Questions About Nursing Practices 2

Questions About Nursing Practices 2 Questions on Nursing Practices Name Institution Date

The assignment involves analyzing various nursing models and theories, discussing their applications and implications in nursing practice. Specifically, it requires an examination of the JBSM model, Orem's theory of nursing capabilities, Roy's adaptation model, Parse's concept of true presence, and the importance of emotional caregiving in nursing. The focus is on understanding how these models influence nursing practice, their strengths and limitations, and how they can be applied effectively in real-world nursing scenarios.

Paper For Above instruction

Nursing theories and models serve as foundational frameworks that guide nurses in providing effective, holistic, and patient-centered care. By critically examining these frameworks, nurses can better understand their roles, responsibilities, and the best approaches to facilitate health and healing. This paper explores five prominent nursing models—namely, the JBSM model, Orem's theory, Roy's adaptation model, Parse's humanbecoming concept, and the significance of emotional presence—and discusses their relevance and application in clinical practice.

The JBSM Model and Environmental Factors in Nursing

The JBSM model emphasizes the significance of the environment in influencing health outcomes. It conceptualizes the environment as encompassing elements outside of an individual's behavioral system that can serve as sources of sustained imperatives. One of its strengths lies in the recognition that some environmental elements can be manipulated by nurses to promote health. For example, modifying a patient's living environment to reduce stress or exposure to harmful stimuli can foster recovery and well-being. However, a notable limitation of this model is the lack of precise definitions of the environment, particularly concerning the distinctions between internal and external environments. Such ambiguity can challenge nurses in identifying relevant environmental factors or implementing targeted interventions effectively. Clarifying these definitions would enhance the model's practical utility in nursing care.

Orem’s Self-Care Theory and Nursing Capabilities

Orem’s theory delineates three categories of nursing capabilities essential for effective practice: social-contractual, interpersonal, and professional-technological. According to Orem, nurses must possess competencies across these domains to design and deliver holistic care. The social-contractual aspect emphasizes establishing clear agreements and understanding role boundaries, which foster trust and cooperation with patients. Interpersonal skills facilitate relationship-building and effective communication, crucial for understanding patient needs and encouraging adherence to treatment. The professional-technological skills involve the possession of technical expertise necessary for diagnosing and delivering therapeutic care.

In my nursing practice, emphasis is placed heavily on thorough therapeutic diagnosis, aligning with Orem’s technological capabilities. However, the interpersonal aspect presents challenges, as it requires nurses to develop meaningful relationships and communicate empathetically with patients and colleagues. Effective interpersonal skills are vital for building rapport and ensuring patient engagement, leading to better health outcomes. Recognizing the interplay between these capabilities highlights the importance of ongoing professional development to enhance holistic nursing practice.

Roy’s Adaptation Model and Physiological Needs

The Roy adaptation model identifies four modes of adaptation, with the physiological mode being paramount in maintaining physical integrity. This mode focuses on meeting basic human needs such as oxygenation, nutrition, hydration, and temperature regulation. In practical terms, nurses assess how families facilitate the physical well-being of members, ensuring environmental and behavioral factors promote optimal physiological functioning. For instance, a nurse working with a family might evaluate whether the household supports proper nutrition and adequate hydration, thereby fostering adaptive responses that sustain health. This model underscores the importance of understanding individual and family systems in achieving physiological stability and overall health.

Parse’s Humanbecoming Theory and the Art of True Presence

Parse’s concept of true presence emphasizes the importance of nurses being fully engaged and authentic with patients—a central tenet of her humanbecoming theory. This approach involves living the art of “humanbecoming,” characterized by shifting rhythms, illuminated meanings, and transcendent experiences. It promotes a holistic view of health that encompasses physical, emotional, spiritual, and relational dimensions. In my practice, applying Parse’s principles encourages me to focus not just on disease treatment but also on understanding patients’ lived experiences, fostering hope, dignity, and meaning amidst health challenges.

Furthermore, Parse advocates that nurses and health practitioners serve in a state of true presence, listening deeply and being fully attentive. Such engagement facilitates an ethical nursing practice grounded in respect and empathy, which can lead to better patient satisfaction and improved health outcomes. This philosophy reinforces the importance of compassionate care and the integration of human values in nursing.

The Role of Emotional Engagement and Expanded Consciousness in Nursing

Beyond technical skills, effective nursing practice requires emotional engagement and an expanded consciousness to truly meet patients' needs. Nurses can foster this by moving beyond the mechanical aspects of care such as administering medication or performing procedures. Instead, they should serve with compassion and emotional presence, appealing to patients’ emotional and psychological well-being. Such approaches include active listening, showing genuine concern, and providing comfort, which can significantly influence recovery and overall patient satisfaction.

Expanding consciousness involves recognizing the interconnectedness of physical, emotional, social, and spiritual aspects of health. It calls for nurses to be mindful, reflective, and compassionate, viewing patients as whole persons rather than mere cases or diagnoses. This holistic perspective aligns with theories like Parse’s humanbecoming and emphasizes the art of nursing as much as its science.

Conclusion

In conclusion, understanding and integrating diverse nursing models and theories enhances the capacity of nurses to deliver comprehensive, compassionate, and effective care. Each model offers unique insights—from environmental influences and self-care capabilities to adaptation processes and human presence—that, collectively, inform best practices. By critically applying these frameworks, nurses can adapt their interventions to meet complex patient needs, ultimately fostering health, well-being, and dignity in clinical settings.

References

• Andrews, H., & Roy, C. (1991). The Adaptation Model. Norwalk: Appleton & Lange.
• Parse, R. R. (2007). The humanbecoming school of thought in 2050. Nursing Science Quarterly, 20, 47–52.
• Orem, D. E. (2001). Nursing: Concepts of Practice (6th ed.). Mosby.
• Roy, C. (2009). The Roy Adaptation Model (3rd ed.). Pearson.
• McEwen, M., & Wills, E. M. (2014). Theoretical Nursing (5th ed.). Lippincott Williams & Wilkins.
• Fawcett, J. (2010). Analysis and Evaluation of Contemporary Nursing Theories. F.A. Davis.
• Alligood, M. R. (2014). Nursing Theorists and Their Work (8th ed.). Elsevier.
• Kozier, B., & Erb, G. (2018). Fundamentals of Nursing: Concepts, Process, and Practice (10th ed.). Pearson.
• Mahler, S., & Carpenter, J. (2009). Ethical Dimensions in the Health Professions. Elsevier.
• Peplau, H. E. (1988). Interpersonal Relations in Nursing. Springer Publishing Company.