All posts by : chebby

Please ensure that the reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Knowledge in nursing is constantly developing and very dynamic. The grand nursing theories have played a central role in this evolution as they laid the foundations: conceptual frameworks that have guided practice, education, and research. However, we now ask ourselves: is it pertinent to continue using these theories today? Have they become obsolete in the face of the contemporary needs and realities of the profession? To guide this analysis, let’s look at both sides of the coin: the arguments for and against.

First, it must be said that great nursing theories offer a holistic view of nursing care. These theoretical knowledge bodies allow nurses to understand and address patients’ needs comprehensively. They facilitate the systematization of practice and ensure that interventions are based on solid and coherent foundations. Nursing practice and research are guided and structured by these nursing models and theories, which have historically served as the basis for nursing education (Maxwell, 2023). How can we ensure preparation in nursing if we do not know how the thinking of our predecessors on health, care, patient, environment, and nursing evolved? These theories ensure that future professionals acquire an understanding of the basic principles of the discipline. Properly applying theories in practice facilitates comprehensive approaches aimed at patient-centered care (Maxwell, 2023).

But why do some professionals argue that great nursing theories may not be fully adapted to the current complexities and challenges of clinical practice? The rigidity of some of them could limit the ability of nurses to respond flexibly and effectively to emerging situations and the changing needs of patients. The evolution of science and technology in health demands more dynamic and specific theoretical frameworks that can be easily integrated into evidence-based practice (Roy, 2021). So, despite the substantial theoretical framework that supports and guides the work of nurses, these are of relegated importance in professional practice, which suggests the need to update and adapt existing theories. In addition, cultural diversity and variations in health systems globally require more contextualized and adaptable approaches (Roy, 2021). Hence, middle-range theories and situation-specific theories have emerged as more applicable alternatives to particular contexts (Roy, 2021). These, more focused, favor the prescription of practice and theoretical verification (Maxwell, 2023). The combination of traditional theoretical frameworks with new perspectives is the actual formula for offering more effective, personalized care based on scientific evidence. Knowing how to generate new knowledge and integrate the positive aspects of all eras will lead us to excellence in our practice.

References

Maxwell, E. (2023). Perspectives: Who needs theory? Journal of Research in Nursing, 28(4), 314-317. 10.1177/17449871231178926

Roy, S. C. (2021). Nursing theory makes a practice turn in the 21st century. Aquichan, 21(4). https://doi.org/10.5294/aqui.2021.21.4.2

CLO 1: Analyze the AACN DNP Essentials within the context of providing the highest quality population health.  

CLO 2: Evaluate the evolution, past, present, and future of the role expectations of a competent doctoral prepared nurse within a diverse, global environment.  

CLO 3: Explore clinical and leadership opportunities of an advanced practice nurse with interprofessional collaboration.  

Requirements 

This assignment is a narrated presentation file (i.e., PowerPoint or Prezi). 

 use up to 15 references with at least 10 research references AND only websites used were .org, .edu, or .gov.  

Rubrics to use- power point should contain an exemplary discussion of the chosen essential and the significance of this essential to the impact of the DNP on the quality, safety, efficiency, and cost effectiveness of healthcare for individuals and/or populations. There is excellent use of high-quality research evidence to support contentions.  

 There should be an exemplary discussion of the need for and impact of interprofessional collaboration related to the selected essential. There is excellent use of high-quality research evidence to support contentions. 

Please ensure that the reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

The ongoing development of nursing knowledge is essential for advancing both nursing practice and research. Nursing grand theories, such as Orem’s Self-Care Deficit Theory and Roy’s Adaptation Model, have historically provided comprehensive frameworks for addressing complex patient needs across diverse clinical settings. These theories guide nursing practice by emphasizing the importance of holistic care, which integrates the physical, emotional, and psychological needs of patients. However, as the healthcare landscape evolves, the relevance of these grand theories in contemporary nursing practice has been called into question due to the shift toward evidence-based practice (EBP), which is more focused on actionable and measurable outcomes (Schultz et al., 2022).

