Preview

EXAMPLE Apply Theory To A Practice Prob

Best Essays
Open Document
Open Document
2047 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
EXAMPLE Apply Theory To A Practice Prob
Application of Theory to the Practice Problem of Nurse Staffing
Marialena Murphy
Grand Canyon University
August 10, 2011

Application of Theory to the Practice Problem of Nurse Staffing
Nursing theory influences the practice of nursing in a multitude of ways that can have a profound impact. Theory provides a framework to support and define nursing practice, support quality of patient care, and can be implemented in practice situations to provide solutions to nursing practice problems. Applying theory to resolve nursing challenges can be utilized in educational and research settings, direct patient care situations, as well as in administration and management of nursing care services. The benefits of applying theory to address a practice dilemma can be demonstrated by applying Jean Watson’s theory of human caring, and Ken Wilbur’s integral theory and examining how these theories impact the problems surrounding nurse staffing situations in an acute care hospital setting.
Practice Problem Identification and Importance
A review of the nursing literature demonstrates that supporting nurse staffing ensures quality nursing care for patients and has been an ongoing challenge for nurse managers and administrators. Failure to ensure sufficient numbers and compassionate nurse staff has been demonstrated to negatively impact patient satisfaction and outcomes. The nurse staffing problem is not limited only to ensure adequate numbers of staff that are being lost in the acute care settings due to overwork, burnout, compassion fatigue and injuries; the nurse staffing problem also includes the impact to patient care and to the nursing work force when compassion and caring is absent and the negative effects this has on both the patient and the nurse (Douglas, 2010). Traditional methods of addressing nurse staffing issues with financially based recruitment and retention plans have not resolved these issues; however, applying the theory of human caring to the issue of



References: Boykin, A., Schoenhofer, S., Smith, N., St. Jean, J., & Aleman, D. (2003). Transforming practice using a caring-based nursing model. Nursing Administration Quarterly, 27(3), 223-230. Burtson, P., & Stichler, J. (2010). Nursing work environment and nurse caring: relationship among motivational factors. Journal of Advanced Nursing, 66(8), 1819-1831. Douglas, K. (2010). When caring stops, staffing doesn 't really matter. Nursing Economic$, 28(6), 415-419. Douglas, K. (2011). When caring stops, staffing doesn 't matter: Part II. Nursing Economic$, 29(3), 145-147. Integral Institute. (2009). http://www.integralinstitute.org/?q=node/1 Nyberg, J Reams, J. (2005). What’s integral about leadership?A reflection on leadership and integral theory. Retrieved from http://integral-review.org/documents/Whats%20Integral%20About%20Leadership%201,%202005.pdf Spirituality & Practice Wade, G., Osgood, B., Avino, K., Bucher, G., Bucher, L., Foraker, T., & ... Sirkowski, C. (2008). Influence of organizational characteristics and caring attributes of managers on nurses ' job enjoyment. Journal of Advanced Nursing, 64(4), 344-353. Watson, J. (2000). Leading via caring-healing: the fourfold way toward transformative leadership. Nursing Administration Quarterly, 25(1), 1-6. Watson, J. (2008). Nursing: The philosophy and science of caring (Revised ed.). Boulder, CO: University Press of Colorado.

You May Also Find These Documents Helpful

  • Powerful Essays

    Jean Watson refers to the human being as “a valued person in and of him or herself to be cared for, respected, nutured, understood and assisted; in general a philosophical view of a person as a fully functional integrated self. Human is viewed as greater than and different from the sum of his or her parts” (Watson, 1979). Her theory and concepts focus on the relationship between patient and nurse and the promotion of unity and harmony within the mind, body, and soul. According to Watson, caring which is manifested in nursing has existed in every society. However a caring attitude is not…

