NR 501 Week 1 Discussion: Importance of Theory in Nursing

Sample Answer for NR 501 Week 1 Discussion Importance of Theory in Nursing Included After Question

For many students enrolled in NR501, this is an initial course for nursing theory.  So, let’s have a debate!!!  Is nursing theory important to the nursing profession?  If you believe that it is important, explain why it is useful.  If you do not believe that it is useful, explain why nursing theory is not necessary to the profession?  Be sure to provide an example that demonstrates your opinion and a scholarly reference (not using the required textbook or lesson) which supports your opinion.

A Sample Answer For the Assignment: NR 501 Week 1 Discussion Importance of Theory in Nursing

Title: NR 501 Week 1 Discussion: Importance of Theory in Nursing

The Theory of Shared Communication (TSC), describes the process of communication between parents of hospitalized technology dependent children and their nurses (Giambra, Broome, Sabourin, Buelow & Stiffler, 2017). Technology dependent children are those that rely on a medical device and require ongoing medical care. Nurses and parents must have effective communication with one another to form a partnership to achieve the best possible plan of care for the child. The concepts included in the TSC model include: respect, communication acts such as listening and asking, functions and outcomes that make up the communication process, and the mutual understanding of the child’s plan of care (Giambra, Broome, Sabourin, Buelow & Stiffler, 2017).  

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These concepts are what facilitate communication with the nurses and parents of patients resulting in improved patient care. The TSC is a way for nurses to determine the parents understanding of the child’s needs and comfort, and a way to assess barriers to optimal care for a child (Giambra, Broome, Sabourin, Buelow & Stiffler, 2017). Through this theory, the understanding of communication has been enhanced through integration of nurse perspectives and parent verification of the TSC. One of the concepts in this theory stick out to me as being extremely important and that is the communication acts of listening and asking. Too often it seems as nurses, and as humans, we tend to do one more than the other. If we took the time to listen effectively and ask questions there would be much less confusion and less mistakes that are made resulting in improved patient care and satisfaction.

This theory represents the concepts that make up effective communication in the medical field. As a nurse, and a future advanced practice nurse, we will be speaking with parents, spouses, family members, and providers. Having effective communication will improve patient care and enhance relationships between providers and family members. The TSC shows components that all levels of healthcare can use to facilitate effective communication and improved patient care throughout the health care system.

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Based on the required readings for this week, previous lessons and experience as a nurse, it is evident that nursing theory is necessary for nurses to offer quality care and navigate patient needs in the ever transforming and complex nursing profession. Nursing theory provides a framework that guides the nursing practice in using concepts and relationships in patient evaluations and interventions (Butts & Rich, 2018). If nursing practice lacked theory, possibly, there will be loss of separation and clear distinction of the profession. Society has historically considered nursing as a vocational occupation and not a profession where nurses are expected to carry orders by physicians and clinical officers, especially in developing countries, without any form of accountability. However, through the development of theory as proposed by Nightingale in her notes over a century back, nursing is now an evolving profession and academic discipline as well as a science. Pioneers in the profession established nursing theories and models to emphasize the role of nursing profession in enhancing patient outcomes and quality healthcare delivery. Nurses possess critical thinking and scientific knowledge as well as ideas that they can use to improve patient care delivery (Gilbert, 2020). They can develop individualized interventions focused on health promotion, disease prevention and long-term care for patients with terminal conditions.

Nursing theories help to instill identity in nurses, enabling patients and other healthcare providers and professionals as well as managers to appreciate nurses’ roles and individual contributions to healthcare promotion and patient quality care. Nursing theories allow nurses to offer patient-centered care, utilize evidence-based practice interventions in health promotion, and development of professional values and work ethics to attain better patient outcomes (Younas & Quennell, 2019). Nursing theory empowers nurses to understand the transforming health system, address the expanding care demand and improve professional knowledge and skills to attain better patient care. Evidence shows that the use of theory provides structure and organization to nursing knowledge and offers a systemic means of collecting information and data to describe, explain, and predict trends that will shape the nursing practice like the increased of health technologies through telemedicine among others.

