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Personal Framework: Family Nursing Practice

121). Whereas, nursing practice is “the acid test of the nursing theory” (Martin, Forchuck, Santopinto and Butcher, 1992, as cited in Wood & Alligood, 2006, p. 17). In my nursing practice, nursing theories have given me focus in my work, has made me more critical in understanding my patients and my work, and has given me the self-confidence to perform my nursing role. Whereas, my practice has demonstrated the efficacy and limitations of the nursing theories I have learned. This has enabled me to better grasp the theoretical knowledge I have gained which before have been too abstract to me. Both have strengthened my foundation, and have broadened and deepened my understanding of nursing. My nursing practice has demonstrated concretely that health care optimization largely depends on patients’ cooperation. The Roy Adaptation Model, a client-centered model, which promotes patient cooperation, as it focuses on enabling the patient to respond positively to environmental changes (Hargrove & Derstine, 2001, p. 15) has been my personal practice framework. With this framework, I learned lot of things as a bedside nurse. I learned to look for the specific factors and various nursing interventions that in any way may have an impact on my patients’ adaptation process. My assessment skills have greatly improved; I am able to identify the abnormal; and I have learned effective methods to evaluate my output, if it has been the product of my nursing care or not. Putting into practice Roy Adaptation Model has compelled me to spend more time with my patients, enabling me to focus on their problems/needs. Resultantly, I have developed mutually respectful relationship with them that they cooperate with me in their healing process. However, in the course of my practice, I came to realize that developing self-care in my patients would capacitate them to adapt more easily to their changing environments. Hence, Dorothea Orem Self-Care Model has supplemented my personal practice framework. Orem’s three central theories of self-care, self-care deficit and nursing systems are congruent with the Roy Adaptation Model. Self-care comprises those activities performed independently by an individual to promote and maintain his/her well-being. Self-care deficit happens when self-care is not possible. Nursing systems are ways by which nurses could help capacitate patients for self-care. These nursing systems could be (a) wholly compensatory system – the patient is dependent totally to nursing care, (b) partially compensatory system – patient can meet some needs but needs nursing assistance, and (c) supportive – educative system – patient can meet self-care requisites, but needs assistance with decision- making or knowledge (Hargrove & Derstine, 2001, p. 14-15). In Orem’s model, self-care is the focus of health provisions to reduce incidences of hospitalization, which is in all ways stressful to families (Crumbie, 1999, p. 246). As such, this has helped my practice focus in enabling my patients to self-care. Resultantly, I learned how partnership in care between the patient and the nurse can be developed naturally. More importantly, it has demonstrated that by enhancing self-care in patients, their sense of adaptability is further developed. Consistent with Bandura’s Self-Efficacy Theory, one’s belief in his/her ability determines his/her behavior (Clark, 2009, p. 80). Therefore, as the patient sees and believes he is capable of self-care, the lesser he/she requires nursing. Furthermore, my practice has consistently demonstrated the family’s vital role in effective nursing care. As Bowen’s Family Systems Theory argues, individuals should be understood as part of their family. To understand each family member, how each one relates to each other has to ...Show more
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Summary

Nursing theories provide “nurses tools to ensure that nursing assessments are comprehensive and systematic and that care is meaningful” (Frisch, 2009, p. 121)…
Personal Framework: Family Nursing Practice
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