Welcome to week six of your nursing theory class.

We are still exploring section III which involves Conceptual Models/Grand Theories in the Integrative-Interactive Paradigm

Our text readings will include concepts from:

Chapter 12: Helen Erickson, Evelyn Tomlin, and Mary Ann Swain’s Theory or Modeling and Role Modeling

Chapter 13: Barbara Dossey’s Theory of Integral Nursing

As healthcare professionals, we need to be aware of nursing theory, as you heard it many times that it applies to our practice as nurses. 

 1-When you think about it? 

  2-how many practicing nurses are aware of the nursing theories and how they use in their careers?. 

  If you have a chance this week, go and ask a colleague about what they know regarding nursing theorist and who may be their favorite theorist in the profession.

You will see an overlap in the three nursing theorist listed below (Erickson, Tomlin, and Swain).

As your read and explore the following website resources, think about how their works contribute to our current practices today in nursing.

We will investigate Modeling and Role Modeling in nursing; these concepts will build upon the four metaparadigms of nursing: Person, Environment, Health, and Nursing.

When using the modeling and role-modeling theory, the nurse attempts to understand the “client’s personal model of his or her world and to appreciate its value an significance for the client from the client’s perspective.” (Masters, 2015).  

Reference:

Masters, K. (2015). Nursing Theories: A Framework for Professional Practice. (2nd ed.). Burlington, Massachusetts. Jones & Bartlett Learning.

Who is Helen Erickson?

https://www.nursing-theory.org/theories-and-models/erickson-modeling-and-role-modeling-theory.php

Who is Evelyn Tomlin?

http://currentnursing.com/theory/modeling_and_role-modeling_theory.html

Who is Mary Ann Swain?

https://nursology.net/nurse-theorists-and-their-work/modeling-and-role-modeling/

Video: Modeling and Role Modeling

https://www.youtube.com/watch?v=MNRkJlzYp6I

Article: Modeling and Role Modeling

http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.841.9640&rep=rep1&type=pdf

Who is Barbara Dossey? What is her Theory of Integral Nursing?

An integral process is defined as a comprehensive way to organize multiple phenomenon of human experience and reality from four perspectives:

(1) the individual interior (personal/intentional);

(2) individual exterior (physiology/behavioral);

(3) collective interior (shared/cultural); and

(4) collective exterior (systems/structures) (Dossey, n.d.).

Consciousness & Holistic nursing – Barbara Dossey part 1 out of 2

Part One

https://www.youtube.com/watch?v=HD5pxzc9q0U&t=94s

Part Two

https://www.youtube.com/watch?v=mRAoD0-loWM

Website: Dossey Theory of Integral Nursing

http://www.dosseydossey.com/barbara/tin.html

PowerPoint: Barbara Dossey

http://www.dosseydossey.com/barbara/pdf/Dossey_Theory_of_Integral_Nursing_powerpoint.pdf

We will have a two-part discussion question for Week Six (Worth 3 points):

How does the concept of Modeling and Role Modeling apply to the nursing care of patients? Do you see the theory of Integral Nursing being supportive or not supportive in today’s era of nursing? Explain why or why not.

Please remember the grading rubric for discussion posts.

• 1-Introduction and quality of discussion’s Argument
•  2-The objectivity of Tone, overall quality & Review of
• 3-Literature in APA 6th format within the past 7 years
• 4-Quality of Reply posts
• 5-Include APA references

Discussion Board Rubric

Proficient

Novice

Introduction and quality of discussion’s Argument 

1.5 point

It is consistent with application in research related to its context. Clarity of ideas.

0.75 point

The topic has a partially weak association to the clarity of ideas and related topics. 

The objectivity of Tone, overall quality & Review of

Literature in APA 6th format within the past 7 years

1 point

The tone is consistent, addressed professionally and objectively. 

Evidence in literature supports arguments.

0.50 point

The tone is not consistently objective. Partially poor evidence in the review of the literature.

Quality of Reply posts

0.5 point

Consistent clarity and supported by research evidence.

0.25 point

Partially lack clarity or lack of support with research evidence.

 

The past decade has seen profound changes in how the hospital industry has organized itself, including the rising importance of hospital systems. Theoretically, system consolidation can have positive effects from improved efficiency and quality or negative effects from greater market power. Furthermore, these developments have led to hospital bankruptcies and closings, reductions in bed complements, and mergers and takeovers, as well as the formation of an ever-increasing number of hospital networks.

In this module, you studied how vertical integration can impact a health care system. In your opinion, should hospitals expand into other services in order to strengthen their financial standing, or is this a method of “self-referral,” reaching out for income-producing areas that are outside the realm of the hospital’s mission statement?

In a 1-2 page paper, written in APA format, address the following:

1. Explain how vertical integration can impact a health care system.
2. Explain how a hospital’s expansion into other services can strengthen their financial standing.
3. Explain how a hospital’s expansion into other services can have a negative impact on a system by operating outside the scope of the hospital’s mission statement.

Present an essay discussing the health care beliefs of both heritages, and similarities between both cultures beliefs. Also, discuss how their beliefs influence the delivery of evidence-based healthcare focusing on the nursing care.

The essay must be presented in an APA format, word document, Arial 12 font. The assignment must include at least 2 evidence-based references.  Reference should not be older than five years. 

A minimum of 700 words (excluding the first and references page) is required.

 

To Prepare:

• Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
• Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
• Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

• Patient experience
• Population health
• Costs
• Work life of healthcare providers

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Utilize the case study and the “applying four principles” assignment that I uploaded to answer the above questions. 

Please use this reading material I have provided below as support to answer the above questions.

Read “Doing a Culturally Sensitive Spiritual Assessment: Recognizing Spiritual Themes and Using the HOPE Questions,” by Anandarajah, from AMA Journal of Ethics (2005).

URL:https://journalofethics.ama-assn.org/article/doing-culturally-sensitive-spiritual-assessment-recognizing-spiritual-themes-and-using-hope/2005-05

https://search-credoreference-com.lopes.idm.oclc.org/content/entry/sppbioeth/advance_directives/0?institutionId=5865

https://journalofethics.ama-assn.org/article/end-life-and-sanctity-life-commentary-1/2005-05

https://lc.gcumedia.com/phi413v/practicing-dignity-an-introduction-to-christian-values-and-decision-making-in-health-care/v1.1/#/chapter/5

Please follow all directions given when writing this paper. Thank you.