             Supporters of the ongoing use and development of nursing grand theories argue that they provide an overarching structure for understanding the complexity of human health and behavior. For example, Roy’s Adaptation Model has been applied to a wide range of healthcare settings to guide nurses in assessing patients’ ability to adapt to illness and other health challenges (Roy et al., 2021). Recent evidence shows that the use of grand theories can lead to improved outcomes in nursing practice. In a study by Zhang et al. (2021), the application of Roy’s Adaptation Model in the care of elderly patients in long-term care facilities enhanced patient satisfaction, improved care coordination, and led to better health outcomes. This indicates that grand theories still offer valuable guidance in certain contexts, particularly when addressing holistic patient care.

              Despite this, critics argue that the abstract nature of grand theories makes them difficult to implement in today’s highly specialized and dynamic clinical environments. With the increasing reliance on technology and data-driven approaches in modern healthcare, nurses are often expected to apply evidence-based guidelines that provide specific, targeted interventions for particular conditions. For example, clinical practice guidelines for diabetes management and wound care are evidence-based and grounded in research, providing nurses with concrete tools for improving patient outcomes (Melnyk et al., 2020). Studies have shown that evidence-based practices lead to more effective, measurable patient outcomes compared to theoretical models alone (Fitzpatrick & Wallace, 2020).

         Furthermore, the shift toward EBP is supported by research that emphasizes the need for clinical decisions to be based on the best available evidence rather than abstract theories. Melnyk et al. (2020) found that EBP improves nursing care by reducing complications, decreasing healthcare costs, and enhancing overall patient outcomes. This research highlights the importance of a practical, evidence-driven approach to nursing care, which often contrasts with the broad, generalized nature of grand theories.

              In conclusion, while nursing grand theories have historically contributed to the development of nursing knowledge, the growing emphasis on evidence-based practice suggests that these theories must evolve or be complemented by more specific, evidence-driven approaches. Nurses should continue to integrate grand theories into their practice where applicable, but also embrace evidence-based practices to ensure that patient care is both effective and measurable in today’s fast-paced healthcare environment.

References:

Fitzpatrick, J. J., & Wallace, M. (2020). Nursing theories and nursing practice: An exploration of evidence-based applications. Journal of Nursing Education and Practice, 10(7), 85-93. https://doi.org/10.5430/jnep.v10n7p85

Melnyk, B. M., et al. (2020). Evidence-based practice in nursing and healthcare: A guide to best practice. Wolters Kluwer. https://shop.lww.com/evidence-based-practice-in-nursing-healthcare/p/9781975185725?srsltid=AfmBOorgWDRWOYJaWdiNaRm0GSt9iBfMCWs4-U1du6rOcgraid67kvF1

 Roy, C., et al. (2021). The Roy Adaptation Model: A framework for patient-centered care. Nursing Science Quarterly, 34(3), 261-269. https://doi.org/10.1177/08943184211002917

 Schultz, D., et al. (2022). The evolution of nursing theories and the role of evidence-based practice. Journal of Clinical Nursing, 31(11-12), 1237-1244. https://doi.org/10.1111/jon.16135

 Zhang, X., et al. (2021). Application of Roy’s Adaptation Model to improve outcomes in elderly long-term care patients. Geriatric Nursing, 42(1), 87-92. https://doi.org/10.1016/j.gerinurse.2020.08.008

Domain- Clinical Judgement

One example of each of the two speres of care and description of how a nurse may apply to the domain on Nursing care.

 1) disease prevention/promotion of health and well-being, which includes the promotion of physical and mental health in all patients as well  as management of minor acute and intermittent care needs of generally healthy patients;  

2) chronic disease care, which includes management of chronic diseases and prevention of  negative sequelae; 

instructions attached 

#1

“Nursing stakeholder engagement is an essential component of human resources for health planning processes, and the gap in literature points to a need for up‐to‐date guidance to ensure nurses’ active involvement” (North et al., 2022). Being a nurse influences my role as a healthcare consumer by allowing me to discuss further healthcare options with providers. Whether this discussion is professional or personal, being a part of the healthcare system gives me a unique perspective on the processes that should be followed to treat a client appropriately. Knowing some about the U.S. Healthcare system can help me assist other stakeholders by assisting them in reviewing policies and procedures they may not understand. 

