Instructions
Concept Synthesis Paper on Personal Nursing Philosophy
You are required to submit a scholarly paper in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice.
This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory.
Your paper should follow a format that includes:
· Nursing Autobiography: A brief (1 page) discussion of your background in nursing.
· The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.
Your paper should integrate these discrete elements and reflect your personal nursing philosophy.
Week 1: Nursing Biography and The Four Metaparadigms of Nursing
Consider the following questions as you complete your various tasks related to this assignment.
1. How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?
2. What are the major concepts I employ that are unique to my professional practice?
3. What research supports these theories and concepts?
4. How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?
The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 4-5 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.
Your philosophy/framework is to be given a title that is appropriate to its content and emphasis.
Scholarly academic references
The Theory Era
The theory era began with a strong emphasis on knowledge development. Although in the previous two decades proponents of nursing theory and nursing theorists had begun to publish their works, it is noteworthy that they denied being theorists when they were introduced as such at the 1978 Nurse Educator Conference in New York with the Nursing Theory theme. There was understanding among those attending the conference that the presenters were theorists, and by the second day, the audience responded to their denials with laughter. This seems strange today, but this was the first time most of the theorists even met each other. Their works had grown out of content organization in nursing education courses, nursing practice administration in large agencies, and structures for the thought and action of practice. It was clear that their works were nursing theoretical structures even before they recognized them as such. The theory era, coupled with the research and graduate education eras, led to understanding of the scientific process beyond production of a scientific product Theory forms the foundation of knowledge. Nursing theories form the foundation of nursing practice, research, and education. Throughout your professional life, you will be applying theory and the knowledge derived from theory in your practice environment regardless of the setting. An understanding of the nature of nursing knowledge from a historical perspective will help you relate better to where nursing theory development is today.
Theory
Theory is defined as “an organized, coherent, and systematic articulation of a set of statements related to significant questions in a discipline that are communicated in a meaningful whole; a symbolic depiction of aspects of reality that are discovered or invented for describing, explaining, predicting, or prescribing responses, events, situations, conditions, or relationships” (Meleis, 1997, pp. 8,12)1. Thus, a theory is a coherent set of propositions and statements that describe (factor-isolating), explain (factor-relating), and predict (situation-relating) phenomena as well as prescribe (situation-producing) actions toward goals. (Dickoff et al., 1968)2.
Theory development requires perceiving phenomena that are peculiar to nursing and proposing meaningful explanation for these perceptions. The nursing profession identifies four levels of theory—metatheory, grand theory, middle range theory, and practice theory. The theories are classified based on their levels of abstraction or complexity.
A complete structure includes a conceptual model, derived theories, and correlated empirical research methods. Each conceptual model and theory is comprised of concepts and propositions. The complete structure forms a hierarchy that is based on levels of abstraction.
Most abstract: the conceptual model that provides the context or frame of reference for theory-generating and theory-testing research
Intermediate level: the theory that is generated or tested
Most concrete: the empirical research methods used to collect and analyze the data
1Meleis, A. I. (1997). Theoretical nursing: development and progress (3rd ed.). Philadelphia: Lippincott.
2Dickoff, J., James, P., & Wiedenbach, E. (1968). Theory in a practice discipline Part 1: Practice oriented theory. Nursing Research, 17(5), 415–435.
Importance of Identification of theory
Early knowledge consisted of loosely connected clusters of concepts. Later knowledge developed interrelated statements connecting the concepts. Advanced theory provided a knowledge base for intervention strategies that clusters of concepts could not.
Identification of theory is important to understand the characteristics of theory structures. A complete theory of nursing identifies the three elements of context, content, and process; some theorists articulate each element better than others.
Context is the environment in which nursing acts occur; the context of a theory describes the nature of the world of nursing and may describe the nature of the patient’s world.
Content includes the subject matter of a theory; this comprises the stable components that are acted on or that do the acting
Process implies the action part of the theory, the intervention elements.
In addition to these elements, all theories should be examined for certain common factors:
Theories should be based on concepts and propositions
Theories should be specific to the nursing context
Theories can be applied to many situations
Theories should be relevant to potential users
Theories should be easy to define it in operational terms
Theories should correspond with empirical findings
Theories should demonstrate internal consistency.
