Identify your specialty area of NP practice (Family Nurse Practitioner).
Identify your specialty area of NP practice. Select a nursing theory, borrowed theory, or interdisciplinary theory provided in the lesson plan or one of your own findings. Address the following:
- Meaning and scope
- Logical adequacy
- Usefulness and simplicity
Finally, provide an example how the theory could be used to improve or evaluate the quality of practice in your specific setting. What rationale can you provide that validates the theory as applicable to the role of the nurse practitioner.
Family Nurse Practitioner Nursing Theories
· McCormack and McCance’s Person-Centred Care Nursing (PCN) Framework
· American Association of Critical Care Nurses (AACN) Synergy Model for Patient Care
· Fawcett and Ellenbecker’s Conceptual Model of Nursing and Population Health (CMNPH)
Please answer each question. Use apa format and one of the following references as well as another that you find within the last 5 years.
Oberleitner, M. G. (2014). Theories, models, and frameworks from leadership and management. In M.McEwen & E. Willis (Eds.), Theoretical basis for nursing (4th ed.) (pp.354-385). Philadelphia, PA: Lippincott, Williams & Wilkins.
Parker, M. E., & Smith, M. C. (2015). Nursing theories and nursing practice (4th ed.). Philadelphia, PA: F. A. Davis Company.
Villarruel, A. M., Bishop, T. L., Simpson, E. M., Jemmott, L. S., & Fawcett, J. (2001). Borrowed theories, shared theories, and the advancement of nursing knowledge. Nursing Science Quarterly, 14(2), 158-163.
EXPERT ANSWER AND EXPLANATION
Person-Centered Care Nursing
In nursing care, there are different approaches that are meant to improve the productivity of the healthcare givers as well as the satisfaction of the nurses. Person-centeredness is a care standard in which patients or clients are made the center of care delivery (Bazzano, 2016). It ensures the fostering of healthy therapeutic relationships between care providers, patients, their families and other players in the well-being of the patient. Through this mode of care, there is efficient service provision that is achieved by fostering a culture of empowerment and practice development.
The person-centered nursing framework is traced back in the 1960s when psychologist Carl Rogers used a ‘person-centered’ approach in his psychotherapy works (Kittelson et al., 2019). Later on towards the end of the 20th century, nurses led by McCormack and McCance borrowed the concept and applied it in the nursing framework (Kittelson et al., 2019). The common idea was the fact that the person administering care needs to show high levels of empathy by suspending judgment and showing a high level of appreciation for the perspective of the service user. Today, patients and their families have to be consulted over the appropriateness of the healthcare decisions that healthcare givers have to make regarding their health.
Meaning and Scope
Person-centered framework entails the fundamental concept of incorporating the decisions of both the healthcare givers and the clients in the nursing continuum. It focuses on re-defining the relationship between patients and healthcare teams and professionals. There are different challenges that are encountered when implementing this care model, but all in all, it appears in a modest of growing services and shows relatively positive outcomes.
Logically, person-centered care is among the most efficient modes of care, where patients and their families are allowed to take part in the fundamental health of the patient. On the other hand, it beats a lot of logic when person-centered care is emphasized too much, especially in cases where there are dilemmas as to whether the nurses should follow the wishes of the patient or to follow the strict contrasting healthcare guidelines (Kittelson et al., 2019). In such cases, it is more appropriate to pick on the ethical principles that ensures the overall good of the patient.
Usefulness and Simplicity
The person-centered care approach is useful in that it allows patients to have the perception that they are equally responsible for working out solutions towards their well-being. It is also simple enough in that nurses have a special guideline through which they reach a common consensus with the patients (and their families) over the decisions made to improve their health.
The care framework is easily generalizable in that it can be applied by anyone who has basic nursing knowledge, even those with only a baccalaureate degree (Murphy & Joseph, 2016). Concepts of the framework are also easy to acquire and practice with a high degree of accuracy.
Testing the framework is one of the primary goals of improving nursing care, where the method has to be tested from time to time and improved to ensure more efficiency (Carruth & Field, 2016). Unlike other nursing frameworks, assessment of this framework entails the participation of all stakeholders in the patient’s health, including the patients themselves as well as their families.
The person-centered nursing framework is a recent concept in nursing that allows nurses and other healthcare givers to actively engage the patients in healthcare provision by ensuring that they reach out for the needs of the patient by actively involving them in care provision. It originated from psychologists’ work in the 60s, and was carried on to be included in the nursing framework. The method is easily generalizable, testable, and allows for active changes in the delivery of nursing care.
Bazzano, M. (2016). The conservative turn in person-centered therapy. Person-Centered & Experiential Psychotherapies, 15(4), 339-355.
Carruth, E., & Field, T. (2016). Person-Centered Approaches: Providing Social and Emotional Support for Adult Learners. In Supporting the Success of Adult and Online Students. Create Space.
Kittelson, A. J., Hoogeboom, T. J., Schenkman, M., Stevens-Lapsley, J. E., & van Meeteren, N. L. (2019). Person-Centered Care and Physical Therapy: A “People-Like-Me” Approach. Physical therapy.
Murphy, D., & Joseph, S. (2016). Person-centered therapy: Past, present, and future orientations.
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