Sie sind auf Seite 1von 7

AGILLON, TFN, SECTION

N1B, WORKSHEET 1
1.

A conceptual model or theoretical framework provides a coherent, unified and orderly way of

envisioning related events or processes relevant to a discipline. In research, a framework illustrates the

overall conceptual design of the study. The terms ‘conceptual model’ and ‘theoretical framework’ are often

used interchangeably, but a theoretical framework generally incorporates at least part of a specific theory

as the basis for a study. In addition, a theoretical framework often includes propositional statements

describing the relationships among variables and has received more testing than the more tentative

conceptual model while grand theories are complex and broad in scope and may incorporate numerous

other theories. They are comprised of relatively abstract global concepts that attempt to explain broad areas

in a discipline developed through thoughtful and insightful appraisal of existing ideas. Based on these

perspectives, grand theory includes diverse ways of viewing nursing phenomena.


2.

THEORY THEORIST PERSON HEALTH NURSE ENVIRONMENT

*It all encompasses


all external
*Nurses needed to conditions and
stress promotion influences that affect
*The person is
of health, life and development.
whole-complete
prevention of *Society wants and
and independent.
illness and its *The nurse’s goal expects nurses to act
*Composed of
cure. is to make the for individuals who
biological, spiritual
*Necessary patient whole and are unable to
and sociological
strength, will and independent. function
Nursing Need Virginia components.
knowledge is *The nurse will independently.
Theory Henderson *Mind and body
important in help the patient *The environment
are inseparable.
achieving health. maintain dignity can act positively or
*Achieve
* Health is basic for a peaceful negatively upon the
wholeness by
to human life death. patient.
maintaining
*Health *Include individuals
physiological and
promotion is more in relation to families
emotional Balance
important than and the settings in
care of the sick. which an individual
learns unique pattern
for living.

*Health can be
inferred to be a
*The source of state of self-
energy and awareness with a
motivation for conscious
healing is the selection of
individual care behaviors that are
*Nursing is
recipient, not the optimal for that
identified as
health care individual. *Should facilitate
consisting of
Care, Core, Cure provider. Hall *Hall stresses the achievement of the
Lydia Hall participation in
Theory emphasizes the need to help the client’s personal
the care, core, and
importance of the person explore the goals.
cure aspects of
individual as meaning of his or
patient care.
unique, capable of her behavior to
growth and identify and
learning, and overcome
requiring a total problems through
person approach. developing self-
identity and
maturity.
* It is the practice
of identifying the
needs of a patient
through *Conglomerate of
observation of objects, policies,
* May be a nurse symptoms, settings, atmosphere,
or a patient who is behavior finding time, human beings,
endowed with a what causes those happenings (past,
Helping Art of Ernestine * Not defined/
unique potential to symptoms, current, or
Clinical Nursing Wiedenbach discussed.
develop self- assessing if the anticipated) that are
sustaining patient is able to dynamic,
resources resolve the unpredictable,
discomfort and exhilarating, baffling
determining the and disruptive.
need for help from
the nurse or other
health care team.

*Factors, including
social, cultural and
*A physical, that
*A positive *Works in
Biopsychosocial surrounds the
dynamic state not collaboration with
Health Nola J. organism with individuals’ life. The
merely the the client to create
Promotion Model Pender unique experiences individual has the
absence of the condition for
and attributes that ability to manipulate
disease. optimal health.
determine actions. the environment to
facilitate positive
health behaviors.

* Learned
*Humans are *Defined as a humanistic and
believed to be state of well-being scientific
caring and to be that is culturally profession and
capable of being defined, valued discipline focused
concerned about and practiced, on human care *Not defined but the
the needs, well- which reflects the phenomena and concept of culture is
being and survival ability of
caring activities in closely related to
of others. individuals (or
Transcultural Madeleine order to assist, society or
*Humans are groups) to
Nursing Leininger support, facilitate environment and is
universally caring perform their
or enable considered as a
beings who survive daily role
individuals or central theme in her
in a diversity of activities in groups to theory.
cultures through culturally maintain or regain
their ability to expressed, their health or
provide the beneficial and well-being in
universality of care patterned
culturally
in a variety of ways lifeways’.
meaningful and
according to
beneficial ways,
differing cultures, or to help
needs and settings. individuals face
handicaps or
death.

*Everything in the
*Open process of *A human science
*Open being who person and his
Theory of being and and art that uses
Rosemarie is more than and experiences.
Human becoming. It also an abstract body
Rizzo Parse different from the Inseparable,
Becoming involves synthesis of knowledge to
sum of the parts. complimentary to
of values. serve people.
and evolving with.