“Always remember, your voice as a practicing nurse can guide policy and influence changes that may significantly impact patient safety and overall patient outcomes” (What Are the Impacts of Health Policy on Nursing?, 2024). As nurses, our voices can have the most impact on implementing new policies and procedures or modifying existing policies and procedures. As consumers and providers, we have a unique position to be involved on the frontlines of an ever-changing healthcare system.

#2

1. As a nurse, you wear at least two or more stakeholder hats; how does being a nurse influence your role as a consumer of healthcare?

Being a nurse definitely influences how I approach my own healthcare. I’m more aware of what’s going on medically, which often leads me to wait to seek care—sometimes a bit too long—because I feel like I can handle things or I’m unsure if it’s serious enough. This could be a good thing or a bad thing, but I think it’s pretty common for nurses to hold off on seeking care until it’s absolutely necessary (Mason et al., 2021). I also tend to ask a lot of questions when I do go to the doctor, which might not be something every consumer is able to do. This proactive approach can be helpful, but it also highlights the disparities in patient advocacy that exist across different populations (Mason et al., 2021).

That said, navigating the U.S. healthcare system as a consumer is tough. Insurance is expensive, confusing, and hard to understand. And, honestly, many of the benefits don’t seem worth the cost of premiums and out-of-pocket expenses. Research shows that the cost of healthcare continues to rise without corresponding improvements in care quality, which leaves many consumers feeling disillusioned (Mason et al., 2021). I know the system has its flaws, but it’s frustrating to see how many people have to choose between paying for care and other basic needs. As a nurse, I understand the importance of high-quality care, but as a consumer, I’m often left questioning if the benefits justify the costs (Mason et al., 2021).

Mason et al. (2021) highlight that healthcare providers are often more aware of the barriers patients face, like the high cost of care and insurance challenges. This awareness makes me more critical of the system as a consumer because I know firsthand how these issues limit access to care for many people. The rising cost of care and insurance, along with inequities in access, are ongoing problems that affect millions of Americans (Mason et al., 2021).

As both a nurse and a consumer, I can appreciate the hard work that goes into healthcare, but the system itself is hard to navigate and too expensive for most people. The lack of accessibility and value for the cost is something that definitely stands out to me. Moving forward, we need a more transparent and equitable system that addresses both the needs of consumers and the challenges providers face (Mason et al., 2021).

2. How does your knowledge of the U.S. health care system impact how you can help other stakeholders?

As a nurse, I see the healthcare system from a unique perspective. I know how expensive and complicated it can be, but that understanding helps me better guide patients and families through the process. I can, point them to resources like financial assistance programs, explain highlights of insurance, and make the system feel less overwhelming (Mason et al., 2021). I also use what I know to help my colleagues understand the challenges patients face and encourage compassion.

My experience also gives me a voice in advocating for policy changes that could make healthcare more affordable and accessible. I’ve seen firsthand how the system can make it harder for people to get the care they need, and I want to be part of the solution (Mason et al., 2021).

In short, my knowledge of the U.S. healthcare system helps me be a better advocate for patients, support my colleagues, and push for broader change to make healthcare more accessible and affordable.

3. Explain the various sphere(s) of influence (consumer, provider, etc.) that would be the most impactful in advancing healthcare policy initiatives and explain why.

To push for meaningful healthcare policy change, the consumer, provider, and policy-maker spheres are all essential.

Consumers, including patients and the public, have a huge impact. When they speak out and push for change—whether it’s about costs, coverage, or access—they can force policymakers to take action. Their votes and advocacy are key to influencing healthcare reforms that directly affect their lives (Mason et al., 2021).

Healthcare providers like nurses and doctors are also crucial in shaping policy. We understand firsthand what works and what doesn’t in the system, and we can use our voices to advocate for changes. Our input helps ensure that policies are practical and focused on improving care.

Lastly, policy-makers are the ones who actually make and implement the laws. But their decisions are influenced by what consumers and providers push for. Effective policy-makers listen to both groups to create policies that truly work.

All these spheres need to work together. Consumers drive demand, providers give real-world insights, and policy-makers make the changes happen.