Applying Theory to Practice Globally the nursing profession was facing a great number of problems in patients. Pain was just one of the many complaints but it was a significant and widespread one. Pain was a physiological complaint which distressed patients by the unpleasant sensation with affective experience (Peterson and Bedrow, 2008). In spite of pain assessment, appropriate management, evaluatory monitoring and educational research having been included in important guidelines like those from the Joint Commission and the National Guidelines ClearingHouse, the under-treatment and negligent management of acute and chronic pain were still evident (Bines and Paice, 2005). The words of Gillaspie (2010) conveyed the depth of the problem: “The delivery of effective pain management has become a pressing national issue in healthcare”. Patients had a right to be managed for pain relief (Zalon, 2008). The problem of pain management has thereby been identified by me as my practice problem. The nursing profession has several theories by which the problems in patient care were managed. Similarly I would be employing a theory to execute effective pain management in my hospital. The theory would be logical for application and concurrent with observations made daily. It would be similar to those previously used in successful programs. Past research would have supported this theory (Croyle, 2005). It would contain the highlights of the nursing profession. Foundations for nursing practice would be made. Generation of better knowledge would be remembered. The direction into which the nursing profession was to develop would be indicated. Patient care would be made better, professional growth would be enhanced, interpersonal communications among the nurses would be motivated for improvement, and guidance would evolve for education and research. The multidisciplinary approach to health care would be targeted. Criteria which improved the quality of care would continuously be identified. Middle-range theories promoted nursing practice by helping to understand the behavior of the client, suggesting useful interventions and offering credible explanations for the efficacy of the interventions (Peterson and Bedrow, 2008). The practice theory could be built up from the critical reflection of experiences. The purpose of the paper is to identify a middle range theory for my selected practice problem of management of pain and then use a borrowed theory to manage the same symptom of pain. Rationale for selection The commonest reason for patients seeking help from nurses was pain. The unpleasant sensation could cause the patient to even lose consciousness. The overwhelming effect could produce long-term adversities (Peterson and Bedrow, 2008). Wound healing became delayed and the immune system lost its activity. Metastasis of tumor cells could also occur. Acute pain was noticed in wounds or injuries, following surgery, in labor and in sickle cell crisis. Chronic pain was evident in skeletal muscle illnesses and gastrointestinal conditions. Hospital procedures like lumbar puncture, venipuncture and removal of chest tubes were accompanied by pain (Peterson and Bedrow). Infants suffered from pain in critically ill conditions or when close to death. The enormous extent of pain faced by the nursing profession was an indication for nurses to learn all the methods of relieving it. Clinical pain had a holistic and emotional
Applying Theory to Practice Applying Theory to Practice Abstract Of the several problems that nurses handle in their professional life, pain has been a significant one. The management of pain has had guidelines from several associations concerning human health and the nursing profession…
Nursing is considered by the American Nurses Association (ANA) as the “protection, promotion, and optimization of health and abilities; the prevention of illness and injury; the alleviation of suffering through the diagnosis and treatment of human responses; and the advocacy in health care for individuals, families, communities, and populations” .
In line with my personal values, the applied theory allows me to deliver my best and perform suitably in cases of crisis management. Keeping closely to the recommendations of the Joint Commission on Accreditation of Healthcare Organizations for patient safety goals, my theory for pain management includes the following plan which allows me to provide relief to the patient.
However, this principle may not hold in some cases, and the confidentiality requirement may have to be broken. Several ethical principle and theories have been postulated to guide medical officers and nurses in handling dilemmas such as those relating to the breaking of confidentiality.
general, HPM is considered as a multi-dimensional model since it focuses not only on the patients’ individual characteristics and/or experiences but also on the behaviour-specific cognitions and affect and behavioural outcomes. (Current Nursing, 2009)
To enable the readers to
In spite of pain assessment, appropriate management, evaluatory monitoring and educational research having been included in important guidelines like those from the Joint Commission and the National Guidelines Clearing House, the under-treatment
The patient none compliance involves the continuing with the habit of smoking. This habit results in chest pains. This model is selected for the practice to reflect the congruency that exists between the practitioner’s values and the assumptions