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Nursing Theory-Practice Guided


To understand this discussion, first, we must define what nursing science is. Nursing science is an exclusive, distinct body of knowledge encompassing frameworks, theories and paradigms. The discipline consists of the entire nurse do and what nursing is, overlies with other subjects, and is above the research and theory base. The field of nursing necessitates methods and knowledge except for nursing science; however nursing science is the core of nursing as an academic discipline, lack of it would only care but no nursing (Allison & Renpenning, 1999, p. 2). The purpose of nursing and why people study it is to use the knowledge and skills for human beings’ betterment i.e. the knowledge acquired is applied in giving attention, treatment and appropriate care to the sick. We will look at nursing theory-practice guided (Burns & Groves, 2000, p. 3).

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This is defined as human beings’ wellbeing or health service to the public based on the discipline- explicit facts or knowledge expressed in the nursing theories and frameworks. The discipline-exact information reflects the philosophical viewpoints entrenched in the epistemological, ontological and practical procedures that outline nursing’s moral or proper approach to the human beings’ world- health procedure. Nursing theory-guided practice is different from evidence-founded nursing in that the performance is directed by the discipline-explicit facts or information reproduced by schools of thought inside the entirety example or paradigm (King, 1990, p. 4). Nursing theory guides practice by employing human beings science advance or approach of the simultaneity example or prototype i.e. the expert choices and deeds by nurses’ calls for substantive disciplinary knowledge.

Domains of Nursing

We have four domains of nursing practice in the expert growth structure namely; professional relationships, clinical knowledge and skills, expert or professional growth and progressing nursing practice via novelty and research (Watson, 1999, p. 3). An individual acquires clinical knowledge in college and therefore demonstrates vastly developed evaluation capability that typifies a complete understanding of the entirety of patient/family condition. The professional relationship domain, is a deliberate association with the health care squad that is directed by mutual regard, active engagement and trust among the professionals. This helps in joining forces with other health experts in delivering health care (Parse, 1998, p. 5).

The third domain of nursing is professional development, which plays a major role in skills development for self and others within the nursing practice setting and this Works to enable and maintain a culture that is helpful and rewards and distinguishes professionalism. The final domain of Nursing is the advancing practice via novelty and investigates or research and all this was explained in nursing theory–guided practice. The fourth domain talks about continuous innovations by critiquing, reviewing and employing obtainable evidence or proof to practice (Young & Taylor, 2001, p. 2). After practicing and researching for some time, an expert can employ applying enhancement methodologies and thereby influence practice-based nursing practice. this is done by affecting the practice for given inhabitants of those patients founded on the use of up-to-date study findings and assessed efficiency of practice changes (Peplau, 1952, p. 3). Another domain of nursing is Therapeutic Relationships, which is important for women, midwives, nurses and clients. This domain applies to the boundaries or limits of midwifery and nurses’ behaviors as far as dating, touch, friendship, chastising and meeting individuals’ needs. This nursing domain covers matters such as monetary associations and hand-outs/services with either getting or giving gifts and engaging in monetary transactions with or for women or any patient. I am not allowed to breach any of this in the course of delivering my duties as a nurse.

Nursing Limits and Boundaries

Boundaries can be defined as are limits or restrictions which guard the space linking clients’ susceptibility’ and professional’s powers. Choosing and maintaining applicable boundaries in midwife-women and nurse-client relationships assist in secure and therapeutic practice and lead to effective and safe care (Mitchell, 1997, p. 6). They are also supposed to focus only on providing medical care and maintaining the confidentiality of patients’ medical records. The nursing theory-guided practice gives the room the discipline to break away from its unremarkable status and generate waves that exhibit to the general population why nursing services are very important to the well-being and health of the world. Therefore Nursing Theory–Guided Practice is recommended instead of evidence-based nursing since is based on experienced attained during practicing (Pender, 1996, p. 1). Moreover, it is a task of the registered midwife, nurse or signed up a nurse to uphold her/his personal and professional limits/boundaries in addition to helping clients, colleagues and women in upholding theirs. The nursing theory-practice guide describes these domains to which all nurses are supposed to follow while handling patients, especially women.

Reference List

Allison S. and Renpenning K. (1999). Nursing Administration in the 21st Century. Thousand Oaks, CA: Sage

Burns N. and Grove S. (2000). The Practice of Nursing Research: Conduct, Critique, & Utilization (4th ed). Philadelphia: Saunders

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King I. M. (1990). A Theory For Nursing: Systems, Concepts, Process. Albany, NY: Delmar

Parse R. (1998). The Human Becoming School of Thought: A Perspective For Nurses and Other Health Professionals. Thousand Oaks, CA: Sage.

Peplau H. (1952). Interpersonal Relations in Nursing. New York: Putnam.

Pender N. J. (1996). Health Promotion In Nursing Practice (3rd ed) Stamford, CT: Appleton & Lange.

Watson J. (1999). Postmodern Nursing and Beyond. New York: Churchill Livingston

Young A. and Taylor S. (2001). Connections: Nursing Theory, Research, and Practice. St. Louis, MO: Mosby.

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