Deliberative Nursing Theory final PDF

Preview

Summary

Nursing Theories...

Description

DELIBERATIVE NURSING THEORY

Deliberative Nursing Theory Igor Suarez Broward College NUR3119 Nursing Concept Online Dr. Debra Renna February 2021

2 DELIBERATIVE NURSING THEORY

The deliberative nursing theory relies on the proper interaction between the nurse and the patient for any meaningful outcome of the process. The theory believes in interaction and the successful implementation of the nursing processes to perception on the whole process to actualize positive outcome of the whole nurse-patient engagement, which is the improvement of the patient. In the theory, as much as nurses have a say on the patients or situational assessment prowess, patients are given the authority to have a say in these situations. They are assured that their voice matters in any conclusion that a nurse might make out of a situation. Since the inception of the theory by the founder Ida Orlando, it has grown to recognize its effectiveness and efficiency in the nursing fraternity. As much as this theory has been proved to be effective, it suffers some setbacks. It is a middle-range theory with limited variables in number, and its scope of operation is also limited. The most distinctive feature of Orlando's theory is that she advocated for nurses to be assisted in learning and understanding the needs of the patients. She emphasized that the patient's contribution to the process remains essential in the nursing process. Historically, the deliberative nursing theory rose in the 20th century where the nurses wanted to be identified with a professional body. This was spearheaded by their desire to remain different from other professionals. According to Peterson & Bredow (2019), Orlando's deliberative theory was defined by three things; the nurse's desire to belong to a professional body, acquiring knowledge necessary for nursing, and establishing a successful nurse-patient. Several assumptions guided this theory: patients become helpless and distressed when they cannot understand and cope with their needs. The theory further assumes that every patient is unique, and their behaviour and response to situations vary from one patient to another. This underscored the need for an individual patient to be handled differently. Nursing is a recipe for distress among patients, and that forms its character. The other is that patients are always reluctant to reveal their dependency needs to others and need help to communicate (Akhtar et

3 DELIBERATIVE NURSING THEORY

al., 2018). The nurse-patient relationship is not static but rather dynamic as it is influenced by other factors around the patient or the nurse. The deliberative nursing theory is defined by five stages: assessments, diagnosis, planning, implementation, and evaluation. Assessments need to be done in the best ways possible to seek corporation and input from the patient. This stage is critical in this theory as patients are at the centre stage of this theory. The second stage is the diagnosis of the situations, followed by planning on how to go about the nursing process (Akhtar et al., 2018). The stage that follows is the implementation stage, where the nurses implement their planned processes and then evaluates to note any areas that need improvement. The implication of this theory is a patient improvement. Nurses are encouraged to apply knowledge, discipline, and the information they obtain from the patient to make positive progress on their nursing services. This kind of theory, according to Orlando, is not set as a tool that cannot get used with others. The theory gives room for it to be incorporated with others where possible as long as it could produce better services and improve the patients.

4 DELIBERATIVE NURSING THEORY

References Akhtar, S., Hussain, M., Afzal, M., & Gilani, S. A. (2018). Barriers and facilitators for the execution of nursing process among nurses from medical and surgical wards in a public hospital Lahore. International Journal of Social Sciences and Management, 5(3), 170-186. Peterson, S., & Bredow, T. S. (2019). Middle range theories: Application to nursing research and practice. Lippincott Williams & Wilkins....