Florence Nightingale made the first attempts at theory-based nursing during the late 19th and early 20th centuries. She organized a group of women to deliver care under her supervision and that of war surgeons. She established the need for hygiene, with environmental change as the means to enhance healing. For her, the nursing domain was the patient and the environment in which care was offered. Her goals were to expose the unhealthy conditions of soldiers, to gain support for the need for nurses, and to achieve formal education for nurses. She was the first to use data collection and analysis to prove efficacy of nursing actions.
The Nursing-Theory Connection
The new millennium has witnessed a rapid change in the global healthcare arena. This profession is continually evolving to face the monumental changes that have emerged. In the past, nursing theories were taught strictly from an academic point of view. Those in practice saw little connection or integration of theory and practice. However, the contemporary move toward evidence-based practice has seen nursing professionals applying theory to describe, predict, and prescribe nursing practice.
Relevance to Present and Future
Theories are a reflection of the past, present, and future of nursing. Understanding the relevance of theories will enhance the relationship of concept with practice. This will help you comprehend the complex phenomena and interconnectedness between theory and practice and build a new way of thinking, understanding, working, and living.
Relevance to Research
Research on theories help in the systematic investigation of the domain of knowledge. Research acts as a source of knowledge development. Research studies conducted on nursing theories help highlight the interlinking cyclical connection between theory and practice. Learners get an idea about the interconnectedness between real world clinical issues, theory, and actual research.
Nursing theories
Nursing theories are normally derived from conceptual models in which the nursing metaparadigm phenomena are clearly identified (Fawcett, 1983)3. For this reason, the conceptual model is considered a precursor of nursing theory (Peterson, 1977; Fawcet 1983)4. A conceptual model of nursing is a set of abstract concepts and propositions that are integrated into a meaningful configuration and represents an involvement in theoretical formulations by describing nursing phenomena and their interrelationships in abstract terms (Fawcett, 1983).
The concepts of a conceptual model are so abstract and general that they often cannot be observed or tested directly and may not even be defined. The concepts and definitions of each conceptual model are often stated in a distinctive vocabulary where the meaning of each term is connected to the unique focus of the conceptual model. Therefore, the same terms may have different meanings in different conceptual models.
Each conceptual model provides a different perspective from which to view the phenomena that are within the domain of inquiry of a particular discipline. Most disciplines have more than one conceptual model; each focuses on certain phenomena that are regarded as relevant and other phenomena are ignored because they are deemed less important.
3 Fawcett, J. (1983). Hallmarks of success in nursing theory development. In P. L. Chinn (Ed.), Advances in nursing theory development. Aspen, DN: Rockville, p. 3–17.
4Peterson, C. J. (1977). Questions frequently asked about the development of a conceptual framework. Journal of Nursing Education, 16( 4 ), 22–32.
My autobiography.
I am currently in Miami, FL. I have been living here since I came from Cuba 17 years ago. I received my RN license in 2017 with an associate degree, and I obtained my BSN last august. Since I received my RN license in 2017, I have worked in home health, clinical trial clinic, med-Surg floor nurse, ER nurse, and how I’m a hospice clinical liaison. I expect to increase my knowledge of nursing theories and how I can apply these theories to nursing. I’m still undecided between going back to the ER or stay in the hospice field and go for the palliative route. Since I started my nursing career, my goal and objective have always been to obtain my Master’s degree and become a nurse practitioner, and now thanks to this course, fulfilling my goal is getting closer. I’m always up for new challenges, and I think that I can grow within my organization, and I believe that this course can help me along with getting my master’s in science of nursing. I am excited to be a part of this class and good luck to everyone!
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Week 1 Journal Peds
/in Uncategorized /by developerAssignment: Practicum – Journal Entry
As a future advanced practice nurse, it is important that you are able to connect your didactic experience to your Practicum experience. By applying the concepts you study in the classroom to clinical settings, you better prepare yourself for your future professional career. Each week, you complete an assignment that prompts you to reflect on your Practicum experiences and relate them to the material presented in the classroom.
