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THEORETICAL FOUNDATIONS IN NURSING

Samantha Louise C. Sunglao

THEORY - a set of concepts, definitions,


relationships, and assumptions that
project a systematic view of phenomena. WHY DO WE STUDY NURSING:
- May consist of one or more ● Everyday practice enriches theory.
relatively specific and concrete ● Both practice and theory are
concepts and propositions that guided by values and beliefs.
purport to account for, or organize ● Theory helps reframe our thinking
some phenomenon (Barnum, about nursing.
1988). ● Theory guides the use of ideas
and techniques.
COMPONENTS OF A THEORY: ● Theory can close the gap between
● CONCEPTS - ideas and mental theory and research.
images that help describe ● To envision potentialities (Gordon,
phenomena (Alligood and Parker, and Jester, 2001).
Marriner-Tomey, 2002).
● DEFINITIONS - convey the “THE STUDY AND USE OF NURSING
general meaning of the concepts. THEORY IN NURSING PRACTICE MUST
● Assumptions - statements that HAVE ROOTS IN THE EVERYDAY
describe concepts. PRACTICE OF NURSES (Gordon,
● Phenomenon - aspect of reality Parker, and Jester, 2001)”.
that can be consciously sensed or
experienced (Meleis, 1997).
USING THEORY IN EVERYDAY
PARADIGM - a model that explains the PRACTICE (NURSE PRACTITIONER):
linkages of science, philosophy, and ● Organize patient data.
theory accepted and applied by the ● Understand patient data.
discipline (Alligood and Marriner-Tomey, ● Analyze patient data.
2002). ● Make decisions about nursing
interventions.
DOMAIN - this is defined as the view or ● Plan patient care.
perspective of the discipline. ● Predict outcomes of care.
- Contains the subject, central ● Evaluate the patient outcomes
concepts, values and beliefs, (Alligood, 2001).
phenomena or interests, and the
central problems of the discipline. USING THE6ORY IN EVERYDAY
PRACTICE (STUDENT NURSE):
HOW DOES DOMAIN RELATE TO ● Ask yourself what the nature of
NURSING THEORY: knowledge is needed for the
- Nursing has identified its domain in practice of nursing.
a paradigm that includes for ● Ask yourself what it means to
linkages: practice nursing.
1. Person / Client
2. Health NON-NURSING THEORIES:
3. Environment ● Systems theory
4. Nursing ● Basic human needs theory
● Health and wellness models
PURPOSES OF NURSING THEORY: ● Stress and adaptation
● It guides nursing practice and ● Developmental theories
generates knowledge. ● Psychological theories
● It helps describe or explain
nursing.
● Enables nurses to know WHAT
and WHY they are doing practices.
LINK BETWEEN NURSING THEORY
AND RESEARCH PROCESS:
● The theory provides direction for
nursing research.
● Relationships of components in a
theory help drive the research
questions for understanding
nursing.
● Chinn and Kramer (2004), indicate
a spiral relationship between the
two.

CURRENT TRENDS THAT INFLUENCE


NURSING THEORY:
● Medical sciences
● Nursing education
● Professional nursing organizations
● Evolving research approaches
● Consumer demands
● Technologies

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