*Fundamentally, *Landscape and


* Involves the
potentially and geography of human
nurse knowing
Anne Boykin actually each social experience, the
* Not self as caring
Theory of & person is caring setting or context of
(specifically) person and
nursing as Caring Savina even though every experiences everyday
defined coming to know
Schoenhofer act might not be life and includes
the other as
understood as variations in space,
caring.
caring. time and quality.

*Individual who is
engaged with a
nurse who is
respectful of *Process through
*(Internal)
subjective which we reshape
Individual’s mental,
experiences. basic assumptions
emotional, spiritual
Barbara *Includes an and worldviews *Not specifically
Integral Nursing dimensions.
Dossey individual nurse about well-being defined.
*(external) Objects
who interacts with and see death as a
that can be seen and
a nursing natural process of
measured.
colleague, intra- the cycle of life.
professional health
team or a group of
community.

3.
(A – Virginia Henderson [Nursing Need Theory])
Ms. A, 23 years old female client was admitted in the surgical unit with attempted suicide. One
week ago, she ingested toilet cleaner because of a family discourse. Ms. A lived in a countryside and had
studied till 8th standard. Looking back at her history, her mother informed that her marriage was planned
two days before the incident. She was unwilling to share the reason for her suicide but said that she was
stressed out and attempted suicide. Later on, her mother reported that she was impetuous and emotional
person and was in love with someone but the family was willing for her marriage. Her physical evaluation
revealed alert, oriented but depressed female. Her chief complaints were difficulty in breathing and mood
swings. Her scan showed damaged larynx, mouth and stomach ulcers respectively. The dietician told her
to do liquid diet but Ms. A showed dislike and resisted eating. She was noncompliance towards her intake
and developed dehydration, irritability and insomnia as evidenced by dry mouth, sunken eyes with dark
circles around.

*The case scenario of Ms. A illustrates the application of nursing theory into clinical practice by
making use of nursing theory process in an expansive aspect. The nursing need theory is relevant to clinical
setting and can serve as a framework to recognize caring needs, deliver and evaluate holistic nursing care.
It was relevant to our settings as well and can help experienced nurses to have stable and valid data about
the health status of clients, which conclusively enhance the quality of nursing care provided to the patients.

(B- Lydia Hall [The Care, Cure and Core Model])


A patient just found out that she had a type 1 Diabetes as she was scared on what she must do. She
started panicking and told the nurse she can’t do it.

*The interventions nursing can provide the patient is to maintain her fluid intake such as that in
order to prevent dehydration. The element of care provides the patient with education and discharge
planning such as teaching of how to give insulin, checking blood sugar, dietary changes and exercise rules.
Open communication assists the patient in being comfortable in asking questions and expressing fears of
disease management, emotional and or social issues due to lifestyle changes. Lydia Hall’s Care Core Cure
model suggests that patient have three needs. Patient outcomes would be improving self-esteem including
confidence and motivation in managing her disease. This model helps build rapport between the patient and
the nurse by assisting them to communicate their concerns and apprehensions pertaining to disease
management.

(C-Nola Pender [Health Promotion Model]


All members of the family are obese and the father has a family history of type II diabetes mellitus
and coronary artery disease. Using this case as a starting point for investigation, the use of the Health
Promotion Model (HPM) is proposed, along with a review of two nursing diagnoses for the family, their
goals, and possible interventions.

*Application of this model to the family for the case will ease the ability of the nurse to understand
the specific characteristics and experiences of the family and to target cognitions about health. This
information will be crucial for the nurse to develop a care plan built on starting self-efficacy for each family
member. Once self-efficacy for family members has been achieved it will be possible to place the family
on a pathway to better health. Because no specific chronic health issues (e.g. type II diabetes, hypertension,
etc.) have exhibited for the family with the exception of being obese engagement in health promotion
behaviors could provide the foundation for the family to use self-care activities that will not only reduce
weight but also prevent the development of serious health issues.

(D- Madeleine Leininger [Transcultural Nursing])

A 50 years old man of Asian descent who is less than 24 hours post-surgical exploratory laparotomy
is frequently asked if he is in pain. He continuously answers “no” though his facial expressions says
otherwise. Upon questioning this phenomenon, it is realized that people of Asian culture do not admit to
pain because it is a sign of weakness. The patient takes medication when given, but will not ask for it. Due
to his cultural beliefs he is unable to express his emotions relating to his level of pain because it is culturally
unacceptable.

* The nurse would use cultural accommodation to adjust a patient’s plan of care to meet their
specific physical needs using a visual scale to assess pain and providing pain medication as indicated. The
nurse could show different medicine and give them information concerning the new medicine such as it has
helped her and others to heal. Explaining that it will help if they use it on a regular basis and not just one at
a time.

Das könnte Ihnen auch gefallen