Nursing Theories for APRN Practice
Nursing Theories for APRN Practice Nursing theories are constructed as a framework of knowledge that is applied in a
pattern to guide and facilitate thought. Using your textbook (Buppert, C. (2021). Nurse practitioner’s business practice and legal guide, (7th ed.). Jones & Bartlett, ISBN: 978-1284208542), other references, and web resources, write a 3-4 page paper on a grand nursing theory and a mid-range nursing theory. Discuss how you will use these theories in your future advanced practice role.
See grading rubric for required elements.
- Introduction
- Discussion of nursing theories and how they can be used to guide practice.
- Supporting paragraphs
- Grand nursing theory and mid-range nursing theory
- Definitions
- Selected grand nursing theory
- Definition
- Concepts
- Selected mid-range nursing theory
- Definition
- Concepts
- How will you use these theories in your practice?
- Conclusion
- Summarize information in the paper
- Do not introduce new ideas
- More than 3-4 sentences
- References
- 3-4 references (one can be your textbook)
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Use APA (7th edition) style. Title page. Reference page. Page numbers on every page.
Nursing Theories for APRN Practice
Nursing theories are regarded as knowledge frameworks that play a critical role in the nursing practice, education, and patient interaction (Yip, 2021). Different theories exist within the nursing field and have evolved to guide and inform the nursing field today. In other words, theories are regarded as the framework of concepts and purposes intended to show the nursing field in concrete ways and levels. In terms of levels, there are grand nursing and mid-range nursing theories. According to Brešan et al. (2021), nursing theories have been significant in the aspect that they help in differentiating and recognizing nursing as a different practice from medicine and related sciences. They assist nurses and nursing professionals in understanding their approach, environment, patients, and needs. This paper provides a detailed discussion on selected nursing theories (grand theory and a middle theory) and how they can be adopted into my nursing practice as an APRN.
Nursing has been recognized as a unique discipline influenced by its practice and concepts. Nursing theories guide the practice and ideas. Theories in nursing are categorized into three levels: grand nursing theories, middle-range, and practice-level nursing theories (Buppert, 2020). Grand theories are founded on broad, abstract, and complex ideas. They give a general nursing framework about people and health. Secondly, a middle-range theory drills down to specific areas within the nursing field. These theories can be coined from practice or research work. Thirdly, practice-level nursing trickles down further to focus on concepts about a given patient population at a specified time (Brešan et al., 2021). These theories tend to influence patients more compared to the other two directions. While the grand theories address the nursing paradigm met paradigm components of key facets, namely nursing, person, environment, and health, middle-range theories are limited in scope in handling a specific phenomenon in nursing.
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Grand Nursing theory (Ida Jean Orlando-Pelletier’s Deliberative Nursing Process Theory)
The Deliberative Nursing Process Theory was developed by Jean Ida and examined the definition of nursing functions and the relationship between nurses and their patients (Austin, 2021). It explains how the nurses can utilize the nursing process to improve patient experience and outcomes. The theory states that ‘the nurses’ primary role is to find and meet their patients’ immediate need for help. The patients’ primary behavior cans are verbal or non-verbal cries; hence the nurses’ task is to determine the patients’ distressing nature and accord them the needed help’ (Brešan et al., 2021). In a nutshell, the theory recognizes nursing practice as an essential field hence the need to identify and improve the interaction between patients and the nurse professionals. The theory by Jean Ida outlays how the nurses can utilize the nursing process to improve patient outcomes.
According to Austin (2021), the significant concepts under which the theory is founded are human beings, health, environment, and nursing. Nursing is regarded as unique and independent, and the need to deliver the best nursing experience needs ample and proper training. The major strengths of the theory include the recognition and treatment of a patient as an individual hence addressing the critical needs. It also prevents inaccurate diagnosis as the nurse must repeatedly explore her reactions to the patient (Austin, 2021). The theory guides nurse professionals to evaluate their output and care delivery regarding observable and objectively defined outcomes.
Mid-Range Nursing Theory (Theory of Goal Attainment)
King Imogene developed the theory of goal attainment in the early 1960s. It describes interpersonal and dynamic relationships in which patients develop and grow towards attaining defined life goals. The theory recognizes factors that can hinder the realization of life goals, including roles, time, space, and stress (Yip, 2021). According to Araújo et al. (2018), the goal attainment theory states, “Nursing is a process of action, reaction, and interaction whereby nurse and client share information about their perception in the nursing situation.”