To prepare for this course’s Practicum experience, address the following in your Practicum journal:
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Week 1 Leadership 19368249
/in Uncategorized /by developerDiscuss how issues currently affecting the nursing workforce will affect you as an individual. How will the nursing workforce shortage affect the profession of nursing and health care delivery?
Do 250 words.
Provide at least 2 references.
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Week 1 Nr532
/in Uncategorized /by developerMany leaders hesitate to show vulnerability to their team. Discuss at least one way that you could show vulnerability as a leader to your team. How could this help you connect with your team in a positive manner (See the Person Centred Nursing Framework (PC) PowerPoint link in your required reading for the week)?
In addition, what type of healthcare delivery system would you implement for your team? Discuss the rationale for your choice.
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Week 1 Nr533
/in Uncategorized /by developerWeek 1: Touchpoint Reflection: Healthcare Systems’ Financial Environments
22 unread replies.22 replies.
Guidelines for Touchpoint Reflections
Touchpoint Reflections: This is a new type posting that occurs in the same type portal as the discussion thread. However, these are treated as “mini”-weekly assignments”. You will be able to see and read the posts of peers but are not required to respond to them. However, if someone responds to your TPR, replying their post is always the collegial thing to do. Your grade is not affected either way.
There are specific formatting and content guidelines. Remember to use the headings as defined to address each section, Experience, Reflection, Implications, in your responses. A downloadable version of the guidelines, which includes further information, is available for access below. You are encouraged to download these guidelines and rubric to avoid the need for referring back to this page for the link.
EXPERIENCE
Understanding how your organization is reimbursed for services depends on several components. Assess your organization and identify its care delivery system and payer mix make up. Include percentages represented by each payer group. Identify the key people in your organization from whom you obtained your information. Perhaps it is your unit director, operational directors, financial officers, CNOs. Your direct supervisor might be able to point you in the right direction, Since the information required is often available to the public through public reports you might also access the information through online searches of internal systems or external internet searches.
NR533 Week 1: Touchpoint Reflection Experience Table (Links to an external site.)
Your Name’s Healthcare Organization
Healthcare Delivery System (Type)
Payer Mix
Percentage
Medicare
Medicaid
Managed Care
HMO
PPO
IPA
Self-pay
Uninsured
REFLECTION
Based on this data, discuss the assumptions that could be made about the population demographics for your institution. What influence do these variables have on the types of services offered at your facility?
IMPLICATIONS FOR THE FUTURE
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Week 1 Primary Care Journal
/in Uncategorized /by developerJournal Entry that prompts you to reflect on your Practicum Experiences and how they relate to your Professional Goals and Self-Assessment of Clinical Skills. This week you will begin documenting your Practicum Experiences in your Practicum Journal.
To prepare
For this course’s Practicum Experience, address the following in your Practicum Journal:
Setting is a internal medicine office adults patients only.
2-3 references
APA
journal 1-2 pages
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Week 1 Project 19458867
/in Uncategorized /by developerInstructions
Concept Synthesis Paper on Personal Nursing Philosophy
You are required to submit a scholarly paper in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice.
This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory.
Your paper should follow a format that includes:
· Nursing Autobiography: A brief (1 page) discussion of your background in nursing.
· The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.
Your paper should integrate these discrete elements and reflect your personal nursing philosophy.
Week 1: Nursing Biography and The Four Metaparadigms of Nursing
Consider the following questions as you complete your various tasks related to this assignment.
1. How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?
2. What are the major concepts I employ that are unique to my professional practice?
3. What research supports these theories and concepts?
4. How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?
The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 4-5 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.
Your philosophy/framework is to be given a title that is appropriate to its content and emphasis.