NR 501 Week 1 Discussion: Importance of Theory in Nursing References

Butts, B. J. & Rich, L. K. (2018). Philosophies and theories for advanced nursing

practice (3rd ed.). Jones & Bartlett Learning.

Gilbert, H. A. (2020). Florence Nightingale’s Environmental Theory and its influence on

contemporary infection control. Collegian, 27(6), 626–633. https://doi.org/10.1016/j.colegn.2020.09.006

Younas, A., & Quennell, S. (2019). Usefulness of nursing theory‐guided practice: an integrative

review. Scandinavian journal of caring sciences, 33(3), 540-555.

DOI: 10.1111/scs.12670.

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I do believe that theory in nursing is very important. Theory has been a part of nursing since the time Florence Nightingale began to change and develop procedures and explanations as to why nurses do what they do. A theory is defined as “a coherent group of tested general propositions, commonly regarded as correct, that can be used as principles of explanation and prediction for a class of phenomena” (Theory [Def. 1], n.d.) Theory in nursing has been an ever-evolving topic. Expanding on reasoning for what we do, why we do stuff, and what affects we do have on our patients. Peplau was a theorist who developed the theory of interpersonal relationships. Explaining the interactions with the patient as it evolves into a more therapeutic relationship. The nurse and patient start off as strangers in the orientation phase and progress to the exploitation phase where the nurse and patient interact and finally the resolution phase when the care has been provided and the relationship at that time is terminated. This theory is a foundation of each interaction we have with our patients starting the moment that we get our assignment. Peplau “enabled the nurse to begin to move away from the disease model orientation to one where the psychological meaning of events, feelings and behaviors could be explored and incorporated into nursing interventions” (Adams, 2017).

As nurses at the bedside we don’t often think too much about how we are using every day. As explained above the most common theory that has been developed and explained is the foundation to how we interact during the day. There are countless numbers of theories out there that we function based on, but don’t always know it. As identified by Sheri Jacobson, the best way to help nurses make the connection between theory and practice is by helping nurses make the connection using real example of practice (2017). An example she gave was of a nurse who is providing teaching for a patient on how to care for themselves when they leave (i.e. dressing changes, medication administration, exercises, etc.). Without theory in our practice we would have no foundation to go from to guide our practice and care methods.

NR 501 Week 1 Discussion Importance of Theory in Nursing References:

Adams, L. (2017). Peplau’s Contributions to Psychiatric and Nursing Knowledge. Retrieved December 27, 2017, from http://jmhan.org/index.php/JMHAN/article/view/3

Jacobson, S. (2017). Building Bridges from Theory to Practice: Nursing Theory for Clinical Nurses. Med-Surg Matters, 26(3), 1-15.

Theory [Def. 1]. (n.d.). Dictionary.com. Retrieved December 26,2017, from http://www.dictionary.com/browse/theory.

Week 1 DQ 1: Nursing Theories

Based on the required readings for this week, previous lessons and experience as a nurse, it is evident

that nursing theory is necessary for nurses to offer quality care and navigate patient needs in the ever transforming and complex nursing profession. Nursing theory provides a framework that guides the nursing practice in using concepts and relationships in patient evaluations and interventions (Butts & Rich, 2018). If nursing practice lacked theory, possibly, there will be loss of separation and clear distinction of the profession. Society has historically considered nursing as a vocational occupation and not a profession where nurses are expected to carry orders by physicians and clinical officers, especially in developing countries, without any form of accountability. However, through the development of theory as proposed by Nightingale in her notes over a century back, nursing is now an evolving profession and academic discipline as well as a science. Pioneers in the profession established nursing theories and models to emphasize the role of nursing profession in enhancing patient outcomes and quality healthcare delivery. Nurses possess critical thinking and scientific knowledge as well as ideas that they can use to improve patient care delivery (Gilbert, 2020). They can develop individualized interventions focused on health promotion, disease prevention and long-term care for patients with terminal conditions.

