Theoretical Foundation of Advanced Practice Nursing, MSN 561, Discussion 1 - Science
Please pay attention and specific and detailed on in text citations, references and the contents (Answers) should be covered all the questions.The text books will beAlligood, M. R. (2014). Nursing theory: Utilization & application (5th ed). St. Louis, MO: Mosby.ISBN: 9780323091893 (I attached eBook) Nightingale, N. (2017). Notes on nursing: What it is and what it is not. Radford, VA. Wilder Publication. ISBN-13: 978-1-4209-5631-3 eBook ISBN 13: 978-1-4209-5632-0 (I attached eBook) OR, choose one of the free public domain links below: Notes on Nursing. Nightingale Public Domain Access First Edition 1860: http://digital.library.upenn.edu/women/nightingale/nursing/nursing.html AudioBook, LIbrivox: https://librivox.org/search?title=Notes+on+Nursing&author=NIGHTINGALE&reader=&key words=&genre_id=0&status=all&project_type=either&recorded_language=&sort_order=c atalog_date&search_page=1&search_form=advanced Audio & eBook: https://goddessnike.com/library/NightingaleNotesonNursing/?page=introduction.html Analyze application of nursing theory in evidence-based practice and research literature. Assessed by: Discussion Question belowAlligood:-this is the text book for this class. ( I attached eBook files)Ch. 22, then Ch. 3Butts, J. B. (2014). Philosophies and Theories for Advanced Practice Nursing (2nd ed.). Jones & Bartlett: Sudbury, MA.Chapter 5SlideShare from 2nd Edition ( I attached eBook files)Remember when you first learned about theories in school? There were the Big Bang Theory, the Theory of Evolution, Newton’s Universal Law of Gravitation (a law is a theory that is so universally accepted that it is considered an absolute), Archimedes’ Buoyancy Principle, and the Three Laws of Thermodynamics. You can probably describe them even if you don’t have them memorized. You also probably remember Maslows Hierarchy of Needs, Piaget’s Theory of Cognitive Development, Erikson’s Eight Stages of Psychosocial Development, and Pavlov’s Theory of Learning. There are many more that you have been exposed to in your education. What makes them theories? How do you identify a theory? As a practicing nurse, can you identify the concepts and propositions of the theories of Orem, Watson, Roy, Henderson, Peplau, Leininger,, Rogers, and Nightingale? What makes them theories and what makes them nursing theories?As a scholar within a profession, your decisions and practice are based upon the theories of the profession. Research using quantitative measures is used to test theories. Qualitative research is used to create theory. The practice of nursing is based upon well documented and supported theories with evidence well established in peer reviewed literature. A nursing scholar with an advanced degree must be intimately familiar with nursing theory, how to evaluate it, and how to use it.1 Discussion Question - Experiences Implementing or Applying Nursing Theory into PracticeDiscussion PromptDiscuss any experience you have had with implementing or applying nursing theory into practice in current or past employment situations. ExpectationsInitial Post:Length: A minimum of 250 words, not including referencesCitations: At least one high-level scholarly reference in APA from within the last 5 years
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Nursing Theory
UTILIZATION & APPLICATION
Martha Raile Alligood, PhD, RN, ANEF
Professor
College of Nursing
East Carolina University
Greenville, North Carolina
3251 Riverport Lane
St. Louis, Missouri 63043
Nursing Theory: Utilization and Application, ed 5
ISBN: 978-0-323-09189-3
Copyright © 2014 by Mosby, an imprint of Elsevier Inc.
Copyright © 2010, 2006, 2002, 1997 by Mosby, Inc., an affiliate of Elsevier Inc.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance
Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using
such information or methods they should be mindful of their own safety and the safety of others,
including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check
the most current information provided (i) on procedures featured or (ii) by the manufacturer of each
product to be administered, to verify the recommended dose or formula, the method and duration
of administration, and contraindications. It is the responsibility of practitioners, relying on their own
experience and knowledge of their patients, to make diagnoses, to determine dosages and the best
treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability,
negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas
contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Nusing theory (2013)
Nursing theory: utilization & application / [edited by] Martha Raile Alligood. –Fifth edition.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-323-09189-3 (pbk.)
