NR 501 Week 4 Discussion: Nursing Theory
Identify your specialty area of NP practice. Select a nursing theory, borrowed theory, or interdisciplinary
... [Show More] theory provided in the lesson plan or one of your own findings. Address the following:
• Origin
• Meaning and scope
• Logical adequacy
• Usefulness and simplicity
• Generalizability
• Testability
Finally, provide an example of how the theory could be used to improve or evaluate the quality of practice in your specific setting. What rationale can you provide that validates the theory as applicable to the role of the nurse practitioner.
ANSWER
As a student pursuing a future as a family nurse practitioner (FNP), I hope to be able to see patients of all ages with a variety of complaints and ailments. According to our week 4 lesson, McCormack and McCance’s Person-Centred Care Nursing (PCN) Framework is relevant to my future role as an FNP (Chamberlain University, 2019). According to McCance, McCormack, and Dewing (2011), “person-centredness is used to describe a standard of care that ensures the patient/client is at the centre of care delivery” (para 1). The idea of person-centred care originated from the theories of humanistic psychologists such as Rogers and Heron and has been used in nursing since the 1970s (McCance, McCormack, & Dewing, 2011). I believe that McCormack and McCance’s Person-Centred Care Nursing Framework would fit within any scope of nursing due to its meaning. This theory helps to guarantee that the complexity of organizational systems is understood in order to decrease or eliminate substandard patient care and take patient’s cultures and beliefs into consideration (Slater, McCance, and McCormack, 2015).
The idea of person- centred care is logical. To me, it makes sense that one would be receiving better care if they were treated holistically, addressing not only their medical needs but also respecting their cultural practices and personal views. Person-centred care would not only provide the patient with treatments catered to them, but the patient may also be more compliant with treatment since it was personalized to respect their wishes and beliefs. The possibility of patient compliance demonstrates the usefulness of patient-centred nursing. It helps to eliminate inadequate practices that may not be individualized to the patient. The concept of patient-centred care appears to be simple. Discussion with patients and/or family at the beginning of care would allow practitioners to gain an understanding of the patient’s medical desires and goals to ensure they receive care best suited for them.
Person-centred care is generalized and testable. In fact, Slater, McCance, and McCormack (2015) performed a cross-sectional survey to evaluate the effectiveness of person-centred practice within the acute care environment using four health and social care organizations. Nurses used the person-centred practice inventory (PCPI), which was a 59-item instrument that gauged 17 constructs associated with the person-centred practice framework that used a five-point scoring ranging from 1 (strongly disagree) to 5 (strongly agree) (Slater, McCance, and McCormack, 2015). This study concluded that nurses surveyed had an understanding of the influence that patients’ values and beliefs have on their care and that shared decision-making and connectedness between patients and practitioners has great value in medical care (Slater, McCance, and McCormack, 2015). Given that nurses from different medical backgrounds and geographical areas all came to the same conclusion, it can be assumed that patient-centred care is a general topic that all healthcare professionals should be able to utilize, including myself as a family nurse practitioner.
Amber Holliday Bryant
References
Chamberlain University. (2019). Week 4: Borrowed theories used by nursing. Retrieved from https://chamberlain.instructure.com/courses/51036/pages/week-4-borrowed-theories-used-by-nursing?module_item_id=6698921
McCance, T., McCormack, B., & Dewing, J. (2011). An exploration of person-centredness in practice. Online Journal of Issues in Nursing, 16(2), 1. https://doi-org.chamberlainuniversity.idm.oclc.org/10.3912/OJIN.Vol16No02Man01
Slater, P., McCance, T., & McCormack, B. (2015). Exploring person-centred practice within acute hospital settings. International Practice Development Journal, 5, 1–8. https://doi-org.chamberlainuniversity.idm.oclc.org/10.19043/ipdj.5sp.011
I am wondering if you considered the work from last week, developing a concept, when you looked at this theory where the main concept is "patient-centeredness" . What thoughts come to mind when you consider this concept and how does that compare to what McCormick and McCance thought?
Dr. Thompson,
I had considered the work from last week when deciding to choose patient-centeredness. I previously analyzed compassion fatigue as my nursing concept and how it affected patient care. I thought about how a nurse practitioner must overcome compassion fatigue in order to provide patient-centered care and that without providing compassion and patient-centered care, the practitioner is not practicing to their full potential. Last week I discussed Jean Watson’s theory of human caring and how one must be treated as their own person and not as an object in order to heal. This closely relates to the concept of patient-centeredness proposed by McCormick and McCance, as each patient’s care must be customized to their needs instead of providing generalized care based on a generic care plan. By utilizing patient-centered care, one is not simply treating their patient as an object, but as a unique person which provides them with the opportunity to heal.
Amber Holliday Bryant
Glenda,
The synergy model is a relatively new theory and is quite interesting. I can definitely see how matching nursing competencies with patient’s needs would improve medical outcomes. While it has never been referred to as the synergy model in my workplace, I have come to realize that this is something that is sometimes incorporated. Working in an emergency department (ED), we often do not get to pick our own patients, but rather get assignments based off of where the triage nurse places them. I have noticed that many experienced triage nurses try to place patients with nurses that have strength in the area of the patient complaint. For example, a manager from the cardiac catheterization/cardiac intervention medicine lab came to the ED. When patients present with critical cardiac problems, they often get placed with him since he has extensive experience and knowledge in that area. Using this synergy model allows the patient to receive more competent care and gives the nurse an opportunity to use their particular skill set to help the patient heal.
Amber [Show Less]