...Psychiatric Mental Health Nursing, Finding Our Core: The Therapeutic Relationship in 21st Century Advanced ORIGINAL 4 42 June © Blackwell 0031-5990 Publishing Perspectives in Psychiatric PPC 2006 Practice PMH2006 Malden, USAARTICLE Care Blackwell Publishing Inc Nursing: Finding Our Core Suzanne Perraud, RN, PhD, Kathleen R. Delaney, RN, DNSc, Linnea Carlson-Sabelli, PhD, APRN, BC, Mary E. Johnson, RN, PhD, Rebekah Shephard, MS, APRN, and Olimpia Paun, APRN, BC, PhD TOPIC. Increasingly, students from various professional backgrounds are enrolling in Psychiatric Mental Health (PMH) Nursing graduate programs, especially at the post-master’s level. Faculty must educate these students to provide increasingly complex care while socializing them as PMH advanced practitioners. PURPOSE. To present how one online program is addressing these issues by reasserting the centrality of the relationship and by assuring it has at least equal footing with the application of a burgeoning knowledge base of neurobiology of mental illness. SOURCES. Published literature from nursing and psychology. CONCLUSIONS. The PMH graduate faculty believes that they have developed strategies to meet this challenge and to help build a PMH workforce that will maintain the centrality of the relationship in PMH practice. Search terms: Nurse–patient relations, psychiatric nursing, empathy, therapeutic relationship, education, nursing, graduate Perspectives...
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...Comparison and Analysis Across Theories Ryan Velasco University of Phoenix NUR/513 March 13, 2012 Noura Kassis Ed.D., R.N. Concept Comparison and Analysis Across Theories Nursing as a profession has evolved through the contributions of practicing nurse theorists who have worked rigorously toward improving the way nurses approach the art and science of nursing. Through theory development, nursing models, and their conceptual frameworks, they have provided a foundation for nurses and their practice. Nursing theories have developed from the choices and assumptions about the nature of what a particular theorist believes about nursing, what the basis of nursing knowledge is, and nurses do or how they practice in the real world. Each theory carries with it a worldview, a way of seeing nursing and human events that highlights certain aspects of reality and possibly shades or ignores aspects in other areas (Ray, 1998). This paper will assess both Peplau’s Interpersonal relations model and Travelbee’s Human-to-human Relationship models, and compare their concept definition of client/person. Preceded by an overview of each theory and comparison, the paper further discusses Peplau’s Interpersonal Relations model in regard to its applicability to nursing practice. Interpersonal Relations Model Dr. Hildegard Peplau, a pioneer of the nursing world published the book Interpersonal Relations in Nursing in 1952, transcending the...
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...Concept Comparison and Analysis Across Theories Nur 513 May 19, 2014 Theory is the core of nursing and nursing process. It describes, explains and predicts the uniqueness of a phenomenon. Theory is analysis and examine to determine the viability in the world of professional nursing. Concepts is the framework and foundation of the theory which consist of concrete and abstracts. The purpose of this paper is to select a core concept that is common to two nursing theories. Compare and Analysis the core concepts definition of client- nurse and the theorists Peplau’s Interpersonal model and Travelbee’s human-to human model .Peplau’s Interpersonal Model will be further discuss and identify where and how it can be best applied to nursing practice and elements of concepts statement, metaparadigms,philosophies and conceptual model. In 1952, Hildegard E.Peplau who was a pioneer in nursing published the book” Interpersonal Relations in Nursing”. The book explains the steps and phases of the interpersonal process, the nursing roles , methodology of the interpersonal,process in nursing. Peplau's believed ”Nursing is Therapeutic“ ( George 2011 ). She describes nursing as a healing art for the sick or a individual who is in need of care and there is an interpersonal process in nursing due to the interaction with two or more people that has a similar goal. The common goal is the level of respect with the interaction between the nurse and patient which would lead to learning and...
