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Copy of Copy of Copy of Nursing Theory

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Kim Dufficy

on 19 October 2013

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Transcript of Copy of Copy of Copy of Nursing Theory

Adaptation Model
of Nursing
NUR/403
October 5, 2013

Kimberly Frommel MSN, RN
Compare and Contrast
Learning Team B
Preston Anderson, Kim Dufficy,
Kisha Joseph, Cathy Ligsay,
Christina Sancio
Nursing Theories

Theory of Goal Attainment

Nursing Theories
Approach to
Patient Care
Major Concepts
King's Conceptual Systems


Nursing Process
Major Concepts
Approach to Patient Care
Approach to Patient Care
Four Stages of Acquisition
Major Concepts
Development and International Process
Interpersonal Relations Theory
Major Concepts
Approaches to Patient Care
Patient helps nurse to identify perceived problems.

Applying nursing principles to problems at every level of experience.

Using therapeutic art, to help an individual divert attention away from sickness or illness.

Initiate interaction between nurse, patient, and health care team to find a common goal to good health.

Achieving goals by using a series of measurable steps.

Nurse and patient work together to achieve the goal of optimal health and move toward the ultimate goal of discharge.
References
Dorothea Orem
Callista Roy
Ramona Mercer
Imogene King
Maternal Role Attainment Theory
Alligood, M. R. (2010). Nursing Theory; Utilization & Application (4th

ed.). Retrieved from University of Phoenix eBook Collection database.

Cleveland Clinic Children's. (2011). Retrieved from http://

my.clevelandclinic.org/childrens-hospital/health-info/ages-stages/

baby/hic-kangaroo-care.aspx

Current nursing. (2012). Retrieved from http://currentnursing.com/

nursing_theory/application_Peplau%27s_interpersonal_theory.html

Current nursing. (2012). Retrieved from http://currentnursing.com/

nursing_theory/application_Roy%27s_adaptation_model.html

Nursing Theory (2013). Retrieved from http://nursing-theory.org/

nursing-theorists/Ramona-Mercer.php

Theoretical Foundations of Nursing. (2011). Retrieved from http://

nursingtheories.weebly.com/hildegard-e-peplau.html


Personal Systems
Interpersonal Systems
Social Systems
Patient
Essential contributions to understanding
an individual's personal system.
Body Image
Coping
Growth & Developement
Learning
Perception
Personal Space
Self
Time
Emphasis of nursing
on the human being.
Critical concepts needed to understanding
interactions between nurse and patient.
Communication
Interaction
Role
Stress
Stressors
Transaction
Concepts that help to understand
interactions within the social system.
Authority
Decision Making
Organization
Power
Status
Assessment
Planning
Implementing
Evaluation
Patient & Nurse
Interaction
Critical thinking process
for communication and
interaction between the
nurse and the patient.
Example of Patient Care Approach
Examples of Patient Care Approach
Examples of Patient Care Approach
Example of Patient
Care Approach
One example of patient care approach using interpersonal relations theory would be a patient who is experiencing depression. In the orientation phase, the patient would seek help through a health care service. This phase starts when the patient first meets the nurse as a stranger. Identification phase will allow the nurse to obtain an interview. The nurse will help the patient identify the problem and find the resources needed.
Exploitation phase will be implementing services that interest the patient, offer help, and progress toward a goal. In this case some examples could include individual or group therapy sessions, self-help groups, or social activities. Once the patient has met his or her goals, the next phase is the resolution phase. During the resolution phase the nurse and patient dissolve the therapeutic and professional relationship.
Self-Care
Deficit Theory
Major Concepts
Approaches to
Patient Care
Example of Patient Care Approach
Theory of Self-Care
Theory of Self-Care Deficit
Theory of Nursing Systems
Wholly Compensatory Nursing
The patient is dependent of care.
Partially Compensatory Nursing
Patient can do some
self-care requisites but may
require nursing assistance.
Nursing
Promoting Adaptation
and Health
Health
Outcome of Adaptation
Environment
Stimuli
Person
Adaptive System
Adaptation
Goal of Nursing
Must Respect Patient's Preference
Nursing works with other health care professionals to take back normal or as close to normal state of health in the aftermath of illness.
Orientation Phase
Meeting for the first time to establish relationship.

Starts as strangers. Nurse meets patient to work out preconceptions.

Deciding types of services needed and working out parameters.

Patient learns to trust nurse. Preconceptions diminish and expectations begin.

Establish an understanding of the nurse-patient roles.
Identification
Phase
Patient identifies problems and nurse helps to find solutions.

Nurses help patients find his or her independence and capability of dealing with problems, which decrease feelings of helplessness.


Resolution Phase
The patient no longer needs professional
help and terminates the professional
relationship between nurse and patient.

The patient achieves self-reliance
and a healthy emotional balance.
Exploitation Phase
Patient uses services available.

Nurse guides patient through the use of services to help individual feel a part of the team.

Use interviewing techniques to explore and understand phases of communication.

Patient may change levels of independence.

Nurse guides the patient toward the final steps of independence.
Peplau's Theory
According to "Nursing Theory" (2013),
Mother bonds with infant
Acquires competence in general care taking tasks
Comes to express joy and pleasure in maternal role (para. 6).
Anticipating Stage
Social and psychological adaptation maternally and expectations of learning
Formal Stage
Assumption of maternal role at birth
Address behavior guided by others in mothers social network
Informal Stage
Mother develops own way of mothering
Personal Stage
Mother experiences assurance, skill in her role, and harmony ("Nursing Theory", 2013).
Kangaroo Care Skin to Skin
The nurse places the new born baby immediately on the mother's bare chest, snuggling and wrapping the baby in a blanket like a kangaroo pouch. This provides bonding between mother and baby. It provides confidence to the mother while caring for her baby. Developing a sense of pleasure and confidence comes with the knowledge of caring for her baby ("Cleveland Clinic Children's", 2011).


According to Alligood (2010), there is a case study with a lady named Debbie who has stage V cervical cancer. She required a total hysterectomy. The nurse used the goal attainment theory approach. The first step in the process was for the nurse to establish trust with the nurse-to-patient interaction. The nurse needed to help Debbie with her personal system. Debbie chooses to focus on coping because of her history. The nurse helped to establish nursing diagnosis and planning to meet Debbie's unmet needs. The nurse needs to use critical thinking for the implementing and evaluation phase of theory. As new concerns approach and new goals unfold, the process will continue to flow. The goal attainment theory's focus is the nursing process with a specific focus on the patient interaction human to human (Alligood, pp. 187-201, 2010).
I will make an impact
on the world today!
According to "Current Nursing" (2012),
"RAM offers guidelines to nurse in developing the nursing process" (para. 22).
Behavior assessment
Stimuli assessment
Identify nursing diagnosis
Setting significant goals
Encourage interventions
Evaluation of adaptation

RAM is an important part
of the structure for many
nursing college's curriculum.
The use of RAM can be used to organize nursing education.
Use RAM to guide nursing practice.
Research variables
that could promote
or hinder adaptation.
Accurate clinical assessments
and effective interventions
should be planned accordingly.
Scientific knowledge for nursing
practice using RAM theory.
(Alligood, pp. 187-202, 2010)
(Alligood, pp. 187-202, 2010)
(Alligood, pp. 187-202, 2010)
("Current Nursing", 2012)
("Current Nursing", 2012)
Hildegard E. Peplau
("Theoretical Foundation of Nursing", 2011)
Full transcript