Philosophical & Theoretical Evidence

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Formatted and cited in current APA style with support from at least 2 academic sources within 5 years and at least 150 words.

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  • Reply to Yalier
  • The advancement of nursing as a field has been greatly influenced by the creation and use of many theories and conceptual frameworks. These frameworks serve as a roadmap for clinical practice and also contribute to research and teaching by providing a systematic method for comprehending and enhancing patient care. This essay provides a thorough analysis of various influential ideas and conceptual models in nursing and allied disciplines, emphasizing their significance and practicality in advanced nursing practice.
  • The study of nursing theories.

Watson’s Theory of Human Caring

The Theory of Human Caring, developed by Jean Watson, is a fundamental concept in nursing that places significant emphasis on the ethical and moral aspects of providing care. This idea asserts that the core of nursing revolves around the act of caring, which entails the dedication of nurses to safeguard and improve the inherent worth of individuals. Watson’s framework is organized based on ten curative factors, which function as a roadmap for delivering comprehensive and empathetic care (Watson, 2008). These characteristics encompass the establishment of a trusting connection, the facilitation of interpersonal teaching and learning, and the creation of a supportive and correcting environment that addresses mental, physical, sociological, and spiritual needs.

Watson’s thesis is highly relevant in the fields of palliative care and mental health nursing within advanced nursing practice. Advanced practice nurses (APNs) can utilize Watson’s concepts to improve the overall well-being of terminally ill patients by addressing their comprehensive requirements. APNs can establish a caring atmosphere and prioritize understanding to develop a therapeutic connection that assists patients and their families during end-of-life treatment.

The Neuman’s Systems Model

Betty Neuman’s Systems Model is a significant nursing paradigm that perceives patients as open systems that are continuously interacting with their environment. The approach emphasizes the significance of detecting stressors that affect the patient and applying primary, secondary, and tertiary preventative techniques to attain system stability (Neuman & Fawcett, 2011). The paradigm includes five variables: physiological, psychological, sociocultural, developmental, and spiritual, offering a complete approach to patient care.

Neuman’s paradigm is highly beneficial in critical care settings, especially when patients are subjected to many stresses, in the context of advanced nursing practice. For example, in trauma treatment, Advanced Practice Nurses (APNs) can apply Neuman’s model to evaluate the factors causing stress in patients and to create interventions that target these factors across the five categories. This comprehensive evaluation and intervention approach empowers Advanced Practice Nurses (APNs) to develop individualized care strategies that improve patient resilience and facilitate the process of recovery.

Concepts derived from interconnected disciplines

Bandura’s Social Cognitive Theory (SCT)

Albert Bandura’s Social Cognitive Theory, which originated in the field of psychology, has significant relevance to nursing practice, specifically in the context of modifying health behaviors. Social Cognitive Theory (SCT) places significant emphasis on the crucial role of observational learning, self-efficacy, and goal-setting in facilitating behavioral change. According to Social Cognitive Theory (SCT), individuals are more inclined to adopt activities if they have confidence in their ability to perform them well and if they witness others demonstrating these behaviors (Bandura, 1997).

Social Cognitive Theory (SCT) plays a crucial role in patient education and behavioral interventions within advanced nursing practice. For instance, in programs aimed at managing diabetes, Advanced Practice Nurses (APNs) can utilize Social Cognitive Theory (SCT) principles to assist patients in adopting healthier lives. APNs can effectively assist patients in obtaining improved glycemic control and reducing complications by increasing patients’ self-efficacy through teaching, modeling, and reinforcement. This method not only enhances the outcomes of individual patients but also enhances the overall effectiveness of diabetes care programs.

The Transtheoretical Model (TTM) developed by Prochaska and DiClemente

The Transtheoretical Model, formulated by James Prochaska and Carlo DiClemente, delineates the sequential phases individuals experience while altering their behavior: precontemplation, contemplation, preparation, action, and maintenance (Prochaska & DiClemente, 1983). The Transtheoretical Model (TTM) offers a systematic approach to comprehending the processes and advancements of behavior change. It gives useful insights for creating treatments that are specifically matched to an individual’s current stage of change.

APNs often employ TTM (Transtheoretical Model) in their efforts to promote health and avoid diseases. For example, in smoking cessation programs, Advanced Practice Nurses (APNs) evaluate patients’ willingness to stop smoking and create appropriate interventions based on their assessment. APNs can offer stage-specific assistance to patients by determining their current stage of change. For instance, individuals in the contemplation stage may benefit from motivational interviewing, while those in the maintenance stage may require relapse prevention methods. This customized strategy enhances the probability of achieving successful modification of behavior and sustained discontinuation, therefore enhancing public health results.

Incorporation and Utilization

Incorporating these ideas and models into advanced nursing practice is crucial for providing evidence-based, patient-centered care. Nursing theories, such as Watson’s Theory of Human Caring and Neuman’s Systems Model, provide comprehensive frameworks for addressing the holistic needs of patients. These theories empower Advanced Practice Nurses (APNs) to create comprehensive care plans that take into account the complete range of patient experiences and circumstances.

Concurrently, theories from interconnected disciplines, such as Bandura’s Social Cognitive Theory (SCT) and the Transtheoretical Model (TTM), offer effective methods for encouraging changes in health behavior. These theories are especially beneficial in the management of chronic diseases, as they are essential for achieving long-term behavior change and enhancing health outcomes. By utilizing these conceptual frameworks, Advanced Practice Nurses (APNs) can improve their clinical practice, resulting in more efficient patient education, enhanced patient outcomes, and a superior level of care.

Ultimately, the assessment and incorporation of theories and conceptual models from nursing and allied professions are crucial for the progress of advanced nursing practice. These frameworks provide guidance to Advanced Practice Nurses (APNs) in offering comprehensive, patient-centered care, encouraging individuals to take care of themselves, and encouraging the adoption of healthy behaviors. Continued implementation and investigation of these theories will augment the quality and effectiveness of nursing practice, ultimately benefiting patients and the wider healthcare system.

Philosophical & Theoretical Evidence

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