Practicum Journal Entry: Will Select One Nursing Theory

Practicum Journal Entryyou Will Select One Nursing Theory And One Cou

Practicum Journal Entry: You will select one nursing theory and one counseling theory to best guide your practice in psychotherapy. You will explain why you selected these theories and support your approach with evidence-based literature. You also will develop at least three goals and at least three objectives for the practicum experience in this course.

Paper For Above instruction

Introduction

The integration of nursing and counseling theories in psychotherapy practice offers a comprehensive framework that enhances patient care through a holistic approach. Selecting appropriate theories is essential for guiding clinical interactions, developing effective interventions, and achieving desired outcomes. This paper discusses the selection of one nursing theory and one counseling theory, provides rationale supported by evidence-based literature, and outlines three specific goals with corresponding objectives for the practicum experience.

Selection of Nursing Theory

The chosen nursing theory for this practicum is the Dorothea Orem Self-Care Deficit Nursing Theory (Orem, 1991). Orem’s theory emphasizes the importance of supporting individuals to meet their own self-care needs, which is vital in psychotherapy settings where fostering independence and self-management is a core aim. This theory aligns well with mental health nursing because it encourages empowerment, enhances patient autonomy, and promotes holistic well-being.

Orem’s theory is supported by extensive research demonstrating its effectiveness in mental health interventions (Hodges & Clark, 2014). Its focus on assessing self-care capabilities and designing tailored interventions makes it adaptable to various mental health challenges, including depression, anxiety, and trauma. By promoting self-care, nurses can influence patients’ psychological resilience and facilitate recovery processes. Thus, the Self-Care Deficit Nursing Theory provides a robust framework for guiding therapeutic relationships and interventions in psychotherapy.

Selection of Counseling Theory

The counseling theory selected is Cognitive Behavioral Therapy (CBT), operationalized within the broader framework of cognitive-behavioral models (Beck, 2011). CBT emphasizes the interconnection between thoughts, emotions, and behaviors and aims to modify dysfunctional thought patterns to improve mental health outcomes. Its structured, goal-oriented nature makes it suitable for integration with nursing practices, especially when promoting behavioral change and cognitive restructuring.

Empirical evidence supports CBT's efficacy in treating a wide range of psychological disorders, including depression, anxiety, obsessive-compulsive disorder, and post-traumatic stress disorder (Hofmann, Asnaani, Vonk, Sawyer, & Fang, 2012). Its emphasis on skill development and self-monitoring aligns with Orem’s focus on fostering self-care capacities. Incorporating CBT into the practicum enables a comprehensive approach where cognitive restructuring complements self-care promotion, leading to sustainable psychological improvements.

Rationale for Theories Selection

The combination of Orem’s Self-Care Deficit Nursing Theory and CBT offers a synergistic approach that addresses both physiological and psychological dimensions of patient health. While Orem’s theory emphasizes independence and resilience, CBT provides practical tools for managing cognitions and emotions that hinder recovery. Evidence indicates that integrating these theories enhances therapeutic effectiveness, especially in mental health nursing (Raggi & Ussher, 2019).

Furthermore, both frameworks are evidence-based and adaptable, facilitating individualized care. The nursing theory ensures a holistic view of patient needs, while the counseling theory offers specific intervention strategies. Together, they foster an empowering environment where patients can develop self-efficacy, manage symptoms, and improve overall well-being.

Goals for the Practicum

1. Enhance understanding and application of the Self-Care Deficit Nursing Theory in psychotherapy settings.

2. Develop proficiency in implementing Cognitive Behavioral Therapy techniques with diverse patient populations.

3. Integrate nursing and counseling theories to develop comprehensive, patient-centered care plans.

Objectives for the Practicum

- For Goal 1:

  • Attend trainings and workshops on Orem’s Self-Care Theory and its application in mental health nursing.
  • Participate in supervised clinical sessions applying the theory to assess patient needs and develop tailored interventions.
  • Reflect on case studies to reinforce understanding of self-care principles within therapeutic contexts.

- For Goal 2:

  • Observe and practice CBT techniques, including cognitive restructuring, behavioral activation, and mindfulness strategies.
  • Conduct initial assessments and joint therapy sessions under supervision, applying CBT with diverse clientele.
  • Engage in peer review sessions to evaluate and improve CBT implementation skills.

    • - For Goal 3:

  • Design integrated care plans combining nursing self-care strategies and CBT interventions.
  • Evaluate patient progress through clinical documentation and feedback, adjusting approaches as needed.
  • Attend interdisciplinary team meetings to discuss holistic care approaches derived from theoretical frameworks.

    • Conclusion

    Selecting the Self-Care Deficit Nursing Theory and Cognitive Behavioral Therapy provides a coherent, evidence-based foundation for effective psychotherapy practice. Their integration fosters patient empowerment, self-management, and cognitive restructuring, ultimately enhancing recovery trajectories. Clear goals and objectives guide the practicum’s focus on developing practical skills, theoretical understanding, and holistic patient care.

    References

    • Beck, J. S. (2011). Cognitive Behavior Therapy: Basics and Beyond. Guilford Press.
    • Hodges, P., & Clark, S. (2014). Nursing theories and models in mental health care. Journal of Psychiatric Nursing, 25(3), 123-130.
    • Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. Cognitive Therapy and Research, 36(5), 427-440.
    • Orem, D. E. (1991). Nursing: Concepts of Practice. Mosby.
    • Raggi, E. M., & Ussher, J. M. (2019). Integrative approaches to mental health nursing: The value of combining theoretical frameworks. Nursing Research and Practice, 2019, 1-8.
    • Haggerty, C., & Hall, E. (2017). Evidence-based practice in mental health nursing: Theoretical perspectives. International Journal of Nursing Studies, 75, 37-45.
    • Reynolds, F., & McNeill, M. (2015). Holistic nursing care: The importance of integrating psychological theories. Holistic Nursing Practice, 29(4), 213-219.
    • Schwartz, R. (2010). Application of Orem’s Self-Care Model in mental health nursing. Journal of Advanced Nursing, 66(4), 829-838.
    • Vygotsky, L. S. (1978). Mind in Society: The Development of Higher Psychological Processes. Harvard University Press.
    • Wright, L., & Leahey, M. (2013). Nurses and Families: A Guide to Family Assessment and Intervention. F.A. Davis Company.

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