Nursing Theory and Practice

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Please respond to at least 2 of your peer’s posts. To ensure that your responses are substantive, use at least three of these prompts:

  • Comment of your classmate’s selection of the peer-reviewed article.
  • Compare your response with your classmate’s response about the relationship between theory and nursing research.
  • Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format. Estimated time to complete: 2 hours

FIRST PERSON TO RESPOND TO

Kayla Smith

RE: Theory and Practice

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U6D1

Article/ Benefits of nursing theory in nursing research

The article I selected integrates Myra Levine’s conservation model into a nursing research study that involves mitigating fatigue in cancer patients. Levine’s Conservation Model was selected to guide this study because it includes principles that help explain cancer-related fatigue and support exercise as a patient intervention for fatigue (Belcher, Bositis, Hall, McCorkle, Mock, St. Ours, Tillery, 2007). This article uses a descriptive approach to present the components of Levine’s model and details of the studies intervention and outcomes (Belcher et al., 2007). According to Belcher et al. (2007, pg. 4) “the purpose of the ongoing study described here was to determine the effects of a nurse-directed, moderate-intensity, home-based exercise program me to mitigate fatigue and maintain physical functioning in individuals receiving cancer treatment.” The results of this research study show that the patients who exercise regularly during cancer treatment conserved more energy and have less fatigue as compared to those that do not exercise. This article strongly supports the value of using a conceptual model as a framework for nursing research. In regards to the article selected, the benefits of using Levine’s conceptual framework is that it provided an organized structure for this study, it guided the development and testing of hypotheses, and it assisted in placing research findings within the context of science (Belcher et al., 2007).

Relationship between theory and research in nursing:

According to McEwen and Wills (2014), nursing has called for research to develop and confirm knowledge and for theory to organize it. Knowledge development is collective, and knowledge produced from separated research studies should be combined into a more comprehensive understanding of the subject. Research earns its value on expanding from other previous work. “Research gains its significance from the context within which it is placed- specifically from its theoretical context” (McEwen & Wills, 2014, pg. 432). Theoretical context is the structure and system of important concepts, theoretical propositions, and theory that comprise the current knowledge discipline. Theory is essential to guide and provide a framework to the research.

Personal and professional experiences

The evidence-based interventions learned through nursing research and organized by nursing theory can help improve patient outcomes, help to provide high quality care, reduce costs and eliminate practices that are not effective. Infection control is always a trending topic in hospitals nationwide. The last thing a patient wants when going to a hospital for treatment is a hospital-acquired infection (it’s the last thing the hospital wants to happen due to financial cost and having to report it). Nurses play a key role in helping to prevent illness before it happens by adhering to evidence-based infection-control policies. This includes keeping the healthcare environment clean, wearing personal protective clothing, using barrier precautions and practicing correct handwashing.

References

Belcher, A., Bositis, A., Hall, S., McCorkle, R., Mock, V., St. Ours, C., Tillery, M. (2007). Using a conceptual model in nursing research – mitigating fatigue in cancer patients. Journal of Advanced Nursing, 58(5), 503–512. http://doi.org/10.1111/j.1365-2648.2007.04293.x

McEwen, M. & Wills, E. (2014). Theoretical basis for nursing (4th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

Article for U6D1.pdf (294.447 KB)

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SECOND PERSON TO RESPOND TO

Ingrid Martinez

RE: Theory and Practice

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Thorough research and theory building provide various areas of knowledge with an opportunity to develop, and nursing is not an exception. For improvement of nursing services, adoption of advanced interventions into practice is required. Theories, in this case, provide directions for the process, which minimizes the risk of errors (McEwen & Wills, 2014). According to Moyle, Rickard, Chambers, and Chaboyer (2015), the Partnering with Patients Model of Nursing Interventions “provides a preliminary understanding of how complex nursing interventions can be developed, tested and subsequently adopted into practice” (p. 252). Hence, it facilitates research procedures.

The use of nursing models and theories in research makes it possible to make nursing science applicable for practice. Practitioners should always have an opportunity to implement the information they find in literature; otherwise, it becomes useless. The Partnering with Patients Model of Nursing Interventions encourages nurses to work with patients instead of simply providing them with services. As a result, this theory underlines the importance of ensuring patient’s self-determination and autonomy. Due to it, those factors that indicate patient’s optimal well-being are determined. The discussed model pays much attention to the creation, testing, and implementation of interventions, which leads to the integration of research into nursing interventions. In particular, their influence on patient outcomes is investigated and nursing-sensitive indicators are searched.

The benefits of nursing theory in research are recognized even by the Medical Research Council that recommends professionals to find a theory that supports their intervention before modelling it (Moyle et al., 2015). In my practice setting, the same approach is used, and all complex interventions are developed on the basis of nursing theories, which allows benefiting our patients. Theory and research in nursing are tightly connected since theories direct research and allow defining research questions needed to understand the subject.

1. Why the Partnering with Patients Model of Nursing Interventions is recommended as a basis for interventions?

2. What concepts of this theory can be used to develop research questions?

References

McEwen, M., & Wills, E. (2014). Theoretical basis for nursing (4th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

Moyle, W., Rickard, C., Chambers, S., & Chaboyer, W. (2015). The partnering with patients model of nursing interventions: A first step to a practice theory. Healthcare, 3(2), 252-262.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC49395…

Article-The Partnering with patients model of nursing interventions.pdf (550.675 KB)

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