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Application of Theory to the Practice Problem of Nurse Staffing Nursing theory influences the pattern of nursing in a battalion of ways that can hold a profound impact. Theory provides a model to back up and specify nursing pattern. support quality of patient attention. and can be implemented in pattern state of affairss to supply solutions to nursing pattern jobs. Using theory to decide nursing challenges can be utilized in educational and research scenes. direct patient attention state of affairss. every bit good as in disposal and direction of nursing attention services. The benefits of using theory to turn to a pattern quandary can be demonstrated by using Jean Watson’s theory of human lovingness. and Ken Wilbur’s built-in theory and analyzing how these theories impact the jobs environing nurse staffing state of affairss in an ague attention infirmary scene. Practice Problem Identification and Importance

A reappraisal of the nursing literature demonstrates that back uping nurse staffing ensures quality nursing attention for patients and has been an on-going challenge for nurse directors and decision makers. Failure to guarantee sufficient Numberss and compassionate nurse staff has been demonstrated to negatively impact patient satisfaction and results. The nurse staffing job is non limited merely to guarantee equal Numberss of staff that are being lost in the ague attention scenes due to overwork. burnout. compassion weariness and hurts ; the nurse staffing job besides includes the impact to patient attention and to the nursing work force when compassion and lovingness is absent and the negative effects this has on both the patient and the nurse ( Douglas. 2010 ) . Traditional methods of turn toing nurse staffing issues with financially based enlisting and keeping programs have non resolved these issues ; nevertheless. using the theory of human caring to the issue of nurse staffing provides of import penetration and solutions that can help directors. decision makers and organisations to better the bringing of attention. support nurses as a valuable resource and better patient results. Theorist Biography

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Jean Watson. PHD. RN. AHC-BC. FAAN is a distinguished professor of nursing. and receiver of the Murchinson-Scoville Endowed Chair in Caring Science. at the University of Colorado in Denver. Colorado. She is a bookman. writer. instructor. and laminitis of the Watson Caring Science Institute. an international. non-profit foundation that is dedicated to back uping. spread outing and widening the theories and patterns of human caring in health care ( Watson Caring Science Institute. n. vitamin D ) . Jean Watson has six honorary doctor’s degrees and has traveled throughout the universe cultivating. instruction and operationalizing the theory of human lovingness in the work of nurses and wellness attention. Jean Watson was born in West Virginia in July of 1940. She graduated from nursing school in 1961 in Virginia and so went to the University of Colorado to finish her BS. and MS in nursing and her Ph. D. in 1973. Concepts and Propositions of the Theory

The major constructs of the theory of human caring are based on the premise that the kernel and foundation of nursing resides in caring scientific discipline as the Southern Cross of the subject of nursing ( Watson. 2008 ) . Interpersonal interactions are the primary look of caring. nevertheless caring is non needfully limited by physical. infinite or clip restrictions and this relational connexion provides a contemplation of our humanity in each other ( Watson. 2008 ) . Caring can be described in 10 carative factors or processes that promote integrity. mending. wellness and the procedure of germinating and growing for the person and household. Caring harmonizes with hardening and medical scientific discipline while supplying reliable relationships that encourage the “emergence of human spirit” ( Watson. 2008. p. 17 ) .

Lovingness and the pattern of lovingness is cardinal to the profession of nursing ( Watson. 2008 ) and relational lovingness is viewed as an ethical. moral. philosophical. and values guided foundation. The 10 carative factors/caritas procedures outlined in Jean Watson’s theory of human lovingness can be viewed as nursing intercessions that describe and express the connexion between caring and love. “Caritas comes from the Latin word significance to cherish” ( Watson. 2008. p. 39 ) and biddings compassion. lovingness. love. forgiveness and composure into the dealingss between ego and other in the pattern of nursing. The 10 caritas procedures include:

1. Practicing loving kindness toward ego and others.
2. Instill religion and hope in others.
3. Nurture single beliefs and patterns for ego and others.
4. Promote assisting and swearing relationships.
5. Credence of positive and negative feelings.
6. Creative solution-seeking utilizing scientific methods and all ways of knowing.
7. Genuine instruction and acquisition that supports single demands.
8. Creation of a healing environment that attends to physical. social and religious demands.
9. Supplying Acts of the Apostless of healing by go toing to basic human demands.
10. Staying unfastened to mystery and the terra incognitas of being. ( Watson. 2008 )

These premises of the theory of human lovingness and the caritas processes apply at the degree of ego. other and besides in a social and leading sense. The theory and procedures are specific plenty to be intercessions that apply in nurse patient or interpersonal relationships but have a comprehensiveness and catholicity that can besides be applied as leading rules. Theory Applied in Practice

An illustration of how the theory of human lovingness has been applied in nursing leading and disposal is described in “A caring attack in nursing administration” ( Nyberg. 1998 ) . which demonstrates how a foundation of caring provides an ethical model for nursing direction. quality direction and organisational effectivity. The theory provides a model that leaders can utilize to reconstruct “nursing’s value-guided vision of care” ( Watson. 2000. p. 2 ) that allows leaders to care for the nurses and patients and promote integrity. healing and let nurse leaders to recover their true career. Using the theory. nurse leaders can supply an ethical and moral support to turn to a assortment of pattern jobs in the disposal and bringing of patient attention. Nurse staffing is critical to the bringing of patient attention ( Douglas. 2010 ) .

Although many resources are spent trying to pull off the work flow. optimize staff hours and better through-put. there is still much to be learned about the caring side of nursing and how that impacts nurse keeping. patient satisfaction and the economic sciences of the bringing of attention ( Douglas. 2010 p. 416 ) . Compassion weariness in nursing consequences in a state of affairs where “too many nurses leave ague attention where they are so needed” and can hold damaging effects on the wellness of the nurse. the bringing of attention. and besides the patient’s feelings of being cared for every bit good as patient results. Practice Change Hypothesis with Theory Implementation

Nurse leaders who utilize the theory of human caring in their pattern can turn to nurse staffing issues in a assortment of ways. One illustration of implementing a caritas procedure to impact nurse staffing would be for nurse directors to back up staff nurses to prosecute in self-care activities and pattern loving kindness for ego and others. Developing and implementing policies that guarantee healthy work patterns. restricting work/call hours and supplying mending support infinite and clip for nurses to rest and rejuvenate can assist to operationalize this pattern. This one illustration illustrates how integrating the theory of human lovingness in even one little manner could hold a big impact on the nurses work environment every bit good as impact their ain perceptual experience of being cared for. Showing the theory as a nurse leader. opens the door for staff nurses to get down to integrate lovingness in a more thoughtful manner in their ain pattern to impact their interactions with patients. The impact and connection between direction. nurses and patients is more profoundly understood by analyzing Ken Wilbur’s Integrated Theory. This theory examines consciousness and connection in human psychological science and relationships and has been borrowed to back up nursing theory related to human lovingness. Borrowed Theorist Biography

Ken Wilbur was born in 1949 in Oklahoma City. Oklahoma. graduated from high school in Lincoln. Nebraska and attended Duke University to analyze medical specialty. After his first twelvemonth at Duke he became interested in eastern and western psychological science and doctrine and pursued the survey of consciousness and authorship. He has been termed “the Einstein of consciousness research” ( Spirituality & A ; Practice. n. d. parity. 2 ) due to the original and radical constructs that he developed and has incorporated into Integrated Theory. In 2000 Wilbur founded the Integral Institute. whose mission is to rouse humanity to full self-awareness ( Integral Institute. 2009. parity. 1 ) . Wilbur’s work has been referenced as support for Jean Watson’s theory of human caring in several of her books. including “Nursing: The doctrine and scientific discipline of caring” and “Caring scientific discipline as sacred science” . Theory Applied in Practice

Integral theory synthesizes Western and non-Western apprehension of consciousness and has been applied to concern. political relations. art. ecology. spiritualty. instruction. medical specialty and psychological science and research workers have developed applications in leading. coaching and organisational development ( Integral Institute. 2009 ) . In leading. this theory provides a blending of available leading theories and applies them from a assortment of positions. The holistic theoretical account described by Wilbur focal points on a cardinal interconnection ( Reams. 2005 ) . which is described in a four quarter-circle theoretical account that examines self and corporate facets every bit good as internal and external facets. Built-in leading theory has been applied at West Point with plebes and teachers and at Notre Dame University’s Mendoza College of Business ( Reams. 2005 ) . Practice Change Hypothesis with Theory Implementation

Execution of built-in theory in the leading of nurse directors challenged with nurse staffing deficits can be a positive method to advance a more holistic attack to rectify the root causes of staffing issues. By using the four quarter-circle theoretical account Wilbur has developed ( Reams. 2005. p. 120 ) leaders can profit from understanding the interconnection of determinations made by organisations and leaders and the impact on nurse staffing and patients. Achieving an apprehension and consciousness of the leader’s self-development and the impact of this degree on the strengths and failing of the leader is besides of import ( Reams. 2005 ) . Potential Challenges with Application of Theory to Practice

Application of theory to the pattern challenge of staffing is fraught with some possible challenges. Some possible expostulations to utilizing these theories to turn to nurse staffing and leading development are that it requires important instruction and alteration. It does non trust on old familiar methods for enlisting and keeping. which although unsuccessful in deciding issues long term. go on to be popular in infirmaries and health care establishments. Another possible challenge is that theory may be seen as excessively abstract by leaders non familiar with anchoring pattern on a theoretical model. Drumhead

Nurse staffing challenges are most normally addressed with short-sighted. reactionist methods such as recruitment fillips or extra wage inducements that do non turn to the root cause of the job. Using the theory of human lovingness and built-in theory to turn to the pattern job of nurse staffing offers the chance to do existent and permanent long term alterations that will determine more caring leaders and patient attention environments. Using a theoretical model to transform nursing leading and organisations will better nurse staffing and better quality results.

Mentions
Boykin. A. . Schoenhofer. S. . Smith. N. . St. Jean. J. . & A ; Aleman. D. ( 2003 ) . Transforming pattern utilizing a caring-based nursing theoretical account. Nursing Administration Quarterly. 27 ( 3 ) . 223-230. Burtson. P. . & A ; Stichler. J. ( 2010 ) . Nursing work environment and nurse lovingness: relationship among motivational factors. Journal of Advanced Nursing. 66 ( 8 ) . 1819-1831. Douglas. K. ( 2010 ) . When caring Michigans. staffing doesn’t truly matter. Nursing Economic $ . 28 ( 6 ) . 415-419. Douglas. K. ( 2011 ) . When caring Michigans. staffing doesn’t affair: Part II. Nursing Economic $ . 29 ( 3 ) . 145-147. Integral Institute. ( 2009 ) . hypertext transfer protocol: //www. integralinstitute. org/ ? q=node/1 Nyberg. J. ( 1998 ) . A caring attack in nursing disposal. Retrieved from hypertext transfer protocol: //books. Google. com/books? hl=en & A ; lr= & A ; id=mrpHtbI2EY4C & A ; oi=fnd & A ; pg=PP7 & A ; dq=jan+Nyberg+nursing+leadership & A ; ots=BZeOp82bnm & A ; sig=R9MbTfkvCi1PCI4kbQBeDd7mU8M # v=onepage & A ; q=jan % 20Nyberg % 20nursing % 20leadership & A ; f=false Reams. J. ( 2005 ) . What’s built-in about leading? A contemplation on leading and built-in theory. Retrieved from hypertext transfer protocol: //integral-review. org/documents/Whats % 20Integral % 20About % 20Leadership % 201. % 202005. pdf Spirituality & A ; Practice. ( n. vitamin D ) . hypertext transfer protocol: //www. spiritualityandpractice. com/teachers/teachers. php? id=310 Wade.

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