Responses to 2 different peers posts

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timer Asked: Oct 21st, 2018
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Question Description

Please respond to at least 2 of your peer’s posts. To ensure that your responses are substantive, use at least three of these prompts:

  • Compare your theory selection with your peers’ selections.
  • Compare your strategies of implementing the selected theory with the strategies presented by your peers.
  • Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format. Estimated time to complete: 2 hours

FIRST PERSON TO RESPOND TO

Ashley Farrar

RE: Theory and Practice

COLLAPSE

Top of Form

Nightingale’s Environmental Theory will have the biggest impact on my practice and the rest of my journey. In my practice I tend to just go day by day doing my usual routine with little regard to the environment. I have never worked in a hospital or long term care setting in which a patient may stay for an extended period of time so it does not always cross my mind to think how something like environment can affect how they may heal. After reading more into Nightingale’s theory, I did realize that I do incorporate it into practice unknowingly but intend to purposely incorporate it into practice more often. According to Petiprin (2016), one must alter a patient’s environment to affect a change in their health. Environment is not only where a person is though; this also can include their diet, cleanliness, and light. Petiprin (2016) noted that Nightingale reveals that manipulating an environment can help to meet the goals of the patient. Focus is on the care of the patient and could include something small such as minimizing noises or having the patient follow a special diet. This is currently something I do when I give triage advice to patients over the phone. If a patient has a headache, one of the biggest things that is recommended is laying in a quiet dark room which is the environment. For a patient who may have GI upset, we recommend diet changes to include soft bland food, avoiding fruit juices and spicy foods.

The article I found most useful to integrate theory into practice was one that I previously used in a discussion. The author Hanucharurnkul (2009), noted that theory is used to provide perspective, guidance, and direction when using theory in practice. Hanucharurnkul (2009), used Orem’s theory to clarify nurse’s role and help not only the patient but also family and community. Integrating family into care is helpful for the very young, the aging population, and even for those who are unable to perform self care activities daily.

The discussion I found most challenging was the unit four discussion on theory and leadership. I struggled to find an article that I liked. I went back and forth trying to determine how I could incorporate the article into leadership. Ultimately I was able to find an article but it took me longer than expected and longer than usual. One thing I did learn from that discussion though was to specify my search more rather than do a broad search.

The discussion most useful to me in understanding theory and application to practice was week 1 discussion 2. This discussion helped me to explore theory, its importance in nursing and how I can utilize theory into practice. It was a great way to reintroduce theory into education and practice for myself.

Hanucharurnkul, S. (2009). Self Care Deficit Nursing Theory in Research and Practice in Thailand. Self-Care, Dependent-Care, Nursing, 17(1). 16-20

Petiprin, A. (2016) Environmental Theory. Nursing Theory. Retrieved from http://www.nursing-theory.org/theories-and-models/...

Bottom of Form

SECOND PERSON TO RESPOND TO

Tabitha Young

Tabitha Young

COLLAPSE

Top of Form

Which nursing theory do you feel will have the greatest impact on your practice and why.

Peplau’s theory of interpersonal relations is one that I feel will have the greatest impact for me in my area of practice, the emergency room (ER). This theory identifies a purposeful relationship in the aid of healing and improved outcomes. It also identifies the helping roles we must adapt to, in order to meet the needs of our patients.

Is there an article that you particularly found most useful in utilizing theory in your area of practice?

Peplau’s theory of international relations: Application in emergency and rural nursing by Joanne Senn was one that detailed out relationships needed to have a purpose (2013). Peplau’s theory originated in psychiatric nursing but had a significant impact on all clinical nursing areas.

Which of the units’ discussion questions did you find most challenging; discuss why you chose that one?

Unit3 discussion board on Pattern of knowing. I have always found it difficult to discuss strengths and weaknesses. This week required that I not only acknowledge what both my top two strengths and top two weaknesses were but then I had to address how I would work on those. I also tend to overshare, and then when I go back and proofread I will remove information which may be a key piece for someone to understand the true nature of the event. Personal knowing allows us to identify who we are both the strengths and weaknesses and work through them to help us improve the care that we can offer (Chinn & Kramer, 2014).

Which discussion did you find more useful to understand nursing theory and its application in your area of practice?

Unit 2 discussion board one determining the theory that relates to our practice is where I chose Peplau’s theory of interpersonal relations. This has been a theory that I have returned to in some manner almost every week when I had to give examples related to my practice area. I was able to explore the phases of the theory and how they directly related to the process in the emergency room (ER) from the time the patient arrives until they are discharged.

Supplement your discussion with personal and professional experiences.

