Apn's Use Of Conceptual Frameworks In Clinical Practice

In order to develop nursing knowledge and establish evidence-based practice (EBP) in nursing, there needs to be a "concept model, one or more theories and one or more empirical indicators" (Fawcett & DeSanto-Madeya, 2013, p. 26). The theoretical framework can be advantageous in guiding and supporting the design and execution of an EBP change. Using a conceptual model (C) theory (T) and empirical research (E) provides the foundation for an intervention to an identified clinical problem. Known as C-T-E structure, the application of this system in nursing practice involves an elevated level of critical reasoning, which assists in knowing what data is important and how it relates to practice change (Chinn & Kramer, 2011; Fawcett & DeSanto-Madeya, 2013; Mazurek Melnyk & Fineout-Overholt, 2015). The doctoral level of nursing necessitates the need to combine the understanding and knowledge gained from using the C-T-E structure, and then integrate the concepts and theories into daily practice.

According to Walker and Avant (2005), theories provide a way of identifying and expressing key ideas about the essence of practice. Advanced Practice Nurses (APN) and other healthcare professionals incorporate many theories into

Theory has so far remained a strategic tool in advanced nursing practice. Firstly, nursing utilizes every feature of management science. Fortunately, the knowledge base of each and every management science takes theory into account. Theory includes methods, principles, and concepts. The principles are usually related, and can be observed and validated or verified when translated into the practice of management. Likewise, concepts are general notions, thoughts, and ideas that tend to form a basis of discussion or action. Therefore, theoretical principles guide clinical nurses to various

O'Donnell, (2005) delved that, negative gearing tax policy, has an effect of reducing the government revenue. This is contrary to the tax expectation, which basically meant to be the main method through which the government raises revenue. By reducing the government revenue, the implication to the economy is that the government will be incapacitated in offering the public amenities as well as physical infrastructures in the economy. This would hamper the rate of the economic development and growth. Mainly, negatively geared rental taxes, allows the investors to claim the losses they incur in the rental properties, from the amount of tax payable, reducing the amount of tax they pay to the government. Persistent losses will imply continued deduction

In my younger years, I have played a couple sports like soccer and baseball. As I grew up, baseball has always stood out the most to me. Something about running the bases and hitting RBI’s brings a thrill that no other sport can give me. So I play, and I play with everything I have because that’s what baseball makes me want to do. Sure in basketball and soccer I play hard and do what I can, but I know when I’m playing baseball that’s where I excel and exceed my own expectations. I started when I was five and have loved it ever since. Some things have kept me from it in the past but I can’t help but play.

In the United States there are “2,300,000 people are in jails or prisons today. Incarceration is one of the most common forms of punishment in the country for those who choose to commit crimes. This number includes those who are jailed for a short period and are released on probation, as well as those who are doing time for the rest of their lives. (soapboxie, 2016).

Concept analysis and concept development are the terms used to refer to the process of bringing clarity to the definition of the concepts used in nursing science. They are generally applied to the process of inquiry that examines concepts for their level of development as seen in their internal structure, use, representativeness, and relationship to other concepts, in the quest to promote better understanding. Much of the conceptual basis of nursing theory has been derived from already established concepts from other disciplines, and a re-examination of these concepts for relevance and fit to nursing, is important for determining its appropriateness of application (McEwen, 2007).

Nursing is a unique profession which is built upon theories that guide everyday nursing practice. According to Taylor, Lillis, & Lynn (2015), “Nursing theory differentiates nursing from other disciplines and activities in that it serves the purposes of describing, explaining, predicting, and controlling desired outcomes of nursing care practices” (p. 27). Many nurses may unknowingly apply a theory or a combination thereof, along with critical thinking to get the best outcome for a patient. Theories are used in practice today because they have been supported by research and help the profession uphold its boundaries. Most nursing theories consist of four concepts which are the patient, the environment, health, and nursing. Each patient is at the center of focus and they have the right to determine what care will be given to them using informed

