NUR 3643-Deliverable 2-Selecting a Theoretical Framework
Nursing Theorists
Martha Elizabeth Rogers was an American nurse, researcher, theorist, and author. She is best known for developing the Science of Unitary Human Beings theory. She is said to view nursing as a science and an art. SUHB contains two dimensions: the science of nursing, which is the knowledge specific to the nursing field that comes from scientific research, and the art of nursing, which involves using the science of nursing creatively to help better the patients’ lives (Butcher, 2018).
She sees the unitary human being and their environment as one and should always remain united. She felt when a patient stayed in constant contact with their environment. This relationship helped to contribute to the overall success of the treatment protocol prescribed by physicians and nurses (Butcher, 2018).
Rosemarie Rizzo Parse developed the “Human Becoming Theory,” where she bases a patient’s quality of life on how they perceive and live it. Parse’s theory of nursing is an alternative to both the conventional bio-medical approach and the bio-psycho-social-spiritual approach of most other nursing methods and models. Parse’s model asks the patient to explain from their perspective what they see as a good quality of life, and nurses integrate these patients’ quality goals into the care plan for this individual patient. Parse first published her theory in 1981. It was known as the “Man-living-health” theory, but later, in 1992, it was changed to the “human becoming theory” 1992 (Tapp & Lavoie, 2016).
The theory is structured around three major assumptions about humans: they have meaning, rhythmicity, and transcendence. The meaning part says a man’s reality is found through living experiences. Rhythmicity says man and the environment are always creating rhythm patterns. Distinction means a patient should always reach out beyond the limits or goals they have set initially for themselves. She sees the quality of human life based solely on the patient’s perspective, not what the nurse perceives it to be (Tapp & Lavoie, 2016).
The theory provides nurses with a transformative approach to the nursing care of patients. It differs from the traditional nursing process; it does not seek to fix problems. The model focuses on the nurse’s ability to see the patient’s perspective. This way, the nurse and patient work together, with the nurse as the coach and the patient as the player, always making the changes needed to help them reach their ultimate health goals (Tapp & Lavoie, 2016).
NUR 3643-Deliverable 2-Selecting a Theoretical Framework
Compare and Contrast Rogers/Parse
In looking at both of these theories, they are similar because they both tend to focus on the physical environment surrounding the patient. The patient’s background is the foundation for nurses to use to provide and create a plan of care tailored to each patient’s needs. Rogers says the environment is a pan-dimensional and fundamental field that is put together by different patterns that play an integral part in a patient’s overall health. Roger sees the patient’s physical health and behaviours as always influenced by the interactions of the environment and humans. She says any knowledge that is gained from a patient’s situation should be used to blend the art of nursing and the art of science.
Rogers and Parse do see how both of these can be used to ensure a patient finds the best healthcare services possible and better overall recovery results.
On the other hand, Parse sees things differently in her theory; she bases the overall health of individuals on their rhythmicity, transcendence, and meaningful interaction with their surroundings. She says humans coexist individually worldwide, which tends to help create unique patient health rhythm patterns. She sees patients as human beings who can make their own choices in the situations they find themselves in. Parse focuses more on the nurse’s role in helping provide a quality of life for a patient who wants to live and not from what the nurse perceives it to be (Tapp & Lavoie, 2016).
Hospital Recommendation
This statement is what the hospital has now as its mission statement. “Evidence-based practice: The key to advancing quality and safety in healthcare.” The hospital’s mission includes the message: “…to be the healthcare centre of choice, through superior clinical outcomes, evidence-based practice-driven protocols, and the advancement of practice utilizing formal and continuing education.”
Nowhere in this entire statement is patient care being addressed. When an individual comes into a hospital, a patient wants to feel like they are the only patient. The type of environment the nurse provides for this patient as soon as she walks into the room sets the stage for the rest of the visit.
Rosemarie Parse’s theory creates an environment for the patient where they continue to have a significant say in what they see as the ultimate outcomes or expectations for their health by discharge. They are asked to create personal goals, for example, that knee surgery is supposed to solve and how this will ultimately affect their particular environment. This theory will eliminate the days of doctors and nurses dictating a nursing care plan for the patient. This theory ensures that the nurse asks the patient for their input on how they would like their treatment plan to proceed. The patient is asked to explain the quality of life they would like to live after this procedure. If this theory is integrated into the rest of the mission statement, patient satisfaction is almost guaranteed to skyrocket. This new idea is just a suggestion, but why not try it? It is no secret healthcare, no matter what will always be about how well a hospital meets the expectations of its customers, whom we call patients. These facts will never change, no matter how much investment is put into evidence-based practice. It’s about “how did you make me feel”?
References
Butcher, H. (2018). Martha E. Rogers Nursing Science. New York, NY: Rogerian Science Beginnings. Retrieved from https://pressbooks.uiowa.edu/rogeriannursingscience/chapter/chapter-1-2/
Tapp, D., & Lavoie, M. (2016). The becoming theory as a reinterpretation of the symbolic interactionism: a critique of its specific nature and scientific underpinnings. Nursing Philosophy, 14–16. Retrieved from https://doi.org/10.1111/nup.12123
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Question
NUR 3643-Deliverable 2-Selecting a Theoretical Framework
You are a Registered Nurse at a local hospital that has recently changed ownership. The new hospital owners are committed to a culture that embraces evidence-based practice (EBP) and utilizes EBP as a guide for their policies and procedures. The focus on evidence-based practice is part of the hospital’s mission statement and local advertising campaign, which states, “Evidence-based practice: The key to advancing quality and safety in healthcare.” The hospital’s mission includes the message: “…to be the healthcare centre of choice, through superior clinical outcomes, evidence-based practice-driven protocols, and the advancement of practice utilizing formal and continuing education.”
The hospital leadership team has shared that they are beginning the process of applying for Magnet status as a healthcare facility. They have asked for volunteers to serve on a sub-committee to select a nursing theorist as a framework that will be used to guide nursing practice. You have been asked to research the various nursing theorists and choose two to present to the leadership team.
Instructions
From the list provided, select two nursing theorists. Prepare a presentation that compares and contrasts the two theories and recommends which would be better for the facility. Please include the following in your production: Identify the two selected theorists and briefly summarize each idea.
Compare and contrast the two selected theories.
Formulate a recommendation for the theorist that best aligns with the facility.