NURS 600 – Nursing Theory Application for the 21st Century Paper Example
NURS 600 Maryville University Assignment 3.3: Nursing Theory Application for the 21st Century
MVU NURS 600 – Theoretical Foundations of Nursing Practice Course
NURS 600 – Nursing Theory Application for the 21st Century Paper Assignment for NURS 600 – Theoretical Foundations of Nursing Practice Course
Credits: 3
The focus of this course is to critique, evaluate and apply appropriate theory within advanced nursing practice.
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NURS 600 – Nursing Theory Application for the 21st Century Paper Example
Introduction
Nursing theories play a crucial role in guiding nursing practice by providing structured frameworks that enhance clinical decision-making, patient care interventions, and health outcomes. These theories establish a scientific foundation for nursing by defining its principles and outlining best practices. This paper examines the role of nursing theories in managing asthma, focusing on the case of Calvin Lewis, a 20-year-old Black male presenting with asthma-related symptoms. The discussion will explore grand, mid-range, and situation-specific nursing theories, identify an appropriate theory to guide Calvin’s care, and present supporting research that validates its application. Additionally, an evaluation of the most effective level of nursing theory for advanced practice in the 21st century will be provided.
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Overview of Nursing Theories
Nursing theories can be classified based on their level of abstraction and scope of application. The three primary categories include grand theories, mid-range theories, and situation-specific theories.
- Grand Nursing Theories
Grand nursing theories offer a broad and comprehensive framework that defines nursing as a discipline. These theories provide overarching concepts but often lack direct applicability to specific clinical situations. They serve as a foundation for research and theoretical development but may not offer explicit guidance for patient care. Examples of grand theories include:
- Dorothea Orem’s Self-Care Deficit Nursing Theory: Focuses on individuals’ ability to meet their self-care needs and the role of nursing in bridging gaps.
- Sister Callista Roy’s Adaptation Model: Explains how individuals adapt to environmental stimuli with nursing interventions facilitating positive adaptation.
- Jean Watson’s Theory of Human Caring: Emphasizes the importance of caring and the humanistic aspects of nursing.
- Mid-Range Nursing Theories
Mid-range nursing theories provide a link between grand theories and practice-based applications. These theories focus on specific concepts related to nursing interventions and patient care. They are more practical and research-driven, making them suitable for evidence-based practice. Examples include:
- Pender’s Health Promotion Model: Guides nurses in promoting health behaviors and wellness among patients.
- Mishel’s Uncertainty in Illness Theory: Addresses how patients cope with uncertainty during illness.
- Kolcaba’s Comfort Theory: Focuses on enhancing comfort in physical, emotional, and environmental dimensions.
- Situation-Specific Nursing Theories
Situation-specific nursing theories are highly focused and designed for particular patient populations, clinical conditions, or healthcare settings. These theories provide direct guidelines for nursing interventions and are often derived from empirical research and clinical practice. Examples include:
The Theory of Chronic Sorrow: Addresses long-term emotional distress experienced by individuals with chronic conditions.
Symptom Management Theory: Guides the management of symptoms in patients with chronic illnesses such as asthma, diabetes, and cancer.
Identification of Calvin Lewis’s Health Problem and Theory Selection
Calvin Lewis presents with asthma-related symptoms, a chronic respiratory condition that requires effective management. Asthma is a long-term inflammatory disease that affects the airways, causing difficulty in breathing, coughing, and wheezing (Global Initiative for Asthma [GINA], 2023). Effective asthma management includes patient education, adherence to medication, and lifestyle modifications. Given the nature of asthma as a chronic illness that demands patient participation in self-care, a mid-range or situation-specific theory is the most appropriate choice for guiding his care.
For this case, Dorothea Orem’s Self-Care Deficit Nursing Theory (SCDNT) is selected as the most relevant mid-range theory. This theory emphasizes the role of nursing in supporting individuals who have self-care deficits due to illness or disability. Calvin may lack knowledge regarding asthma management, medication adherence, and environmental triggers, making SCDNT particularly applicable.
