As the nursing profession continually evolves, practice knowledge is increasing and closing the theory-practice gap. The purpose of this discussion is to explore how nursing theory is used as a framework in nursing research, building the body of professional nursing knowledge.
Instructions
- Using one of the articles provided in this week’s course announcement, identify the nursing theory used to frame the nursing research.
- Analyze the selected nursing theory and describe how the theory applies to nursing’s metaparadigm, including each of the following:
- Person
- Health
- Environment
- Nursing
Required article
Rosa, W. E., Dossey, B. M., Koithan, M., Kreitzer, M. J., Manjrekar, P., Meleis, A. I., Mukamana, D., Ray, M. A., & Watson, J. (2020). Nursing theory in the quest for sustainable development goals. (Links to an external site.) Nursing Science Quarterly, 33(2), 178-182. https//:10.1177/0894318420903495
Select only one of the four nursing theories and then using the selected theory analyze the nursing paradigm (person, health, environment, and nursing).
Comfort and fluid retention in adult patients receiving hemodialysis. (Links to an external site.)
Estridge, K.M., Morris, D.L., Kolcaba, K., & Winkelman, C. (2018). Comfort and fluid retention in adult patients receiving hemodialysis. Nephrology Nursing Journal, 45(1), 25-33, 60.
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https://doi.org/10.1097/HNP.0000000000000164 (Links to an external site.)
Barutcu, C.D. & Mert, H. (2016). Effect of support group intervention applied to the caregivers of individuals with heart failure on caregiver outcomes. Holistic Nursing Practice, 30, 272-282. https://doi.org/10.1097/HNP.0000000000000164
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https://doi.org/10.1097/NMC.0000000000000570 (Links to an external site.)
Miller Westmoreland C., & Wojnar, D. (2019). Breastfeeding support guided by Swanson’s theory of caring. MCN, American Journal of Maternal Child Nursing, 44, 351-356. https://doi.org/10.1097/NMC.0000000000000570
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Turan Kavradim, S., & Canli Ozer, Z. (2020). The effect of education and telephone follow-up intervention based on the Roy Adaptation Model after myocardial infarction: Randomised controlled trial. Scandinavian Journal of Caring Science, 34, 247–260. https://doi.org/10.1111/scs.12793
DNP Discussion Guidelines
Purpose
The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required. Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.
Due Date
The initial posting to the graded collaborative discussions is due by Wednesday, 11:59 p.m. MT. Peer and faculty responses are due by Sunday, 11:59 p.m. MT. All posts for Week 8 are due by the close of class on Saturday, 11:59 p.m. MT. Please note that the late assignment policy does not apply to the collaborative discussions.
Discussion Criteria
Review the discussion criteria:
Application of Course Knowledge
· The student post contributes unique perspectives or insights gleaned from personal experience or examples from the healthcare field. The student must accurately and fully discuss the topic for the week in addition to providing personal or professional examples. The student must completely answer the entire initial question.
Engagement in Meaningful Dialogue
· The student responds to a student peer and course faculty to further dialogue.
· Peer Response: The student responds substantively to at least one topic-related post by a student peer. A substantive post adds content or insights or asks a question that will add to the learning experience and/or generate discussion.
· A post of “I agree” with a repeat of the other student’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post.
· The peer response must occur on a separate day from the initial posting.
· The peer response must occur before Sunday, 11:59 p.m. MT.
· The peer response does not require a scholarly citation and reference unless the information is summarized and/or direct quotes are used, in which APA style standards then apply.
· Faculty Response: The student responds substantively to at least one question by course faculty. The faculty question may be directed to the student, to another student, or to the entire class.
· A post of “I agree” with a repeat of the faculty’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post.
· The faculty response must occur on a separate day from the initial posting.
·
Nephrology Nursing Journal January-February 2018 Vol. 45, No. 1 25
Comfort and Fluid Retention in Adult
Patients Receiving Hemodialysis
K
idney failure with subsequent
hemodialysis (HD) is not only
disruptive to lifestyles of
patients and families, but also
has concerning financial implications.
Decreasing the burden of treatments,
such as fluid restrictions for patients
with end stage renal disease (ESRD),
with the potential of improving
adherence may improve quality of
life and extend the lifespan.
Adherence to fluid restrictions is
difficult for patients receiving HD
(Welch, 2001). Adherence can
demand major lifestyle modifications
because of the many restrictions
imposed by the treatment regimen,
not only in one’s physical routines,
but also in aspects of imposed social
interruptions that can impact quality
of life (Tovazzi & Mazzoni, 2012).
Nonadherence to fluid restrictions
among patients receiving HD, lead-
ing to fluid retention between treat-
ments, may result in increased co-
morbidities and death. Research has
been inconclusive in determining
options to enhance adherence to fluid
restrictions in adult patients receiving
HD. There is a lack of knowledge
about which factors affect this popula-
tion’s health-seeking behaviors relat-
ed to fluid restriction adherence.
Karen M. Estridge
Diana L. Morris
Katharine Kolcaba
Chris Winkelman
Continuing Nursing
Education
Karen M. Estridge, DNP, RN, is an Assistant
Professor, Assessment Coordinator; College of
Nursing and Health Sciences, Ashland University,
Ashland, OH.
Diana L. Morris, PhD, RN, FAAN, FGSA, is
an Associate Professor, Director of the University
Center on Aging and Health; Frances Payne Bolton
School of Nursing, Case Western Reserve
University, Cleveland, OH.
Katharine Kolcaba, PhD, RN, is an Associate
Professor, Emeritus; School of Nursing, University
of Akron, Akron, OH.