Advanced practice nurses have core competencies that are similar or are specific to each specialization defined as an advanced practice. The profession of nursing presents favorable circumstances for nurses to specialize in roles with distinct responsibilities and opportunities to contribute to the function of a health care industry with growing demands and complexity. The profession of nursing continues to debate to whom the title advanced practice nurse applies to. Examination of the core concept frame works described by nurse leaders and professional organizations tend to either support or refute the argument related to the use of the term, advanced practice nurse for nursing administrators and educators. For the purpose of this paper the author will explore the core competency similarities and differences of a nurse practitioner and a nurse educator. Nurse educators and nurse practitioners are registered nurses that possess advanced education, skills, and experience. Each specialty nurse has defined scopes of practice with distinct sets of responsibilities, requirements, and skills. Each role represents distinct educational requirements and activities that contribute to the complex and diverse health care industry.

Historically, the nursing discipline has borrowed its basis for knowledge and practice from other disciplines (Weaver & Olson, 2006). Today, inquiry specific to nursing is continually changing and growing, as nurses are increasingly interested in developing their own unique body of knowledge. This interest results partially from the emergence of nursing paradigms in recent years. According to Weaver & Olson (2006), paradigms are practices and beliefs that manage our knowledge by proving a framework with which to utilize within our profession, and to guide nursing research. A paradigm shapes our quest for epistemological awareness (Weaver & Olson, 2006). Examples of paradigms common within nursing are empirical, interpretive, and critical paradigms. While each paradigm is unique with sometimes competing focuses, each contributes greatly to nursing knowledge, practice, and research.

The meaning of concept analysis is how nursing “explores the meaning of concepts to promote understanding” (McEwen, & Wills, 2010). Pain continues to be a common problem within health care and one of the most treat problems when seeking medical treatment. The concept analysis consist of several steps to complete the process. The steps of the concept analysis are as follows: “1. select the concept 2. Determine the aims or purpose of analysis 3. Identify all the uses of the concept possible 4. Determine the defining attributes 5. Identify model cases 6. Identify borderline, related, contrary, inverted, and illegitimate cases 7. Identify antecedents, and consequences 8. Define empirical references” (McEwen, & Wills,

According to the Arslanian, Hicks, Whall and Algase (2005) nursing theories have unique views. Advanced Practice Nurses (APN) not only focus on diagnosis and medical intervention but also considers family, environment and patient responses in their plan of care. This makes them different from other health care providers like physicians and physicians assistants (Arslanian et al., 2005). I agree that it is important for us as an APN to use theories to guide our own advanced practice because theory gives identification to nurses, and distinguishes nurses from other profession by its unique contribution to the clinical practice. Nursing is an autonomous profession (Kenny, 2013). Nursing theory provides various information to understand the patient

There are several methods of analyzing the concepts. The purpose of concept analysis is to help the nurses to identify the trends and development in patient care. In depth analysis of these trends and developments helps to formulate measures to provide holistic patient care (“Grand canyon university”2013). Walker and Avant introduced the process of concept analysis in nursing in 1983.Walker and Avant (2005). They are concept analysis; concept synthesis and concept derivation explained three different processes to analyze the concept in nursing. According to McEwen (2011) Walker and Avant use concept analysis to clarify meanings of terms and define concepts with an expected outcome of readers and writers communicating in a common language. The Walker and Avant’s method used in

There are five integral components to nursing practice that reinforce the framework of the nursing profession. The conceptual framework pillars are the following: Caring, Communication, Critical Thinking, Professionalism and Holism. Further, Caring is an essential pillar in the nursing profession and is defined as embracing empathy for the patient and being able to interpret the principles of altruism, integrity, human dignity, autonomy and reflect sensitive, compassionate, safe and outstanding quality care. Communication is s process in which information is shared formally or informally between individuals. Critical Thinking is extraordinarily acquired thought that indicates inquiry, evidenced based research, reasoning, analysis and

Concepts are essential elements in theories which provide ideas for research in nursing. Concepts give knowledge that can be applied to nursing practice, education and administration. (Parker & Smith 2010). Concept analysis brings about clarity. The methods of concept analysis have the following steps. Select the concepts, determine the purpose of the anaysis, identify all uses, define attributes, a model case of the concept, consequences of the concept, and define empirical references of the concept (Walker & Avant 1995)