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...Historical Development of Nursing Science Timeline Paper * Stacey Simmons * NUR/513 * February 3, 2014 Rebecca Gesler Historical Development of Nursing Science Timeline Paper The historical development of nursing science began with Florence Nightingale’s influential Notes on Nursing. The science of nursing has grown and developed into an academically sound and proven study of nursing care. In the 150 years following Florence Nightingale’s innovative approach to nursing care, many influential nursing theorists have emerged. This paper will discuss the Florence Nightingale, the pioneer theorists from the 1950’s, the transitional theorists from the 1960’s, and the research theorists from the 1990’s. The Historical Development of Nursing Science and Theory Nursing science and theory began with Florence Nightengale’s Notes on Nursing. Florence Nightingale is remembered for building the foundations of modern nursing establishing nursing as a profession. “Her book, Notes on Nursing (Nightingale 1859) first published in 1859, was the first nursing text book. She wrote the first modern nursing curriculum for St Thomas's Hospital, London when she instituted nurse education there in 1860 and followed these with a number of other books, reports and pamphlets. (Stanley, D., 2007). However, it would be decades before her insights, observations and educational model would be acknowledged as the first nursing theory. In the 1950’s Columbia...
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...THEORY TO PRACTICE LITERATURE REVIEW A PAPER SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE NURS 5013 – THEORETICAL FOUNDATIONS IN THE GRADUATE SCHOOL OF THE PRAIRIE VIEW A&M UNIVERSITY COLLEGE OF NURSING BY HARSHAL THOMAS, BSN, RN HOUSTON, TEXAS March 3, 2014 DeMonica Junious, PhD, RN, CNE INTRODUCTION This paper is a systematic presentation of nursing theories based on literature review. The purpose of this paper is to describe how nursing theories are applied in administrative practice. It will help to generate further nursing knowledge. Nursing theory can help patients, managers and other healthcare professionals to recognize the unique contribution that nurses make to the healthcare service. The First stage is introducing the paper. The Second stage is the body of paper which consists of six different articles from pages three to eight. Each article starts with brief description about the study following with concise review of the selected theory. About who formulated the theory and also describes the components of the theory. The middle part of the article states the reasons for using the specific theory by the author. Also describing how the theory was used and illustrates the results of the study. The article ends with explaining how that particular theory can be used in my own nursing administrative practice. The Last stage is summarizing the paper and listing the references in alphabetical order. ...
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...Two Vulnerable Populations and Their Theories Quanisha Hobley Winston Salem State University Abstract Vulnerability is when an individual loses the ability to fully make informed decisions on his or her own. This paper will discuss the vulnerable population of people with mental illnesses, and the elderly. There are many groups of people that fit the “vulnerable population” category, to include: mentally disabled, socioeconomically disadvantaged, those with physical limitations, children, and the elderly population. Nursing theories should coincide with nursing care. Orem’s self-care deficit theory supports the elderly population. Peplau’s interpersonal theory supports those that suffer with mental illnesses. When I think of a vulnerable population, many population groups come to mind. Any individual that due to conditions, either acute or chronic, who has his or her ability to make informed decisions diminished is considered part of a vulnerable population. Vulnerability is a result of uncontrollable individual factors over which the patient has no influence (Creasia & Friberg, 2011). According to de Chesney & Anderson, Vulnerability is a general concept meaning “susceptibility” and has a specific connotation in health problems (2012). Individuals can become vulnerable at any time of their life because of change in circumstances, placing them at increased risk. One group considered to be a vulnerable population is the elderly. For many years, society...
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...MODULE 2: Theory Development in Nursing Discuss the five development of nursing theory. Silent Knowledge Stage is the period where nurses practice blind obedience to medical authority. Trainings of nurses and student nurses were limited to hospital settings. There is no independent decision-making by the nurse, and technical skills can only be performed by skilled nurses. Hospital schools believed that the nursing education comprises only of learning technical skills and that there is no need to be educated of theory. It is in this stage that nurses are dependent to doctors, and they carry out orders no questions asked. Received Knowledge Stage is the time when nurses were encouraged to be registered as a professional by taking up state licensure, and pursue graduate education to study nursing functions and purposes. Prominent nursing organizations were formed and books containing lessons on nursing research and theories were published. The publication of the Journal of Nursing Research was then set forth, which goal, according to Parker (2006), was to promote scientific productivity and report scientific investigations for nursing, and contains papers on a variety of topics in relation to health care and current policies. This drove nurses in graduate education to inspire other nurses scholars to improve their awareness on theories and their skills in practice. Subjective Knowledge Stage is the period where authority was internalized and new sense of self emerged...
