Please see attachment for discussion Instructions

Application of Concepts from Caring Science

Assignment Prompt

Summary: A theory can be used to guide practice.  This assignment is an exercise in supporting a clinical practice with theory and evidence.

Directions: Identify an outcome of nursing practice in your area of practice that can be improved.  You may be able to use the problem that inspired the theory concepts that you developed in week two. WEEK 2 discussion #1CONCEPT EXPLORATION AND discussion #2 PERSONAL THEORY.

Briefly support why it is a problem with evidence from the literature. This is not the major focus of the assignment so do not elaborate.

Create clinical nursing (not medical) theory in the form of Concept A | Proposition | Concept B. Think of the structure like two nouns and a verb. While the term proposition is much more complex in the dictionary, in our use it is the connecting term between the two concepts. Examples include Concept A improves Concept B, Concept A is related to Concept B, when Concept A increases then Concept B also increases, etc. When you get to research, you will explore this further as you develop independent and dependent variables. How to use these statistically will come in research and statistics courses.

This clinical theory is identified as an empirical theory when you get to the C-T-E model later in this course. It is empirical in that they can be measured.

Identify and define your concepts. Identify how they could be measured in a research study. Be careful that you do not use compound concepts. If you find the words “and” or “or” in your theory, you are probably too complex.

If you research your question and seek funding, you will need a theoretical model to guide the research. In our assignment, we are using Watson. You will identify the concepts in Watson’s theories that are represented by the concepts you are using in your clinical theory. Match the proposition in her theory with your proposition. To help, the 10 Caritas Processes are Concept A. Choose the one that matches your concept. To clarify, let’s look at Caritas 1 Embrace and use it in middle-range theory. Sustaining humanistic-altruistic values by the practice of loving-kindness, compassion, and equanimity with self/others (Concept A – Very complex and abstract) improves (Proposition) subjective inner healing (Concept B). 

Remember that the paper is not about the problem. It is about constructing a clinical theory and matching it to a middle-range theory and conceptual model your clinical theory represents.

Conclude the paper with your discoveries made in your readings and the impact on the nursing profession of your discoveries. Explore, briefly, discovered questions that require further research. Summarize the paper in the conclusion.

WEEK 2 DISCUSSION #2 Personal theory

The chosen clinical situation within the facility is the reported increase in the number of patients treated for stroke conditions. This is a condition that occurs when the blood supply into the brain is interrupted (Concepts). This prevents the brain tissue from getting adequate oxygen and nutrients (Proposition). Patients with stroke are expected in the facility (Concepts), and it affects the well-being of the population since it impairs the motor systems of the individuals diagnosed with it (Proposition). Since it is an acute condition (Concepts), it compromises the cerebral perfusion, vasculature, or cerebrovascular accident that affects patients’ ability to successfully control their arms during complicated motor tasks (Proposition) (Maguire et al., 2018). Following the stroke incidents, patients tend to indicate modifications in their neural control activities such as movement. 

            Stroke condition is characterized by hemispheric localization (Concepts) that affects motor performance and muscle synergies during activities (Proposition). The applicable theory, in this case, is associated with the process of supporting the movement and the movement objectives encoded in the cortex, and the muscle synergies (concept) help in reducing the redundancy before and after diagnosis with stroke (Proposition). The muscle synergies involve converting the muscle actions from the cortex through the cortical demands. The muscle synergies involve some forms of activated muscles. In stroke conditions, there is a loss in the integrity of the muscle synergies and an indication that damage has occurred to the motor cortical (Concept). These processes interfere with organizations of the motor cortical as a result of the impairment of cerebrovascular (Proposition) (Maguire et al., 2018). The research studies associated with the kinematic synergies have shown a covariation in the motions of diverse joints (Concept), thus providing further reasons for the mechanisms associated with human motor behaviors (Proposition).

            Regret refers to the negative emotion that is driven by the individual-focused thoughts of what might have been.  

 

References

Maguire, C., Sieben, J., & De Bie, R. (2018). Movement goals encoded within the cortex and 

muscle synergies to reduce redundancy pre and post-stroke. The relevance for gait rehabilitation 

and the prescription of walking aids. A literature review and scholarly discussion, Physiotherapy 

Theory and Practice, 35:1, 1-14, DOI: 10.1080/09593985.2018.1434579. 


Concept Exploration 

            One of the theories from my undergraduate education is Maslow’s Hierarchy of Needs. This is a theory of motivation, which asserts that “five categories of human needs dictate an individual’s behavior” (Hale et al., 2019). From this statement, concept A is represented by the “five categories of human needs” while concept B is represented by “an individual’s behavior.” The proposition between the two concepts is that the behavior of a person is controlled by the five categories of human needs identified in the theory. These needs are represented in a hierarchical format with the basic needs at the bottom and the intangible needs at the top. One can only address the high-level needs once he/she adequately fulfills the basic needs. These five categories of human needs in the ascending order are “physiological needs, safety needs, love, and belonging needs, esteem needs, and self-actualization needs” (Hale et al., 2019). The first four needs are deficiency needs, which means that one will have unpleasant or harmful results if he/she fails to meet them. The fifth need is a growing need, which means that one is not harmed if he/she fails to achieve it but attaining it can make him/her happier. 

            The terms used might differ from the general use of the terms. For instance, safety needs generally imply protection from things like theft and violence. In the context of Maslow’s theory, this term additionally refers to aspects like financial security, health security, emotional stability, and the general wellbeing of a person. The terms might also be confused or misinterpreted. For example, since the needs are described in ascending order, there is a common misconception that each need must be completely fulfilled before one moves to the next. This is untrue because one may fulfill each of them to a particular degree (Passey, 2020). Another misconception is that since this theory is popular and used academically, it must have been supported by empirical research. The truth is that the theory was established based on Maslow’s personal observations.

References

Hale, A. J., Ricotta, D. N., Freed, J., Smith, C. C., & Huang, G. C. (2019). Adapting Maslow’s hierarchy of needs as a framework for resident wellness. Teaching and Learning in Medicine31(1), 109-118.

Passey, D. (2020). Theories, theoretical and conceptual frameworks, models and constructs: Limiting research outcomes through misconceptions and misunderstandings. Studies in Technology Enhanced Learning1(1), 1-20.