NR 501 Week 1 Discussion Importance of Theory in Nursing References

Butts, B. J. & Rich, L. K. (2018). Philosophies and theories for advanced nursing

practice (3rd ed.). Jones & Bartlett Learning.

Gilbert, H. A. (2020). Florence Nightingale’s Environmental Theory and its influence on

contemporary infection control. Collegian, 27(6), 626–633. https://doi.org/10.1016/j.colegn.2020.09.006

Younas, A., & Quennell, S. (2019). Usefulness of nursing theory‐guided practice: an integrative

review. Scandinavian journal of caring sciences, 33(3), 540-555.

DOI: 10.1111/scs.12670.

NR501NP-10808

Week 1: Nursing Theory (Orig Post Due Wednesday, Responses Due Sunday)

This is a graded discussion: 75 points possible

Due Jan 15

Week 1: Nursing Theory (Orig Post Due Wednesday, Responses Due Sunday)

77 unread replies.77 replies.

Purpose

The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required. Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO 2 and 5) Weeks 2, 6

Examine broad theoretical concepts as foundational to advanced nursing practice roles. (PO 1 and 2) Weeks 1, 2, 4

Analyze theories from nursing and relevant fields with respect to the components, relationship among the components, and application to advanced nursing practice. (PO 1) Weeks 4, 6

Due Date:

A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0). Week 8 discussion closes on Saturday at 11:59pm MT.

Total Points Possible: 75

Requirements:

Discussion Criteria

Application of Course Knowledge: The student post contributes unique perspectives or insights gleaned from personal experience or examples from the healthcare field. The student must accurately and fully discuss the topic for the week in addition to providing personal or professional examples. The student must completely answer the entire initial question.

Engagement in Meaningful Dialogue: The student responds to a student peer and course faculty to further dialogue.

Peer Response: The student responds substantively to at least one topic-related post by a student peer. A substantive post adds content or insights or asks a question that will add to the learning experience and/or generate discussion.

A post of “I agree” with a repeat of the other student’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post.

The peer response must occur on a separate day from the initial posting.

The peer response must occur before Sunday, 11:59 p.m. MT.

Faculty Response: The student responds substantively to at least one question by course faculty. The faculty question may be directed to the student, to another student, or to the entire class.

A post of “I agree” with a repeat of the faculty’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post.

The faculty response must occur on a separate day from the initial posting.

Integration of Evidence: The student post provides support from a minimum of one scholarly in-text citation with a matching reference and assigned readings or online lessons, per discussion topic per week.

What is a scholarly resource? A scholarly resource is one that comes from a professional, peer-reviewed publication (e.g., journals and government reports such as those from the FDA or CDC).

Contains references for sources cited

Written by a professional or scholar in the field and indicates credentials of the author(s)

Is no more than 5 years old for clinical or research articles

What is not considered a scholarly resource?

Newspaper articles and layperson literature (e.g., Readers Digest, Healthy Life Magazine, Food, and Fitness)

Information from Wikipedia or any wiki

Textbooks

Website homepages

The weekly lesson

Articles in healthcare and nursing-oriented trade magazines, such as Nursing Made Incredibly Easy and RNMagazine (Source: What is a scholarly article.docx; Created 06/09 CK/CL Revised: 02/17/11, 09/02/11 nlh/clm)

Can the lesson for the week be used as a scholarly source?

Information from the weekly lesson can be cited in a posting; however, it is not to be the sole source used in the post.

Are resources provided from CU acceptable sources (e.g., the readings for the week)?

Not as a sole source within the post. The textbook and/or assigned (required) articles for the week can be used, but another outside source must be cited for full credit. Textbooks are not considered scholarly sources for the purpose of discussions.

