Use the theory that you developed in week two. Improve it by using the information you have obtained in the intervening weeks. Use the Conceptual – Theoretical – Empirical Model (CTE) to link the operational definitions with the empirical indicators with the theoretical concepts and the conceptual model components. Post your revised theory and explain how you would measure the concepts and proposition in a research study.
College of Affiliation
The selected theory is Florence Nightingale whose theory was based on the idea a healthy environment is needed for proper nursing care and an adequate healing process. Nightingale focused on the environment and she, therefore, defined them based on the concepts of ventilation, warmth, light, cleanliness, diet, and noise. Nightingale's believed that sufficient lighting, nutritious food, proper ventilation, and cleanliness are important aspects of environmental health (Norman et al., 2016).
The selected concepts for this theory are proper ventilation and warmth and adequate lighting. Based on the concepts of proper ventilation, the focus of Nightingale was on proper ventilation as a key factor that is needed for an effective supply of air to facilitate the breathing of the patient. Concerning sufficient lighting, patients require the beneficial effects of sunlight and, therefore, nurses are required to move and place patients in a position that they can have adequate light (Norman et al., 2016).
The proposition between the two concepts is that they are both aimed at ensuring that there is quality healthcare outcome for the patients. Both concepts are aimed at improving the surrounding environment of the patients to promote the healing process. Patients require proper ventilation to ensure that the breathing process is promoted. Both light and air are required to promote the patient's recovery process. The supply of air and light is achieved through the opening of the windows and through a proper position of the patient in the room to ensure that the source of light and ventilation process is promoted (Norman et al., 2016).
In the healthcare facility, the term ventilation and lighting might not be used directly in reference to the promotion of the patient's healing environment. Nevertheless, the two terms are generalized in the healthcare facility to refer to the factors that support the healing environment. The diffusion of lighting that is softened through a reflection of the ceiling is beneficial to dementia patients through ensuring that shadows are reduced. Nevertheless, this might be misinterpreted as objects, holes, or the steps that are being taken to help in the reduction of risk of falls (Cornell et al., 2016).
Cornell, P. Y., Grabowski, D. C., Cohen, M., Shi, X., & Stevenson, D. G. (2016). Medical underwriting in long-term care insurance: Market conditions limit options for higher-risk consumers. Health Affairs, 35(8), 1494-1503.
Norman, V., Rossillo, K., & Skelton, K. (2016). Creating healing environments through the theory of caring. AORN Journal, 104(5), 401-409.
In the lecture for the week, a theory was identified. “Knowledge as a component of the sociocultural orientation basic conditioning factor enhances prevention of hazards” is a theory from a major nursing framework. Identify the framework and provide an example of how other applications of this theory may occur in nursing practice. For example, you may say that education may enhance the reduction of free throw rugs in an elderly person’s home which will prevent falls. Tie the concepts together by clearly defining them and how they could be measured.
Jacqueline Fawcett, a nursing theorist, defined nursing knowledge as a “Knowledge as a component of the sociocultural orientation basic conditioning factor enhances prevention of hazards” (Chinn & Kramer, 2017). Nursing knowledge is composed of five components: conceptual model, metaparadigm, empirical indicator, and philosophy (Chinn & Kramer, 2017). Every part is complete on its own, though each component is complete within a more massive structure.
Chinn & Kramer (2017) say that concepts and propositions make up the five components of nursing knowledge, excluding the empirical indicator because the empirical indicator measures concepts. Understanding and communicating an occurrence is aided by the idea which acts as a tool for the concept or the observation.
Pain is referred to as subjective, although it is objective from PACU definition. For instance, when caring for critical care patients, an outstanding observation tool used is “The Critical-Care Pain Observation Tool (CPOT)” that detects behavioral pain in patients unable to voice their pain (Chinn & Kramer, 2017). Providers observe body movements, facial expressions, and ventilator compliance using CPOT to detect pain. With a total of 8 points, the CPOT behavioral pain score is scored on a 0-2 for each made observation. The limitation of using this tool is inadequate knowledge and training from nurses and advanced practice nurses. Lack of communication, insufficient pain assessment, and lack of knowledge are some of the reasons contributing to inadequate pain control between health care providers and lack of proper pain control recording. Therefore, when using the CPOT tool, a patient should experience little or no pain when advanced practice nurses, nurses, family, and patients are educated and involved in communication (Chinn & Kramer, 2017).
Chinn, P. L., & Kramer, M. K. (2017). Knowledge Development in Nursing-E-Book: Theory and Process. Elsevier Health Sciences.
Running head: NURSING KNOWLEDGE
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