The application of nursing science and theory to the role of the advanced practice nurse.

  Analyze the application of nursing science and theory to the role of the advanced practice nurse. Introduction Theories are constructed and developed by nursing theorists to describe and explain phenomena in nursing. Nursing science and development of the profession of nursing relies on this process to expand the understanding of what nursing is and what nursing does. The purpose of this assessment is to explore how a theorist explicates their philosophy and thoughts and then develops their theory based on testing and use in practice. An evaluation of the theory will make clear its usefulness to nursing practice, leadership, and/or education. Directions In this assessment, you are going to explore how a nurse theorist of your choice created their theory. You will become the theorist immersing yourself in the writings from the earliest mentioned to the most current literature. Writing in the voice of the theorist (taking on the persona of the theorist), you will create the theory through the following four stages. In the first stage, theorizing occurs. This is where you, as the theorist, identify the concepts of what nursing is and is not. Perhaps you questioned what concepts were guiding those in nursing practice and then started to question your role. You started asking yourself, “Where am I in nursing, and where the profession is going? Is there some overarching understanding that guides the professional in his or her practice?” This is where you recognize that a theory is needed. In the second stage, syntax is developed. This is where you will define the terms, explain relationships between the terms, and examine their expansion. Syntax development is an evolution. Consider, for example, Jean Watson. She starts by defining the word “caring.” Within the last several years, she has refined her terminology changing the term caring to caritas and identified the relationships between terms. This demonstrates a growth and maturation from decades of research she and other scholars did to produce the theory of caring. The third stage is theory testing. Here, the theorists and other researchers consider whether this theory helps answer questions that arise in nursing. This is where your theory is used by a widening group of researchers. For example, graduate nursing students request to use the tool you developed while testing your theory in an area of nursing. The fourth and last stage is evaluation. This is where the theory is used in practice with the goal of improving healthcare. It is evidenced in the development of policies, procedures and best practice standards that have evolved from theory implementation. Assessment Details 1. Begin your paper with an introductory paragraph that describes why you chose this theorist. First person voice (I, me, etc.) is acceptable in this paper. 2. Write in the first person voice (I, me, our, etc.) as the theorist. For example: I, Dr. Jean Watson, found that caring was a core concept of how I viewed nursing. To me, caring is the essence of nursing. 3. Use the four stages (theorizing, syntax, theory testing, and evaluation) to explain how your theory was developed and used in nursing. 4. In the first (theorizing) stage, provide the historical context that influenced the theorist’s thinking. 5. In the second (syntax) stage, describe the development of the concepts and statements. 6. In the third (theory testing), provide two (2) examples of research examining the theory. 7. In the fourth (evaluation), provide three (3) examples of how the theory has been used in practice and a brief evaluation of the theory.  

Sample Solution

     

A Deep Dive into the Theory of Human Caring: A Personal Reflection

Introduction

As a nurse theorist, I have dedicated my career to understanding the essence of nursing and developing a framework that can guide practice, education, and research. My theory of human caring emerged from a deep-seated belief that caring is the fundamental core of nursing, and that it is essential for promoting healing and well-being.

Full Answer Section

      Stage 1: Theorizing My journey began with a profound realization that caring was not merely a task or a skill, but rather a fundamental aspect of human existence. I observed the profound impact that caring could have on patients and their families, and I was inspired to explore the concept more deeply. My theorizing was influenced by my personal experiences as a nurse, as well as by the philosophical and spiritual traditions that have shaped my worldview. Stage 2: Syntax In developing the syntax of my theory, I identified ten caritas factors that I believed were essential for promoting caring in nursing practice. These factors include:
  1. Promotes/facilitates healing through human touch.
  2. Enhances appreciation of existential-phenomenological meanings of suffering.
  3. Evokes an intersubjective trusting relationship.
  4. Shows empathy.
  5. Allows for authentic presence.
  6. Provides comfort and relief of suffering.
  7. Preserves human dignity.
  8. Offers healing through human-to-human connection.
  9. Opens oneself to the mystery of existence.
  10. Balances concern for self with concern for the other.
These caritas factors are interconnected and interdependent, forming a holistic framework for understanding and practicing caring. Stage 3: Theory Testing My theory of human caring has been extensively tested through research studies conducted by myself and other scholars. For example, researchers have used my theory to examine the relationship between caring and patient outcomes, to develop and evaluate caring interventions, and to explore the experiences of nurses who practice caring. One example of research examining my theory is a study by Watson and colleagues (2006) that explored the experiences of nurses who had received a caring intervention based on my theory. The study found that the intervention led to increased feelings of compassion, empathy, and connection with patients. Another example is a study by Smith and colleagues (2012) that examined the relationship between caring and patient satisfaction. The study found that patients who perceived their nurses as caring were more likely to report high levels of satisfaction with their care. Stage 4: Evaluation My theory of human caring has been used in practice to guide the development of policies, procedures, and best practice standards. For example, hospitals and nursing schools have implemented programs based on my theory to promote caring in their organizations. My theory has also been evaluated through meta-analyses and systematic reviews. These studies have consistently found that caring interventions based on my theory can improve patient outcomes, enhance nurse satisfaction, and promote a more humane and compassionate healthcare environment. In conclusion, my theory of human caring provides a comprehensive framework for understanding and practicing caring in nursing. Through rigorous testing and evaluation, the theory has been shown to be both valid and useful in guiding nursing practice, education, and research.  

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