I. Alligood, Martha Raile, editor of compilation. II. Title.
[DNLM: 1. Nursing Theory. 2. Models, Nursing. 3. Philosophy, Nursing. WY 86]
RT84.5610.7301–dc232013010390
Senior Content Strategist: Yvonne Alexopoulos
Associate Content Development Specialist: Emily Vaughters
Publishing Services Manager: Jeff Patterson
Project Manager: Jeanne Genz
Design Direction: Karen Pauls
Printed in the United States
Last digit is the print number: 9 8 7 6
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5 4 3
2 1
www.ketabpezeshki.com
To my grandchildren,
Hunter Kent, Charlie Nicholas, John Kent Jr.,
Raymond Charles, and Kendall Lynn Alligood,
who are very special to me.
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Contributors
Martha Raile Alligood, PhD, RN,
ANEF
Margaret E. Erickson, PhD, RN, CNS,
AHN-BC
Kimberly Bolton, PhD, WHNP-BC
Jacqueline Fawcett, PhD, DSc, FAAN
Professor
College of Nursing
East Carolina University
Greenville, North Carolina
Chair, Graduate Studies in Nursing
Associate Professor
Women’s Health Care Nurse Practitioner
Carson-Newman College
Jefferson City, Tennessee
Debra Bournes, PhD, RN
Oakville, Ontario, Canada
Janet Witucki Brown, PhD, RN, CNE
Associate Professor
College of Nursing
University of Tennessee
Knoxville, Tennessee
Karen A. Brykczynski, PhD, RN, CS,
FNP
Associate Professor
The University of Texas Medical Branch
School of Nursing at Galveston
Galveston, Texas
Kaye Bultemeier, PhD, FNP-BC
Assistant Professor
School of Nursing
Georgetown University
Washington, DC
Executive Director
American Holistic Nurses’ Certification
Corporation
Cedar Park, Texas
Professor, Department of Nursing
College of Nursing and Health Sciences
University of Massachusetts–Boston
Boston, Massachusetts
Kathleen M. Flaherty, PhD, CNS, RN
Professor of Nursing
Graduate Program Director
Malone University
School of Nursing and Health Sciences
Canton, Ohio
Pamela J. Grace, RN, PhD, FAAN
Associate Professor of Nursing and Ethics
William F. Connell School of Nursing
Boston College
Chestnut Hill, Massachusetts
Violeta Berbiglia, EdD, RN
Educational Consultant
Helotes, Texas
Mary E. Gunther, PhD, RN
Associate Professor
College of Nursing
University of Tennessee–Knoxville
Knoxville, Tennessee
v
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vi
CONTRIBUTORS
Bonnie Holaday, DNS, RN, FAAN
Molly Meighan, RNC, PhD
D. Elizabeth Jesse, PhD, CNM
Kenneth Phillips, PhD, RN
Professor
School of Nursing
Clemson University
Clemson, South Carolina
Associate Professor
College of Nursing
East Carolina University
Greenville, North Carolina
Marilyn McFarland, PhD, RN,
FNP-BC, CTN-A
Professor
Department of Nursing
School of Health Professions and Studies
The University of Michigan–Flint
Bay City, Michigan
Barbara A. May, PhD, RN
School of Nursing
Lamar University
Beaumont, Texas
Professor Emerita
Division of Nursing
Carson-Newman College
Jefferson City, Tennessee
College of Nursing
University of Tennessee
Knoxville, Tennessee
Karen M. Schaefer, PhD, RN
Associate Professor
Department of Nursing
College of Health Professions
Temple University
Philadelphia, Pennsylvania
Angela F. Wood, RN, C, NNP-BC, PhD
Associate Professor
Carson-Newman College
Jefferson City, Tennessee
Reviewers
Karen Hessler, PhD, FNP, MSN, RN
Assistant Professor
College of Natural and Health Sciences
University of Northern Colorado
Greeley, Colorado
Linda Jensen, RN, PhD, MN
Associate Professor
Clarkson College
Omaha, Nebraska
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Preface
T
he first edition of this book was developed to provide a text that demonstrated the theory-practice relationship and illustrated how theory guides
nursing practice. The second edition added 10 new chapters and expanded
the professional premises of the first edition. The third edition updated each chapter and set forth the following three areas: the explicit value of theoretical knowledge for professional nursing practice, the widespread recognition of middle-range
theory as practice theory, and the theory utilization era as significant in nursing
history. The fourth edition, like each of the previous editions, was designed to
demonstrate to faculty and students how nursing philosophies, models, and theories (and particularly middle-range theories) guide the critical thinking and decision making of professional nursing practice and therefore is especially applicable
