Theoretical And Scientific Foundations Of Nursing

Respond to at least two colleagues. Choose colleagues who were assigned different theories than your own. Respond to their posts in one or more of the following ways:

· Critique their application of theory to their practice issue and either explain why you support their thinking or recommend a different theory to consider, which may be the theory you were assigned. Explain your thinking.

· Drawing on their explanation of their assigned theory, describe how this theory applies to your practice issue and explain your reasoning.

· Compare and contrast their assigned theory with your own for application to practice issues. Support your reasoning.


Rose Tarantino

Rose Tarantino

SundaySep 10 at 2:13pm

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Nursing Metaparadigm

The four concepts in the nursing metaparadigm are person, environment, health, and nursing. The metaparadigms are the basis for what we as nurses do. These metaparadigm concepts are tied together by the laws that govern the highest function of the health of a human being, how the human being interfaces with the environment, and the process by which positive or negative changes in health ensue (Fawcett, 2018). A nursing theory is “a creative and rigorous structuring of ideas that projects a tentative purposeful, and systematic view of a phenomenon” (Chin P, 2020). Research exemplifies nursing knowledge. The structure of nursing knowledge is composed of meta-paradigm concepts, philosophical positions, conceptual models, nursing theories, and nursing indicators (Fawcett J, 2013).

Nursing Theory

Nursing theory refers to a reasonable group of general propositions used as principles of explanation. Theories are also used to describe, predict, or control phenomena (Gill, 2023). Transformational leadership is when a leader pursues to move outside their own means to promotes positive change in employees, facilities, and organizations.

Transformational Leadership

A transformational leader identifies opportunities for change, creates a plan for achieving the change, and then executes that plan by inspiring others (Collins, 2020). This type of leader must gain the employees trust. No one will go above and beyond for someone that they don’t trust. These types of leaders have great communication styles and are consistent. This allows the employees to be inspired. They adhere to what the employee is being asked of them to do. This type of leader has the employees “buy-in” new changes and initiatives.

Practice Change

Clinical communication is the exchange of information about a person’s care that occurs between treating clinicians, members of a multidisciplinary team*, and between clinicians and patients, families and caregivers (Communicating with Patients and Colleagues, 2001). Because of the rush to get patients in and out of the hospital quick, I feel that there are lapse in communication. All care givers need to make sure that they are on the same page when dealing with patients and their families. This can be done with daily reports, electronic health records, and basically using a care plan approach. A transformational leader can explain how communication is important for families. They can consistently reinforce during huddles how to make sure that the health care staff and families are informed. A transformational leader is the perfect way to enhance communication.


Chin P, K. M. (2020). Theory and Nursing. British Medical Journal, 106.

Collins, E. O. (2020). Applying transformational leadership in nursing practice. Nursing standard (Royal College of Nursing (Great Britain) , 59-66.

Communicating with Patients and Colleagues. (2001). Retrieved from Australian Commission on Safety and Quality in Healthcare:

Fawcett J, D.-M. S. (2013). Contemporary Nursing Knowledge: Analysis and Evaluation of Nursing Models and Theories. Philadelphia: F.A. Davis Company;.

Fawcett, J. (2018). The metaparadigm of nursing: Present status and future refinements. The Journal of Nursing Scholarship, 84-87.

Gill, W. (2023, July 12). Nursing Theories and Theorists: The Definitive Guide for Nurses. Retrieved from Nurse Labs:


Shaunagay Kenney

Shaunagay Kenney
MondaySep 11 at 9:15pm

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Discussion #3 Main Post

Assigned Theory & Practice Issue

The theory assigned is patient-focused/ patient-centered care. The driving force behind all healthcare decisions and quality measurements is the individual’s specific health needs and desired outcomes. Individual care is a term that embodies patient-centered care nursing theories. The quality of care provided is centered and tailored to that patient. Even when healthcare providers offer the best possible care, they are still at risk for violence. American healthcare workers suffer more nonfatal injuries than injuries due to workplace violence than workers in any other profession, including law enforcement (Boone, 2023). According to Boyle (2022), healthcare workers are five times more likely to experience workplace violence. Healthcare workers must protect themselves, their colleagues, and all the other patients while carrying out their professional and legal duties.

Assigned Theory & Practice Issue Application

Patient-focused care nursing theories emphasize the importance of patient-centered care and can indirectly contribute to decreasing violence against nurses by fostering a more positive healthcare environment (Ortiz, 2018). Patient-centered care theories like Watson’s theory of human caring, Orem’s self-care deficit theory, shared decision-making, and therapeutic communication can create a foundation for better communication, empathy, and collaboration among healthcare providers, hoping to reduce tension and conflicts.

Nurses who practice Watson’s theory understand the importance of compassionate care and connect with patients on a deeper level (Ortiz, 2018), reducing aggression. Similarly, Orem’s theory promotes that nurses should help patients achieve self-care abilities to feel empowered (Hartweg & Metcalfe, 2022). By empowering patients to care for themselves, patients may be less likely to act out aggressively. Nurses can de-escalate tense situations through therapeutic communication and shared decision-making (Ortiz, 2018), address patient concerns, and prevent misunderstandings.


Boone, R. (2023). Attacks at medical centers contribute to health care being one of nation’s most violent fields. Retrieved from Links to an external site.

Boyle, P. (2022). Threats against health care workers are rising. Here’s how hospitals are protecting their staffs. Retrieved from Links to an external site.

Hartweg, D. L., & Metcalfe, S. A. (2022). Orem’s Self-Care Deficit Nursing Theory: Relevance and Need for Refinement. Nursing Science Quarterly, 35(1), 70–76. Links to an external site.

Ortiz, M. R. (2018). Patient-centered care: Nursing knowledge and policy. Nursing Science Quarterly, 31(3), 291–295. Links to an external site.


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