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...E D U C AT I O N A L I N N O VAT I O N Creative Learning: The Mandala as Teaching Exercise Margaret Cole Marshall, MS, APRN, BC ABSTRACT Faculty committed to undergraduate education have discovered the need to address teaching strategies that focus on the new generation of students. In teaching an undergraduate course on Nursing the Client with a Mental Illness, the affective domain of learning is used to develop interpersonal competence, self-awareness, and self-reflection. The teaching technique used is an experiential exercise that asks students to create group mandalas using art materials on circular pieces of butcher-block paper. The mandala concept is derived from the Buddhist tradition and means “circle” or “center” in Sanskrit. Carl Jung introduced this technique to the United States and incorporated it into his therapy. As a creative, active learning strategy, the mandalas helped the faculty meet the clinical objectives for the course and the learning needs of a new generation of students. They also helped students learn about Eastern philosophy, group process, self-awareness, and Jungian therapy. F Received: June 20, 2002 Accepted: May 19, 2003 Ms. Marshall is Assistant Professor, University of Texas Health Science Center, San Antonio, Texas. Address correspondence to Margaret Cole Marshall, MS, APRN, BC, Assistant Professor, University of Texas Health Science Center, San Antonio, 7702 Floyd Curl Drive, MC 7951, San Antonio, TX 78229; e-mail: marshall@uthscsa...
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...Historical Development of Nursing Science Tracy Thompson University of Phoenix Theoretical Foundations of Practice NUR/513 Mary Nicks December 07, 2012 Historical Development of Nursing Science The historical development of nursing may be traced back to Florence Nightingale. Florence Nightingale is known as the first nurse theorist, (George, 2011). Nightingale’s theory focused “on the manipulation of the environment for the benefit of the patient,” (George, 2011, p. 9). Nightingale’s theory or philosophy differentiated nurses from household servants, started the difference between nursing and medicine, and created the concern that nurses be involved with the health and wellness of the patient, (Alligood, 2010). Nightingale was also one of the first theorists to treat the patient as a whole being, (Alligood, 2010). “Nightingale believed nursing to be a spiritual calling,” (Alligood, 2010, p. 99). Many years of trials and tribulations have been encountered in nursing before it became a profession. There are many theories and theorists that have led to nursing to the profession it is today. Following is a timeline of some of the more important theorists’ and their theories and philosophies. 1952 Hildegard Peplau – “Interpersonal Relations in Nursing,” ("Theory of Interpersonal Relationships," 2012...
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...communication is essential to deliver the best care for the patients. Different disciplines in the health care field collaborate to provide the safest and highest quality care for the patients. The care of patients involves different individuals with different specialty in the heath care field that needs to communicate effectively to share and discuss patient’s information and treatment goals. To communicate effectively with other professionals in the health care field is as important as professional-client communication. In this paper, the importance of professional and personal health care communication and relevancy of effective professional health care communication to health outcomes will be discuss. The lack of professional and personal health care communications contributes to poor health outcomes and the principles and theories of therapeutic communication in health care settings for the health care professional will also covered in this paper. Communication in health care field is essential. Whether a person works in the dietary services, hospital volunteer, or as a nurse’s assistant, health care professionals should learn the skills to communicate effectively. These communication skills are use to interact with patients, co workers, and management. A lack of effective communication skills in the health care limits the quality of care and can cause communication breakdown that may lead to endangering patient’s health and safety. Communication in the health care...
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...Historical Development of Nursing Timeline Coral R Williams NUR/513 September 30, 2013 Willie Goodwin Historical Development of Nursing Timeline The purpose of this document is to explain the historic development of nursing science by 1) citing specific years, theories, theorists, and events in the history of nursing, 2) explaining the relationship between science and the profession, and 3) reviewing the influences on nursing science of other disciplines such as philosophy, religion, education, anthropology, social services, and psychology. History of Nursing In the 18th and 19th century modern nursing began to take shape. The Catholic’s recruited congregation females committed to the care of the sick within religious group. The Lutherans followed and trained women to facilitate care to the unhealthy, and in 1863 the Red Cross Society, founded in Geneva, Switzerland, devoted a program goal of educating nurses to care for the wounded during the war (s). This program was a success and therefore was the beginning of the formal education process for professional nursing. These first program trained nurses were known as civil nurses there responsibility was to provide care to soldiers (Potter, 2009). Florence Nightingale (1820-1910) began her career in nursing after completing an educational program in Kaiserwerth, Germany at the age of 31. During this time war and disease was devastating the British Army. She was called upon by the government and volunteered her services...