According to Kings of the nursing work, it is a relationship and interaction between a person and the environment towards attaining health and improving human wellbeing. Thus, nurses must understand how patients or people relate to their environment (Araújo et al., 2018). King views nursing as a process whose ultimate goal is to attain health. The goal attainment theory comprises three central systems: interpersonal, personal, and social. According to Buppert (2020), the personal system is recognized by the King’s theory as unique and constantly interacting with his/her environment; hence each patient should consider as unique and different from the other. This system contributes to nurse-patient relations. Secondly, there is the interpersonal system, regarded as the interaction between two people or a group, and understanding this system fostered the building of aspects such as communication and role. Nurses are required to possess adequate knowledge to understand the interaction process. Finally, there is the social system that helps nurses manage their caring roles within hospital settings and build a positive and suitable status within the public domain. One of the significant strengths of Imogene’s theory is that nurses understand it quickly and can explain the nursing process as a logical sequence of events.
Applying the Two Nursing Theories in My Practice as an APRN
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Nursing theories provide a vital source of knowledge explaining how the nursing practice must be undertaken, factors affecting the process, and interaction between nurses and patients towards improving the outcomes. King’s theory allows an APRN to advance the nursing knowledge by developing a conceptual system and focusing on goal attainment and outcome-driven planning while recognizing the role of better patient-nurse relations. As an APRN, the theory empowers my planning aspects concerning patient needs. This allows understanding of the patient as a unique being with diverse needs, focusing on delivering the best patient outcomes. More so, the theory fosters the recognition of communication as a significant factor in positive nurse-patient relations.
On the other hand, the deliberative nursing process theory provides a simple way to understand and execute nurses’ primary goal of caring for patients. As an APRN, this theory by Jean enables one to understand his role and position in the nursing practice and care delivery. Hence, critical insight into effective planning as a nurse towards fulfilling the needs identified for a patient. Additionally, the theory is a significant asset in recognizing the nurse’s role, understanding patient needs and remaining focused on attaining them. The nursing theories will be utilized in helping my practice as APRN nursing articulating evidence that justifies the planning and methodologies adopted in my practice, patient relations, and achieving the desired outcomes.
In conclusion, dozens of nursing theories are inexistence, researched, and put into practice. More so, many of them have evolved over the years to help nurse professionals’ better care delivery to patients. Whether a theory falls under mid-range or grand nursing theory, every theory has its purposes, with the ultimate goal being to improve nursing practice and patient experience. Ida Jean and King Imogene are vital contributors to nursing practice through their theories. Despite being developed decades ago, the two discussed theories play a critical integral role in nursing practice helping nurses understand their role and position in care delivery. At the same time, it improves many other aspects such as communication and patient relations.
References
Araújo, E.,Saraiva Silveira, da Silva, Lúcia de Fátima, Moreira, T. M. M., de Almeida, P. C., de Freitas, M. C., & Guedes, M. V. C. (2018). Nursing care to patients with diabetes based on king’s theory. Revista Brasileira De Enfermagem, 71(3), 1092-1098. https://doi.org/10.1590/0034-7167-2016-0268
Austin, M. (2021). Perceived telehealth behaviors by a nurse practitioner: OJNI. On – Line Journal of Nursing Informatics, 25(1) https://www.proquest.com/scholarly-journals/perceived-telehealth-behaviors-nurse-practitioner/docview/2622255162/se-2
Brešan, M., Erčulj, V., Lajovic, J., Ravljen, M., Sermeus, W., & Grosek, Š. (2021). The relationship between the nurses’ work environment and the quality and safe nursing care: Slovenian study using the RN4CAST questionnaire. PLoS One, 16(12) https://doi.org/10.1371/journal.pone.0261466
Buppert, C. (2020). Nurse Practitioner’s Business Practice and Legal Guide (7th Ed.). Jones & Bartlett Learning.
Yip J. (2021). Theory-Based Advanced Nursing Practice: A Practice Update on the Application of Orem’s Self-Care Deficit Nursing Theory. SAGE open nursing, 7, 23779608211011993. https://doi.org/10.1177/23779608211011993