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Application - of - Theory - in - Nursing

The document discusses the application of theory in various areas of nursing including practice, research, administration/management, and education. Some key points: - In nursing practice, theory provides perspective and organization to care for clients and predict outcomes to plan care. Practice also informs the development of nursing theories. - Nursing research measures the impact of interventions on outcomes and links research and theory to add to nursing knowledge. Research should develop and test theories for practice. - Organizational theories guide structure, work processes, and quality in healthcare administration. Shared governance and transformational leadership empower nurses' practice. - Nursing education curricula are based on theories which determine content, organization, and teaching methods to impact future

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684 views9 pages

Application - of - Theory - in - Nursing

The document discusses the application of theory in various areas of nursing including practice, research, administration/management, and education. Some key points: - In nursing practice, theory provides perspective and organization to care for clients and predict outcomes to plan care. Practice also informs the development of nursing theories. - Nursing research measures the impact of interventions on outcomes and links research and theory to add to nursing knowledge. Research should develop and test theories for practice. - Organizational theories guide structure, work processes, and quality in healthcare administration. Shared governance and transformational leadership empower nurses' practice. - Nursing education curricula are based on theories which determine content, organization, and teaching methods to impact future

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ako at ang exo
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Application of Theory

in Nursing
Application of theory in Nursing Practice
 The primary purpose of theory in nursing is to improve practice and thereby
positively influence the health and quality of life of persons, families, and
communities.
 In nursing, there should be a reciprocal relationship between theory and
practice.
 Practice is the basis for nursing theory development and nursing theory must
be validated in practice.
 Theory provides nurses with a perspective with which to view client situations
and a way to organize data in daily care.
 Theory mas assist in directing analysis and interpretation of the relationships
among data and in predicting outcomes necessary to plan care.
 Implied theory to refer to those theories used by practicing nurses during
routine client care.
Theory – Based Nursing Practice:
 Is the application of various models, theories, and principles
from nursing science and the biological, behavioral, medical
and sociocultural disciplines to clinical nursing
practice(Kenney,2013).
 Nursing practice is complex , and theory informs the
practitioner to do what is right and just (good practice).
 In nursing, practice without theory becomes rote performance
of activities based on tradition , common sense, and following
orders( Hanberg & Brown , 2006).
 “One learns to practice nursing by studying nursing theories
and one learns to practice nursing very well by studying
nursing theories very intensely”(Cody,2003).
Situation-Specific / Practice Theories
 Are clinically specific and reflect a particular context that
may include directions or blueprints for action(Meleis,2012).
 Practice theories are nursing theories used in the actual
delivery of nursing care to clients.
 They are used to carry out nursing interventions and often
include or lead to the performance of psychomotor
procedures (e.g., dressing changes, venipuncture,
medication administration or are related to communication
like education ,counseling & etc.)
Application of Theory in Nursing Research
 In the discipline of nursing, research and theory were first integrated in the works of Florence
Nightingale.
 In the early years, research in nursing focused on education and characteristics of nurses
rather than on aspects of nursing practice and nursing interventions(Blegen & Tripp-
Reimer,1994).
 In nursing, researchers have studies principles and laws governing life processes, the well-
being and optimum functioning of human beings, patterns of behavior as individual interact
with their environment during critical life situations(e.g. birth, loss, illness, death), and
processes that bring about positive changes in a person’s health status.
 Nursing research measures the impact of nursing interventions on client outcomes to provide
an informed basis for practice.
 nursing leaders have recognized the need to link nursing research and theory because it has
been observed that research without theory results in discrete information of data, which
does not add to the accumulated knowledge of the discipline (Chinn&
Kramer,2015;Hardin,2014).
 Tripp-Reime (1984) wrote that research should develop and test theories for nursing practice.
Research should focus on testing which interventions work best with nursing practice.
Application of Theory in Nursing
Administration & Management
 Organizational structure and design are key elements in determining
efficiency and effectiveness of work processes and quality of
outcomes in health care organizations(Robbins & Judge,2014).
6 Elements of Organizational Structure:
a. Work specialization
b. Chain of command
c. Span of Control
d. Authority & responsibility
e. Centralization versus decentralization
f. Departmentalization
 Shared governance is a structural model through which nurses can express and
manage their own practice with a higher level of professional autonomy (Porter-
O’Grady,2003).
 In this design, professional nurses use self-directed work teams at the unit level to
make professional practice decisions and to accomplish the work of the unit.
 Much of the effort directed at restructuring the nursing organization to implement
shared governance was done to empower nurses to join with each other and with
other health care decision makers to better confront issues affecting the practice
of professional nursing.
 Transformational leadership is moral and philosophical leadership rather than
technical leadership.
 This type of leadership is not leading and controlling; rather, it is coordinating,
integrating, and facilitating.
 In the Quality Management environment , quality is defined in terms of what is
acceptable to the customer; that is, the customer determines expectations of
quality.
2 Types of Customers in Health Care:
a. External Customers – are patients , families, physicians not employed by the
organization, payers, and communities.
b. Internal Customers – are staff members employed by organization to provide a
service to external customer.
Application of Theory in Nursing Education
 In general terms, theoretical principles , concepts, and models are used in two major ways in nursing education.
 First, they are used to determine the content and organization and structure of a program’s curriculum.
 Second, they are used to determine the instructional processes and strategies used by faculty to teach students.
 The curriculum of school of nursing typically includes philosophy and mission statements; an organizational or
conceptual framework; list of outcomes, competencies, and objectives for the program ; individual courses, course
outline and syllabi ; educational activities and evaluation methods(Sullivan,2016).
 The curricula of most nursing programs are based on the Tyler Curriculum Development Model , which was
published in 1949. It became the primary model used in developing nursing curricula for all levels of nursing
education – diploma, associate degree , and baccalaureate.
 A well-developed and articulated theoretical or organizational framework gives nursing program the perspective
that shapes the content and the methods that guide student’s learning ; eventually , the content and methods
presented will have an impact on nursing practice(Keating,2015).
 What is taught in nursing programs cab be divided into 3 categories:
a. Cognitive content
b. Psychomotor tasks
c. Application of content and skills in nursing practice.
Thank You!

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