in clinical practice courses. This updated fifth edition continues to demonstrate
utility and applicability for professional nursing practice. It is useful in courses
that introduce students and new nurses to the theories of the discipline of nursing, as well as in those that address the nature of nursing thought and action, and
those that emphasize the processes of patient care. This text illuminates the role
of theory in theory-based nursing practice for nursing programs, in-service education programs for nursing staff development, and especially advanced practice
nursing courses in master’s and doctor of nursing practice (DNP) programs.
Nursing Theory: Utilization & Application illustrates the role of theory for patient-focused nursing. It serves as a companion text for Nursing Theorists and Their
Work, eighth edition, by Martha Raile Alligood, which provides a more comprehensive overview of the history and development of nursing’s theoretical works.
As a companion text, Nursing Theory: Utilization & Application, fifth edition, leads
the reader beyond an introduction to the nurse theorists and their works to an
understanding of praxis, as the purpose of theory in professional nursing practice
is illustrated with patient-focused care of patients. Therefore, this text exposes the
structure and purpose of theory with explanations and case applications from actual nursing practice, written by authors with expertise in the use a particular theory
in their professional practice. The content of the book is presented in three parts.
Part I, Conceptualization, provides background and context for the major
premise of the text, which is the essential nature of theory application for professional nursing practice. Chapter 1 sketches the history of more than a century of
nursing profession development that brought us through eras of nursing history to
the current theory utilization era. It is proposed that the quest for nursing knowledge on which to base nursing practice has been the criterion of a profession and
driving force that shaped the nursing profession. Chapter 2 presents the major
nursing models and theories with interpretations of “normal science” according
to Kuhn’s (1970) criteria. An extensive bibliography leads the reader to research
vii
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PREFACE
literature reporting theory-based nursing practice applications, with tables that illustrate its wide use. Chapter 3 presents philosophies, models, theories, and middle-range theories and the relationship among them in a “structure of knowledge”
and as critical thinking structures for the thought and action of nursing practice. A
guide is presented in Chapter 3 to help students select a model to guide their practice. Chapter 4 is a unique feature of this text that has been highly acclaimed. The
chapter is developed by a nurse ethicist who presents the moral obligations inherent
in nursing philosophies, models, and theories and theory-based nursing practice.
Part II, Application, is the “heart and soul” of the text. The 16 chapters (Chapters 5
through 20) present philosophies, models, and theories as critical thinking structures,
illustrating how they guide the thought and action of nursing practice with application
in case presentations. These chapters are written by advanced practice nurses with expertise in clinical knowledge of the philosophy, model, or theory on which they write.
Another unique feature of this text is the development of the plan of care for two
cases that illustrate actual guidance by the philosophy, model, or theory with the case
of “Debbie” and a case from the author’s own practice. (The theory is not applicable
in Chapter 17, which presents pregnancy). Each chapter in Part II concludes with
Critical Thinking Exercises. Those who use the text report many uses for the exercises,
such as posting as weekly discussion threads for online theory course instruction or
selecting a certain exercise for class discussion or a clinical conference. The exercises
are included to provide additional experiences of application and facilitate student
understanding of the unique characteristics of each philosophy, model, or theory.
