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Anilemys

20 minutes ago, at 8:14 PM

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According to Newman, nursing recognizes the patient concerning the situation, which is the understanding of consciousness. The nurse assists patients know how to use their power to advance a higher level of consciousness. (Kathleen, 2017) The theory applies to the nursing community today as ongoing care outside the hospital is increasingly emphasized. While activities supporting health might happen outside of the hospital, there is a need for a great deal of social support and enablement.

Newman's HEC delivers ideas that are dynamic and able to adjust to the progress of healthcare structures. Trained HEC nurses might frequently reflect on patterns and relations of persons, worldwide societies and familiarize themselves with barriers by forecasting ways to guarantee premium healthcare for all. The strengths of this theory are that it can be used in any situation and generate caring interpolations. The weaknesses of this theory are that it is Non concrete, Multidimensional, Qualitative, and Little argument on the situation.

Thus, the theory is largely valid, as it is not partial by either time or situation. Due to the interrelation between patients and nurses, the theory is clear in an outline of opposing circumstances. However, stated, it is not that simple to understand and therefore may not be broadly generalized. (Asia, 2017) On empirical precision, the theory may only be tried indirectly through partial operational definitions. The theory, though, lacks much study in support of its grounds, and therefore, it is immeasurable.

 

 

 Dania

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Grand Theories about Care or Caring

Margaret Newman’s theory of Health as Expanding Consciousness is applied in providing care for patients suffering from chronic diseases such as cancer, diabetes, and HIV/AIDS. The purpose on this theory is to practice a caring partnership with patients who cannot share their desires and find a future direction for them. Nurses use this approach to help clients and their family members identify their patterns, which helps them find a future direction (Younas & Parveen, 2017). Newman's theory is used as a nursing intervention providing a connection between the client and the nurse and between the client and their families. The theory helps nurses to identify client's patterns and find ways to help them out.

Nursing Theories are the skeleton of nursing practice (Clement, 2015). They provide guidance and direction for structuring nursing education, practice, and research. The nursing metaparadigm consists of the following concepts: health, environment, person, and nursing. Person refers to the receiver of care, including physical, psychological, sociocultural, and spiritual components. The receiver of care can be a family, Individual, or the public. Environment includes the internal or external circumstances, influences, and conditions affecting the person. Health is the degree of wellness or sickness of the person. Nursing is the actions, qualities, and characteristics of the person providing care. Therefore, understanding all these concepts enhances professional status, better care for patients, and improves communication between nurses and patients. This understanding helps nurses in responding to different patient needs.

I have applied Jean Watson's theory of Human Caring in palliative care. This theory guides me in meeting the needs of my patients and their families. I mostly find my patients having physical, spiritual, and psychosocial needs and their families'

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Joscelyne Lastra

          Leininger’s model open the pathway for the integration of the diverse culture in the nursing field. The appropriation of the transcultural nursing tailored the nursing knowledge not toward the generalization of the standard and fixed protocols, and instead, to the focus on the comparative and adequate analysis of the differentiation of culture as the component to adapt the nursing interventions. Based on such principles, the healthcare treatment and care should be aligned with the caring practices, beliefs, and values of the individual, incorporating within the plan of care the objectives to integrate the cultural values and health-illness context into a single unit (Smith, 2020).

          Considering that for Leininger´s theory, “study of nursing care beliefs, values, and practices as cognitively perceived and known by a designated culture through their direct experience, beliefs, and value system” (Masters, 2015), nurses should approach using the best humanistic and scientific competences to analyze the issues, and to deliver the customized support, facilitation, and the regaining of the well-being but with the proper culturally meaningful action. The extension of such approach cannot be restrained only to special groups or single communities and it serves to be adapted to every single environment if the nurses are able to identify and assess through the correct intervention each patient. For such reason, one of the best skills that is necessary to integrate is the professional nursing care which is oriented to acquire the best practical and educational skills for the provision of an effective assistance ad support of nursing interventions but with the same conditions as the culture of the patient. Here, the cultural congruent care is which makes possible to tailor-made to fit with individual, group, or institutional cultural values (Transcultural Nursing Society, 2017).

          In essence, the Sunrise model of Leininger´s theory makes an integrative cosmos of what the culturally congruent care enables for the patient and the health in a synergic and alive model where every factor affects and is influenced by other in the medium. Nursing care should not be understood as an independent nursing functions when it is dependable of the professional system of the care. From the worldview and the external cultural or social structures to every level of factors, the care of decisions makes the nurse accountable of the identification of such forces. In the communities, the decisions allow the patient to display their particular culture while they retain and preserve relevant care values so that they can maintain their well-being (Masters, 2015). Similarly, the cultural accommodation helps the patient to receive the nursing care based on the designated culture through the adaptation with others for a beneficial or satisfying health outcome with professional care providers. This leads to the restructuring where it has been demonstrated the impact of the beneficial health care pattern while respecting the clients cultural values and beliefs and still providing a beneficial or healthier lifeway.

