Scholarly Practice-Based Articles Related To Nursing

Select1scholarly Practice Based Articles Related To Nursing Theory A

Select 1 scholarly practice-based article related to nursing theory, published within the past five years (2014 to the present). Analyze the article, including a summary of its purpose and research focus, description of the theoretical concepts identified, how these concepts are measured, and the implications of the findings in support of the theory. Additionally, after completing Part 1, write a minimum of 300 words analyzing how the selected theory can be applied in advanced nursing practice, specifying expected patient outcomes and benefits for nurse practitioners.

Paper For Above instruction

The selected article for analysis is titled "The Impact of the Transactional Model of Stress and Coping on Patient Outcomes in Chronic Disease Management," published in 2019 in the Journal of Advanced Nursing. The purpose of this research study was to examine how the theoretical framework of the Transactional Model of Stress and Coping (Lazarus & Folkman, 1984) could be applied to improve patient adherence and psychological well-being in chronic disease management. The study aimed to understand how patients utilize coping strategies and how these strategies influence health outcomes, specifically focusing on patients with diabetes. It employed a mixed-methods approach, combining quantitative surveys measuring coping strategies and health status with qualitative interviews exploring patient perceptions and experiences.

The theoretical concepts identified in the article center around Lazarus and Folkman’s constructs of primary and secondary appraisal, coping strategies, and perceived stress. Primary appraisal refers to how an individual evaluates a stressor as threatening, benign, or manageable, while secondary appraisal involves assessing available resources for managing the stressor. The article describes coping strategies as either problem-focused or emotion-focused, which influence patient responses and adaptation to chronic illness. For measurement, the authors used the Brief COPE inventory to quantify coping styles and the Diabetes Distress Scale to assess emotional burden, alongside clinical data such as HbA1c levels and blood pressure readings to evaluate health outcomes. These measures provided a comprehensive picture of how patients appraised their stressors and the coping mechanisms they employed, which in turn affected their disease management and psychological resilience.

The implications of the findings are significant, supporting the applicability of the Transactional Model in clinical practice. The study found that patients who employed problem-focused coping strategies exhibited better glycemic control and reported lower levels of distress. Conversely, those relying predominantly on emotion-focused or avoidant strategies demonstrated poorer health outcomes and higher psychological stress. These results underscore the importance of fostering adaptive coping mechanisms within nursing interventions, aligning with the theory's emphasis on cognitive appraisal and resource-based coping, to enhance patient resilience and self-management, especially among vulnerable populations with chronic diseases.

Application of the Theory in Advanced Nursing Practice

The Transactional Model of Stress and Coping offers valuable insights for advanced nursing practitioners aiming to improve patient-centered care and health outcomes. Applying this theoretical framework facilitates a deeper understanding of how patients perceive and respond to health-related stressors, which can be critical in managing chronic illnesses such as diabetes, heart disease, or respiratory conditions. For example, nurse practitioners can incorporate assessment tools based on this model to identify patients' primary and secondary appraisals, as well as their preferred coping styles. This process allows nurses to tailor interventions that promote problem-focused coping strategies, such as patient education, skill development, and resource identification, to empower patients in their self-care.

Moreover, integrating this theory into practice fosters a proactive approach to psychological resilience, addressing emotional burden and reducing distress that often hampers treatment adherence. Expected outcomes include improved clinical indicators, such as better glycemic control, blood pressure regulation, and overall disease management, as well as improved mental health outcomes, such as reduced anxiety and depression. For nurse practitioners, adopting this model can enhance therapeutic communication, build trust, and foster a collaborative relationship with patients, encouraging active participation in their health management. Additionally, this approach supports holistic care, recognizing the interconnectedness of emotional, cognitive, and physical health, which aligns with the core principles of advanced nursing practice. Ultimately, application of this theory can lead to more effective, personalized interventions, increased patient satisfaction, and better long-term health outcomes, positioning nurse practitioners as pivotal agents in comprehensive chronic disease management and health promotion.

References

• Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal, and Coping. Springer Publishing Company.
• Cameron, J. I., & Gignac, M. A. (2016). Cardiovascular disease self-management interventions: A systematic review. European Journal of Cardiovascular Nursing, 15(5), 377-390.
• Ekici, S., & Dilbaz, S. (2018). The impact of stress and coping strategies on health outcomes in chronic disease patients. Nursing & Health Sciences, 20(2), 153-160.
• Fletcher, V. D. V., & Allen, J. M. (2020). Coping mechanisms in chronic illness: Implications for practice. Journal of Nursing Scholarship, 52(4), 356-364.
• Kirkland, J., & Kelly, M. (2017). Using stress and coping theories to guide nursing care: A systematic review. Nursing Outlook, 65(5), 637-648.
• Moore, S., & McCabe, M. (2018). Applying psychological theories to nursing practice: A review. Nursing Philosophy, 19(3), e12207.
• Park, S., & Kim, Y. (2020). Emotional regulation and coping strategies in patients with chronic illness. Journal of Advanced Nursing, 76(2), 341-351.
• Smith, M. J., & Jones, P. (2019). The role of stress appraisal in chronic disease management. Nursing Research, 68(3), 268-276.
• Wang, H., & Lee, M. (2021). Enhancing patient resilience through nursing interventions grounded in stress-coping models. Clinical Nursing Research, 30(2), 159-170.
• Zhang, Y., & Zhang, H. (2022). Theoretical approaches to nursing care for chronic illness patients. Journal of Clinical Nursing, 31(1-2), e297-e306.