Scholarly academic references
The Theory Era
The theory era began with a strong emphasis on knowledge development. Although in the previous two decades proponents of nursing theory and nursing theorists had begun to publish their works, it is noteworthy that they denied being theorists when they were introduced as such at the 1978 Nurse Educator Conference in New York with the Nursing Theory theme. There was understanding among those attending the conference that the presenters were theorists, and by the second day, the audience responded to their denials with laughter. This seems strange today, but this was the first time most of the theorists even met each other. Their works had grown out of content organization in nursing education courses, nursing practice administration in large agencies, and structures for the thought and action of practice. It was clear that their works were nursing theoretical structures even before they recognized them as such. The theory era, coupled with the research and graduate education eras, led to understanding of the scientific process beyond production of a scientific product Theory forms the foundation of knowledge. Nursing theories form the foundation of nursing practice, research, and education. Throughout your professional life, you will be applying theory and the knowledge derived from theory in your practice environment regardless of the setting. An understanding of the nature of nursing knowledge from a historical perspective will help you relate better to where nursing theory development is today.
Theory
Theory is defined as “an organized, coherent, and systematic articulation of a set of statements related to significant questions in a discipline that are communicated in a meaningful whole; a symbolic depiction of aspects of reality that are discovered or invented for describing, explaining, predicting, or prescribing responses, events, situations, conditions, or relationships” (Meleis, 1997, pp. 8,12)1. Thus, a theory is a coherent set of propositions and statements that describe (factor-isolating), explain (factor-relating), and predict (situation-relating) phenomena as well as prescribe (situation-producing) actions toward goals. (Dickoff et al., 1968)2.
Theory development requires perceiving phenomena that are peculiar to nursing and proposing meaningful explanation for these perceptions. The nursing profession identifies four levels of theory—metatheory, grand theory, middle range theory, and practice theory. The theories are classified based on their levels of abstraction or complexity.
A complete structure includes a conceptual model, derived theories, and correlated empirical research methods. Each conceptual model and theory is comprised of concepts and propositions. The complete structure forms a hierarchy that is based on levels of abstraction.
Most abstract: the conceptual model that provides the context or frame of reference for theory-generating and theory-testing research
Intermediate level: the theory that is generated or tested
Most concrete: the empirical research methods used to collect and analyze the data
1Meleis, A. I. (1997). Theoretical nursing: development and progress (3rd ed.). Philadelphia: Lippincott.
2Dickoff, J., James, P., & Wiedenbach, E. (1968). Theory in a practice discipline Part 1: Practice oriented theory. Nursing Research, 17(5), 415–435.
Importance of Identification of theory
Early knowledge consisted of loosely connected clusters of concepts. Later knowledge developed interrelated statements connecting the concepts. Advanced theory provided a knowledge base for intervention strategies that clusters of concepts could not.
Identification of theory is important to understand the characteristics of theory structures. A complete theory of nursing identifies the three elements of context, content, and process; some theorists articulate each element better than others.
Context is the environment in which nursing acts occur; the context of a theory describes the nature of the world of nursing and may describe the nature of the patient’s world.
Content includes the subject matter of a theory; this comprises the stable components that are acted on or that do the acting
Process implies the action part of the theory, the intervention elements.
In addition to these elements, all theories should be examined for certain common factors:
Theories should be based on concepts and propositions
Theories should be specific to the nursing context
Theories can be applied to many situations
Theories should be relevant to potential users
Theories should be easy to define it in operational terms
Theories should correspond with empirical findings
Theories should demonstrate internal consistency.
Florence Nightingale made the first attempts at theory-based nursing during the late 19th and early 20th centuries. She organized a group of women to deliver care under her supervision and that of war surgeons. She established the need for hygiene, with environmental change as the means to enhance healing. For her, the nursing domain was the patient and the environment in which care was offered. Her goals were to expose the unhealthy conditions of soldiers, to gain support for the need for nurses, and to achieve formal education for nurses. She was the first to use data collection and analysis to prove efficacy of nursing actions.
The Nursing-Theory Connection
The new millennium has witnessed a rapid change in the global healthcare arena. This profession is continually evolving to face the monumental changes that have emerged. In the past, nursing theories were taught strictly from an academic point of view. Those in practice saw little connection or integration of theory and practice. However, the contemporary move toward evidence-based practice has seen nursing professionals applying theory to describe, predict, and prescribe nursing practice.
Relevance to Present and Future
Theories are a reflection of the past, present, and future of nursing. Understanding the relevance of theories will enhance the relationship of concept with practice. This will help you comprehend the complex phenomena and interconnectedness between theory and practice and build a new way of thinking, understanding, working, and living.
