N491 Full Course (June 2019)

491 Concepts and Theories in Nursing

Module 1 Assignment

Assignment:

Case Study:

Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy. Mrs. Adams apartment is located in a low income area of the city where crime is prevalent. Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her cloths appeared unchanged and she had no food in the apartment. The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner.

Using Nightingales Environmental Theory, what actions would the nurse take upon the first assessment? What are the five essential components?

What would be an appropriate plan of care be for Mrs. Adams? How would you prioritize the care plan?

Apply Nightingale’s Environmental Theory to an area of your nursing practice? What patient population would benefit from this approach? Support this practice change with at least one evidenced-based article.

The assignment should be completed in APA format, as an essay of between 1000 and 1500 words. The paper should include at least 3 outside references and the textbook. The paper should be in APA format with a title page, level headings, and reference page.

N491 Concepts and Theories in Nursing

Module 2 Assignment

Assignment:

This week you will create a two-part Power Point to discuss the following:

Part one:

Peplau was the first nursing theorist to identify the nurse–patient relationship as being central to all nursing care. Peplau valued knowledge, believing that the nurse must possess extensive knowledge about the potential problems that emerge during a nurse–patient interaction. Peplau’s theoretical work on the nurse–patient relationship continues to be essential to nursing practice.

Describe the phases of the Nurse-Patient relationship as defined by Peplau. Align your presentation regarding the use of Peplau’s theory with a current practice example.

Part two:

Provide a discussion of Orem’s Self-Care Deficit Theory. Identify and explain the three related parts? Identify a current nursing practice example where Orem’s theory would be relevant. Use at least one evidenced-based research article to support your practice example. The PowerPoint should include at least 3 outside references and the textbook. It should include title and reference slides and be 14-20 slides.

N491 Concepts and Theories in Nursing

Module 3 Assignment

Assignment:

Please create a Power Point to answer the following:

Case study

Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. “I worry about my father all the time. He is becoming more forgetful and he has trouble seeing. Mom used to take care of him. I am not sleeping and I am irritable around him. Yesterday I shouted at him because he wouldn’t let me help him with his laundry. I felt terrible! I am at my wits’ end! My brothers and sisters do not want to put dad in a nursing home but they are not willing to help out. As usual, they have left me with all the responsibility. I work part time and have two small children to care for.” Susan’s father, Sam, sat quietly with tears filling his eyes. He was well nourished and well-groomed but would not make eye contact. Nurse Ann noticed that the house was clean and orderly. A tray in front of the TV had the remains of a ham sandwich and glass of ice tea. Mail was piled up, unopened on a small table near the front door. There was only one car in the driveway and the yard was in need of attention.

What questions does Orlando’s theory guide the nurse to consider in caring for Susan and Sam?

Develop a family plan of care from the perspective of Orlando.

Explore the 1950 and 60’s in the United States:

Explore was happening in the United States during this time (culture, social, economics, struggles)

What did nursing look like during this time (what were their jobs like, responsibilities, dress, autonomy, respect)

What is the most influential accomplishment in nursing theory from the 1950’s and 1960’s?

Power Point should include at least 4 outside references and the textbook. It should include title and reference slides and be 14-20 slides.

N491 Concepts and Theories in Nursing

Module 4 Assignment

Assignment:

This week you will be writing an APA paper to include a title page, level headings, and a reference page

Discuss and explain King’s Conceptual System Theory.

First explain the 3 systems and provide examples of each system

Explain how the systems influence goal attainment

How could King’s theory help define a clinical quality problem?

Apply this theory to a potential practice quality improvement initiative within your clinical practice.

How could a quality committee align outcomes with King’s Conceptual System Theory?

What additional nursing theory from our readings could also align with an improved quality of practice initiative?

This paper should include 2 outside references and the textbook. This paper should be 1250 to 1500 words in length.

N491 Concepts and Theories in Nursing

Module 5 Assignment

Assignment:

Create a Power Point Presentation to discuss the following

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?

Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.

From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?

Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.

Your PowerPoint should include at least 1 outside reference and your book. The presentation should be 10 to 15 slides in length.

N491 Concepts and Theories in Nursing

Module 6 Assignment

Assignment:

Your assignment this week will be an APA paper to include title page, level headings, and a reference page.

Case study #1

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?

Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?

Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.

Discuss the strengths and limits to Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.

Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?

How is love, as defined by Watson, evident in this caring moment?

How can the nurse creatively use self to create a healing environment?

Discuss the strengths and limits to Watson’s Theory.

