Cheap essays, research papers, dissertations. MN502M1-1: Applying A Conceptual Framework On Advanced Nursing Roles Essay
Grand theories and conceptual frameworks define the nursing practice, why, and why nurses do what they do. Grand theories provide frameworks related to health components. Most of these theories result from the individual’s experience in care delivery. Their postulations align with empirical evidence, and their implementation leads to improved professional practice (Mintz-Binder, 2019). Grand theories have broad scopes of applicability and widespread acceptability in nursing practice (Mintz-Binder, 2019). Sister Callister Roy is a grand nursing theorist and the proponent of Roy’s adaptation model. This paper expounds on nursing metaparadigms, Roy’s adaptation model, its explanation of nursing metaparadigms, and its application to advanced nursing practice.
Nursing Metaparadigm
Metaparadigms are a framework of theories or ideas that outline the structure of a discipline’s function (Bender, 2018). There are four nursing metaparadigms; person, environment, nursing, and health—the metaparadigms focus on the nursing core value of caring and holistic patient care. The person component refers to the care recipient and the people connected to them, such as their family. Care systems focus on spiritual, social, and health needs. The individual’s physical and social interactions determine their health. The environment component consists of factors that affect an individual’s health. These internal and external influences include social interactions, culture, economic condition, and physical environment (Bender, 2018). These conditions can be modified to improve a patient’s wellness. The health component entails the degree of wellness and access to health that an individual has. The component focuses on how a holistic approach that involves spiritual, social, emotional, and intellectual is leveraged for maximum health benefits (Mintz-Binder, 2019). Nursing is the last component, and it comprises promoting optimal patient health outcomes through mutual agreement and collaboration in a conducive care environment. These components of the nursing metaparadigm outline the structure of nursing practice.
Conceptual Framework/Grand Nursing Theory
The grand theory of choice is Roy’s adaptation model. The theory’s central idea is adaptation. Roy states that an individual’s health depends on their adaptation to the environment. The four modes for adaptation are physiologic, self-concept, role function, and interdependence modes (Callis, 2020). According to Roy, these modes produce behaviors classified as adaptive or ineffective responses depending on their ability to produce the desired results. The theory holds that the patient is an adaptive system that responds to stimuli (environment) and adapts (goal of nursing) to promote their health and well-being (Roy, 2019). In addition, Roy holds that patients’ values and beliefs should be respected
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The theory’s primary goal is to promote integrating adaptation levels for patients to advance their quality of life and ensure death with dignity (Callis, 2020). Nurses utilize the theory to modify the environment and assist the individual in adapting to the environment to promote their well-being. The model applies to various areas of nursing such as patient care, nursing research, and research education and entails care throughout all the stages of life.
Metaparadigm Concepts within the Conceptual Framework/Grand Nursing Theory
Roy explained the person component as a bio-psycho-social being in constant interactions with the surroundings (environment). The person can be an individual, family, community, or society and uses innate and external mechanisms to adapt. Despite being an adaptive system, the patient is a living being and should be treated with dignity even in death. The person is the focus of care. The individual is explained as a conglomeration of differently functioning parts that work in unity and affect the person’s health. Roy describes the environment component as the immediate surrounding confronting the person. They are all the conditions, influences, contexts, interactions, and circumstances affecting an individual’s behavior and development (Harris, 2021). According to Roy, health is an inevitable life dimension accurately explained using a health-illness continuum. It is both a state and process of integrating the various areas that determine its wholeness (Harris, 2021). Nursing, according to Roy, is a system that helps individuals adapt to the environment. It promotes adaptation using the four adaptive modes. Nursing assesses behaviors and influences that negatively or positively affect adaptive abilities and intervene to ensure personal benefits from their interactions with the environment (Harris, 2021).
Application to Advanced Nursing
The core of the nursing profession is caring, and advanced nursing increases their knowledge and skills to provide better quality care. The model increases the discipline’s fund of knowledge by provoking nurses to improve their practice (Roy, 2019). Nurses with advanced knowledge and skills better understand their patients’ problems and better understand their environments. Advanced practice nurses have more knowledge and teach patients to add or portray better adaptive behavior in disease management (Tesh, 2019). APRNs also have advanced skills and can manipulate the ‘environment’ to enhance patient recuperation and holistic care delivery. In addition, RAM is vital in research that involves understanding and modifying human behavior because it focuses on manipulating the environment and utilizing the patient as an adaptive system (Callis, 2020).