Peplau’s theory has phases. They are the orientation, working, and termination (Senn, 2013). In the ER these phases identify with our triage, treatment, and discharge. This can be a very brief encounter, so it is imperative the nurse is able to rapidly identify the needs to begin seeking resolution with input from the patient. The ER is also not isolated to certain ages, complaints, religion, or race, so being culturally sensitive is also a key concept for the ER.

References

Chin, P. & Kramer, M. (2014) Inegrated theory and knowledge development in nursing: Theory and process (9th ed.); Elsevier.

Senn, Joanne. (2013). Peplau’s theory of interpersonal relations: Application in emergency and rural nursing. Nursing Science Quarterly. 26. 31-5. 10.1177/0894318412466744

Bottom of Form

BELOW IS A COPY OF MY INITIAL RESPONSE

Melissa Moore-Walker

RE: Theory and Practice

COLLAPSE

Top of Form

The Orlando’s nursing process Discipline theory is a 1961 research work by Jean Idda Orlando. It is essential to nurses that need to understand their clients and give them immediate services for help, through observing their behaviors (Peplau, Travelbee, & Orlando, 2015). An example is a patient crying due to fear of something or someone. In cases where the patient is a mental health emergency case, the mental health nurse will read the signs and try to identify if the patient can be diagnosed with a certain mental health concern, for instance, specific phobia. It is important to note that the patient might not be in a position to mention that they are experiencing certain things due to their condition, but the signs of the things they are doing are directive towards what they are experiencing (Alligood, 2017).
My practice deals with involuntary hospitalized patients with varied mental health concerns. These patients are hospitalized for reasons such as suicidal thoughts, substance abuse, psychosis, visual hallucination, or behavioral problems in teenagers and children. My role is to find a psychiatric facility that will accept them and provide them with acute treatment due to the aforementioned concerns. My main area is emergency room and in the case of my patients, they all need urgent help. I have to identify their mental health concerns and assist them without questioning them because most will be uncooperative due to their involuntary admission status. Additionally, the issues of focus show some symptoms which are easily notable and are directive towards a proper diagnosis if well observed (Peplau, Travelbee, & Orlando, 2015).
Week 6 article “Self-Care Deficit Nursing Theory in Research and Practice in Thailand” is one of the most applicable articles in my practice. After patients are out of emergencies and they have been treated on observational basis, there is need to assist them achieve self-care. Self-care in cases of mental health is easy to achieve through training patients on best ways to deal with certain mentally engaging situations. This article guides on how best a nurse can assist patients achieve self-care, thus reducing the burden placed on nurses, and would be very relevant. It is, therefore, the most essential article (Hanucharurnkul, 2009).
Out of all the discussion post handled, I believe that this discussion was the most challenging. The discussion offered me a chance to choose and apply only one theory of nursing to my specific case. While going through the theories, most of the other theories were applicable in one way or the other. However, there is need to use the theory that seems to be most applicable. Take for instance the science of unitary human beings. It suggests that nursing is both an art and a science, and the solo goal of nursing is to promote health. All these principles apply to mental health promotion. However, I eliminated it because it includes some elements such as openness, yet in my case, most patients are not corporative, and the nurse has to make some decisions and treatments without too many explanations (Peplau, Travelbee, & Orlando, 2015). Similarly, I had to disqualify the other theories that showed different weaknesses, but realized that I could not disqualify the theory of nursing process discipline on any grounds.
Even though all discussions gave me essential insight, I realized the relationship between theory and research was very interesting and very beneficial. Considering that my field of study includes some issues that need more research, I will be able to relate previously developed theories during my process of research. I will be able to come up with theories that will suggest some solutions. One area I have thought of in length is how to get drug and alcoholics better ways of overcoming withdrawal symptoms without use of methadone which has caused many cases of secondary addictions. It can reduce the number of mental health emergencies. Week 6 discussion, therefore, challenged me more to participate in the development of nursing theory through research.
References
Alligood, M. R. (2017). Nursing Theorists and Their Work-E-Book. Elsevier Health Sciences.
Peplau, H., Travelbee, J., & Orlando, I. J. (2015). Nurse–Patient Relationship Theories. Nursing Theories and Nursing Practice, 67.
Erickson, M. E. (2017). Modeling and role-modeling. Nursing Theorists and Their Work-E-Book, 398. [Web] Retrieved from: http://nursing-theory.org/theories-and-models/eric...
Hanucharurnkul, S (2009). Self-Care Deficit Nursing Theory in Research and Practice in Thailand. Ramathibodi School of Nursing Mahidol University, Bangkok, Thailand. [pdf] Retrieved from: Theory Article Week 6.pdf

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Thanks, good work

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