Questions with Actual Answers.
Nursing Theory's Influence - Answer Theory generates nursing knowledge for use n practice,
thus supporting evidence-based practice
Goal of Nursing Knowledge - Answer To explain the practice of nursing as different and
distinct from the practice of medicine, psychology, and other health care disciplines
Types of Theories - Answer MOST ABSTRACT (LESS RELATED TO PRACTICE)
Grand: broad in scope, provides structural framework but needs clarification (e.g., What is
nursing?)
Middle-range: limited in scope and less abstract, address a specific phenomenon and reflect
practice (e.g., Theory of comfort encourages nurses to meet patients' needs)
Practice: narrow in scope and focus, also known as situation-specific, bring theory to the
bedside (e.g., Pain management protocol for patient recovering from cardiac surgery)
Descriptive: Describe phenomena and identify circumstances (e.g., Theories of growth and
development process of an individual at various ages)
Prescriptive: address nursing interventions, guide practice change, and predict consequences
LEAST ABSTRACT (MORE PRACTICAl)
Florence Nightingale - Answer • Environmental theory
• The first nursing theorist
• Grand theory
• Founded on belief that nursing could improve a patient's environment and facilitate recovery
and prevent complications.
, • Key component in identifying nursing interventions to improve patient outcomes
Hildegard Peplau - Answer • Interpersonal Theory
• Middle-range theory
• Interpersonal relationships among nurse, patient, and patient's family
• Phases: reorientation, orientation, working, resolution
• Important for nurse-patient relationship
Dorothea Orem - Answer • Grand Theory is woven from three middle-range theories
• Focused on patient's self-care needs
• Patient meets physical, psychological, sociological, and developmental needs.
Madeline Leninger - Answer • Culture care theory
• Middle-range theory
• Theory of cultural care
diversity and universality
• Integrates patients' cultural traditions, values and beliefs into care plans
Dr. Patricia Benner - Answer • Middle Range theory
• From Novice to Expert
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Advanced Beginner
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