Relevance to Research
Research on theories help in the systematic investigation of the domain of knowledge. Research acts as a source of knowledge development. Research studies conducted on nursing theories help highlight the interlinking cyclical connection between theory and practice. Learners get an idea about the interconnectedness between real world clinical issues, theory, and actual research.
Nursing theories
Nursing theories are normally derived from conceptual models in which the nursing metaparadigm phenomena are clearly identified (Fawcett, 1983)3. For this reason, the conceptual model is considered a precursor of nursing theory (Peterson, 1977; Fawcet 1983)4. A conceptual model of nursing is a set of abstract concepts and propositions that are integrated into a meaningful configuration and represents an involvement in theoretical formulations by describing nursing phenomena and their interrelationships in abstract terms (Fawcett, 1983).
The concepts of a conceptual model are so abstract and general that they often cannot be observed or tested directly and may not even be defined. The concepts and definitions of each conceptual model are often stated in a distinctive vocabulary where the meaning of each term is connected to the unique focus of the conceptual model. Therefore, the same terms may have different meanings in different conceptual models.
Each conceptual model provides a different perspective from which to view the phenomena that are within the domain of inquiry of a particular discipline. Most disciplines have more than one conceptual model; each focuses on certain phenomena that are regarded as relevant and other phenomena are ignored because they are deemed less important.
3 Fawcett, J. (1983). Hallmarks of success in nursing theory development. In P. L. Chinn (Ed.), Advances in nursing theory development. Aspen, DN: Rockville, p. 3–17.
4Peterson, C. J. (1977). Questions frequently asked about the development of a conceptual framework. Journal of Nursing Education, 16( 4 ), 22–32.
My autobiography.
I am currently in Miami, FL. I have been living here since I came from Cuba 17 years ago. I received my RN license in 2017 with an associate degree, and I obtained my BSN last august. Since I received my RN license in 2017, I have worked in home health, clinical trial clinic, med-Surg floor nurse, ER nurse, and how I’m a hospice clinical liaison. I expect to increase my knowledge of nursing theories and how I can apply these theories to nursing. I’m still undecided between going back to the ER or stay in the hospice field and go for the palliative route. Since I started my nursing career, my goal and objective have always been to obtain my Master’s degree and become a nurse practitioner, and now thanks to this course, fulfilling my goal is getting closer. I’m always up for new challenges, and I think that I can grow within my organization, and I believe that this course can help me along with getting my master’s in science of nursing. I am excited to be a part of this class and good luck to everyone!
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Week 1 Psychiatric Assessment Of The Adult And Older Adult
/in Uncategorized /by developerAttach the interview format document you would use for an initial interview of a client.
Describe what interview format your preceptor uses for the initial interview of a client.
Describe which element of your interview format is most helpful in your practice.
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Week 10 18628623
/in Uncategorized /by developerRead chapter 20 and 21 the attached Power Point Presentation. Once done answer the following questions;
1. Describe the health care beliefs of the Korean and Mexican heritage on how they are related to the delivery of health care.
2. Is there any similarity between this two cultures.
3. Give your opinion on how the beliefs of the this two culture influence the delivery of health care.
APA format word document on an Aral 12 font, A minimum of 3 evidence based references, Please follow proper instructions, A minimum of 500 words are required.
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Week 10 18639937
/in Uncategorized /by developerRead chapter 22, 24 and 36 o review the attached Power Point Presentations. Read content chapter 36 in Davis Plus Online Website. Once done answer the following questions;
1. Describe the health care beliefs of the Russian, Polish and Thai heritage and how they are related to the delivery of health care.
2. Is there any similarity between these 3 cultures. If yes or no, please explain.
3. Give your opinion on how the beliefs of these 3 cultures influence the delivery of health care.
present assignment in an APA format word document on an Arial 12 font, A minimum of 3 evidence based references no older than years 5 years are required. A minimum of 500 words are required without counting the first and last page.
Please follow instructions.
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Week 10 18753187
/in Uncategorized /by developerDetails:
Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.
You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.
Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
You are not required to submit this assignment to Turnitin.
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