Are websites acceptable as scholarly resources for discussions?

Yes, if they are documents or data cited from credible websites. Credible websites usually end in .gov or .edu; however, some .org sites that belong to professional associations (e.g., American Heart Association, National League for Nursing, American Diabetes Association) are also considered credible websites. Websites ending with .com are not to be used as scholarly resources.

Professionalism in Communication: The post presents information in logical, meaningful, and understandable sequence, and is clearly relevant to the discussion topic. Grammar, spelling, and/or punctuation are accurate.

Wednesday Participation Requirement: The student provides a substantive response to the graded discussion question(s) or topic(s), posted by the course faculty (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.

Total Participation Requirement: The student provides at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.

Preparing the Assignment

For many students enrolled in NR501, this is an initial course for nursing theory. So, let’s have a debate. Is nursing theory important to the nursing profession? In particular, is it important for nurse practitioners? Does theory inform nurse practitioner practice? If you believe that it is important, explain why it is useful. If you do not believe that it is useful, explain why nursing theory is not necessary to the profession?

Week 1 DQ 1: Nursing Theories

NR 501 Week 1 Discussion Importance of Theory in Nursing References

Butts, B. J. & Rich, L. K. (2018). Philosophies and theories for advanced nursing

practice (3rd ed.). Jones & Bartlett Learning.

Gilbert, H. A. (2020). Florence Nightingale’s Environmental Theory and its influence on

contemporary infection control. Collegian, 27(6), 626–633. https://doi.org/10.1016/j.colegn.2020.09.006

Younas, A., & Quennell, S. (2019). Usefulness of nursing theory‐guided practice: an integrative

review. Scandinavian journal of caring sciences, 33(3), 540-555.

Many nurses would classify theory in nursing to be mainly academic in nature without any application to the field itself. However, there is a relationship to the practice of nursing indeed. Nursing theories do have a useful way that nurses can apply them. For example, in triage nursing, there is a decision-making process of sorting and placing patients into categories and levels of acuity. The triage nurse has to create a quick assessment that would focus on which patient needs priority versus another patient that does not need immediate attention (Reay & Rankin, 2013). The application of theory to triage decision-making is summarized by type of theory: grand, middle range, or situation specific. The level of context (triage environment) is low, medium and high, respectively (Reay & Rankin, 2013).

Another interesting part of this article was regarding the mention of a group of researchers who developed a model called the recognition primed decision (RPD) model. This was a model that was used as a guide understand the decision-making process of individuals that work in fields involving rapid decision-making an high pressure situations with limited time available. Some of these fields included nuclear power plant operators, airline pilots and nurses (Reay & Rankin, 2013).

NR 501 Week 1 Discussion Importance of Theory in Nursing References

Reay, G., & Rankin, J. A. (2013). Review: The application of theory to triage decision-making. International Emergency Nursing, 21, 97-102. doi:10.1016/j.ienj.2012.03.010

DOI: 10.1111/scs.12670.

DISCUSSION CONTENT

Description

Application of Course Knowledge:

Answers the initial discussion question(s)/topic(s), demonstrating knowledge and understanding of the concepts for the week.

Engagement in Meaningful Dialogue With Peers and Faculty

Responds to a student peer and course faculty furthering the dialogue by providing more information and clarification, adding depth to the conversation

Integration of Evidence

Assigned readings or online lesson and at least one outside scholarly source are included. The scholarly source is:

Evidence-based, 2) scholarly in nature, 3) published within the last 5 years

81%

Total CONTENT Points= 60 pts

DISCUSSION FORMAT

NR 501 Week 1 Discussion: Importance of Theory in Nursing

Sample Answer for NR 501 Week 1 Discussion Importance of Theory in Nursing Included After Question

A Sample Answer For the Assignment: NR 501 Week 1 Discussion Importance of Theory in Nursing

Title: NR 501 Week 1 Discussion: Importance of Theory in Nursing