NR 501 WEEK 7 DISCUSSION, APPLICATION OF NURSING THEORY This week we are focusing on the application of nursing
... [Show More] theories to evidence-based practice. In NR 500, you explored an area of interest related to your selected specialty track. You then identified an issue/concern related to that area of interest. For this discussion: select a nursing theory or model that can be used as a framework to support the resolution of your identified issue/concern.
In your initial response, address the following:
• How the selected nursing theory or model is relevant to your specialty track
• A brief description of the issue/concern
• How the selected nursing theory or model can be used to guide the resolution of the issue/concern
Include an example from the literature or your own experience to illustrate your points. Remember to include at least one outside scholarly source.
Dr. Wass and classmates,
An area of interest specific to family nurse practitioner is the impact of stress on health. In 2003, a study found that 60-80% of primary-care visits likely have has a stress-related component (Nerurkar, Bitton, Davis, Phillips, & Yeh, 2013). Additionally, 20% of adults in a nationally representative sample reported regularly experiencing stress that they would categorize as extreme (Galla, O'Reilly, Kitil, Smalley, & Black, 2015). While the flight-or-flight response of our sympathetic nervous system can be lifesaving when dealing with physical challenges – for example running from an attacking animal - our bodies react with this same response when dealing with emotional threats like our responses to traffic jams, stress at work, financial insecurity, 24-hour news, etc. This stress can potentially negatively impact ones health.
McCormack and McCance's Person-Centered Nursing Framework (PCN) is a framework that evaluates patient-centered care outcomes for both the patient and practitioner. As PCN’s foundational premise is that nursing care begins with a focus on the individual person, it is an excellent theory in which to evaluate the impact of stress of an individual’s health. As a family nurse practitioner focuses on prevention and integrating healthy habits into the patient’s daily life, the PCN Framework can guide the practitioner in developing and evaluating outcomes of patient-centered interventions that reduce stress.
Stress reduction and stress management can improve health and quality of life. Interventions can be both evidence-based and individualized. An example from my current practice as a bedside nurse that incorporates my knowledge of the impact of stress on a person’s physiological state and considers McCormack and McCance's PCN framework of considering the individual and their environment is the impact of stress on a patient’s blood pressure. When returning from a procedure, a patient’s vital signs are monitored frequently for 3 hours. [Show Less]