Based on the reading assignment (McEwen & Wills, Theoretical Basis for Nursing, Unit II: Nursing Theories, chapters 6–9), select a grand nursing theory. • After studying and analyzing the approved theory, write on this theory, which includes an overview of the theory and specific examples of how it could be applied in your own clinical setting. Based on the reading assignment (McEwen & Wills, Theoretical Basis for Nursing, Unit II: Nursing Theories, chapters 10 and 11), select a middle-range theory. • After studying and analyzing the approved theory, write on this theory, which includes an overview of the theory and specific examples of how it could be applied in your own clinical setting.
The following should be included: • An introduction, including an overview of both selected nursing theories • Background of the theories • Philosophical underpinnings of the theories • Major assumptions, concepts, and relationships • Clinical applications/usefulness/value to extending nursing science testability • Comparison of the use of both theories in nursing practice • Specific examples of how both theories could be applied in your specific clinical setting • Parsimony • Conclusion/Summary • References: Use the course text and a minimum of three additional sources, listed in APA (6th ed.) format
The paper should be 8–10 pages long and based on instructor-approved theories. It should be typed in Times New Roman using 12-point font, and double-spaced with 1″ margins. APA format (6th ed.) must be used, including a properly formatted cover page and reference list. The proper use of headings in APA format is also required.
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Introduction:
As a professor of medicine, I am responsible for creating assignments and providing feedback to medical college students. One of the assignments that I design involves selecting and analyzing nursing theories. In this assignment, students are required to select a grand nursing theory and a middle-range nursing theory and provide an overview of the theories and their clinical applications. The purpose of this assignment is to help students understand the philosophical underpinnings of nursing theories and how they can be applied in clinical settings.
Grand Nursing Theory:
The grand nursing theory that I have selected is the Adaptation Model by Sister Callista Roy. This theory is based on the assumption that human beings are adaptive systems that respond to internal and external stimuli. According to the theory, the goal of nursing is to promote adaptation by assisting individuals in coping with environmental stimuli. The theory consists of four major concepts, including the person, environment, health, and nursing.
In my clinical setting, I can apply the Adaptation Model by assisting patients in coping with the challenges of hospitalization. For example, if a patient is experiencing pain, I can help them develop coping mechanisms that reduce the impact of the pain on their overall well-being. By promoting adaptation, I can help patients achieve better health outcomes.
Middle-Range Nursing Theory:
The middle-range nursing theory that I have selected is the Health Promotion Model by Nola Pender. The Health Promotion Model is based on the assumption that individuals are motivated to engage in healthy behaviors by their perceived benefits of the behavior, their perceived barriers to the behavior, and their self-efficacy. The theory consists of four major components, including individual characteristics and experiences, behavior-specific cognitions and affect, behavioral outcomes, and influences on health behaviors.
In my clinical setting, I can apply the Health Promotion Model by promoting healthy behaviors among patients. For example, if a patient has a chronic disease, I can help them develop healthy behaviors that improve their health outcomes. By focusing on the individual characteristics and experiences of the patient, I can help them overcome barriers to healthy living and develop self-efficacy for healthy behaviors.
Comparison of the Theories:
Both the Adaptation Model and the Health Promotion Model can be applied in clinical settings to promote positive health outcomes. The Adaptation Model focuses on promoting adaptation in response to environmental stimuli, while the Health Promotion Model focuses on promoting healthy behaviors. Both theories have value in extending nursing science testability and have been widely recognized as influential in nursing practice.
Conclusion:
In conclusion, nursing theories play an essential role in shaping nursing practice and promoting positive health outcomes. In this assignment, students are required to select and analyze a grand nursing theory and a middle-range nursing theory and provide an overview of the theories and their clinical applications. By understanding the philosophical underpinnings of nursing theories and how they can be applied in clinical settings, students can develop critical thinking skills, enhance their clinical practice, and improve patient outcomes.
References:
McEwen, M., & Wills, E. (2019). Theoretical basis for nursing. (5th ed.). Lippincott Williams & Wilkins.
Pender, N. (1996). Health promotion in nursing practice. (3rd ed.). Appleton & Lange.
Roy, S. (2011). The Roy Adaptation Model. (3rd ed.). Pearson.
