Writer Choice
40649Instructions
For this assignment, you will be further defining your Phenomenon of Interest within a theoretical and scientific framework.
The same Phenomenon of Interest (POI) identified in your first written paper should also be used for this assignment.
You will begin this paper by providing a concise description of your POI, this information should be a short summary of the information presented in your first paper.
Next, you will discuss the Fawcett’s Meta-paradigm of Nursing and relate the paradigm directly to your POI.
Then, you will select both a Grand nursing theory as well as a Middle range nursing theory. Take time to review several examples of each type of theory as the selected theories need to “fit” your POI…and work well together.
Grand theory discussion: identify and discuss the inter-related concepts from your selected theory. What aspects of the nursing meta-paradigm are addressed by your grand theory? Then provide information about how you will view your POI through the lens of the grand theory. How does the theory guide your assessment of the POI? How does the theoretical framework chosen categorize or define your POI? How does the theoretical framework effect your perception of the POI?
Middle range theory discussion: identify and discuss the inter-related concepts within the middle range theory. What aspects of the nursing meta-paradigm are addressed in the mid-range theory? How will this theory guide your assessment/perception of the POI? How does this mid-range theory relate to your grand theory?
Complexity science: how does complexity science relate to your POI? Depending on the nature of your POI, this conversation may have different foci for different students. For example, if your POI is glycemic management of the peri-operative patient, this discussion would center on the complex responses of the human body as a Complex Adaptive System. If your POI is focused on a policy change issue, the focus may be on organizational complexities with communication, change, etc. You must identify a Complex Adaptive System that relates to your POI in this section.
You will then discuss the ethical principles and an ethical framework to guide you advance nursing practice.
Ethical/bioethical principles: Describe the ethical principles that relate to your identified phenomenon of interest.
How will rach principle direct your advanced nursing specialty practice?
Describe the difference in a moral conflict and a moral demimma.
Ethical Framework: Identify an ethical framework that will direct your advanced nursing practice.
Which ethical principles are included in the ethical framework?
Why was this ethical framework selected? Describe its relevance to you.
Conclusion: This section should not contain any new information but should only provide a summary of what was discussed in the paper.
A few important points:
Since you are going to be discussing theories within this paper, it is very important to provide the PRIMARY source when referencing the theory either in text and on the reference list.
Who wrote the theory? And when was it published? Answer those questions and that is who the citation should be. For example, Roger’s theory of unitary beings should be cited to Rogers, not to a textbook or journal article that discusses the theory. If you are having problems locating the original source for the theory, refer to the reference lists with articles or in books that you are reviewing. You will almost certainly find the original source referenced within the article or textbook.
This is a scholarly assignment which means it should be liberally referenced with peer-reviewed literature. Support what you say with evidence from the literature. There are a number of potential references provided for you in the Required readings and resources of this Lesson’s Unit. This should be a great start, but searching the literature for further resources is also required.
The grading rubric and assignment transparency are provided below for your review.Nursing theory explains, describes, predicts, and prescribes nursing care.
Nursing’s Meta-paradigm
The term “paradigm” is defined as the development of knowledge in a specific field or discipline. In 1984, Dr. Jacqueline Fawcett evaluated existing nursing theories and identified four concepts common to the individual paradigms within each theory: Patient-Environment-Health-Nursing. Placing the nursing theories within one context enhanced the potential for the development of nursing knowledge. Dr. Fawcett’s work is commonly referred to as the “Meta-paradigm” of nursing (Fawcett, 1984). Nursing knowledge and knowledge development focuses on the “whole” and is directed at defining and understanding the inter-relationships among the four core concepts identified above (Smith & Liehr, 2014).
Nursing Theory
Nursing theories are constructed as a framework of knowledge that is applied in a pattern to guide and facilitate thought.
Grand Nursing Theory
Among the core beliefs of nursing is the idea that nursing should be founded on the best empirical evidence, incorporate the beliefs of patients and families, and be guided by disciplinary theory (Pipe, 2013).
Beginning in the 1950’s multiple theories of nursing were developed; some scholars believe the first nursing theory was postulated by Florence Nightingale when she published her “Notes on Nursing” in 1860. As we discussed in an earlier Unit, concepts are the building blocks of theory.
A theory that defines the relationship between two or more concepts; conceptual models of nursing are typically called “Grand nursing theories”. Grand theories are quite abstract and usually do not provide specific instruction for nursing actions (Kenney, 2013).
While there are a number of grand nursing theories, a few will be briefly discussed here.
Grand Nursing Theory Paradigms: Nursing as a professional discipline evolves and transforms with scientific discoveries, technological advances, and in response to changes in the health care delivery system. Nursing theory has evolved as new paradigms arise, although the theoretical foundations may remain unchanged.
1. Integrative/Interactive Paradigm: View of the patient as an individual that interacts and is integrated with the environment that impacts health as a larger system (Smith & Parker, 2015).
Dorothy Johnson’s Behavioral System Model
Dorothy Orem’s Self-care Deficit Nursing Theory
Imogene King’s Theory of Goal Attainment
Sister Callista Roy’s Adaptation Model
Betty Neuman’s Systems Model
2. Unitary/Transformative Paradigm: View of the patient as a human being that is part of the environment; with the human being and environment changing together through a mutual pattern (Smith & Parker, 2015).
Martha Rogers Science of Unitary Human Beings
Rosemarie Rizzo Parse’s Humanbecoming Paradigm
Marget Newman’s Theory of Health as Expanding Consciousness
3. Care or Caring Paradigm: View of care and caring as central to the discipline of nursing (Smith & Parker, 2015).
Madeleine Leininger’s Theory of Culture Care Diversity and Universality
Jean Watson’s Theory of Caring
Anne Boykin and Savina Schoenhofer’s Theory of Nursing as Caring
References
Fawcett, J. (1984). The meta-paradigm of nursing: Current status and future refinements. Image: Journal of Nursing Scholarship. 16, 84-87. Retrieved from: http://www.nursingsociety.org/Publication
Griffin, M.T.Q., & Landers, M.G. (2014). Extant nursing models and theories: Grand and middle range theories in nursing. In J. Fitzpatrick & G. McCarthy (Eds.). Theories guiding nursing research and practice. (pp 15-31). New York: Springer.
Moran K., Burson, R., & Conrad, D. (2017). The doctor of nursing practice scholarly project. Burlington, MA: Jones & Bartlett Learning.
Smith, M.J., & Liehr, P.R. (2018). (4th ed). Middle range theory for nursing. New York: Springer.
Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice (2nd ed.). Phil
I attached my phenominal of interest paper to make it easier for the writer to follow.
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