Throughout nursing, there are many theories that nurses may come across and use. Calista Roy’s and Betty Neuman are two theorists that use two different types of models to encompasses the health, person, and the environment. Callista Roy uses a theory that promotes adaptation to the stimuli a person may encounter. Betty Neuman uses a theory that promotes equilibrium in a time where a person will encounter stress. These theories allow the nurse to bring a knowledge to learn more about the person and the factors that influence their health. Although with any theory there are different approaches in how the nursing plan is done, but with the patient in mind, it makes the difference in care that is given and allows for better outcomes for the patient.
Roy’s adaptation model is described as promoting a person’s adaptation in the four adaptive models which include physiologic needs, self-concept, role function, and interdependent relations (Hood, 2014, p. 135). Roy uses the approach of adaptation in the response to external stimulus. A stimulus can elicit a response, but it is the way that a person can adapt to the stimulus that will allow the person to cope (Roy, 2014, p.135). For example, a person may encounter an illness but how the person deals with it and the resources at hand will make the difference in their coping. Roy describes that there are two coping mechanisms that can affect our mind and also our body systems (Hood, 2014, p.134).
Betty Neuman’s system model uses
The two theories that have helped to form my personal perspective on nursing are Erickson; and Rogers. Helen Erickson’s model is based on caring for an individual patient based on their own unique needs and perspective (Nursing Theories and Models, 2017). Erickson’s model took concepts from several other theorists such as Maslow, Padget, Seyle, and Lazarus and combined them to create a nursing model that takes care of each individual patient based on their needs ( Reed, 2017). This theory helps me to be more cognizant of the individual needs of my patient, not all patients regardless of disease process are the same. Each patient may have different underlying factors or circumstances that affect their health and current situation. Rogers’ theory is broader, viewing nursing as both an art and science, promoting health and wellbeing to patients regardless of where they are (Nursing Theories and Models, 2017). The science of nursing involves the knowledge and research of nursing, and the art is applying that science for the betterment of the patient. This theory views an individual as part
Nursing theories have been a fundamental tool used to explain, guide and improve the practice of nursing. Theorists have contributed enormously to the growth of nursing as a profession. The four grand theorists I chose are Virginia Henderson, Peplau, Myra Levine and Jean Watson. These theorists have contributed tremendously in the field of nursing through their theories, and research. One thing the theorists have in common is that they are patient centered. They are all concerned on ways we can improve our responsibility to the patients, their families and the environment. They have different ideas but they are all aiming towards achieving the same goal, which is patient satisfaction and safety. Their differences are in their areas of
A nursing theory that has influenced my professional nursing practice is Jean Watson’s Theory of Human Caring. In this theory she addresses how nurses care for their patients. Caring is the essence of the nursing profession and is a relationship formed between the nurse and the patient. In Watson’s theory she believed that caring could assist the patient to gain control in their own health care, become educated, and in the end find health. Watson focused on the patient’s mind, body, and soul and this is the aspect of her theory that I try to use in my professional practice. As a new nurse straight out of nursing school I focused more on protocols and procedures to make sure I was doing everything right. My patients had good outcomes but I was amazed when I started thinking about the patient as a whole and not just thinking about the illness they had and how to treat it. Many times just treating the patient’s
Nursing theory is the backbone of nursing. It is very important in the application of evidence-based practice (EBP). The functions of a theory are to narrow and provide specific information for the analysis of initially confusing behaviors, situations, and events (Fawcett & Madeya 2013). Moreover, nursing theory helps to improve not only the quality of care that we are providing to our patients but, they also help us make better clinical decisions. As a matter of fact, nursing theory gives the nurse a framework for organizing and analyzing information as well as a base for identifying with their patients throughout the nurse-patient relationship (Schick, 2015). I am very much interested in all the theories. The one that I relate to the most is Hildegard Peplau’s theory. It is a middle range theory that focuses on interpersonal relations. This theory teaches us about how to interact with our patients so that they feel more in control of their treatment. In this paper, I will be talking about the importance of nursing, the summary of Peplau's theory, and how as future nurse practitioners, we can apply it.
Betty Neuman is a renowned nursing theorist who developed the Neuman System Model. This model emphasizes stress and the impact it can have on patients and nursing care. Key concepts of this theory include preventions, stressors, and lines of defense. Neuman also addresses the metaparadigms of nursing, health, human being, and environment in relation to her model. The Neuman System Model is recognized by nurses across the globe, and a Neuman System Practice Center has been established to help develop her theory (Gigliotti, 2012, p. 298). This theory can be utilized in any nursing care and is inspiration for other nursing theorists.
