Nursing Theories

Nursing science is developed through the work of nurse scientists and theorists who describe and explain what nursing is and what nurses do. Important to the development of nursing science are the foundational structures of nursing:

The metaparadigm of nursing
Nursing metatheory and nursing philosophies
Nursing theories, which range from all-encompassing conceptual frameworks and macro grand theories to micro level theories used in practice.
Conceptual frameworks and grand theories of nursing, which are more abstract, give the disciple a unique perspective of the metaparadigm concepts and provide a path for more concrete theory development.

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In this assignment, you are going to locate a conceptual framework or grand theory that you could use in advanced nursing practice. After briefly explaining it, you will then describe how your chosen conceptual framework or grand theory of nursing relates to each of the metaparadigm concepts of person/client, nurse, health, and environment as described by the theorist. Lastly, you will apply the conceptual framework or grand theory to advanced nursing roles. In particular, how does this conceptual framework or grand nursing theory apply to advanced nursing practice, education, and research?

Assignment Details

Introduce the reader to the content of this paper with an introductory paragraph.
Briefly describe the conceptual framework or grand nursing theory.
Briefly describe the metaparadigm of nursing.
Explain how the metaparadigm concepts are used by the theorist in the conceptual framework or grand nursing theory.
Project how this conceptual framework or grand nursing theory can be used in advanced nursing roles.
Finish your paper with a concluding paragraph.
Reference the Grading Rubric for this assignment, found in the Course Resources for further guidance.
Assignment Requirements

Minimal page requirement is 3-4 pages of content (no more than 5 pages) not including the title and reference pages.
Five (5) credible sources of support are required.
Use APA 7th Edition for format and style.
Utilize spelling and grammar check to minimize errors.
Your assignment should:
Employ the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
Display superior content, organization, style, and mechanics
How to Submit

BELOW IS A DISCUSSION POST I JUST WROTE ON THIS TOPIC. I think that the King’s Conceptual System is the easiest topic to choose for this paper.

Metaparadigm of Nursing

          One of the foundational structures of nursing is the Metaparadigm of Nursing which describes four major concepts that are interrelated and fundamental to nursing theory: person, environment, health, and nursing. These concepts are interactive components that assist in a nursing discipline by addressing the patient in a holistic manner, addressing their health, well-being, environment and the nursing responsibilities. The way this model is different is that it

Philosophy of Nursing

          When it comes to nursing practice, there is direct correlation between the theories and a nurse’s own philosophy and personal beliefs. A nurse uses his or her philosophy of nursing to explain their individual values and beliefs, the role nursing plays in the healthcare field, and how he or she practices care for patients. The philosophy of nursing is related to nursing theories because they directly affect each other. Nursing theories help nurses define their practice and role which will assist in developing his or her personal philosophy and ethics. In turn, a nurse’s philosophy of nursing will determine what types of models, frameworks, or theories he or she uses to provide the best care in daily practice.

Conceptual Frameworks/Grand Nursing Theories

          The Roy’s Adaptation Model explains how adaptations occur when people respond positively to an environment that is constantly changing. This model is significant in our nursing profession because as we help identify and educate different methods of care and adaptation to new conditions it can greatly improve the daily activities and lives of patients.

          Whereas in King’s Conceptual System, the focus is on the care of the patient, setting health goals with the patient and taking steps to ensure that the goals are met (King, 1981). The goal of providing nurse care is to help individuals maintain or regain their health through developing rapport and mutual understanding nurse-patient relationship. I think this framework is more patient-centered and is one of the nursing knowledge that we use most frequently in the clinical setting. In the hospital setting, I always make sure to develop rapport with my patients by sitting down with them in the morning, looking them

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 in the eye, asking them how they are feeling, their concerns, and what goals we would like to accomplish for the day.  This helps make the patient feel heard and makes me more effective in working with my patients to achieve their goals.

          In Levine’s Conservation Model, the main concept is conservation meaning that when a patient is able to effectively adapt to health challenges by conserving energy and preserving integrity, the patient is able to promote health and wholeness as a human. This is similar to Roy’s Adaptation Model which brings also discusses adaptation to one’s environment. In a study in the Journal of Nursing, nurses found that when using Levin’s Conservation Model as a guide, they were able to help provide better, holistic sepsis care to patients in the hospital. The study identified that patients with sepsis demonstrated an inability to conserve energy, structural, personal, and social integrity. However, through the development of sepsis bundles, prevention of infection to maintain structural function, and enhancement of self-esteem, privacy and social integrity helped patients adapt to their sepsis imbalance (Chang et. al, 2013).

          Orem’s Self-Care Framework main goal discusses the nurse’s role in assisting patient to manage and perform self-care to maintain or improve human functioning. When a patient is unable to care for themselves, it greatly decreases the chances of deterioration, morbidity and mortality. However, through education a healthcare practitioner is able to greatly help their patients cope and adapt to any self-care deficits associated with illness and disease. This is one of the most important responsibilities as a nurse. For instance, if a patient is not taught to move their joints, perform their own activities of daily living, or turn every 2 hours serious health issues could result such as contractures, bed sores, and infections.

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Middle Range Theories

          Middle Range Theories differ from the theories above because they are more specific in focus and are more concrete in concepts and connections compared to Conceptual Frameworks/ Grand Nursing Theories which are a more broad perspective and are applicable to all areas of the nursing profession. Examples of this are Theory of Group Power within Organizations – Christina Sieloff, Theory of Comfort – Katharine Kolcaba, and Theory of Maternal Role Attainment- Ramona Thieme Mercerhese.


Practice/Situation Specific Theory

          Practice/Situation Specific Theory are important for APNP because without these theories we could not become experts in our specific area of study. This specific theory is beneficial because it is a low level of abstraction, allows a reflection of specific nursing phenomena in the clinical setting, has context, makes a connection to research/practice, allows for a nursing perspective, links theory to research and practice, and creates a conceptual scheme based on clinical experience (Im et. al, 1999). I personally think that out of all the theories the practice specific theory is the best way to set yourself apart in your practice. If you are aware of the theories specific to your area of expertise, you are truly able to help provide exceptional care by putting to use the theory combined with research to ensure the most safe, holistic, patient-centered care in your practice. Overall, the different nursing theories and philosophies are highly applicable to the knowledge that we use every day because they both provide a way for nurses to approach our daily practice and our individual patients in order to provide the best possible care for the. For more information on Nursing Theories check out :

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Chang, N. Y., Lai, T. Y., Liu, Y. J., & Huang, T. Y. (2013). Hu li za zhi The journal of nursing, 60(2), 103–110.

Im, E. O., & Meleis, A. I. (1999). Situation-specific theories: philosophical roots, properties, and approach. ANS. Advances in nursing science, 22(2), 11–24.

King, Imogene M. A Theory for Nursing : Systems, Concepts, Process  / Imogene M. King. New York: Wiley, 1981. Print.

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