Part III, Expansion, features two chapters. Chapter 21 presents areas for more
theory-based nursing practice applications to be used in research and practice and
documented in the nursing literature. Tables are presented that are mirror images of
the tables in Chapter 2. Many of the blank areas have been filled in from literature reporting on expanding use of theory in nursing practice. The tables point out the areas
where opportunities still exist to document theory-based nursing practice. Examples
of middle-range nursing theories derived from nursing models are presented, with
suggestions that illustrate how the details of nursing practice combines to form the
shell for middle-range nursing theory development, such as nursing actions, patient/
client population, area of practice, and nursing intervention. Chapter 22 highlights
the essential nature of theory-based nursing practice for the discipline and continued
professional development. This chapter addresses contemporary nursing practice issues of safety and quality in relation to theory use and recognizes the patterns of
knowing (empirical, esthetic, ethical, personal, and sociopolitical) as types of theory.
Special Features
• L
ogical organization that flows: past history to present practice applications
and the future
• Relates nursing thought and action to nursing praxis
• Presents a chapter on moral obligations inherent in theory-based nursing
p
ractice
• Utilization of 16 nursing philosophies, models, theories, and middle-range
theories
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PREFACE
ix
• A
pplication of cases that illustrate theory-based, patient-focused nursing
p
ractice
• Comparison of nursing applications in 15 theoretical works with the case of
“Debbie”
• Illustrates how knowledge structure levels address critical thinking and decision making
• Critical thinking exercises at the end of application chapters foster experiential
learning
• A glossary of terms provides deeper understanding for student development
This fifth edition is an exciting and useful text I have developed for teaching
students how to understand and practice theory-based nursing. The current emphasis on safety and quality makes patient-focused care and utilization of theoretical works of nursing even more important for the professional practice of nursing.
The role of nursing theory in praxis, critical thinking and decision making for nursing practice are the hallmark of this text. Nursing faculty who want to take their
students beyond learning about the theorists and contemplation of theory to its
application will find that this text guides students in using nursing approaches that
are clear and direct, giving guidance to achieve that quality practice outcome.
Faculty and students at all levels of nursing have reported that this text was vital to increasing their understanding of theory-based practice. Faculty said that this
text improved the quality of their undergraduate teaching by clarifying their communication about theory to students. It helped them teach students how theory
guides nursing thought and action. A student in a master’s program said, “I have
been a nurse for 7 years, and your text has helped me learn what it really means to
be a nurse and not just a helper of physicians.” Doctoral students report that the
text helped them understand the nature of middle-range theory from a knowledge
structure perspective and to develop their dissertation research ideas into a testable
middle-range theory. This feedback and published reviews of the text have served
as evidence for me to understand the utility of the text for faculty and students of
all levels of nursing. I salute them (faculty, students, and practicing nurses) in their
efforts to learn nursing and improve patient care, and I offer this fifth edition for
their continued growth.
Acknowledgments
I would like to thank the staff at Elsevier for their work and support on this new
fifth edition. This text would not be possible without the contributions of the application chapters by the expert authors. I am humbled by their knowledge and
offer heartfelt thanks and appreciation to each of them. A special thank-you to Dr.
Kenneth D. Phillips, who developed the case of Debbie from his practice for the
first edition of the text; its usefulness continues.
Finally, I continue to thank to my colleague and mentor Ann Marriner Tomey,
who many years ago saw authorship of a nursing theory textbook focused on application of theory in practice in me when I didn’t see it myself and challenged me to
design this text. After I did so she invited me to be co-author/editor of Nursing Theorists and Their Work from the fourth through seventh editions. She has been a dear
mentor and colleague and I continue to wish her the very best in her retirement.
