Frameworks For Professional Nursing Practice Discussion
Frameworks For Professional Nursing Practice Discussion
Follow the discussion questions participation and submission guidelines.
· Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.
· All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5
· Minimum of two references, not older than 2015.
Chapter 2: Frameworks for Professional Nursing Practice
1. What are the specific competencies for nurses in relation to theoretical knowledge?
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Environment within which the person exits
Health-illness continuum within which the person falls at the time of the interaction with the nurse
Nursing actions
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Nightingale’s Environmental Theory
Person: Recipient of nursing care
Environment: External (temperature, bedding, ventilation) and internal (food, water, and medications)
Health: Not only to be well, but to be able to use well every power we have to use
Nursing: Alter or manage the environment to implement the natural laws of health
4
Nightingale’s 13 Canons
Ventilation and warmth
Health of houses
Petty management
Noise
Variety
Food intake
What food?
Bed and bedding
Light
Cleanliness of rooms and walls
Personal cleanliness
Chattering hopes and advises
Observation of the sick Frameworks For Professional Nursing Practice Discussion
5
Virginia Henderson: Definition of Nursing and 14 Components of Care
Person: Recipient of nursing care who is composed of biological, psychological, sociological, and spiritual components
Environment: External environment
Health: Based on the patient’s ability to function independently
Nursing: Assist the person, sick or well, in performance of activities
6
Henderson’s 14 Basic Care Needs (1 of 2)
Breathe normally
Eat and drink adequately
Eliminate bodily wastes
Move and maintain postures
Sleep and rest
Dress and undress
Maintain body temperature within normal range
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Henderson’s 14 Basic Care Needs (2 of 2)
Keep body clean and protect integument
Avoid dangers
Communicate with others
Worship according to one’s faith
Work (sense of accomplishment)
Recreation
Learn and discover, leading to normal development and health, and use health facilities
Jean Watson: Philosophy and Science of Caring (1 of 2)
Goal is to help persons attain a higher level of harmony within the mind-body-spirit
Goal pursued through transpersonal caring guided by 10 caritas processes
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Jean Watson: Philosophy and Science of Caring (2 of 2)
Person (human): A unity of mind-body-spirit/nature; embodied spirit
Healing space and environment: A nonphysical energetic environment; a vibrational field integral with the person where the nurse is not only in the environment but “the nurse IS the environment”
Health (healing): Harmony, wholeness, and comfort
Nursing: Reciprocal transpersonal relationship in caring moments guided by caritas processes
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Benner’s Clinical Wisdom in Nursing Practice: 9 Domains of Critical Care Nursing
Diagnosing and managing life-sustaining physiological functions in unstable patient
Using skilled know-how to manage a crisis
Providing comfort measures for the critically ill
Caring for patients’ families
Preventing hazards in a technological environment
Facing death: End-of-life care and decision making
Communicating and negotiating multiple perspectives
Monitoring quality and managing breakdown
Using the skilled know-how of clinical leadership and the coaching and mentoring of others
Benner’s Clinical Wisdom in Nursing Practice: 6 Aspects of Clinical Judgment and Skilled Comportment (1 of 2)
Reasoning-in-transition: Practical reasoning in an ongoing clinical situation
Skilled know-how: Also known as embodied intelligent performance; knowing what to do, when to do it, and how to do it
Response-based practice: Adapting interventions to meet the changing needs and expectations of patients
Agency: One’s sense of and ability to act upon or influence a situation
12 Frameworks For Professional Nursing Practice Discussion
Benner’s Clinical Wisdom in Nursing Practice: 6 Aspects of Clinical Judgment and Skilled Comportment (2 of 2)
Perceptual acuity and the skill of involvement: The ability to tune into a situation and hone in on the salient issues by engaging with the problem and the person
Links between clinical and ethical reasoning: The understanding that good clinical practice cannot be separated from ethical notions of good outcomes for patients and families
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Benner’s Clinical Wisdom in Nursing Practice
Person: Embodied person living in the world who is a “self-interpreting being, that is, the person does not come into the world pre-defined but gets defined in the course of living a life”
Environment: A social environment with social definition and meaningfulness
Health: The human experience of health or wholeness
Nursing: A caring relationship that includes the care and study of the lived experience of health, illness, and disease
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Martha Rogers’s Science of Unitary Human Beings (1 of 2)
Person (human being): An irreducible, irreversible, pandimensional, negentropic energy field identified by pattern
Environment: An irreducible, pandimensional, negentropic energy field, identified by pattern and manifesting characteristics different from those of the parts and encompassing all that is other than any given human field
Frameworks For Professional Nursing Practice Discussion