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How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?

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Overview

You are required to submit a scholarly paper in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice.

This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory.

Your paper should follow a format that includes:

  • Nursing Autobiography: A brief (1 page) discussion of your background in nursing.
  • The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.
  • Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.
  • List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.

Each week, you will complete various segments of your Concept Synthesis Paper and submit it to the W1: Assignment 3 Dropbox for facilitator feedback when necessary. Your paper should integrate these discrete elements and reflect your personal nursing philosophy.

Your Concept Synthesis Paper on your Personal Nursing Philosophy is due in Week 3.  However, it is recommended that you begin working on your paper from Week 1 onwards and complete the various components related to the paper week wise as you progress through the course. The suggested tasks for each week are:

Week 1: Nursing Biography and The Four Metaparadigms of Nursing
Week 2: Two Practice-specific Concepts, and List of Propositions/Assumptions
Week 3: Due: Concept Synthesis Paper on Personal Nursing Philosophy

Consider the following questions as you complete your various tasks related to this assignment.

1.How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?
2.What are the major concepts I employ that are unique to my professional practice?
3.What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?
4.How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into my philosophy and practice?
5.What research supports these theories and concepts?
6.How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?

The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 6-10 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.

Your philosophy/framework is to be given a title that is appropriate to its content and emphasis.

Why did you decide to enroll in graduate school?

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NURS DNP: Professional Opportunities for Doctorally Prepared Nurses

Discussion: The Doctoral Degree and Professional Nursing Practice

Why did you decide to enroll in graduate school? What informed your decision to pursue your chosen degree? How will earning this degree influence your career?

This week, you consider the characteristics of various programs, including the DNP and the PhD. The focus of the DNP degree is on clinical practice, whereas the focus of the PhD is on research. In conjunction with other professional colleagues, DNP- and PhD-prepared nurses often collaborate to analyze critical issues and find appropriate ways to address them.

This first Discussion provides an opportunity for you to examine what it means to earn a doctorate and how your selected degree program relates to your professional goals.

To prepare:

Consider the reasons you have chosen to pursue an advanced degree. How do you anticipate that earning this degree will support your professional goals?

Reflect on the comments shared by the experts in this week’s media regarding the value of a DNP degree and the various roles available to DNP-prepared nurses, as well as the characteristics of the PhD program and opportunities for PhD-prepared nurses.

Based on the information presented this week, have you developed any new ideas or goals for your future? If so, what are they?

Post a cohesive response that addresses the following:( 1TO 2 PAGES )

What does it mean to be a nurse with a practice or research doctorate? What are the expectations associated with this degree? How might this be different for a nurse who holds a different degree?

How do these considerations relate to your motivation to pursue a doctoral degree right now?

References to follow

 

Required Readings

 

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett. [Vital Source e-reader] (DNP STUDENT ONLY)

 

“Imagining the DNP Role” (pp. xvii–xxviii)

 

Houser, J. (2015). Nursing research: Reading, using, and creating evidence (3rd ed.). Burlington, MA: Jones & Bartlett.

 

[For PhD students ONLY]

 

Chapter 1, “The Importance of Research as Evidence in Nursing”

American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC: Author. Retrieved from http://www.aacn.nche.edu/DNP/pdf/Essentials.pdf

 

[For DNP students ONLY]

 

“Introduction” (pp. 3–7)

How we can use nursing theory to challenge professional and organizational assumptions, explore alternatives, and guide nursing actions.

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  1. Choose a contemporary school of nursing, hospital, nursing home, or other facility in the healthcare arena and research the nursing theory used there.
  2. Describe the changing role of the nurse today and how they are influenced by the organizational nursing theory.

Your presentation should include (60 pts.):

  • How the nursing theory enhances professional nursing practice in the roles of advocate, provider, teacher, manager, researcher, and leader. (20 pts.)
  • How using nursing theory and theory from other disciplines as a basis for the nursing process helps promote health and healing. (10 pts.)
  • How we can use nursing theory to challenge professional and organizational assumptions, explore alternatives, and guide nursing actions. (30 pts.)

This assignment is a PowerPoint presentation only. (40 pts.)  The presentation should include no more than 20 slides.  If you use graphics be sure they are small in size, so your presentation can be loaded quickly.

When you have completed this assignments, you will be able to differentiate the concepts of person, environment, health, and nursing, as they relate to select nursing theories by:
(Competency 1)

  • identifying and defining the nursing metaparadigms. (10 pts.)
  • analyzing the philosophical bases of the concepts as they relate to specific theorists. (10 pts.)
  • differentiating the concepts as they relate to selected nursing theories. (10 pts.)
  • constructing a personal nursing philosophy by integrating the metaparadigms and the his/her individual values. (10 pts.)