Martha Raile Alligood
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Contents
PART I Conceptualization
1 The Nature of Knowledge Needed for Nursing Practice, 2
Martha Raile Alligood
2 Nursing Models: Normal Science for Nursing Practice, 13
Angela F. Wood
3 Philosophies, Models, and Theories: Critical Thinking
S tructures, 40
Martha Raile Alligood
4 Philosophies, Models, and Theories: Moral Obligations, 63
Pamela J. Grace
PART II Application
Section One: Nursing Philosophies
5 Nightingale’s Philosophy in Nursing Practice, 84
Kim Bolton
6 Watson’s Philosophy and Science of Caring in Nursing
P
ractice, 96
D. Elizabeth Jesse and Martha Raile Alligood
7 Benner’s Philosophy in Nursing Practice, 118
Karen A. Brykczynski
Section Two: Nursing Models
8 Johnson’s Behavioral System Model in Nursing Practice, 138
Bonnie Holaday
9 King’s Conceptual System and Theory of Goal Attainment in
Nursing Practice, 160
Mary Gunther
10 Levine’s Conservation Model in Nursing Practice, 181
Karen Moore Schaefer
11 Neuman Systems Model in Nursing Practice, 200
Kathleen M. Flaherty
12 Orem’s Self-Care Deficit Theory in Nursing Practice, 222
Violeta Ann Berbiglia
13 Rogers’ Science of Unitary Human Beings in Nursing
P
ractice, 245
Kaye Bultemeier
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CONTENTS
14 Roy’s Adaptation Model in Nursing Practice, 263
Kenneth D. Phillips and Robin Harris
Section Three: Nursing Theories
15 Orlando’s Nursing Process Theory in Nursing Practice, 285
Barbara A. May
16 Modeling and Role-Modeling Theory in Nursing Practice, 303
Margaret E. Erickson
17 Mercer’s Becoming a Mother Theory in Nursing Practice, 332
Molly Meighan
18 Leininger’s Theory of Culture Care Diversity and Universality in
Nursing Practice, 350
Marilyn R. McFarland
19 Parse’s Theory of Humanbecoming in Nursing Practice, 368
Debra A. Bournes and Gail J. Mitchell
20 Newman’s Theory of Health as Expanding Consciousness in
N
ursing Practice, 394
Janet Witucki Brown and Martha Raile Alligood
PART III Expansion
21 Areas for Further Development of Theory-Based Nursing
Practice, 413
Martha Raile Alligood
22 Nursing Philosophies, Models, and Theories: A Focus on the
Future, 425
Jacqueline Fawcett
Glossary, 443
Index, 449
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PA R T
I
Conceptualization
The following conceptualizations provide the context for the premises of
this text:
• Nursing’s long search for a substantive body of knowledge led to the development and discovery of nursing science for quality professional practice
in the twenty-first century.
• Applications of conceptual models of nursing and nursing theories produce evidence of “normal science” for the thought and action of professional nursing practice (praxis).
• Theory utilization and application publications are increasing in all areas
of nursing practice.
• Nursing’s theoretical works, philosophies, models, and theories specify
approaches to practice that generate positive patient outcomes and satisfaction for practicing nurses.
• The empirical, esthetic, ethical, personal and sociopolitical knowledge
needed for evidence-based nursing practice is in nursing works: philosophies, conceptual models, and theories.
• Nursing’s theoretical works include values that sp ...
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One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research
Elaborate on any potential confounds or ethical concerns while participating in the psychological study 20.0\% Elaboration on any potential confounds or ethical concerns while participating in the psychological study is missing. Elaboration on any potenti
3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family
A Health in All Policies approach
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum
Chen
Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change
Read Reflections on Cultural Humility
Read A Basic Guide to ABCD Community Organizing
Use the bolded black section and sub-section titles below to organize your paper. For each section
Losinski forwarded the article on a priority basis to Mary Scott
Losinksi wanted details on use of the ED at CGH. He asked the administrative resident