    • 2475 Words
    • 10 Pages
    Powerful Essays
  • Better Essays

    Nursing is a science that has many theories to support the beliefs and clinical practice of the profession. One core concept prevalent in many nursing theories is caring. Theorist Jean Watson and Madeleine Leininger are both nursing theorists who developed theories around caring and nursing. The subject of discussion in this paper is the comparison and analysis of the concept definitions of Jean Watson’s Theory of Philosophy and Science of Caring and Madeleine Leininger’s Theory of Culture Care Diversity and Universality of nursing. Also included is an in-depth discussion of Jean Watson’s theory and how the theory can be applied to nursing practice.…

    • 1799 Words
    • 8 Pages
    Better Essays
  • Powerful Essays

    The caring moment is a critical decision in another person life, as well as your life. It is an act of humanity. In essence, there is more to giving physical treatment; your presence and support shows the connectivity with another person at every given moment. It is a shared journey in this life, we should always take care of our neighbors, and maybe this can be the main agenda why we live. Medical personnel today try their best, in depths of their day 's activity connecting with their patients even if it 's for a short moment (Dossey & Keegan 2013). This touches more…

    • 2264 Words
    • 10 Pages
    Powerful Essays
  • Good Essays

    Nurses follow a mission when providing care to patients who need support and healing. Many times over, the patients outnumber the nurses in many communities and institutions. When these occurrences happen, it puts stress on the nurses, their nursing care, and on the leaders and managers. "Nursing shortages and health care reform have had a strong impact on the creation of current and evolving types of patient care delivery models” (Huber, 2010). In rearranging patient care, adding health care professionals with multiple skills is likely to help the nurse provide better patient care. The new arrangement created an undesirable effect with nurses and on the care of patients. “Nurse staffing intensity, which is expressed as the ratio of RNs to patient census in hospitals, has been associated with lower mortality in hospitals” (Huber, 2010). With an increase in the nurse to patient ratio, the way nurses care for patients can be compromised with undesirable patient results.…

    • 1026 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Nurses are able to achieve this goal when the major concepts behind the Theory of Human Caring are utilized and put into practice by nurses. The major concepts of Watson’s Theory are the caring moment, carative factors and the transpersonal relationship (McCance, McKenna, & Boore, 1999).…

    • 2014 Words
    • 9 Pages
    Powerful Essays
  • Powerful Essays

    Buldin, S., 2005. Nursing as Caring Theory: Living Caring in Practice. Retrieved march 30, 2009…

    • 1943 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    Cowen and Moorhead (2006) define nursing shortage as states that do not meet greater than 97% of their demand for nurses, and show that in 2005, 33 states were experiencing a nursing shortage and by 2020, 44 states will be experiencing this same shortage. We can ask ourselves daily there is a shortage, but all we have to do is look at the workplace and see why this shortage exists. Nurses are tired. Tired of having to care for more patients with less resources, tired of having to work extra because there are not enough nurses to fill the positions and tired of having to work in atmospheres where it is all about the money, not the patients and their families (Mee & Robinson, 2003). This tired feeling leads to negative attitudes from nurses, which shows as they interact with patients, colleagues, and nursing students.…

    • 1065 Words
    • 5 Pages
    Powerful Essays
  • Powerful Essays

    Fewer nurses mean more work for all. Inadequate staffing results in events that is doomed to failure resulting not only in the loss of energy, burnout and disengagement, but also eventual loss of nurses. Many nurses feel overburdened by heavy patient loads and the increasing intensity of service that sicker patients require (Gelinas, 2003). Due to our economy and strict insurance guidelines, patients are not seeking medical care early, resulting in sicker and more critical patients. The poor economy has resulted in lower salaries, less annual salary increase, job losses and less funding for education. Today there is a higher demand for education status. Not only are nurses working 8-12 hour shifts, caring for their family and children but now having to find the time to advance their education. The balances are hard to find, but without balance stress and burnout is inevitable…

    • 1433 Words
    • 6 Pages
    Powerful Essays
  • Better Essays

    In an age when we are all being asked to do more with less, nurse staffing levels are no different. The business of medicine is just that, a business, and businesses are profit driven. Even if the facility is not a for-profit institution, it still must operate within the confines of a budget. However, what is the impact of nurse staffing on the quality of patient care and patient outcomes? Are government mandated minimum patient-to-nurse ratios the answer?…