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...head: PHILOSOPHY OF NURSING Assignment #2 Philosophy of Nursing Nursing 324 Athabasca University Submitted to: Karen Polowick Submitted by:kelly gagnon Student #: Date: September 7, 2010 Good title page in APA format with running head and complete information Philosophy of Nursing For centuries the development of nursing knowledge has been influenced by numerous theorists and their respective theories. These theories have influenced, and continue to influence, nursing education, practice and research. (Johnson & Webber, 2005) Although theorists have been the essence of sense-making in nursing, I believe all of us as nurses can, and should, be actively involved in the sense-making process. It is reasonable to think that each of us chose nursing because of some key beliefs or values that we possessed. These values and beliefs ultimately guide us in formulating our own definition of nursing and what we believe to be its primary goal. Many of the beliefs and values that we embrace are notably evident throughout the many nursing theories presented in the literature. That does not mean that we as nurses today cannot think outside of the boundaries of these theories. As Johnson & Webber (2005) writes, ‘…you may discover that you have a unique view of nursing…then perhaps you are being called to contribute…to the profession.’ (Johnson & Webber, 2005, pg. x) This paper will focus on my own personal view of nursing and the associated queries...
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...regulatory agency, 2015). State boards of nursing are government agencies that are responsible for regulating nursing practice to protect the public. They ensure nursing practice standards are met and that nurses are competent in their practice (American Nurses Association, 2012). An example of a state regulatory agency that pertains to my professional nursing practice in the Massachusetts Board of Nursing. “The mission of the Massachusetts Board of Registration in Nursing is to protect the health, safety and welfare of the citizens of the Commonwealth through the fair and consistent application of the statutes and regulations governing nursing practice and nursing education” (Commonwealth of Massachusetts, 2015). A professional organization is defined as an “organization seeking to further a particular profession, the interests of individuals engaged in that profession and the public interest” (Professional association, 2015). A Professional Nursing Organization (PNO) can offer many opportunities for nurses, including continuing education programs and certification in specialty areas of nursing. An example of a PNO pertaining to my professional nursing practice is the American Psychiatric Nurses Association (APNA). Their mission states that: “The APNA is a professional association organized to advance the science and education of psychiatric-mental health nursing. It is committed to the specialty practice of psychiatric-mental health nursing, health, wellness and recovery promotion...
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...research evidence. The work should include the following areas: 1. A critical analysis of the assessment and diagnostic process 2. A critical analysis of the management/ rehabilitation-medical, nursing and other management 3. Appropriate referencing Methodology A random method was used to select the patient for this study. The patient was chosen from a cohort of patients on a psychiatric ward. The aim was to critique the assessment, treatment and management of a patient medically diagnosed with Schizophrenia. Various sources of information were utilized in the collection of information for this project. A research of this caliber demands that sources of information are peer reviewed current and of scholarly sources. Therefore it was with this in mind that the information was collected using internet medical portals, journal article and appropriate text books with a wide variety of information on the topic of choice. The patient’s docket was also used because it is a primary source of information about the management of the condition. Introduction Schizophrenia is a serious psychiatric disorder characterized by impaired communication with loss of contact with reality and deterioration from previous level of functioning at work, social relations and self care. The Swiss psychiatrist, Eugen Bleuler, coined the term, "schizophrenia" in 1911. This word comes from the Greek roots schizo (split) and phrene (mind) to describe the fragmented thinking...
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...prisoner-patients. Five registered nurses, employed in correctional centres in Southeast Queensland were interviewed to illuminate the experience of caring for prisoner-patients. Data was analyzed using Colaizzi’s (1978) method of phenomenology. Textual analysis revealed two themes with five corresponding sub-themes that depicted the meaning of nurses’ caring for prisonerpatients. The experience of nurses caring for prisoner-patients was described by nurse participants as ‘obstructive practices’ from the custodial officers, ‘decreased standards of care’ by nursing staff, ‘prejudice’ towards to prisoners, ‘increased level of mentally ill prisoners’ and a ‘lack of recognition’ for nurses working in the prisons. Amidst all these difficulties, nurses who cared for prisoner-patients demonstrated courage in the work they did and persevered for the sake of the their prisoner-patients and the specialty that is correctional health nursing. Communication must continue between prison and health care administrators in order to identify conflicting issues that impact on the autonomy of nurses delivering health care to prisoner-patients. Further research must also be conducted into the level of mental illness in the prisoners and...
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