RAM is integral in psychiatric/mental health advanced practice nurses. The first-line treatment for most mental health illnesses is cognitive behavior therapy, focusing on adaptation. Understanding the coping processes is the basis of effective patient teaching and optimum patient outcomes. PMH-APRNs have advanced knowledge and skills in understanding, explaini9ng, and modifying human behavior. RAM deeply interacts with PMH-APR in gathering patient data, understanding human behavior and error sources, tentative behavior judgment, and many other roles (Keliat et al., 2020). Sister Callista Roy’s adaptation theory is thus essential to advanced nursing practice roles, especially psychiatric/ mental health roles.
Conclusion
Grand theories provide essential frameworks in guiding nursing practice activities. The nursing metaparadigms outline the core concepts in nursing, and Roy’s model focuses on adaptation as the core of human wellness. Roy views health as the interaction of a person with the environment and the person’s ability to cope with the environment. Nurses play a significant role in understanding the intrinsic and external factors affecting coping and assisting the individual in coping, thus sustaining optimal health. Roy’s adaptation model provokes nurses to seek knowledge and understand patients and their environments for proper care. Hence, the theory is vital in advanced practice roles, especially psychiatric/mental health.
References
Bender, M. (2018). Re‐conceptualizing the nursing metaparadigm: Articulating the philosophical ontology of the nursing discipline that orients inquiry and practice. Nursing Inquiry, 25(3), e12243 https://doi.org/10.1111/nin.12243
Callis, A. M. B. (2020). Application of the Roy Adaptation Theory to a care program for nurses. Applied Nursing Research, 56, 151340. https://doi.org/10.1016/j.apnr.2020.151340
Harris, R. (2021). Sister Callista Roy: Adaptation Model. Nursing Theorists and Their Work (10thEd.). E-Book, 247.
Keliat, B. A., Riasmini, N. M., Daulima, N. H. C., & Erawati, E. (2020). Applying the community mental health nursing model among people with schizophrenia. Enfermería Clínica. https://doi.org/10.1016/j.enfcli.2020.10.024
Mintz-Binder, R. (2019). The connection between nursing theory and practice. Nursing made Incredibly Easy, 17(1), 6-9. https://doi.org/10.1097/01.NME.0000549615.05397.55
Roy, C. (2019). Nursing knowledge in the 21st century: Domain-derived and basic science practice-shaped. Advances in Nursing Science, 42(1), 28-42. https://doi.org/10.1097/ANS.0000000000000240
Tesh, A. (2019). Nursing Theory: The Basis for Professional Nursing. Professional Nursing E-Book (9th Ed.). Concepts & Challenges, 198.
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Assignment 1
This competency assessment assesses the following Outcome(s):
MN502M1-1: Apply a conceptual framework focused on advanced nursing roles.
Introduction
Nursing science is developed through the work of nurse scientists and theorists who describe and explain what nursing is and what nurses do. Important to the development of nursing science are the foundational structures of nursing:
• The metaparadigm of nursing
• Nursing metatheory and nursing philosophies
• Nursing theories, which range from all-encompassing conceptual frameworks and macro grand theories to micro level theories used in practice.
Conceptual frameworks and grand theories of nursing, which are more abstract, give the disciple a unique perspective of the metaparadigm concepts and provide a path for more concrete theory development.
Directions
In this assessment, you are going to locate a conceptual framework or grand theory that you could use in advanced nursing practice. After explaining it, you will then describe how your chosen conceptual framework or grand theory of nursing relates to each of the metaparadigm concepts of person/client, nurse, health, and environment as described by the theorist. Lastly, you will apply the conceptual framework or grand theory to advanced nursing roles. In particular, how does this conceptual framework or grand nursing theory apply to advanced nursing practice, education, and research?
Assessment Details
1. Introduce the reader to the content of this paper with an introductory paragraph.
2. Briefly describe the conceptual framework or grand nursing theory.
3. Briefly describe the metaparadigm of nursing.
4. Explain how the metaparadigm concepts are used by the theorist in the conceptual framework or grand nursing theory.
5. Project how this conceptual framework or grand nursing theory can be used in advanced nursing roles.
6. Finish your paper with a concluding paragraph.
Minimum Submission Requirements
.
