NURSING

Nursing

Nursing

Nursing Theory is defined as one or more relatively concrete and specific concepts that are derived from a conceptual model. The statements that describe those concepts and the statements that assert relatively concrete and specific relations between two or more concepts (kearney-Nunnery, 2008). All nurses have a nursing theory model that closely resembles their practices. This paper elaborates on the nursing theory that appropriately matches my beliefs and my values as a nurse, while incorporating my practice with the patients in the medical settings that I'm involved.

Clinical issues must be connected to conceptual models of nursing. This substantiates the clinical issue as valid to the practice of nursing. Jacqueline Fawcett (2000) provides a comprehensive review nursing practice, considered from the vantage of widely recognized nursing conceptual frameworks and models. Fawcett suggests that the systems category of knowledge identifies actual and potential problems in the function of systems and delineates intervention strategies that maximize efficient and effective system operation; change is of secondary importance. Most nursing theories utilize the four metaparadims: nursing, health, client, and environment. Safety concerns are relevant to nursing theory because safety is a direct result of the environment. Using Jean Watson' caring theory, Dorothea Orem's, Self-Care Deficit Nursing Theory and Patricia Benner's Novice to Expert nursing theory, this paper will discuss several approaches to ensuring patient safety.

The model which matches my professional beliefs and values is Jean Watson's theory of human caring. The theory of human caring consists of ten basic ideas Wastson calls the caritas processes this include directions to “ practice caring kindness,” “develop helping trusting-caring relationships,” “ use creative scientific problem solving methods for caring decision making,” ' and to be open to mystery and to allow miracles to enter.” “It goes beyond patient -centered care,” Watson says, “it goes to the heart of the human-to human connection” (Watson, 1999, p.67). This theory reflects what I was already practicing in my nursing profession.

Currently, I am working on the psychiatric medical surgical floor with patients mainly diagnosed with alcoholism. Alcoholism is drinking alcoholic beverages at a level that interferes with physical health, social, family, and job responsibilities. It is a chronic illness that can be physical or mental. They get withdrawal symptoms that occur because the brain adapt to the alcohol and cannot function well that particular drug. The most common symptoms that the patients experience are: nausea, vomiting, tremors, imbalance problem, confusion, hallucination, and slurred speech.

For instance, Mr. G a 45 year man is admitted with Abdominal Pain and Change of Mental Status. At time of admission, Mr. G is hallucinating, and exhibiting the common symptoms of alcohol withdrawal. The history and physical indicated that he was found at local park and did not know where he was. He is over weight. He smokes and heavy drinker. He has chronic pancreatitis. His wife is undergoing chemotherapy treatment; his daughter was killed in a school bus accident six months ago. His liver enzymes are elevated and his ...