This paper discusses some of the nursing theories that have been applied in the nursing profession and form the basis of some of the best evidence-based practices. In professional practice, models and theories provide planners with relevant tools to help them go beyond intuition…
Models become necessary when representations of various interactions among different concepts needs to be shown and patterns established. Theories should be able to give nursing practice the foundation it needs in order to develop more knowledge in the area and provide the direction such a nursing professional practice needs to take (Alligood & Tomey, 2002, pp.56-78). The paper looks at these nursing models and theories and in particular addresses the Florence Nightingales Legacy of Caring; Orem Theory and Paplau's Theory and points out their underlying theoretical and evidence base for each of them. The strengths and weakness of each of these theories are also discussed. A case study will be carried out on one of these models and theories to help illustrate its application further. This case study involves how to take care of peripherally inserted central catheter paediatric patients for chemo therapy purpose long term care. The peripheral IV devises are those cannula that are inserted into a peripheral vein that is small for purposes of therapy in cases where medications, blood products or fluids need to be administered to patients. The peripherally inserted central catheter devices or PICC are usually inserted into brachial veins or basilica or cephalic veins and do get into the large vein or superior vena cava. Little is however known regarding the risk of complications in applying these devices to paediatric patients with cancer who are under chemotherapy (Callaghan, et al., 2002, pp.256-64). This will be further illustrated by taking into account the metaparadigms in nursing application such as infection Control of this condition, relevant education that is needed, health situation, the environmental setting, and the kind of nursing required. A...
The objective of this research is to acquire a better insight of nursing models and theories. There are various models that have been put forward in the nursing profession to help in the evidence based practices. Some of these models and theories include, but not limited to, Florence Nightingales Legacy of Caring, Orem’s Theory, Paplau's Theory, Neumans’s Health Care System Model, Myra Estrin Levine’s: The conservation model, and Patricia Benner’s Primacy of caring, among others. Indeed the importance of models and theories in nursing profession cannot be overemphasized because they hold a critical point in the evidence-based nursing practice which cannot be ignored if professional practice is to be upheld. These concepts are very useful in the success of any nursing professional in providing healthcare to his or her patients. The theoretical models discussed above have been used in various medical settings in assisting patients cope and deal with their conditions. Paediatric patients on chemotherapy need special care. PICCs are a choice for patients who need long-term IV access and many practitioners would choose PICCs due to the fact that they are durable and pose fewer problems when it comes to insertion and their removal after use. There is however a high rate of complication with cancer patients when PICCs are used, especially during chemotherapy. But that aside, the fact that these PICCs do not require a surgical procedure, less pain experienced during insertion, and ease of removing them after use, make PICCs preferred for patients especially paediatric patients under chemotherapy. ...
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Through refection, practitioners view the world differently based on past experiences and this helps them to act differently as a changed person. Reflective practice can also be defined as examining ones thoughts and actions.
This discussion will include actions that can improve the outcome of the complications. PICC line complications are common and care pathways have been developed to assess and create a nursing diagnosis for these complication. Main Section We will apply Gibbs model of reflection in implementing our improvements with patient X, who has presented with peripherally inserted catheter complications.
Second, during the 1980s and 19990s, nurse education ascended into a higher education sector which prompted the restructuring of UKCC’s project 2000 pre-registration curricula known as fitness for practice. The project documented the strengths and weaknesses of this project and found out that at the point of registration, students were not clinically competent like those who came from the project 2000.There was a need for wider availability of skilled mentors to enable students become clinically competent and become fit for practice.
Since then, nursing has evolved into what it is now. Today’s nurses are no longer regarded as mere handmaidens to physicians, but as competent and essential part of the health care team (Quan 2006, p.28). One way to look at the development of nursing is to study its theories and philosophies since these are the core knowledge base of the profession (McKenna 1997) and these serve as “the foundation of nursing thought, teaching, and practice” (Sitzman 2002, p.118).
In nursing the utilisation of evidence- based practice is founded on the notion that medical practices have to be generated and tailored according to a constant succession of research findings such as theories and evidence.
These theories are the basis of the conceptual designs that determine the place of nursing in health and care of illness. Theories, therefore, build the structure and substances to ground the clinical practice and scholarship in nursing. With time, as expected, there would be paradigm shift in knowledge, and these would bring about changes in the discipline or practice.
As such, the diversity of these needs may mean that the National Health System (NHS) alone cannot meet them. It is clear that efficient discharge from hospital requires there be a working network between the NHS, local authorities, housing organisations, and other primary care and voluntary or independent organisations to delivery service needs to the community.
2006). The theory reflects from a philosophy that patients can recuperate more quickly and fully they are encouraged to carry out their individual self-cares for their own convalescence (Kermode et al.
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