[New nursing seminar. Basic nursing theory. Nursing activities with a patient with a cast on a fractured leg].
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Nurses encounter ethical dilemmas in their practice and need guidance in making relevant patient-care decisions. Nursing theory is believed to be the best source of such guidance. The aim of this paper is to describe the ethical dimension in nursing theory. A literature review shows the intricate relationship between ethics and nursing, yet there is lack of elaboration of ethical features in nursing theories. The identified elements of the ethical dimension include ethical theories and principles, values, ethical practice issues, moral reasoning and contextual factors. Criteria for the development and evaluation of the ethical dimension are presented, with an example using a middle range theory. The ethical components pertinent to a nursing theory need to be made explicit if theory is to guide practice. Nursing scholars are invited to elucidate the ethical dimension in their theories in order to enhance moral reasoning and provide a framework for ethical practice.
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Nursing theories are like myths, in that they contain symbolic representations that tell a story about nursing, and these stories represent or explain nursing's image, worldview, beliefs, and practices. Five theories are analyzed to identify the myths that they represent. It is proposed that uncovering the myth in nursing theories will help to communicate nursing brands that convey the essence and value of nursing.
During the past two decades, redefinition of many of the beliefs and assumptions which underly nursing appears to have contributed to an increasing divergence between nursing theory and nursing practice. Nurses who are theorists and educationalists, and nurses who are engaged in nursing practice tend to use different vocabularies, to have differing perceptions of patients and of nursing, and to value different kinds of nursing knowledge. Some of the divergences between nursing theory and nursing practice are considered, and suggestions made about how theory and practice might be reconciled.
By understanding the constructions of knowledge we currently label nursing theories as nursing ontologies, nurses can perceive these conceptualizations differently. Paul Ricoeur and Stephen White offer a conceptualization of ontology that differs from traditional, realist perspectives because they assume that a person's experience of a phenomenon (e.g., nursing) will change, but also maintain some stability. Discussing nursing ontologies, rather than nursing theories, might increase philosophy's status in nursing and may also more accurately reflect the experience of being a nurse.
Cited author searches were conducted in Nursing Citation Index to determine its utility in locating clinical studies that apply the conceptual frameworks of Dorothea Orem, Callista Roy, Martha Rogers, Betty Neuman, and Dorothy Johnson. Fully 75 percent of the relevant papers would have been missed by a conventional subject/textword search in the MEDLINE or CINAHL databases. Had Nursing Citation Index not been available, only 22 percent of relevant papers could have been retrieved by cited author searches of Social Science Citation Index. In summary, Nursing Citation Index provides an important indexing link between nursing theory and nursing research.
Nursing theory and nursing ethics are the two main areas of inquiry in nursing scholarship today. Each addresses common themes and each, in its own way, speaks not only about but for nursing. In spite of this commonality there is remarkably little dialogue between them. Both theory and ethics shall benefit from increased integration.
For many years nursing practice has found its foundations in nursing theory. A review of theorists such as D. E. Orem, C. Roy, B. Neumen, V. Henderson, M. E. Rogers and others reveals a focus on the management of patient care, not leadership. This has provided most nurses with a solid foundation in 'management', but little in terms of 'leadership.' In more recent years, theories such as the Deming Management Method, Managers as Developer Model, Shared Governance and Transactional Leadership have been introduced, none of which are nursing theories. This article discusses the conceptualized differences between management and leadership theory arguing that there is a difference between 'leadership and management'. A leadership theory is proposed utilizing Ida J. Orlando's model for nursing. This theory provides a nursing foundation for nursing leaders to utilize both in the management of patient care and in leadership.
The requisite theoretical base of nursing administration has been defined as a synthesis of knowledge from nursing and other disciplines. The purpose of this paper is to explore the contribution made by nursing knowledge to the distinctive epistemology of nursing administration. The value of nursing theory to administration practice is articulated as well as levels of theory development and their relationship to the knowledge base of nursing administration practice.
The development of gerontological nursing is an important focus for nursing, given the increasing population of older persons that is requiring nursing care. There are a variety of approaches that have been proposed to provide direction in the development of gerontological nursing theory. The theory of Man-Living-Health was used to describe how gerontological nursing knowledge could be developed through the utilization of a nursing conceptual model that includes a defined practice and research methodology. Continued work in identifying and expanding the theory that underpins gerontological nursing is essential for gerontological nursing practice, research, and education.
Nursing has accepted theory as basic to its practice; however, the use and development of nursing theory is constrained by the approach used in nursing education. It is not appropriate or sufficient to isolate theory in one course. Moreover, confining nursing theory courses to graduate curricula, which is the custom in many schools of nursing, suggests that to focus on theory in the profession is esoteric. These curricular approaches inhibit socialization of students to the value of theory as essential to practice. It is imperative that nursing education engage students in theory-related content at all levels. This article presents a scheme to achieve systematic integration of theory-related content in curricula at all levels of nursing education from associate degree to doctorate. Through theory-based practice, nursing will come to realize its full potential as a discipline.
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