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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
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This paper explores on the development of a personal advanced nursing practice framework and its application to the recognized roles of the family health practitioner using clinical studies. Academic requirements, knowledge, skills and experience by these registered nurses were listed and fully described.
Therefore the nursing practice constitutes of the interaction between people, health, environment and nursing. The practice entails face-to-face service, which is given to the patients in a population or even a community throughout the life term. The nurse-patient relationship takes place with the intention of reacting to the needs of the service whereby intensive care is the critical role in the nursing practice.
However, there is no conflict on the issue of follow separate religions among this family. They respect other family members’ religion. They belong to the middle class. Mr. L and his wife have been working in a small car company for a long time, and their children are working as an elementary teacher, hair designer, and the youngest one has been employed at a big insurance company.
Centuries ago, while the science of medical care was in its technical evolution stage, the prime area of reference was only the provision of health care. However, in today’s world, where the scientific world has come of age in its standing vis-à-vis disease care and prevention, subsidiary issues have emerged that are considered to be of prime importance in the realm of health care.
According to the paper nursing has a more active role to play in the health care delivery system than the past and nursing as a profession is ‘Accountable’ today. Florence Nightingale was the founder of modern nursing who established the nursing philosophy based on health maintenance and restoration. A nursing theory is a conceptualization of some aspects of nursing communicated for the purpose of describing, explaining, predicting and or prescribing nursing care.
Conceivably, nearly all nurses in practice of the connection among family health, culture and nursing is very
eminent. However, family members persist to be normally ruled out in the care of their relatives in specified situations. Recognizing the influence of family involvement in health care is critical to nursing practice.
It helps to focus on the core attributes of nursing, while marginalising those characteristics which are not part of nursing. Thus, the metaparadigm allow nurse practitioners, theorists and researchers to concentrate
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In the Australian rural and remote setting, the implementation of the appropriate standards of nursing care and practice may be on a wider scale and on a different level of implementation. This paper shall discuss the scope of
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