Theories in nursing

Sample Solution

Question 1: Theory Alignment

Theory: Watson's Theory of Caring

Alignment with Beliefs and Experiences:

Watson's Theory of Caring deeply resonates with my beliefs and experiences as a nurse. The theory emphasizes the importance of human connection, compassion, and presence in providing holistic care. My experiences in clinical practice have reinforced the significance of these elements in building therapeutic relationships with patients and their families.

Advancing Practice:

Watson's Theory of Caring can guide my practice by:

• Prioritizing patient-centered care: Focusing on the patient's needs and experiences rather than solely on the disease or illness.
• Cultivating a caring environment: Creating a safe and supportive environment that promotes healing and well-being.
• Practicing mindful presence: Being fully present with patients and offering genuine compassion and empathy.
• Promoting health and healing: Helping patients to develop their full potential and achieve optimal health.

Question 2: Nightingale's Influence on Integral Theory and MRM

Florence Nightingale's Theory of Nursing and Environment had a profound influence on both the Integral Theory by Dossey and the Theory of Modeling and Role-Modeling by Erickson, Tomlin, and Swain.

Integral Theory:

Dossey's Integral Theory builds upon Nightingale's emphasis on the importance of the environment in promoting health and healing. Nightingale believed that nurses should create a healthy environment for patients, free from noise, overcrowding, and poor ventilation. Dossey's Integral Theory extends this concept to include the spiritual and psychological dimensions of the environment.

Theory of Modeling and Role-Modeling:

Erickson, Tomlin, and Swain's Theory of Modeling and Role-Modeling draws on Nightingale's concept of the nurse as a role model for patients. Nightingale believed that nurses should set a positive example for patients by demonstrating healthy behaviors and attitudes. Erickson, Tomlin, and Swain extend this idea to emphasize the importance of nurses modeling healthy behaviors and attitudes for patients and their families.

Question 3: Case of Mr. X

Mr. X is a 65-year-old male admitted to the hospital for pneumonia. He has a history of chronic obstructive pulmonary disease (COPD) and diabetes.

Focal Stimuli:

• Pneumonia
• COPD
• Diabetes

Residual Stimuli:

• Age
• Gender
• Socioeconomic status
• Family support

Contextual Stimuli:

• Hospital environment
• Healthcare providers
• Cultural beliefs and values

Assessment of Adaptation Level:

Based on the assessment, Mr. X's level of adaptation appears to be compromised. His illness is affecting his physical and emotional well-being, and he may be struggling to cope with the challenges of hospitalization.

Question 4: Theory of Modeling and Role-Modeling

The Theory of Modeling and Role-Modeling has guided numerous nursing research studies. For example, studies have examined how nurses can model healthy behaviors for patients, such as smoking cessation or healthy eating. Other studies have explored the impact of nurse-patient relationships on patient outcomes, such as adherence to treatment plans and satisfaction with care.

The Theory of Modeling and Role-Modeling provides a valuable framework for understanding the complex interactions between nurses and patients and for developing interventions to promote health and well-being.