NURS 350 Assignment: Week 2 Discussion Research in Nursing

NURS 350 Assignment: Week 2 Discussion Research in Nursing

NURS 350 Assignment: Week 2 Discussion Research in Nursing

When you critically evaluate a study, you must decide whether you agree or disagree with the researcher’s theoretical framework (the underlying assumption or theory that supported the formation of the hypothesis and the development of the research design). The following scenarios have two possible hypotheses, each driven by a different theory.

Choose one scenario and one hypothesis from that scenario. Identify your personal assumptions about this hypothesis and choose a nursing theory to support your assumptions. You may use information from http://www.nursing-theory.org/theories-and-models/ to help you. Defend your answer.

Scenario 1: A patient with chronic back pain requests a narcotic prescription.

1. Hypothesis: In patients with chronic back pain not caused by injury, what is the effect of eight weeks of physical therapy compared to oral narcotic medication on the patients’ perception of pain?

2. Hypothesis: Are patients with chronic back pain who are denied narcotic pain medications at increased risk of depression as compared to patients on a prescribed pain regimen using oral narcotics?

Scenario 2: A diabetic patient misses several follow-up appointments.

1. Hypothesis: In patients with type 2 diabetes, does the use of an educational diabetic phone app improve compliance with appointments, diet, and medication regimens?

2. Hypothesis: Do patients with type 2 diabetes with a low economic status miss more follow-up appointments than patients with type 2 diabetes with a high economic status?

History of Nursing Theories

The first nursing theories appeared in the late 1800s when a strong emphasis was placed on nursing education.

• In 1860, Florence Nightingale defined nursing in her “Environmental Theory” as “the act of utilizing the patient’s environment to assist him in his recovery.”
• In the 1950s, there is a consensus among nursing scholars that nursing needed to validate itself through the production of its own scientifically tested body of knowledge.
• In 1952, Hildegard Peplau introduced her Theory of Interpersonal Relations that emphasizes the nurse-client relationship as the foundation of nursing practice.
• In 1955, Virginia Henderson conceptualized the nurse’s role as assisting sick or healthy individuals to gain independence in meeting 14 fundamental needs. Thus her Nursing Need Theory was developed.
• In 1960, Faye Abdellah published her work “Typology of 21 Nursing Problems,” which shifted the focus of nursing from a disease-centered approach to a patient-centered approach.
• In 1962, Ida Jean Orlando emphasized the reciprocal relationship between patient and nurse and viewed nursing’s professional function as finding out and meeting the patient’s immediate need for help.
• In 1968, Dorothy Johnson pioneered the Behavioral System Model and upheld the fostering of efficient and effective behavioral functioning in the patient to prevent illness.
• In 1970, Martha Rogers viewed nursing as both a science and an art as it provides a way to view the unitary human being, who is integral with the universe.
• In 1971, Dorothea Orem stated in her theory that nursing care is required if the client is unable to fulfill biological, psychological, developmental, or social needs.
• In 1971, Imogene King‘s Theory of Goal attainment stated that the nurse is considered part of the patient’s environment and the nurse-patient relationship is for meeting goals towards good health.
• In 1972, Betty Neuman, in her theory, states that many needs exist, and each may disrupt client balance or stability. Stress reduction is the goal of the system model of nursing practice.
• In 1979, Sr. Callista Roy viewed the individual as a set of interrelated systems that maintain the balance between these various stimuli.
• In 1979, Jean Watson developed the philosophy of caring, highlighted humanistic aspects of nursing as they intertwine with scientific knowledge and nursing practice.

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The Nursing Metaparadigm

Four major concepts are frequently interrelated and fundamental to nursing theory: person, environment, health, and nursing. These four are collectively referred to as metaparadigm for nursing.

Person

Person (also referred to as Client or Human Beings) is the recipient of nursing care and may include individuals, patients, groups, families, and communities.

Environment

Environment (or situation) is defined as the internal and external surroundings that affect the client. It includes all positive or negative conditions that affect the patient, the physical environment, such as families, friends, and significant others, and the setting for where they go for their healthcare.

Health

Health is defined as the degree of wellness or well-being that the client experiences. It may have different meanings for each patient, the clinical setting, and the health care provider.

Nursing

The nurse’s attributes, characteristics, and actions provide care on behalf of or in conjunction with the client. There are numerous definitions of nursing, though nursing scholars may have difficulty agreeing on its exact definition. The ultimate goal of nursing theories is to improve patient care.

You’ll find that these four concepts are used frequently and defined differently throughout different nursing theories. Each nurse theorist’s definition varies by their orientation, nursing experience, and different factors that affect the theorist’s nursing view. The person is the main focus, but how each theorist defines the nursing metaparadigm gives a unique take specific to a particular theory. To give you an example, below are the different definitions of various theorists on the nursing metaparadigm: