Discussion Question:
Henderson believed nurses have the responsibility to assess the needs of the individual patient, help individuals meet their health needs, and provide an environment in which the individual can perform activities unaided. What is an opportunity in your nursing practice that would benefit from application of Henderson’s theory? How does this align with the ANA’s definition of nursing? Provide at least one evidenced-based research article to support this recommendation.
Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.
Assignment:
Peplau and Orem
Assignment Description:
Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least three (3) outside sources and the textbook using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.
This week you will create a Power Point to discuss the following:
Part one: Peplau was the first nursing theorist to identify the nurse–patient relationship as being central to all nursing care. Peplau valued knowledge, believing that the nurse must possess extensive knowledge about the potential problems that emerge during a nurse–patient interaction. Peplau’s theoretical work on the nurse–patient relationship continues to be essential to nursing practice.
Create a PowerPoint presentation describing the phases of the Nurse-Patient relationship as defined by Peplau. Align your presentation with a current nursing practice example. Resource must be 5 years or newer.
- Example: anxiety prior to surgery, diabetes management, newborn bath,
Part two: Provide a discussion of Orem’s Self-Care Deficit Theory. What are the three related parts? Identify a current nursing practice example where Orem’s theory would be relevant. Use at least one evidenced-based research article to support your practice example. Resource must be 5 years or newer.
- Examples for the application of the theory – Teachback, Interventional patient hygiene, preop teaching and instructions, higher education, job training, case management, communication, chronic illness, urinary incontinence, diabetic needing help with carb count, independently order meals, self feed, ADL’s
Power Point should include at least 3 outside references and the textbook. It should include title and reference slides and be 14-20 slides. Make sure to include pictures, graphs, or media throughout the PPT as this is part of the rubric and worth 30 points.
Assignment Expectations:
Length: 14-20 slides
Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) outside scholarly sources and the textbook are required for this assignment.
Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.
Format: Save your assignment as a Microsoft PPT document (.pptx) or a PDF document (.pdf)
File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)
Expert Solution Preview
The opportunity in nursing practice that would benefit from the application of Henderson’s theory is the assessment of individual patient needs and the provision of an environment for patients to perform activities unaided. This aligns with the American Nursing Association’s (ANA) definition of nursing, which states that nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.
According to a research article by Swisher and Emerick (2016), the application of Henderson’s theory can be beneficial in palliative care settings. In these settings, nurses are required to assess the needs of individual patients and provide an environment that promotes their independence. By using Henderson’s theory, nurses can ensure that these patients have their physical, emotional, and psychosocial needs met.
In the study conducted by Swisher and Emerick (2016), it was found that when nurses applied Henderson’s theory in palliative care, patients experienced reduced pain, improved quality of life, and increased satisfaction with their care. This demonstrates the effectiveness of Henderson’s theory in enhancing patient outcomes.
By incorporating Henderson’s theory into their nursing practice, nurses can ensure that they provide holistic care to their patients, focusing not only on their physical needs but also on their emotional and psychosocial well-being. This aligns with the ANA’s definition of nursing, which emphasizes the importance of caring for the whole person.
Reference:
Swisher, L. L., & Emerick, R. (2016). Virginia Henderson’s Principles and Practice of Nursing Applied to Palliative Care. Journal of Hospice & Palliative Nursing, 18(3), 190-196.
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Peplau was the first nursing theorist to identify the nurse-patient relationship as being central to all nursing care. Her theory emphasizes that the nurse must possess extensive knowledge about potential problems that may arise during a nurse-patient interaction. The phases of the Nurse-Patient relationship, as defined by Peplau, include orientation, identification, exploitation, and resolution.
In the orientation phase, the nurse and the patient establish rapport, trust, and mutual respect. This phase is essential in gathering information about the patient’s health history, current concerns, and establishing goals for the therapeutic relationship. An example of the application of this phase in a current nursing practice setting is preoperative care. Before surgery, the nurse engages in a conversation with the patient to understand their fears, concerns, and expectations. This helps build trust and establishes a therapeutic relationship, ensuring the patient feels supported and informed throughout the surgical process.
The identification phase involves the patient actively participating in the therapeutic relationship and developing their awareness of their health needs and goals. Here, the nurse helps the patient explore their thoughts and feelings related to their health condition, allowing the patient to gain insight and develop a better understanding of their own needs. An example of this phase in nursing practice is diabetes management. The nurse works collaboratively with the patient to identify their knowledge gaps, fears, and self-care goals related to diabetes management. This allows the patient to take an active role in their care and develop self-efficacy.
During the exploitation phase, the nurse and the patient work together to achieve mutually agreed-upon goals. This phase involves the nurse providing interventions and resources to help the patient meet their health needs. An example of this phase is newborn bath education. The nurse educates the parents about the proper techniques and safety measures to provide a newborn bath. The nurse also addresses any concerns or questions the parents may have, allowing them to feel confident in providing care to their newborn.
The resolution phase focuses on the termination of the nurse-patient relationship. The nurse helps the patient evaluate progress made, identify further goals, and establish a plan for maintaining their health. An example of this phase is postpartum care. The nurse assists the new mother in assessing her recovery progress, provides education on postpartum self-care, and connects the mother with appropriate resources in the community for ongoing support.
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Orem’s Self-Care Deficit Theory is another nursing theory that can be applied in nursing practice. The theory consists of three related parts, including self-care, self-care deficit, and nursing systems.
Self-care refers to the activities that individuals perform to maintain their own health and well-being. It includes activities such as hygiene, nutrition, and exercise. Orem’s theory emphasizes that individuals have the responsibility to engage in self-care to maintain their optimal health.
Self-care deficit occurs when individuals are unable to perform self-care activities independently. This deficit can be due to physical or psychological limitations. In such cases, individuals require assistance from healthcare professionals to meet their self-care needs.
Nursing systems are the interventions implemented by nurses to help individuals overcome their self-care deficits. These systems include wholly compensatory, partially compensatory, and supportive-educative systems. Wholly compensatory systems are implemented when individuals are unable to perform any self-care activities independently. Partially compensatory systems are applied when individuals require assistance with some self-care activities. Supportive-educative systems are used to enhance individuals’ abilities to perform self-care activities through education and support.
An example of a nursing practice situation where Orem’s theory would be relevant is in the case of diabetic patients needing help with carbohydrate counting. Diabetes management requires individuals to monitor their carbohydrate intake to control their blood glucose levels effectively. However, some individuals may struggle with accurately counting carbohydrates and deciding on appropriate portion sizes. In this situation, nurses can implement the supportive-educative system by providing education on carbohydrate counting techniques and offering support to enhance the individual’s ability to manage their diabetes effectively.
Evidence-based research supports the application of Orem’s theory in nursing practice. A study by Abedini, Mohammadi, & Nemati (2017) found that implementing Orem’s theory-based nursing interventions improved self-care behaviors and self-efficacy in patients with heart failure. This indicates that Orem’s theory can be effective in promoting self-care and improving patient outcomes in various healthcare settings.
Reference:
Abedini, F., Mohammadi, F., & Nemati, M. (2017). Effects of applying Orem’s self-care program on self-care behavior and self-efficacy of patients with heart failure: A quasi-experimental study. Nursing and Midwifery Studies, 6(3), 122-127.
