CC Nursing Patients Imporance of Their Health Discussion Replies – Description
Please respond to the following posts.
The question was : Which mid-range nursing theory do you believe contributes MOST to your ability to providing safe, high quality, patient-centered care in the current environment of nursing? Explain your choice. Support your Initial Post?with examples, if warranted, and?at least two (2) scholarly references (i.e., journal articles, books) that were NOT assigned for this module.
RESPOND TO THESE DONE BY MY PEERS:
1. EH: I believe that Doethea Orem’s self-care model contributes most to my ability to provide safe, high quality, patient-centered care. Dorethea Orem’s theory assumes that patients can recover faster when they take more responsibility for their health. (Haws, n.d.). I believe that patients who take responsibility for their health and participate in their health, especially in the hospital, recover quicker and are more compliant. This is related to my current nursing practice because we teach our patients to care for themselves and it allows us as healthcare providers to assess the need the patient may have. This theory is special because it allows us to assess what our patients need and to assess their well-being. (Gonzalo, 2023). “Dorthea Orem specifically defines when nursing is needed: Nursing is needed qhen the individual cannot maintain continuously that amo0unt and quality of self-care necessry to sustain life and health, recover from disease or injury, or cope with their effects” (Gonzalo, 2023). As healthcare providers this theory should be the basis of our care to be able to figure out how we can best help our patients live a healthy and safe life.
2. NK: The mid-range nursing theory that contributes most to my personal ability to provide safe, high quality, patient-centered care in the current environment of nursing is Myra Estrin Levine’s Conservation Model. Levine’s model was created for medical-surgical status patients to improve patient energy and integrity by promoting rest, wound healing, patient privacy, etc (Leach, 2006). In a journal entry concerning Levine’s Conservation Model in preterm infants, Levine’s model is described as promoting patient wholeness (Mefford, 2004). One of the ways patient wholeness has been incorporated in the infant world is by providing skin-to-skin time with the baby and their parents opposed to putting the baby in a warmer. Another interesting piece presented in the journal article is how the neonatal intensive care unit staff used Levine’s model by creating the minimal handling protocol to keep sick infants stimulus to a minimum to give them time to heal appropriately in a controlled environment (Mefford, 2004).
I found the information presented in the article about using Levine’s Conservation Model in preterm babies very interesting because I was able to apply a lot of the information to my current job as an adult intensive care unit nurse. When sick patients are admitted to my floor, it is very easy for everything to be stripped away from them. We check their skin, ask them hard questions, and have minimal privacy, all with their best interest in mind. As I reflect back, there are several things that we could improve upon using Levine’s Conservation Model to enhance patients wholeness. Some quick resolutions would be taking extra time to explain cares, briefly explain why we do each assessment, and ask permission instead of telling to name a few. These all sound like simple things, but they are omitted often. Another issue we face on our ICU is the development of patient delirium. I contribute the delirium to a very busy day with doctors, nursing staff, therapy, etc. and an evening full of sleep interruptions. There are aspects of this care that can’t be avoided, but there are certainly things we can improve on by using Levine’s Conservation Model to promote rest and improve patient energy. A theory introduced several decades ago is still so applicable to nursing care today.
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