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The theory-practice gap can only be terminated rather than being resolved by starting a new nursing theory concept and a new connection between practice and theory where both communicate and respond to each other. For example, a transformative and collaborative model is used to identify that health care needs of patients are not met in the health care system dominated by medicine. The transformative model is used to promote visible and active nursing presence, describe and foster medical-nursing collaboration in health care system (Hamric, Hanson, Tracy & OGrady, 2014).
I agree with discussion two about theory-practice gap because it has limited the nursing professions from full utilisation of their knowledge in practice. This is because theory based nursing practice relies on the extent of the nurses’ understanding and knowledge of theories and model; and how to implement them in their profession. Nursing theories and models give a systematic approach and structure to identify important data, interpret information for nursing diagnosis, plan effective nursing care and examine patients through objective analysis, decision making and analysis. In advanced nursing profession, the advanced nurse practitioner handles a variety of patients ranging from community, special population, families and individual. The health care revolution demands that a nurse should show cost effective, high quality and efficient care in health care systems; pushing nurses to advance their studies (Cody & Kenney, 2006). This has led to hospitals attracting educated nurses who are grounded on graduate level education and clinical training. These advanced nurse practitioners are certified and have direct clinical practice centred on patients and families. Therefore, the role of the advanced nurse practitioner is to give care using evidence-based practice; to improve the health of the patient. To sum
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Although nursing is regarded as a vocation calling, the findings have served to quell the critics and encourage professionalism in nursing in a rapidly evolving healthcare environment. However, there is still need to provide more information to the nursing community in order to facilitate a smooth dispensation of services.
Rationale for theory and how theory can advance nursing practice 3. Conclusion Nursing Practice Gap 1. Introduction. Developments in nursing profession have caused demands on nursing profession to facilitate nursing education and integrate it with practice.
Yet, studies indicate that there is a persistent gap between theory and practice. According to Landers (2000), after nurses come from school for training, what they experience as they practice their profession is different from what they learn in school. In this regard, as Rolfe (1996) identifies, there is an urgent need to close this gap in order to ensure that theory is linked to practice.
Reflection within nursing context is represented as ‘art of nursing’, which involves “creativity and conscious self-evaluation over a period of time” (Jones & Bartlett, n.d.). Reflective-based practices assist nurses in mitigating unique situations.
However, the use of the term "evidence based" had confused many practitioners. Several researches were done to clarify the term. Aside from misconceptions and misinterpretations, evidence based nursing practice is also plagued with debates and issues that need to be resolved.
Lovelady (2000) also found that simply memorising the features and operation of equipment often results in inefficient handling of it in the ward, as the learning is not remembered in longer term. Hence the student should be taught in contextualised manner to develop cognition and comprehension.
This develops confidence in the nurses as they get positive response from the patients according to Renee Twibell an assistant professor in Ball state university school of nursing. The nurses following the evidence based practice can articulate their best decisions.
Many management theories have been developed that guide the managers about the art of managing effectively. However, there lies a gap between the actual practices of managers in an organization and the guidelines in the theories of management.
Currently, nurse scholars are attempting to move beyond the safe confines of the randomized control trial as the gold standard of science. Unfortunately, the teaching and research of these forerunners are often discounted by their peers who feel compelled
This gap has made it challenging for graduates to adequately relate what they learn in class and the actual practices in healthcare institutions. Considering that knowledge involved in the nursing practice cannot be taught through theory, the notion of
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