    • 1225 Words
    • 5 Pages
    Better Essays
  • Better Essays

    Nurse Staffing Ratios

    • 1458 Words
    • 6 Pages

    Over the past number of years there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is due to the uprising acuity of patient care and a decrease in there overall hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Not only has the safety and quality of patient care suffered, the working conditions in hospitals have also got worse due to the hospitals not keeping up with increase demand of nurses (Welton, 2007). Hospitals that don’t have adequate staffing tend to have an increased rate of negative patient outcomes. Some of these negative outcomes that are potentially caused by the decrease in nursing care are shock, pneumonia, cardiac arrest and urinary tract infections (Stanton, 2004). This has led to state legislatures adding mandatory laws that promote adequate staffing regardless of the severity or acuity of the patients. The additional costs that are required to staff the hospitals with additional registered nurses are unfunded which means that staffing can be decreased in other work areas (Welton, 2007). This shortage is a problem that is affecting not only the patients, but also the staff. Nurse management and leadership play a significant role in finding a balance among all involved. Throughout this paper, the author will be discussing how the managers and leaders play a significant role in the issue of nurse staffing ratios in order to promote quality and safe care for the patients. Also, the author will discuss some tools and skills that are beneficial in supporting the nursing staff and the overall demands in the hospital…

    • 1458 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Caring In Nursing

    • 487 Words
    • 2 Pages

    Caring has been a primal concept and the heart of nursing since before it became recognized as a profession. The word “nursing” itself means to nurture or care (Smith, Turkel & Wolf, 2013) and so in my opinion, it is not possible to respond to the calls of nursing without caring at its forefront. This unit’s readings have not changed by views, but rather enhanced them. I have learned about the historical debate that has taken place with those who oppose caring as being part of the unique perspective of nursing. For example, Mary Jane Smith argues that caring is present in many professions, not only in nursing, and so it is not unique to nursing (Smith et al., 2013). While it is true that caring is used in all types of professions and ultimately in all human relations, nursing is the only discipline that is developing knowledge about how caring “facilitates health, healing and the quality of life” (Smith et al., 2013).…

    • 487 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Nurse staffing refers to the ratio of nurses to patients in a particular unit. The current global nursing shortage is simply wide spread and dangerous lace of skilled nurses who are needed to care for individual patients and the population as a while. A study on the nursing shortage by Linda Aiken of the University of Pennsylvania School of Nursing, fund that an estimated 20,000 people die each year, because they have checked into a hospital with overworked nurses. (The American Nurses Association, Inc., 2010).…

    • 1314 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    Nursing Shortage

    • 1392 Words
    • 6 Pages

    References: American Nurses Association (2005, April 4). State legislation related to sufficient nurse staffing. Retrieved May 30, 2006, from http://www.capitolupdate.org/Newsletter/index.asp?nlid=153&nlaid+553…

    • 1392 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Essay On Nursing Shortage

    • 1147 Words
    • 5 Pages

    For centuries nurses have saved lives and nurtured thousands back to health. Nurses are a vitally important part of the hospital and without them the health care system would be a catastrophe. Gordon also states, “I can't stress enough how unappreciated nurses and their assistants are, they are the foundation on which the hospital rests”. Hospitals wouldn't run as smoothly as they do without them. Nurses are so important although they are often overlooked. The nursing shortage is finally bringing their importance to the light.…

    • 1147 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Nursing shortage is also evident by the reduction in the availability of new nurses, inadequate staffing to meet the high demanding in patients’ needs, to mention but a few. Healthcare organizations need regular, dependable, highly efficient and fully involved staff to provide excellent patient care at all levels. Therefore nursing leaders and managers are highly depended upon in changing this current trend of shortage and turnover of nurses affecting the healthcare profession (Hunt, 2009).…

    • 1122 Words
    • 5 Pages
    Better Essays

Related Topics