This paper should include 2 outside references and your book. The essay should be between 1500 and 1750 words in length.

N491 Concepts and Theories in Nursing

Module 7 Assignment

Assignment:

Your assignment this week will be an APA paper to include title page, level headings, and a reference page.

Case Study

The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann his voice broke; choking back tears “Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sigh escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe.

Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?

What are characteristics of a human becoming nurse? What are strengths and weaknesses to this theory of nursing?

What challenges exist for healthcare institutions to switch to this nursing approach?

How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?

From the nursing theories we have discussed, what additional theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)

The APA formatted paper should include 2 outside references and your book. The essay should be between 1250 and 1500 words in length.

N491 Concepts and Theories in Nursing

Module 8 Assignment

This week, you will develop a PowerPoint presentation reviewing the theories from each module. Please select one theory from each module (1-8) and answer the following questions. You should have two slides per theory:

Describe the theory

Provide 3 examples of how the theory applies to current practice

Provide 3 positive patient outcomes resulting from utilizing the theory

Explain 3 benefits to nursing satisfaction when utilizing the theory

Describe two barriers to using the theory in practice and at least one method for overcoming each barrier (support methods with sources)

Support from literature clearly noted throughout

The PowerPoint presentation should include at least two outside references and the textbook. The presentation should contain 2 to 4 slides per theory, for a total of 16 to 32 slides.

 

N491 Concepts and Theories in Nursing

Module 1 Discussion

Think about your unique nursing practice specialty area and the population you serve. Is there a clear connection to practice and theory in your specific nursing specialty area? In this discussion post, you will describe the relationship between theory and nursing practice and how you could implement theory into nursing practice.

Describe why nursing theory is important to today’s nursing practice.

How would you select and introduce a nursing theory or model into your nursing practice?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 200 words in length.

N491 Concepts and Theories in Nursing

Module 2 Discussion

Henderson believed nurses have the responsibility to assess the needs of the individual patient, help individuals meet their health needs, and provide an environment in which the individual can perform activities unaided. What is an opportunity in your nursing practice that would benefit from application of Henderson’s theory? How does this align with the ANA’s definition of nursing? Provide at least one evidenced-based research article to support this recommendation.

N491 Concepts and Theories in Nursing

Module 3 Discussion

Johnson viewed health as efficient and effective functioning of the system, and as behavioral system balance and stability. Behavioral system balance and stability are demonstrated by observed behavior that is purposeful, orderly, and predictable. Consider a clinical-practice situation that demonstrates Johnson’s model of health. How can the nurse support this theory to return the patient to balance and stability?

N491 Concepts and Theories in Nursing

Module 3 Discussion

Johnson viewed health as efficient and effective functioning of the system, and as behavioral system balance and stability. Behavioral system balance and stability are demonstrated by observed behavior that is purposeful, orderly, and predictable. Consider a clinical-practice situation that demonstrates Johnson’s model of health. How can the nurse support this theory to return the patient to balance and stability?

N491 Concepts and Theories in Nursing

Module 4 Discussion

Consider what was happening in nursing in the late 1970’s and early 1980’s with the change from diploma programs to an associate degree program. Martha Rogers believed that nursing is a separate and essential discipline and a unique field of study. She worked hard to establish nursing in higher education. Explain the importance of this shift and how it impacted nursing as a profession.

N491 Concepts and Theories in Nursing

Module 5 Discussion

Neuman Systems Models is a flexible and adaptive model which can be applied to various aspects of nursing disciplines. Today, the model is used globally as a nursing conceptual model to guide curriculum development, research studies, and clinical practice in the full array of health-care disciplines.

Define a nursing practice area where you could apply Neuman Systems Model. What patient population would you target? How would you use this model to guide best practices? How would nursing outcomes be determined? Use at least one current research article related to your practice example.

N491 Concepts and Theories in Nursing

Module 6 Discussion

Newman pointed out that, “nurse client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives” (Smith & Parker, 2015, p. 288).

Explore what she means by this statement. Then, reflect on a patient that you cared for that you could apply her theory to. Provide details of the interaction and outcomes.

N491 Concepts and Theories in Nursing

Module 7 Discussion

“Nursing should not ‘borrow’ theories from other disciplines.” Refute this statement by providing specific examples from your current nursing practice. Describe the importance of increased nursing collaboration with other disciplines.

N491 Concepts and Theories in Nursing

Module 8 Discussion

Consider your learning in the course. How have you met the course objectives listed in the syllabus? Has the material in the course changed your professional practice? How might nursing theory influence your professional practice?