Describe one biomedical theory or model frequently used in health care and provide your rational for how it relates to improved patient outcomes.

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Biomedical Sciences in Nursing

Theories from the biomedical sciences have shaped nursing practice, as well as research, throughout the years. In order to engage in the highest level of practice and aid in addressing current and future issues in health care, it is important for nurses to become more cognizant of these theories.
For this Discussion, you will differentiate among theories within the basic, or pure, sciences, and consider how they may be applied to improve outcomes in health care.

Example of theories:

1)      Web of causationby MacMahon and Pugh (1970) developed the concept of  “chain causation,” later termed the “web of causation.”

2)      The Germ Theory and Principles of Infectionby Louis Pasteur, he first proposed the germ theory in 1858

3)      The Natural History of Diseasewhich refers to the progress of a disease process in an individual over time. In their classic model, Leavell and Clark (1965) described two periods in the natural history of the disease, prepathogenesis and pathogenesis (Primary prevention, secondary prevention and tertiary prevention).

4)      Homeostasis Theoryby Claude Bernard, a physiologist in the 20th century who first conceived the idea of homeostasis.

5)      Stress and Adaptation: General Adaptation Syndromeby Walter Canon who developed the concept of fight or flight to explain the body’s reaction to emergencies.

6)      Theory of Immunity and Immune Function: the immune system comprises a complex, coordinated group of systems that produces physiologic responses to injuries or infection.

7)       Genetic Principles and Theories: The Human Genome Project is an organized effort initiated in 1990 and completed in 2003 to create a biologically and medically full database of the genome structure and sequence in humans.

To prepare:

  • Review the concepts and principles of the various biomedical theories and models presented in this week’s Learning Resources, and consider how they influence clinical practice. Which biomedical theories and models are used most frequently in health care? How do they relate to improved health outcomes? Reflect on your specific practice area and identify at least one biomedical theory or model that is utilized.

By tomorrow 7/25/17, post 550 words essay in APA format with 3 references from the list below, that include the level one heading as numbered below:  

post a cohesive response that addresses the following:

1)       Describe one biomedical theory or model frequently used in health care and provide your rational for how it relates to improved patient outcomes.

2)       Describe one biomedical theory or model that is utilized in your specific practice area. (I’m a CRITICAL CARE CARDIOVASCULAR NURSE). Provide at least two examples related to its application

 

Required Readings

McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.

Chapter 15, “Theories from the Biomedical Sciences”

Chapter 15 highlights some of the most commonly used theories and principles from the biomedical sciences and illustrates how they are applied to studies conducted by nurses and in nursing practice.

Chapter 16, “Theories, Models, and Frameworks from Administration and Management”

Chapter 16 presents leadership and management theories utilized in advanced nursing practice.

 

Amella, E. J., & Aselage, M. B. (2010). An evolutionary analysis of mealtime difficulties in older adults with dementia. Journal of Clinical Nursing, 19(1/2), 33–41. doi:10.1111/j.1365-2702.2009.02969.x

Note: You will access this article from the Walden Library databases.

This article presents findings from a meta-analysis of 48 research studies that examined mealtime difficulties in older adults with dementia.

Consider the types of conflict, including bullying, horizontal violence, toxic and disruptive employees, misuse of social media, unbalanced power, harassment, and favoritism, that exist in your current organization or past place of employment.

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Discussion 2: Managing Conflict in the Workplace

High-pressure environments, life-or-death implications, constant change, and long days of exhausting work … It is not surprising that conflicts arise in health care settings. In the fast-paced environment in which nurses work, small differences in decision making, processes, work ethic, and personal characteristics can quickly escalate

As a nurse manager, you need to develop and model skills that effectively address conflict situations. Stephen Covey, author of The 7 Habits of Highly Effective People, offers sound advice that can be applied to conflict management and resolution. In Habit 4, Think Win-Win, Covey (2004) explains, “[m]any people think in terms of either/or: either you’re nice or you’re tough. Win-win requires that you be both. It is a balancing act between courage and consideration.” Ultimately, how you manage conflict in your setting will determine whether you foster an environment that breeds contempt or one that fosters growth.

