Nursing theories and nursing practice
exam with complete solution
What is the primary purpose of nursing theory? - ANSWER-is to improve nursing
practice -> health, quality of life of persons, families & communities served
Essential for developing, testing, and refining nursing theory.
What do theoretical models help us to understand? - ANSWER--strengthen nursing
focus of care and provide consistency to the community
Most important issue facing nursing - ANSWER-artificial separation of theory and
practice
Creative nursing process - ANSWER-is the direct result of ongoing theory-based
thinking, decision making and action
Theory provides - ANSWER-organizing framework that directs nurses to the essence of
their purpose and places the use of knowledge from other disciplines to its proper place
Choosing a theory - ANSWER--Enduring values
-Nursing situations
-Connecting values and the nursing situation
-Cultivating awareness and appreciation
-Multiple ways of knowing and reflecting on nursing theory
Enduring values - ANSWER-what are the enduring values and beliefs that brought me
into nursing? What beliefs and values keep me in nursing today? What are the personal
values I hold most dear? How do my personal and nursing values connect with what is
important to society?
Cultivating awareness and appreciation - ANSWER-journal of study of nursing theories -
follow progress
, Empirical - ANSWER-most familiar; knowing is how we come to know the science of
nursing and other disciplines used in nursing practice; includes knowing the actual
theories, concepts, principles, research findings from nursing, psych, pathopharm, etc
Personal - ANSWER-striving to know the self and to actualize authentic relationships
between nurse and person - nurse is continually learning and growing
Ethical - ANSWER-moral component of guiding choices within the complexity of
healthcare; what is right, what is obligatory, what is desirable in any nursing situation
Aesthetic - ANSWER-art of nursing; creative and imaginative use of nursing knowledge
in practice; reflecting on experience is primary
Emancipatory - ANSWER-realized in praxis (simultaneous reflection and action),
integration of knowing, doing and being; knowing inseparable from action - cultivates
awareness of how social, political, and economic forces shape assumptions & opinions
about knowledge and truth
Evaluation of Nursing Theory - ANSWER-Criteria:
-Theory should define the congruence of nursing practice with societal expectations of
nursing decisions and actions
-Theory should clarify the social significance of nursing or the effect of nursing on
persons receiving nursing
-Theory should describe the social utility or usefulness of the theory in practice,
research and education
Structural components - ANSWER-Assumptions, concepts, and propositions of theory
Smith framework for evaluating middle-range theories - ANSWER--Substantive
foundation
-Structural integrity
-Functional adequacy
Substantive foundation - ANSWER-How theory corresponds to existing knowledge
Structural integrity - ANSWER-Internal org of theory
Functional adequacy - ANSWER-Ability of theory to be used in practice & research
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