Chris Winkelman, PhD, APRN, CCRN,
CNE, FCCM, FAANP, is an Associate Professor;
Frances Payne Bolton School of Nursing, Case
Western Reserve University, Cleveland, OH.
Further examination about this
aspect of treatment for kidney failure is
needed to inform potential new oppor-
tunities for intervention. Therefore,
this project sought to answer the fol-
lowing research question: What is the
relationship between comfort and fluid
retention among adults receiving
chronic HD? Based upon the theoreti-
cal framework and literature, we
hypothesized that patients with greater
comfort would be associated with a
lower fluid retention.
Problem
The number of patients undergo-
ing HD continues to increase in the
United States. According to the 2017
annual report by the United States
Renal Data System (USRDS), there
were over 703,243 prevalent ESRD
cases, which is an increase of 3.4%
from the previous year. Of those
cases, 63.3% were treated with HD
therapy. The
EMPIRICAL STUDIES
The effect of education and telephone follow-up intervention
based on the Roy Adaptation Model after myocardial
infarction: randomised controlled trial
Selma Turan Kavradim PhD, RN (Assistant Professor) and Zeynep Canli €Ozer PhD, RN (Professor)
Department of Internal Medicine Nursing, Faculty of Nursing, Akdeniz University, Antalya, Turkey
Scand J Caring Sci; 2020; 34: 247–260
The effect of education and telephone follow-up
intervention based on the Roy Adaptation Model
after myocardial infarction: randomised controlled
trial
Background: Patients’ lifestyle changes after myocardial
infarction reduce the risk of infarction. Nursing interven-
tions are important for the initiation and maintenance of
lifestyle adaptation.
Aim: The aim of this study was to evaluate the effect of
education and telephone follow-up intervention based on
the Roy Adaptation Model for improving myocardial
infarction patients’ self-efficacy, quality of life and life-
style adaptation.
Method: In this parallel, randomised controlled trial,
patients were randomly allocated to a control group or
an intervention group (n = 33/group). The control group
received routine care, while the intervention group
received routine care plus a telephone follow-up inter-
vention, which consisted of a predischarge education pro-
gramme and three telephone follow-up sessions. Data
were collected before discharge, in the 12th week after
discharge between April 2016 and August 2017. All
outcomes were assessed at baseline and at 12 weeks, and
included quality of life, coping adaptation process, self-ef-
ficacy and lifestyle changes. The CONSORT checklist was
used in the study.
Results: In the 12th week after discharge, patients in the
intervention group had significant improvements in self-
efficacy, quality of life and coping adaptation process
compared with the control group. The intervention group
also had more adaptation lifestyle changes concerning
patients nutrition and physical activity in the 12-week
follow-up.
Conclusion: This study demonstrated that education and
telephone follow-up intervention based on Roy Adap-
tation Model was had positive and significant results
after 12 weeks compared with usual care. The findings
of this study are important for supporting nursing
practice and health professionals who care for individ-
uals with myocardial infarction to develop nursing
care.
Keywords: lifestyle change, myocardial infarction, nurs-
ing, telephone follow-up, Roy Adaptation Model, self-
efficacy.
Submitted 28 May 2019, Accepted 17 October 2019
F E AT U R E S
Effect of Support Group Intervention Applied
to the Caregivers of Individuals With Heart
Failure on Caregiver Outcomes
■ Canan Demir Barutcu, PhD, RN ■ Hatice Mert, PhD, RN
This study was conducted to evaluate the effectiveness of support group intervention applied to the caregivers of
individuals with heart failure on caregiver outcomes. Quasi-experimental research was conducted with 69
caregivers as control (n = 35) and intervention (n = 34) groups in the cardiology outpatient clinic of a university
hospital. The intervention group participated in support group meetings structured according to the Neuman
Systems Model, and the data were collected from both the intervention and control groups before the intervention
and 3 and 6 months later. Caregivers in the intervention group had significantly lower burden scores compared with
the control group in all subdimensions except objective personal care, in terms of the group × time interaction in a
statistical way (P < .05). Caregivers in the intervention and control groups had similar scores of depression
symptoms (P > .05). The burden of caregivers in the intervention group showed a statistically significant decrease
compared with the preintervention in all dimensions at 3 months. Thus, it is suggested to extend the support group
interventions for caregivers of patients with heart failure and conduct these interventions in a longer period.
KEY WORDS: caregiver, heart failure, Neuman Systems Model, support group Holist Nurs Pract 2016;30(5):272–282
Heart failure is a frequent health problem whose
incidence rate increases each year with high mortality
and morbidity rates.1 It was reported that there were
more than 5.8 million patients with heart failure in the
United States, and 825 000 new cases, who were 65
years and older, are added to this number each year.2 It
was also reported that there were more than 15 million
patients with heart failure in Europe.3,4 Heart Failure
Prevalence and Predictors in Turkey (HAPPY) study
showed that the estimated prevalence of heart failure
is 6.9% in Turkey.5
Heart failure is a disease that leads to low quality of
life because of the patient’s failure to meet basic
needs, change in body image, lack of self-care
behaviors and activities of daily living, chronic
Author Affiliation: Department of Internal Medicine Nursing, Faculty of
Nursing, Dokuz Eylül University, İzmir, Turkey.
The authors thank all the caregivers who participated in this study.
The authors declared no potential conflicts of interest with respect to the
authorship and/or publication of this article.
Correspondence: Canan Demir Barutcu, PhD, RN, Department of Inter-
nal Medicine Nursing, Faculty of Nursing, Dokuz Eylül University, 35340
Inciraltı, Izmir, Turkey (
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