Assignment – Application Of Concepts From Caring Science
Assignment – Application Of Concepts From Caring Science
Summary: A theory can be used to guide practice. This assignment is an exercise in supporting a clinical practice with theory and evidence. Directions: Identify an outcome of nursing practice in your area of practice that can be improved. For example, if you work in home health, you may identify that throw rug use by fall risk patients is too prevalent. You may be able to use the problem that inspired the theory concepts that you developed in week two. Briefly support why it is a problem with evidence from the literature. This is not the major focus of the assignment so do not elaborate. Create a clinical nursing (not medical) theory in the form Concept A | Proposition | Concept B. Think of the structure like two nouns and a verb. While the term proposition is much more complex in the dictionary, in our use it is the connecting term between the two concepts. Examples include Concept A improves Concept B, Concept A is related to Concept B, when Concept A increases then Concept B also increases, etc.
ORDER A PLAGIARISM – FREE PAPER NOW
When you get to research, you will explore this further as you develop independent and dependent variables. How to use these statistically will come in research and statistics courses. This clinical theory is identified as an empirical theory when you get to the C-T-E model later in this course. It is empirical in that they can be measured. Identify and define your concepts. Identify how they could be measured in a research study. Be careful that you do not use compound concepts. If you find the words “and” or “or” in your theory, you are probably too complex. If you research your question and seek funding, you will need a theoretical model to guide the research. In our assignment, we are using Watson. You will identify the concepts in Watson’s theories that are represented by the concepts you are using in your clinical theory. Match the proposition in her theory with your proposition. To help, the 10 Caritas Processes are Concept A. Choose the one that matches your concept. To clarify, let’s look at Caritas 1 Embrace and use it in middle-range theory. Sustaining humanistic-altruistic values by the practice of loving-kindness, compassion, and equanimity with self/others (Concept A – Very complex and abstract) improves (Proposition) subjective inner healing (Concept B). Remember that the paper is not about the problem. It is about constructing a clinical theory and matching it to a middle-range theory and conceptual model your clinical theory represents. Conclude the paper with your discoveries made in your readings and the impact on the nursing profession of your discoveries. Explore, briefly, discovered questions that require further research. Summarize the paper in the conclusion. Present your outcome in an APA formatted paper that meets the University’s standards for a written assignment.Applications of Concepts from Caring Science
Application of Concepts from Caring Science
The concepts presented in nursing theories are usually the leading pillars that direct nursing practice. All good evidence-based interventions that are undertaken by nurses in the line of caring for patients are supposed to have proper theoretical underpinnings. These are provided by conceptual frameworks that can only be found in nursing theories. Conceptual frameworks therefore provide a base upon which sound evidence-based practice or EBP can be built. Like a lighthouse at sea to a ship; the concepts in a nursing theory guide, direct, and steer practice around pitfalls and obstructions that may render the interventions ineffective and inefficacious. Nursing theories fall into three main categories, with each differentiated according to the level of abstraction in the theory in terms of its concepts. According to Wayne (2020), all nursing theories will be (i) a grand theory (ii) a mid-range theory, or (iii) a practice-level theory. Among the three, it is grand theories that are the most abstract whereas practice-level theories are the least abstract. Practice-level theories are easy to understand, direct to the point, narrow in scope, and very specific. Mid-range theories fall in-between and are arguably the largest category of nursing theories (Risjord, 2018). Some well-known and most often quoted nursing theorists are Florence Nightingale with the Environmental Theory, Madeleine Leininger with the Transcultural Nursing (TCN) Theory, Dorothea Orem with the Self-Care Deficit Theory (SCDT), and Jean Watson with the Theory of Human Caring (Alharbi & Baker, 2020; Gonzalo, 2019a; Gonzalo, 2019b; Pajnkihar et al., 2017; Borji et al., 2017). The purpose of this paper is to discuss how theoretical concepts can be applied to nursing practice with regard to the clinical practice problem of patient falls among the elderly in a rehabilitation center. Special attention will be given to the application of Jean Watson’s Theory of Human Caring.Applications of Concepts from Caring Science
An Outcome of Nursing Practice that Can be Improved
The outcome of nursing practice that will be the subject of this paper is the rate of patent falls in the elderly patient population that is 65 years old and above. This is a measurable outcome that represents a need for quality improvement (QI) in the healthcare setting in which it is found. Patient falls in the elderly is such an important quality issue that the Center for Medicare and Medicaid services (CMS) as payers stopped reimbursing providers for care provided to patient fall victims (AHRQ, 2018; Fehlberg et al., 2017). There is overwhelming evidence from peer-reviewed scholarly literature that supports the notion that accidental patient falls are indeed a significant clinical practice problem in nursing as a profession. According to Kojima et al. (2015), elderly patients in healthcare settings such as rehabilitation centers are at an ever-present risk of suffering unintentional falls. This is due to the fact that they are frail, suffer from various comorbidities that bring about various levels of disability, and also often have cognitive deficits due to neurocognitive disorders. The current incidence of patient falls in the US stands between 3.3 and 11.5 falls per 1,000 patient days. The falls cause injuries such as fractures but also concussions and even death (Kenny et al., 2017). Venema et al. (2019) state that the national benchmark for patient falls stands at 3.44 falls per 1,000 patient days.
A Clinical Nursing Theory
Within the context of the clinical problem of accidental patient falls in the elderly patient population discussed above, a clinical theory in the form of concept A | Proposition | concept B can be created. In this way, therefore, the concept-proposition-concept theory will have the following components:
- Concept A: Patients who are aged from 65 years going upwards are frail. Their bodies have undergone physiological deterioration and now they are susceptible to adverse health outcomes from different directions. They also suffer from many comorbid physical conditions as a function of their old age. These conditions include cardiovascular disease (CVD), type II diabetes mellitus, hypertension, and multiple sclerosis amongst others. Apart from these physical conditions, persons in this age group of 65 years and above also suffer from mental illness that places them at even greater risk of adverse health outcomes such as injuries from falls. Of particular concern here are the neurocognitive disorders such as dementia (major neurocognitive disorder or NCD) and Alzheimer’s disease. The neurocognitive disorders are marked by cognitive impairment including memory loss, disorientation, and disordered speech. With these kinds of symptoms, the elderly 65 year-old will easily wake up from the bed without a purpose and injure themselves as they fall while leaving the bed. Measurement of this concept in research occurs through descriptive statistics in tabulation of demographic data.
- Concept B: Assessment of the risk of fall among patients reveals that patients who are senior citizens and aged 65 years and above are at the highest risk of suffering accidental falls in any healthcare setup. This is especially true with healthcare settings that have high numbers of these elderly patients such as a rehabilitation center or a nursing home. This risk assessment is done by using evidence-based tools such as the Morse Fall Scale (Falcão et al., 2019). Applications of Concepts from Caring Science Patients in this demographic category suffer various degrees of injury when they fall victim to accidental falls in a healthcare setting. The injuries add to their frailty and may eventually lead to their death due to complications such as intracerebral hemorrhage after a concussion and a stroke or thromboembolic myocardial infarction (MI). The measurement of this concept in research uses evidence-based risk assessment tools such as the Morse Fall Scale Assignment – Application Of Concepts From Caring Science.
