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Creatively teaching the interrelationships of a nursing model.

Nursing students find that the abstract description of nursing models is difficult to understand and apply. On the other hand, strategies that operationalize these concepts through concrete applications within everyday experiences help to promote the students' understanding. The author describes an exercise for teaching nursing students the central concepts of a nursing model.

Curriculum

A process-oriented approach. Selecting a nursing model for psychiatric nursing.

The nursing literature is replete with articles and books that describe nursing conceptual frameworks and models and encourage their use in clinical, education, and research activities. Although much information exists on the content of nursing models, less has been written about how a model is to be chosen and the process that may facilitate the choice of a model. This article reviews potential benefits and limitations of nursing models and conceptual frameworks and describes a three-phase process for selecting a model for psychiatric nursing practice.

Choice Behavior

Making nursing models relevant for the practising nurse.

In this article the authors examine the background to the development of the nursing process and nursing models. The latter, it is argued, provide the theoretical framework for nursing actions. The descriptive study described here by the authors, took place at Michigan State University. The aim was to determine how useful nurses perceived nursing theory to their practice--in a setting where nursing theory had been taught for ten years. Nursing models were found to be useful to practising nurses in the clinical setting.

Attitude of Health Personnel

Nursing models and the idea of nursing.

The Wittgensteinian idea of family resemblances and meaning is explained. The idea of nursing is examined from this standpoint as are the knowledge claims of several influential nursing models. It is argued that the task of building a general model of nursing is theoretically impossible. The political and educational implications of the above argument are developed.

Education, Nursing

Nursing models in the curriculum: the nursing degree course at Bristol Polytechnic.

This article discusses the use of nursing models as a basis for curriculum planning in a Nursing degree course. Each module in the course is based on a Nursing model, as are assessment of theoretical aspects and of nursing competencies. Rationales for the structure of the course and choice of models are given, and the article concludes by emphasising the need for continuing evaluation of this way of planning and implementing the curriculum.

Clinical Competence

Guidelines for selecting a nursing model for practice.

Nursing models can provide direction to the practicing nurse. In this article, the process of selecting a nursing model is outlined. Noteworthy is the need for administrative support in this process in terms of providing release time, adequate coverage of the unit, scheduling, secretarial support, praise, and encouragement. It is suggested that nurses from various levels form an ad hoc committee so that there be representatives from both management and staff nurses as well as those who have been exposed to the use of models on the committee. Initially, the committee members should examine beliefs about nursing, the client, and the environment so that the model selected will reflect the beliefs and goals of the staff. Factors to consider in model selection are outlined so that the selected model will provide direction to each phase of the nursing process. Once a model is selected, it is recommended that individuals with experience in using it be approached to share their successes and difficulties. It is imperative that staff nurses be involved in the decision-making process.

Decision Making, Organizational

One method for comparing different nursing models.

To have diverse nursing models is well and good, but how does one select among them or even understand their differences? Sohn devises a simple method for comparing nursing models that will be of use to teachers, students, and practitioners alike.

Holistic Health

Finding a model that fits. The use of nurse models in A&E.

Careful and promptly completed documentation is vital in A&E, where patients rarely stay for long. Most A&E departments do not appear to use a nursing model. Many respondents to the study felt there was no suitable model available for A&E. There is a need for more emphasis on developing models for A&E and educating nurses about their use; nurses also need to be actively involved in their implementation.

Emergency Nursing

A nursing model for orthopaedics.

A nurse manager, an educationalist and a clinician describe their nursing model, which has been implemented on an orthopaedic unit. Based on an appreciation of the unique nature of the nurse-patient relationship, the model aims to foster and develop patient empowerment as a means of encouraging rehabilitation.

Humans

The Caggins Synergy Nursing Model.

The Caggins Synergy Nursing Model (CSNM) is a conceptual framework which was developed by the author during her doctoral coursework at Texas Woman's University-Houston. The conceptualization of the phenomena described in the CSNM represents an integration of several theoretical frameworks and the sequencing of concepts based on the influence of other theoretical frameworks. The theoretical and conceptual frameworks that were integrated and had the most influence during the development of the model were Rogers' (1970) life process model, Akers' (1970) conceptual framework for professional cohesion, and Cattell's (1948) group syntality theory. The CSNM supports the use of the nursing process and is applicable to the analysis of group interaction.

Humans

A nursing model for menopause clinics.

Menopausal women face a variety of physical, social and psychological problems. The authors advocate the use of King's model of nursing as a framework to identify their problems and encourage client co-operation to overcome them. The adoption of this model would also support claims to clinical nurse specialist status for nurses working in menopause clinics.

Counseling

Nursing models as philosophies of care.

The value of nursing models, especially the well-published works of many of the American theorists, has been debated and argued at length. Indeed the topic was the subject of the July debate at the Royal Marsden Hospital in London, which is an indication itself of the interest post-registration nurses working in cancer care have in the subject. Nurses have talked about using models of care for many years. There are even those who, for example, equate Florence Nightingale's work and writings with a nursing model. I would prefer to interpret Nightingale's work as a nursing philosophy and it is nursing philosophies rather than nursing models that are explored further in the context of cancer in this paper.

Humans

Nursing models: enhancing or inhibiting practice?

The Royal Marsden Hospital and Nursing Standard organised a series of nursing debates during 1990. The debates centred on key issues for nurses in the nineties, and included a particularly stimulating one on nursing models. The motion proposed was: 'This House believes that the development and use of models of nursing has had a positive influence upon nursing practice.' Here are the views of the four nurses who spoke for and against the motion.

Humans