A NURSING THEORY IS THE ENVIRONMENTAL THEORY FROM FLORENCE NIGHTINGALE

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A NURSING THEORY IS THE ENVIRONMENTAL THEORY FROM FLORENCE NIGHTINGALE.

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Purpose: DiscussionThing to Remember:_____________DISCUSSION:One example of a nursing theory is the environmental theory from Florence Nightingale. Even though her intention was not to actually develop a theory her rules for practice ended up becoming one thereby making her model both descriptive and practical (Butts & Rich 2018). Nightingale used 13 facets of nursing care that addressed patient needs although they are not all-inclusive. Florence also briefly touches on giving ones whole attention to a patient and to never rush them through an assessment as Im sure this will not only make the practitioner more likely to miss a crucial piece of the puzzle but will also hurt the trust of the practitioner-patient relationship. Always sit down when a sick person is talking business to you show no signs of hurry and give complete attention (Clatworthy 2010). A practitioner can use Nightingales basic patient rights to healthcare to provide holistic care. Alternately an example of a non-nursing theory is the way of deontology. According to our text it literally means the study of duty (Butts & Rich 2018). I chose this theory because it is all encompassing related to morals but can easily be shifted to use in a nursing setting. As a practitioner it is ones duty to provide the best care for a patient not only addressing their physical needs but all other needs as well emotional mental and spiritual. Immanuel Kants theory is useful in this situation because rational choice is within ones control whereas one has only tenuous control over personal emotions only reason and not emotion is sufficient to lead a person to moral actions (Butts & Rich 2018). Kants ethics sees the ground of morality in pure reason (Yudanin 2015). It is within reason to view a patient as multifaceted therefore the practitioner must fulfill their duty to provide again holistic care. When taking these two theories along with two practitioners who operate on either theory separately and joining them together the aforementioned practitioners can truly address every issue and also engage in preventative care to meaningfully treat a patient.References:Butts J. B. & Rich K. L. (2018). Philosophies and theories for advanced nursing practice (3rd ed.). Burlington MA: Jones & Bartlett.Clatworthy D. (2010). Nightingale’s legacy. Nursing Management (Harrow) (5) 8.Yudanin M. (2015). Can Positive Duties be Derived from Kant’s Categorical Imperative?. Ethical Theory And Moral Practice (3) 595. doi:10.1007/s10677-014-9546-4

The McGill Model of Nursing

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THE MCGILL MODEL OF NURSING IS A THEORY THAT LOOKS AT THE PATIENT AS A WHOLE PERSON AND NOT JUST THROUGH THE EYES OF DISEASE AND SICKNESS.

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The McGill Model of Nursing is a theory that looks at the patient as a whole person and not just through the eyes of disease and sickness.This theory helps identify the patient with loving family members involved in the care as an individual person and as a person with desires and goals in life (Wright & Gross 2012).A study conducted on the end of life care on patients using the McGill Model focused the study on family members of dying patients and how the transition from palliative to hospice care affected them.Furthermore the study revealed the APNs transition with the family from having hope of saving the patient to finding peace in the dying patient (Wright & Gross 2012). The APN walks through this transition with the patient and family constantly observing the needs of the patient and family while making sure all the medical needs are meant as well.The Gestalt Theory is based on a persons perception of a situation or event.This theory focuses on an event that people experience together but how differently each person can perceive the event (Butts & Rich 2013 p 210).People tend to filter what they see and experience differently from one another much like when a family goes through the death of a loved one.Each family member shows different emotions or has different perspectives for example one person may be angry and resentful of the situation while another might be the one at peace with it (Shaha et el. 2011).Even though these two theories are unrelated they both can be utilized by the APN. The McGill Model looks at the patient and the family members involved in patients care as if they are all the same whereas the Gestalt Theory focuses on individuals perception of the same situation but appreciates the different views of each person.These theories demonstrate a holistic approach on caring for the patient and can provide more meaningful care when combined.(Butts J. B. & Rich K. L. (2013). Philosophies and Theories for Advanced Nursing Practice (2nd ed). Burlington MA: Jones & Bartlett Publishers.Shaha M. Cox C. L. Belcher A. & Cohen M. Z. (2011). Transitoriness: patients’ perception of life after a diagnosis of cancer: Maya Shaha and colleagues discuss the importance of understanding how people come to terms with the finality of life in the context of evidence-based care. Cancer Nursing Practice (4) 24.Wright D. K. & Gros C. P. (2012). Theory inspired practice for end-of-life cancer care: An exploration of the McGill Model of Nursing. Canadian Oncology Nursing Journal 22(3) 175-181.

IDENTIFY TWO AREAS OF NURSING PRACTICE WHICH EVIDENCE-BASED PRACTICE

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IDENTIFY TWO AREAS OF NURSING PRACTICE WHICH EVIDENCE-BASED PRACTICE

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Identify two areas of nursing practice which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles.

What’s one way she might be able to obtain a bank credit card

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NANCY SILBERMANN IS ABOUT TO GET A DEGREE IN NURSING.

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A year after declaring bankruptcy and moving with her daughter back into her parents’ home Nancy Silbermann is about to get a degree in nursing. As she starts out in a new career she also wants to begin a new life. One built on a solid financial base. Nancy will be starting out as a full-time nurse at a salary of $52 000 a year and she plans to continue working at a second (part-time) nursing job with an annual income of $10 500. SheII be paying back $24 000 in bankruptcy debts and wants to be able to move into an apartment within a year and then buy a condo or house in five years. Nancy won’t have to pay rent for the time that she lives with her parents. She also will have child care at no cost which will continue after she and her daughter are able to move out on their own. While the Jiving arrangement with her parents is great financially the accommodations are tight and Nancy’s work hours interfere with her parents’ routines. Everyone agrees that one more year of this is about all the family can take. However before Nancy is able to make a move-even into a rented apartment she will have to re-establish credit over and above paying off her bankruptcy debts. To rent the kind of place she’d like she needs to have a good credit record for a year; to buy a home she must sustain that credit standing for at least three to five years. 1. In addition to opening checking and savings accounts what else might Nancy do to begin establishing credit with a bank? 2. Although Nancy is unlikely to be able to obtain a major bank credit card for at least a year how might she begin establishing credit with local merchants? 3. What’s one way she might be able to obtain a bank credit card?  Explain. 4. How often should Nancy monitor her credit standing with credit reporting services