Discuss the role that patient satisfaction plays in reimbursement and how you propose to improve patient satisfaction in the hospital.
August 30, 2018
Describe four forms of communication used in the work environment.
August 30, 2018

 

Nursing homework help

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Nursing Theories & Health Assessment

NUR 3069: Advanced Health Assessment

Key Terms

• Health and health pattern

• Holism

• Holistic

• Theory

• Nursing theory

• Health assessment

• Health promotion

Perspectives on Nursing Theory

• What is a theory as opposed to a conceptual framework?

• What is nursing theory?

• How do nursing theories relate to health assessment?

• What theory can nurses use?

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Definition of Theory

• Theory: A creative and rigorous structuring of ideas that projects a tentative, purposeful, and systematic view of phenomena.

• Purpose: Theory is developed for a reason that can be identified and specifies the context and situation in which the theory applies.

Why Nursing Theory?

• Nursing theory: • Guides nursing education, research, and practice.

• Strengthens links between nurses in education, research, and practice.

• Contributes to a well-founded basis for practice.

• Helps nurses develop better understanding of factors affecting family function.

• Directs nurses to more specific purposes than merely filling a gap.

• Considers significant factors that influence nursing , and, therefore, helps nurses in nursing-specific situations.

Nursing Theorists

• Florence Nightingale: Environment is the central concept. • Viewed as all external conditions and influences affecting the life and development of an

organism (1860).

• Virginia Henderson: Mind and body are inseparable • No two individuals are alike; each is unique (1966).

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Nursing Theorists (continued)

• Martha Rogers: • A science of unitary human beings.

• Person-environment are energy fields that evolve negentropically (1970).

• Family system approach.

• Callista Roy: Adaptation/Independence model (1974).

• Dorothea Orem: Self-care maintains wholeness (1971).

• Madeleine Leininger: Caring is universal and varies transculturally (1978).

• Imogene King: • General systems framework. • Transactions within the dyad of nurse and client.

• Margaret Newman: Total person approach to patient problems. Disease is a clue of preexisting life patterns (1979).

Definition of Health, Health Pattern, & Health Promotion

• Health: A state of complete physical, mental, and social well-being.

• Health pattern: A set of related traits, habits, or acts that affect a client’s health.

• Health promotion: Behavior motivated by the desire to increase well-being and actualize human potential.

Health Assessment & The Nursing Process

• Health assessment is a systematic method of collecting data about a client for the purposes of: • Determining the client’s current and ongoing health status.

• Predicting risks to health.

• Identifying health promotion activities.

• The nursing process is a systematic, rational, dynamic, and cyclic process used by the nurse to plan and provide care for the client.

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Models of Health

• Ecological Model: Examines the interaction of agent, host, and environment.

• Clinical model: Health is defined as absence of disease or injury.

• Eudaemonistic models: View health as actualization and complete development. Illness prevents self-actualization.

• Health promotion model: Defines health as the actualization of inherent and acquired human potential through goal-directed behavior, competent self-care, and satisfying relationships with others.

Nursing Theories & Health Assessment

• Nurses must recognize that each client has a personal definition of health, illness, and wellness.

• Nurses must be aware of their own personal definition of health and accept and respect the client’s definition of health.

Nursing Theories & Health Assessment (continued)

• The importance of a theory depends on the professional and personal values of a person.

• Nurses choose a theory for guiding research, practice, and education.

• Nursing theory challenges existing practice and provides new ways to think about assessing clients and makes it possible for nurses to envision new approaches to practice.

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Self-Quiz

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References & Resources

• Chin, P. L. & Kramer, M. K. (2008). Integrated Theory and Knowledge Development in Nursing. (7th Ed.), Mosby, Elsevier, St. Louis, Missouri.

• Reed, P. G., Shearer, N. C., & Nicholls, L. H. (2004). Perspectives on Nursing Theory (4th Ed.), Lippincott, Williams, & Wilkins, Philadelphia, Pennsylvania.

• Bickley, L.S. (2007). Bates Guide to Physical Examination and History Taking (9th Ed.). Lippincott, Williams, & Wilkins, Philadelphia, Pennsylvania.

• Damico, D. & Barbarito, C. (2007). Health & Physical Assessment in Nursing. Prentice Hall, Upper Saddle River, New Jersey.

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