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Nursing theory. Nightingale & Roy--a comparison of nursing models.

1. Today, in an effort to develop the profession of nursing, nurses are working to base nursing actions on a theoretical model. 2. There are four reemerging themes evidenced in both the Nightingale and Roy models, including environment, person, health, and nursing. 3. The Roy and Nightingale models share more similarities than differences: both describe their metaparadigm (ie, environment, person, health, and nursing) in relation to their models.

Humans↗

Improving diagnostic accuracy using an evidence-based nursing model.

PURPOSE: To propose an evidence-based model (EBM) to improve diagnostic accuracy in nursing. DATA SOURCES: Published literature, experience, and expertise of authors. DATA SYNTHESIS: Using an EBM directs clinicians on how to use the best available evidence from the literature to determine the best fit between cues and diagnoses, integrate this evidence with clinician expertise and patient preferences, and conduct a self-evaluation of the process. CONCLUSIONS: Use of an EBM to teach nurses how to ask relevant diagnostic questions and provide a framework for nurse educators to teach evidenced-based practice may lead to developing more competent diagnosticians and improving diagnostic accuracy in nursing.

Clinical Competence↗

Revisiting the Health Belief Model: nurses applying it to young families and their health promotion needs.

The Health Belief Model (HBM) was reviewed with the aim of modifying it so that it reflected a health promotion stance for young families. Since this model's inception, health professionals like nurses have been involved in using the HBM to guide their practice. It is argued that to assist families, nurses now need a model that is focused on "health." In support of this approach, reorienting the HBM and basing it on "positive" health definitions associated with health promotion, by modifying it through adding the constructs "perceived behavioral control" (representing health locus of control) and "behavioral intention" from Ajzen will provide nurses with a more appropriate and useful model for interacting with families and their preschool children. A summary of positive and negative aspects of the modification of the HBM is presented, followed by a strategy for the process of validating the revised HBM for young families.

Adult↗

From theory to practice: Orem's self-care nursing model and ambulatory care.

Delivery of patient care based on theoretical principles can promote successful practice. Orem's Self-Care Nursing Theory offers direction for the practitioner in the ambulatory surgery setting. In this model, the nurse assists clients by acting for, teaching, guiding, supporting, and providing a developmental environment. Levels of care range from performing total care to educating the patient and family. Promoting self-care as soon as feasible is the goal of the ambulatory care plan. Consequently, self-care deficits created during surgery and anesthesia must be overcome so that the patient is dismissed from the ambulatory setting with the ability to meet self-care needs.

Ambulatory Surgical Procedures↗

Nursing models and self-concept in patients with spinal cord injury--a comparison between UK and Taiwan.

The purpose of this study is to investigate rehabilitation nurses' care for patients with spinal cord injury (SCI). It also examines how rehabilitation nurses perceive their role in assessing the alteration of self-concept and the interventions they use in helping patients to develop a more positive perception of themselves. A critical review of common models in use was undertaken including Roper, Logan and Tierney's Activities of Living Model, Roy's Adaptation Model and Orem's Self-care Deficit Nursing Theory. A nursing framework has been developed for rehabilitation nursing. Data were collected by questionnaire. The findings indicate that rehabilitation nurses are aware of the alteration in self-concept for patients with SCI. Although nursing interventions include physiological, psychological and social aspects of care, nurses do not feel that current nursing models are useful in SCI nursing and tend to support the specially designed model.

Adult↗

Alcohol early intervention: a nursing model for screening and intervention strategies.

This paper presents the background policy directions in Australia that are encouraging nurses to initiate alcohol early intervention strategies. The current clinical initiatives that are supporting screening and early intervention strategies are critically reviewed and presented in the form of an Alcohol Early Intervention Model to guide nursing practice. The model is compatible with current directions in nursing which encourage more independent, empowering and educationally focused strategies. This model also provides direction for undergraduate and graduate nursing curricula and offers opportunities for future research.

Alcoholism↗

A philosophy of care for a neonatal intensive care unit. Operationalization of a nursing model.

Crisis reactions, a stressful environment, infant care practices, and nurse behavior may cause difficulties in entering the natural parental role for parents of infants who are admitted to a neonatal intensive care unit (NICU). In connection with discussions in the Uppsala NICU on what constitutes good care, a philosophy of care, based on Callista Roy's adaptation model, was formulated for the purpose of providing developmentally supportive, family-centered care, and for defining good care and the professional nurse role. The philosophy describes the infant's needs and environment. Caring activities focus on support of the infant's and his parent's roles and self-concept in their progress towards independence from professional assistance. The philosophy is an essential component in the introductory program which integrates newly recruited personnel from different disciplines into the unit. It is presented as a suggestion of how a model-based philosophy of care can be formulated by operationalization of the theoretical concepts of a nursing model.

Adaptation, Physiological↗

Helping and nursing models.

The concept of helping has not been acknowledged as a central issue in either research or theory development in nursing. Nevertheless, assumptions about helping do exist in current conceptual models of nursing. In this paper, these assumptions are analyzed from the perspective of the most recent theoretical models of helping developed by Brickman, Rabinowitz, Karuza, Cohn, Coates, and Kidder. What nurses say about how nurses help and the implications of these findings for future theory development, research, and education in nursing are discussed.

Education, Nursing↗