Rationale for Selecting Orem’s Self-Care Deficit Nursing Theory
Orem’s theory consists of three key components that align with Calvin’s care needs:
- Self-Care Agency: Refers to Calvin’s ability to manage his asthma independently, including medication use and symptom monitoring.
- Self-Care Deficit: Highlights gaps in Calvin’s knowledge or skills in controlling his asthma symptoms effectively.
- Nursing System: Defines the role of the nurse in assessing self-care deficits and implementing tailored interventions to promote self-care.
Applying this theory ensures that nursing interventions are patient-centered and address Calvin’s specific needs, including asthma education, symptom recognition, and lifestyle modifications. Studies have demonstrated that asthma self-care interventions based on Orem’s model significantly improve medication adherence and symptom control (Barlow et al., 2022).
Supporting Research on Orem’s Theory in Asthma Care
Several studies have validated the application of Orem’s Self-Care Deficit Nursing Theory in chronic disease management. A study by Altay and Çavuşoğlu (2013) applied Orem’s theory to adolescents with asthma and found that structured education programs improved self-care behaviors, medication adherence, and overall quality of life. Another study by JayaKumar et al. (2022) emphasized that patients with chronic illnesses who received care based on Orem’s theory exhibited higher self-care abilities and better health outcomes. These findings underscore the relevance of SCDNT in managing Calvin’s condition.
Most Useful Theory Level for Advanced Practice Nursing
In contemporary healthcare, mid-range theories are the most effective for advanced practice nursing. They offer a balance between broad conceptual guidance and practical clinical application. Mid-range theories, such as Orem’s SCDNT, provide evidence-based approaches that are adaptable to patient-specific needs. They facilitate structured care planning while allowing for individualized interventions, making them ideal for modern nursing practice.
Conclusion
The application of nursing theory is fundamental in structuring patient care and improving health outcomes. In Calvin Lewis’s case, Orem’s Self-Care Deficit Nursing Theory offers an effective framework for identifying and addressing self-care gaps in asthma management. Research supports the relevance of this theory in enhancing patient education, self-care behaviors, and adherence to treatment. Mid-range theories continue to be the most applicable in advanced nursing practice, as they provide clear, research-driven guidelines for patient-centered care.
References
Altay, N., & Çavuşoğlu, H. (2013). Using Orem’s self-care model for asthmatic adolescents. Journal for Specialists in Pediatric Nursing, 18(3), 233-242. https://doi.org/10.1111/jspn.12032
Barlow, J., Singh, D., Bayer, S., & Curry, R. (2022). Self-management approaches for people with chronic conditions: A review of the evidence. Chronic Illness Journal, 18(4), 651-666. https://doi.org/10.1177/17423953211036543
Global Initiative for Asthma (GINA). (2023). Global strategy for asthma management and prevention. Retrieved from https://ginasthma.org
JayaKumar, M., Pappiya, E. M., Al Baalharith, I. M., Algrd, H. S., & Ramaiah, R. (2022). Application of Orem’s Self-Care Deficit Nursing Theory in managing chronic illnesses. International Journal of Nursing Practice, 28(1), e13002. https://doi.org/10.1111/ijn.13002
Detailed Assessment Instructions for the NURS 600 – Nursing Theory Application for the 21st Century Paper Assignment
DB 4.1
Description
Directions
Calvin Lewis is a 20-year-old Black male who comes to your clinic for the first time complaining of asthma-type symptoms.
Calvin Intro (0:43 minutes)
Calvin Intro TranscriptLinks to an external site.
- Describe grand, mid-range, and situation specific theory.
- Identify Calvin’s current health problem area and select one mid-range or situation-specific nursing theory that is congruent with the care of Calvin as presented in the media piece on asthma.
- Include rationale of how the selected mid-range theory or situation-specific theory fits based on the problems identified.
- Introduce a research source article of your choosing in the discussion that either uses the theory congruent with his care or one which could easily apply to this theory. Explain why.
- What theory level do you believe is most useful for advanced practice in the 21st century and why?
Post your original response by the end of Day 3. Then, by the end of Day 6, respond to at least two of your classmates’ posts.
If you copy and paste references from the course into your assignment, be sure to confirm APA formatting before submitting.
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