TFN Finals Part 01 (Notes)

Are comprehensive nursing theories that address the nursing metaparadigms and explain the relationship between them

Founder of Environmental Theory & Modern Nursing

Defined nursing as “the act of utilizing the environment of the patient to assist him in his recovery”

Stated that nursing “ought to signify the proper use of fresh air, light, warmth, cleanliness, quiet and the proper selection and administration of diet”

Fresh air, pure water, effecient drainage, cleanliness or sanitation and light/ direct sunlight

Organized system of concepts that are interrelated and undergo testing to know what it is all about; relationships are proposed to predict outcome of the study/ theory presented

Concepts, relationship statements, assumptions, conceptual model/ framework, phenomenon

Elements or building blocks of a theory

Abstract concept, concrete concept

Not specific in terms of time and place

Specific as to time and place

A statement of relationships between two or more components

Proposition, hypothesis, laws

Explains relationship between concepts

Alternative suggestions; up for testing; proposed explanation for a situation;

Validated statements; a statement of fact meant to describe a set of action

Beliefs and accepted truth

Symbolic representation or mental/ visual image of a phenomenon; Interactional Model by Hildegard Peplau

Designation of an event; part of reality that can be consciously

(1) silent knowledge stage, (2) received knowledge stage, (3) subjective knowledge stage, (4) procedural knowledge stage, (5) constructed knowledge stage, (6) integrated knowledge stage

blind obedience to medical authority; Aseptic Technique was introduced; education and practice were based on tradition, rules, principals, and focused on technical skills

Handwashing, wearing of masks, gloves or gowns

People started to listen to others; used borrowed theories to guide nursing education and research; had the first Nursing Research Journal

More nursing leaders and theorists emerged; through researches made, a authority and new sense of worth was made

Led into the identification of common elements of Nursing or Metaparadigms; more nursing theories/researches were published

A combination of different types of knowledge and information; make up a more complex knowledge stage

Assimilation and application of evidences; evidence-based practice; with emphasis on empirical studies, literature, and clinical experiences

Scope of theory, type/ purpose of theory

metatheory, grand theory, middle-range theory, practice theory

Deals with a range of abstractness of a model

Focuses on broad issues that will help in generating knowledge and theory development

Considered most complex and broad in scope, non-specific, and relatively abstract concept that lacks operational definition; propositions are abstract/ vague therefore cannot be tested

Substantively specific and includes a limited number of concepts; concepts are operationally defined

Situation-specific theory/ perspective theory/ micro theory

Will guide nursing practice; determines the specific population where the model can be applied; application is for a specific field of practice

Descriptive/ Factor- Isolating Theory, Explanatory/ Factor- Isolating Theory, Predictive/ Situation- Producing Theory

Describes or observes or labels and names the concepts, properties, and the dimension of a theory

Limited to identifying or naming concepts; doesn't explain why or how the concepts are related

Observing relational statements that show interrelationships; propositioned are specific among some concepts; will show specific association

There is an order of things to do; refers to those prescribed activites needed to attain desired goals

Deals with nursing therapeutics; most difficult to identify in the review of literature; spells out from A-z what needs to be done

Assumptiond are directly spelled out/ stated; the relationship statements can describe the future outcomes consistently

Most abstract and general component of the hierarchy of nursing knowledge; world views of a discipline; serves as an ongoing framework

Philosophical orientation which a conceptual development is proceeded; the umbrella of where nursing practice is all about;

Summarizes the intellectual and social missions of the discipline

Must identify a domain that is distinctive from others

Must encompass all phenomena of interest to the discipline globally

Must be perspective neutral or must be applicable or true to all

Must be global in scope and substance rather than reflecting particular beliefs/ values nationally

Nonspecific to a particular nation or culture

“Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity”

An open system developed in 1930; composed of both structural and functional components

An open system with the ongoing exchange of matter, energy, and information

A system is composed of subsytems each with its own functions

A system contains enery, matter, and information

A system may be an open or closed system

Open and closed system usually attain stationary status

A system that allows the exchange of energy, matter, and information

A system that show clearly defined boundaries

Input, throughput, output, feedback

Refers to energy, matter, and information received from the environment

Refers to energy, matter, and information modified or transformed in a system

Refers to energy, matter, information that is released from the system into the environment

Refers to information regarding environmental responses used by the system; may positive, negative, or neutral

Balanced internal and external environment (equilibrium)

Is dependent on the system's ability to regulate input and output to attain a balanced relationship of interactive parts (thus performing adaptation in the process)

A mechanism needed to attain or maintain equilibrium; process of accepting or rejecting matter, energy, information by accomodating input or output and modifying the system's response

Shared theory from the behavioral sciences; contributed the 8 stages of life from birth to death

Birth to 18 months; trust vs. mistrust

18 months - 3 years old; autonomy vs. shame & doubt

3 yrs. - 5 yrs. old; initiative vs. guilt

6 - 12 yrs. old; industry vs. inferiority

12- 18 yrs. old; identity vs. identity confusion

18 - 24 yrs. old; intimacy vs. isolation

25 - 65 yrs. old; generativity vs. stagnation

65 yrs. old above; integrity vs. despair

The person has the capacity for self-actualization within himself; he has the potential for growth, creativity, and health; the person must be an activie participant of growth and development

Physiologic needs, safety needs, love & belonging needs, self-esteem needs, self-actualizing needs, self-transcendent needs (spiritual growth)

D- motives, B-motives

Deficiency needs essential to human survival (needs 1-3)

High level needs (if you attained needs 4-5, you have growth potential)

Essential as nurses should know how one should behave

Statement of priciples that will guide nurses on what they should be doing

Set of standards of behavior; guides nurses on insights & avoiding what is wrong

Importance of a particular subject & object

Manner of behavior

Nurses & People, Nurses & Practice, Nurses & Profession, Nurses & Co-workers

The primary responsibility of nurses to people is to provide nursing care

The nurse is personanally accountable of the nursing practice and will uphold the uniform with dignity and pride

The nurse is responsible in improving the face of the profession by doing research and practicimg evidence-based practice

The nurse has responsibility in encouraging a harmonious relationship among colleagues and the healthcare team

Formulated by the Philippine Board of Nursing; Resolution No.220 Series of 2004

states that “Health is a fundamental right for everyone/ every individual

Primary responsibility of the nurse is to prevent health at all cost

Prevention of illness ( jealthy lifestyle, primary prevention, screening, vaccination)

Alleviation of sufferings ( medications, secondary prevention)

Restoration of health ( reconstitution tertiary prevention)

Assistance towards a peaceful death ( Abakin & Henderson’s ‘eaeliest assistance to a peaceful death

Nurses have to gain an understanding and knowledge of man's culture, social, physiological, spiritual, psychological, and ecological aspects of illness, utilizing the therapeutic process of the Nursing process

Issued by the Department of Health; set of duties and responsibilities