• This assessment should be a Microsoft Word document and contain 3–4 pages of content in addition to the title and reference pages.
• Five (5) credible sources of support are required. Use your textbook, the Library, and the internet for research.
• Use APA 7th Edition for format and style.
• Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions.
• Your writing should be well ordered, logical, and unified, as well as original and insightful.
• Your submission should provide a clearly established and sustained viewpoint and purpose.
• Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar and mechanics.
• Review the writing resources for APA 7th edition formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center.
If the work submitted for this competency assessment does not meet the minimum submission requirements, it will be returned for revision. If the work submitted does not meet the minimum submission requirements by the end of the term, you will receive a failing score.
All competency criteria must be met to earn a B grade and pass this Course Outcome.
A predefined number of mastery criteria must be met to earn an A grade, indicating mastery of the Course Outcome. See the CLA and Grade Criteria Chart below.
MET
NOT YET MET
Introduction
Competency
Provided a general introduction to the purpose of the assignment
Mastery
Provided relevant information about Conceptual Frameworks/Grand Nursing theories with credible source support.
Nursing Metaparadigm
Competency
Identified the four (4) components of the metaparadigm of nursing
Mastery
Explained each component of the metaparadigm of nursing using credible source support
Conceptual Framework/Grand Nursing Theory
Competency
Identified a specific nursing conceptual framework/grand nursing theory
Mastery
Explained the foundational ideas of the conceptual framework/grand nursing theory
Described the goals of the conceptual framework/grand nursing theory
Provided peer-reviewed source support
Metaparadigm Concepts within the Conceptual Framework/Grand Nursing Theory
Competency
Identified some of the metaparadigm concepts (person, environment, health, and nursing) from the perspective of the conceptual framework/grand nursing theory
Provided credible source support
Mastery
Explained all metaparadigm concepts (person, environment, health, and nursing) according to the conceptual model/grand nursing theorist
Provided peer-reviewed source support
Application to Advanced Nursing
Competency
Identified the value of the conceptual framework/grand nursing theory to advanced nursing practice.
Provided credible source support
Mastery
Described the value of the conceptual framework/grand nursing theories to education, research or practice.
Applied the conceptual framework/grand nursing theory to a specific advanced nursing role.
Provided peer-reviewed source support
Conclusion
Competency
Restated the main idea in a fully formed paragraph
Mastery
Summarized at least three subpoints using a minimum of 5 sentences
Total Competency Criteria:
Total Mastery Criteria:
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CLA and Grade Criteria Chart
CRITERIA
CLA Score
Grade
Points
Meets all competency criteria and 6-11 of mastery criteria
5
A
1000
Meets all competency criteria and 0-5 of mastery criteria
4
B
850
Meets 6-7 of competency criteria
3
Not Yet Competent*
0
Meets 4-5 of competency criteria
2
Not Yet Competent*
0
Meets 1-3 of competency criteria
1
Not Yet Competent*
0
Meets 0 competency criteria
0
Not Yet Competent*
0
No submission
NA
Not Yet Competent*
0
*Not Yet Competent grades convert to an F at term end
*If work submitted for this competency assessment does not meet the minimum submission requirements, it will be returned for revision without being scored. If the work submitted does not meet the minimum submission requirements by the end of the term you will receive a failing score.
Minimum Submission Requirements
Minimum Submission Requirements
MET
NOT YET MET
· Proper notification of any resubmission, repurposing, or reworking of prior work per the Purdue Global Student Coursework Resubmission, Repurposing, and Reworking Policy Resource.
· This assessment should be a Microsoft Word document and contain 3-4 pages of content in addition to the title and reference pages.
· Five (5) credible sources of support are required. Use your textbook, the Library, and the internet for research.
· Use APA 7th Edition for format and style.
· Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions.
· Your writing should be well ordered, logical, and unified, as well as original and insightful.
· Your submission should provide a clearly established and sustained viewpoint and purpose.
· Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar and mechanics.
· Review the writing resources for APA 7th edition formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center.
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