nursing research encompasses all clinical practice arenas, nursing education, and nursing administration.
  16. Informed consent and its process
    • must be obtained from every participant in a study. Consent is obtained by discussing what is expected of the participatn, providing written information on the project to the participant, and obtainig the participatn's wirtten consent to be a subject.
    • Right to not be harmed
    • Right to full disclosure
    • right to self-determination
    • rights of privacy and confidentiality