I have read and utilized some of the following theories from some classic nursing theorists
Nursing theories serve as thinking guides for nurses to follow in order to reach optimal outcomes for patients. Theories are applied in conjunction with experience one has gained and critical thinking in everyday nursing practice, research, and education. The Neuman Systems Model, which was created by Betty Neuman, is one example of a theory that has been in practice for decades and continues to be modified to reflect new research. When applying the NSM, the nurse focuses on identifying and preventing stressors which are factors that lead to fluctuations in the body that affect daily living.
Nursing theories play an integral role in guiding practice, education, and research. Many different theoretical perspectives are maintained in the field of nursing due to the diversity of the field, no single theory is able to account for all nursing knowledge. The purpose of this paper is to compare and contrast two nursing theories that have produced a profound impact on nursing practice. The theories being compared are Dorothea Orem’s Self Care Deficit Nursing Theory (SCDNT) and Sister Callista Roy’s Adaptation Model (RAM). Both theorists have profoundly influenced nursing science, research, practice, and education. Similarly, both of these theories fall into the category of Grand nursing theories which are the most complex theory level and explain broad areas of the discipline, as well as being the broadest in scope (McEwen & Wills, 2014).
Several nursing theory models are available to assist the nurse in assessing and evaluating a family, creating a care plan for a family, and determining which interventions are most applicable to the family’s needs, strengths, and weaknesses. The Neuman’s Systems Model, created in 1983 by nursing theorist/educator Betty Neuman, is a theory that encompasses the family as a whole rather than focusing on the individual patient, and offers ways in which the family can react to outside stressors and return to a whole state after the stressor is gone. Newman believes that each person is a layered, multi-dimensional being and identifies methods of coping with outside stressors that include three types of interventions that help the patient and family cope with these stressors.
The nursing theory consists of four major concepts including person, health, environment, and nursing. According to the Fundamentals of Nursing, these four concepts “… give nurses a comprehensive perspective that allows you to identify and treat patient’s health care needs at all levels and in all health care settings.” (Potter & Perry, 2009, p. 40) Florence Nightingale’s theory was one of the first models for nursing. The focus of this theory was that nursing consists of caring through the environment and helping the patient overcome their symptoms and changes in function related to their prevailing illness. It also focuses on the manipulation on the environment for the potential benefit of the patient. Florence “… had always seen to the heart of things- that the real nurse must be a dedicated being- that
the person is a bio-psycho-social being. The person is in constant interaction with a changing environment. Third, is that health and illness are inevitable dimensions of the person’s life. Next is to respond positively to environmental changes, the person must adapt. The next one is that the person adaptation is a function of the stimulus he is exposed to and their adaptation level. The person’s adaptation level is such that it comprises a zone indicating the range of stimulation that will lead to a positive response. The person has four models of adaptation: physiologic needs, self-concept, role function and
Developing a nursing philosophy is important to a nurse as it serves as a guide and is the foundation for personal nursing practice. Following a personal nursing philosophy can enhance your nursing career, make you a better nurse and improve patient outcomes. However, it is difficult to choose one nursing theorist, as there are viewpoints from several theorists that align with my personal theories. Choosing one theory is not only difficult, it is possible to change a theory during your nursing career or draw from various theories while working with patients and their families depending on the situation. Consequently, nurses are taught the foundation of multiple theorist and there does not seem to be one correct model. It is a matter of finding one that fits your
There are many different nursing theories that are significant to nursing practice, because they help nurses to examine what is already known, and what additional knowledge and skills are required in variety of nursing situations. They provide basis for nursing practice, as well as some additional tools, that help with delivery of better care to patients and caregivers. Finally, nursing theories improve professional status for nurses and provide guidance and direction for research and education (Colley, 2003).
While virtually all nurses have some kind of an 'idea' of how their profession should operate, this intuitive, anecdotal understanding is profoundly different from how a theory operates. A theory is "a creative and rigorous structuring of ideas that projects a tentative, purposeful and systematic view of phenomena" and is designed to "organize the relationship among the concepts to describe, explain, predict, and control practice" (Nursing theories: An overview, 2012, Nursing Theories). But while greater predictability is desirable versus, for example, the unpredictability of
The importance of nursing theory to practice of nursing should not be overlooked or underrated. That is because, it’s understanding and application are essential in enhancing patient 's care, improving communication between nurses, providing education’ and guidance in research, (Robert T. Croyle (2005). It is equally important to know that currently, there are many theories that guide the practice of nursing. Two of the most prominent ones will be compared and will form the subject of this this discussion.