Conflict abounds in any workplace; it is a normal part of organizational life. Instead of avoiding or ignoring conflict, the role of the nurse manager is to coach employees through conflict situations and to exercise judgment on how and when to intervene. When managed effectively and focused on substantive issues, conflict can actually lead to better outcomes. However, when interpersonal conflicts go unaddressed, employee morale and engagement–two factors that can seriously impact quality of patient care—will dwindle.

When nurse managers observe employees engaging in toxic or inappropriate workplace behaviors, they must prepare to give difficult feedback. Delivering difficult feedback can be challenging for nurse managers, as they must address employees in a way that is authoritative, supportive, and resolute. One strategy nurse managers can use to deliver difficult feedback is to employ the scripting framework. In this week’s Discussion, you gain experience with using the scripting framework to resolve a conflict situation that you have observed in your past or present workplace.

To prepare 

Review this week’s Learning Resources, focusing on the various forms of conflict that can occur in the workplace.

Consider the types of conflict, including bullying, horizontal violence, toxic and disruptive employees, misuse of social media, unbalanced power, harassment, and favoritism, that exist in your current organization or past place of employment.

Select one type of conflict you have observed. How has conflict impacted your work environment? How have nurse mangers attempted to address conflict situations?

Examine the six-step scripting framework for delivering difficult feedback in Chapter 7 of the course text, From Management to Leadership: Strategies for Transforming Health Care. Then, use this framework to script a conversation between you and the employee(s) involved in the conflict situation you selected.

When drafting your script, reflect on how HR might be able to help you in addressing this issue, both before you talk to this employee and if the problem continues to exist.

Post a brief overview of the conflict you selected and how this specific type of conflict has impacted the work environment. Share the script you drafted and explain at least one way you would enlist HR’s help in managing this situation. Support your response by referencing authentic examples from the workplace and the Learning Resources as applicable.

 

Read a selection of your colleagues’ responses.

Discussion of the theorist’s view of the four basic metaparadigms and two concepts unique to the theory

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Project: Group Presentation on Nursing Theorist

Overview of the Project

This course project requires you to complete a group task. As a group, you are required to submit a presentation on the theorist assigned to your group. Your final presentation is due in Week 4.

Group Formation

You will be organized into three groups, each of which will be assigned a nursing theorist. The theorists to be studied include, but are not limited to, Madeline Leininger—Transcultural Nursing Theory, Nola Pender; the Health Promotion Model, and Patricia Benner; From Novice to Expert, the Skill Acquisition ModelIf your group would like to study a different theorist, seek permission from your instructor. Each group will conduct a literature review to obtain material related to the assigned theorist and the model. The material should include research conducted in the theory or model, with clinical examples.

Click here to download a document that provides guidelines for the literature review.

Project Deliverables

The Project Deliverables include the following:

1. Packet of Materials

Each group will prepare a packet of materials that will be posted to the DQ section in Week 4 for peer critique and submitted to the W4: Assignment 2 Dropbox. The purpose of this packet is to support your PowerPoint Presentation. The packet should include a detailed outline of the presentation and a one-page summary of each of the five relevant articles on or about the theory. Also include any handouts, such as charts, diagrams, or definitions, which will facilitate understanding of the PowerPoint presentation and the theory itself. This packet should be submitted as a single document that contains the outline, summaries, and any additional handouts, charts, etc.

2. Power Point Presentation

Presentations will be made via PowerPoint and will be uploaded by the assigned due date.

Your presentation should have:

  • A brief overview of the theorist’s background.
  • Discussion of the theorist’s view of the four basic metaparadigms and two concepts unique to the theory.
  • The basic theoretical assertions or propositions.
  • An analysis and a critique of the model with a focus on elaboration of the theory’s implications for nursing practice, nursing education, and nursing research.

Click hereto download the Theory Critique template.

Please note: It is expected that each one of you will download and read each presentation, and will include relevant material about each theorist in your individual concept papers.

Working Ahead

In Week 1, your group will be assigned the theorist on whom you have to make the presentation. Your final group presentation is due in Week 4. However, it is recommended that in Week 2 you submit the work you have done on the project up to that point to the facilitator when necessary. The facilitator feedback will help you revise and refine the work already completed and apply the facilitator recommendations to the yet-to-be completed part of the project.

For ease of completion, it is suggested that in Week 1, you begin your literature search on the theorist and provide a brief overview of the theorist’s background. You could also complete a 1-page summary for each  of the five articles related to the theory and theorist, the top of the page should have the complete reference in APA format. In Week 2, you can focus on providing your findings on the theorist’s view of the four basic metaparadigms . In Week 3, you can concentrate on providing the basic theoretical assertions or propositions and you can conduct an analysis and a critique of the model with a focus on elaboration of the theory’s implications for nursing practice, nursing education, and nursing research. Click here to download the Peer Presentation Review Checklist Template.