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Sinai

 

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Learning about Margaret Newman’s Theory of Health as Expanding Consciousness was an interesting read as this was a new perspective to nursing I previously was not aware of. Newman’s theory focuses on the concept of balance in health, illness, and consciousness. Newman emphasizes how nurses must connect with patients to make them aware of the “picture,” meaning that being ill does not mean the patient is not healthy. In the present tense, I think nursing practice implements this form of practice because nurses assess the diagnosed disease and look at the patient as a whole and educate. I resonate with Newman’s theory because, in my nursing practice, I assess a patient with regard to their physical, mental, and emotional well-being. I like to educate my patients on their status and encourage a healthy outcome despite a diagnosis to reach a balance and the highest point of consciousness. Despite my form of practice, I think our healthcare system focuses more on the diagnosis to resolve the issue and not the whole picture. I believe our healthcare system should emphasize more on well-being than just the illness.

With the concept of education and reaching this state of balance, we must look at the effect culture plays on health. Madeleine Leininger’s Theory of Culture Care Diversity and Universality address the lack of cultural knowledge in the nursing field. Fortunately, Miami is a diverse city with multiple cultures. Still, despite this variety, it is crucial for a nurse and/or healthcare provider to have some education on the different cultures to understand any fear, concern, or bias a patient may have. By understanding these differences, a nurse will be able to provide optimal care. With this consensus, we can then apply Jean Watson’s Theory of Human Caring by implementing factors such as the “cultivation of sensitivity to one’s self and to other” and the “development of a helping – trusting, human caring relationship.”

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Amniellys

           Nowadays the nursing care system has advanced considerably far. Implemented innovations and a diversity of cultures make it challenging to embrace all necessary knowledge about nursing specifics and care approaches. Madeleine Leininger, a prominent nursing theorist, managed to develop a theory of the Transcultural Nursing Theory or Culture Care Theory, which talks about the importance of cultural aspects in nursing practice and explains what elements of care are crucial for patients. Madeleine Leininger was dedicated to her nursing career.

Leininger identified lack of cultural and care knowledge as the missing link to nursing’s understanding of the many variations required to support compliance, healing, and wellness (George, 2002). Therefore, she identified a transcultural nursing as a new term in a nursing care practice. Madeleine’s Transcultural Nursing Theory or Culture Theory is a significant step towards specifics of nursing practices between many countries.

Leininger’s theory has its advantages to a diverse population, such as Miami’s, in that it is able to provide care measures that are in harmony with an individual or group’s cultural beliefs, practices, and values (Sitzman & Eichelberger, 2011). The scholarly article, “Understanding the Work of Nurse Theorists” explores the Theory of Culture Care Diversity and Universality theory in understanding the phenomenon of culturally congruent care. It becomes possible when several conditions between nurse and patient relations are satisfied. “Together with the nurse and the client design a new care lifestyle for the well-being of the client; all care modalities require the participation of the nurse and clients to identify, plan, implement, and evaluate each caring mode for culturally congruent nursing care. These modes can stimulate nurses to design nursing actions using culturally based ways to provide meaningful and satisfying holistic care to individuals” (Leininger, 1991).

Villelixe

The Theory of Bureaucratic caring Invites us to view how a new model may facilitate understanding of how nursing can be practiced in modern health care. Is a holistic theory with a practical purpose that facilitates our understanding of nursing practice in complex contemporary health-care environments (International Journal for Human Caring, 2015). Given the nature of nursing as expanded consciousness and theory as wakefulness. Nurses need nursing theory to stimulate thinking and critique as they function in the complex world of nursing science, research, education, and practice (In Smith & In Parker, 2016, pp. 461-477). Holography means that the implicate order (the whole) and explicate order (the part) are interconnected that everything is a Holon, including humans, in the sense that everything is a whole in one context and a part in another-each part being in the whole and the whole being in the part (In Smith & In Parker, 2016, pp.461-477).

 

           Today’s healthcare system is frequently changing, and it is affected by different aspects, such as technology, economy, and political influences. The theory of bureaucratic caring develops the understanding and the abilities needed to influence health policy by applying social justice values and advocacy to patient’s benefit. The development and improvement of health policy is crucial for both healthcare system and patient, since the policy determines the ways in which patients gain access to healthcare, its affordability, and how they pay for it. In addition to this, the health policy regulates the accountability of all health professionals that are involved in the patient’s care field (AACN, 2011, p.21).