Members of the group will be graded collectively. Grading of the presentation of the theory/conceptual model will be based on the following scale for each element:

educate nurses about how the practice of nursing is expected to grow and change.

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The week 2 assignment is a little confusing. You are to write an informal presentation and present to some other nurses. After that, write the second paper and summarize their feedback. You can tie them together in one document, or submit them separately, whichever you want to do. I just need to see that they are separate, not just one big paper. I’ll attach an example of tieing the 2 together in one document. If you have questions, please let me know.

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Evolving Practice of Nursing and Patient Care Delivery Models

How does this correlate with the strategic planning process?

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Discussion: Introduction to the Planning Process

 

The nursing process provides a cornerstone for care. Engaging in assessment, diagnosis, planning, implementation, and evaluation helps to move the patient from his or her current state toward a desired outcome.

How does this correlate with the strategic planning process?

In this Discussion, you examine similarities and differences between the nursing process and strategic planning. You also consider why it is important for a nurse leader-manager to be familiar with the planning hierarchy and to apply business principles to promote strategic change at the organizational or systems level.

To prepare:

Review the information related to the nursing process and the strategic planning process addressed in Chapter 4 of the Sare and Ogilvie text and the other Learning Resources. Think about how the nursing process is similar to and different from the strategic planning process.

Reflect on the value of nurse leader-managers’ contributions to strategic planning, as discussed by Dr. Huston in this week’s media.

Using the Walden library, identify an example from the literature that demonstrates why it is beneficial for nurse leader-managers to be familiar with the planning hierarchy and why they should be engaged in strategic planning in addition to and in contrast with operational planning.

Post an explanation of how you view the similarities and differences between the nursing process and the strategic planning process. Share an example from the literature that demonstrates why it is beneficial for nurse leader-managers to be aware of the planning hierarchy and why they should be engaged in strategic planning in addition to and in contrast with operational planning.

 Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional resources.

Required Readings

 

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Chapter 7, “Strategic and Operational Planning” (pp. 138–161)

  Why would a focus on EBP be good for advanced nursing practice?

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EBP and the Theory-Practice Gap

Theory is used in health care and health care practices every day; however, most health care providers are unaware of its influence. By increasing your awareness of philosophy, science, and nursing theory, you are better able to recognize its application in daily practice. The use of evidence-based practice (EBP) models also help facilitate the implementation of research in clinical practice. This Discussion explores EBP as a strategy for bridging the theory-to-practice gap.

To prepare:

 

  • Reflect on this week’s Learning Resources, focusing on the interrelationship between theory, practice, and research and how evidence-based practice integrates this relationship.
  • Consider the pros and cons of implementing EBP in nursing practice.
  • Conduct additional research as necessary using credible websites and the Walden Library to better understand the benefits and concerns of EBP in clinical practice.

By Tuesday 08/01/17, post 550 words essay in APA format with 3 references from the list below, that include the level one headings as numbered below:

Post a cohesive response that addresses the following:

1)       Why would a focus on EBP be good for advanced nursing practice?

2)       What are some drawbacks?

Required Readings

 

McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.

Chapter 18, “Application of Theory in Nursing Practice”

Chapter 18 examines the relationship between theory and nursing practice. It discusses how evidence-based practice provides an opportunity to utilize research and theory to improve patient outcomes, health care, and nursing practice.

 

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Identify a patient care situation in which you describe how nursing care or approaches to decision-making may differ based upon the educational preparation of the nurse (BSN versus a diploma or ADN degree).

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Details:

Write a formal paper of 750-1,000 words that addresses the following:

  1. Discuss the differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level.
  2. Identify a patient care situation in which you describe how nursing care or approaches to decision-making may differ based upon the educational preparation of the nurse (BSN versus a diploma or ADN degree).

For additional help finding research on this topic, refer to the GCU Library tutorial located at in the Student Success Center.

Refer to the “American Association of Colleges of Nursing (AACN) Fact Sheet: Creating a More Highly Qualified Nursing Workforce” as a resource.

Refer to the assigned readings for concepts that help support your main points.

Refer to “Grand Canyon University College of Nursing Philosophy.” This is an informational resource to assist in completing the assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

NRS-430V-CONHCPPhilosophy.docx