Preparing the Assignment
1. Identify your specialty area of NP practice.
2. Select a nursing theory, borrowed theory, or interdisciplinary theory provided in
the lesson plan or one of your own findings.
Address the following:
Origin
Meaning and scope
Logical adequacy
Usefulness and simplicity
Generalizability
Testability
Finally, provide an example how the theory could be used to improve or evaluate the
quality of practice in your specific setting. What rationale can you provide that validates
the theory as applicable to the role of the nurse practitioner.
Specialty and Origin
I plan on practicing as a family nurse practitioner. Initially, my goal is to become an FNP
working in cardiac and thoracic surgery. My goal is to incorporate patient-centered care in my
daily practice. The theory I found to be relevant to me is a mid-range theory published in 2006
and was developed by Brendon McCormack, and Tanya McCance called Person-Centered Care
Nursing Framework (McCormack & McCance, 2006).
Meaning and scope
In the United Kingdom McCormack and McCance developed person-centered care
nursing framework theory by combining two separate models of care involving an experience of
caring in nursing and a concept including person-centered practice with elderly people. There are
four constructs engaged with the theory including prerequisites, the care environment, person-
centered process, and expected outcomes. The first construct is prerequisites and focuses on
incorporating an educated and competent nurse who has a belief and value system, uses
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, interpersonal skills, and knowing self. The second construct is a care environment that
concentrates on an environment where an interdisciplinary team is supportive, effective, and
share in the decision-making process. Power is shared among the practitioner and the patient,
and there is a potential for risk-taking. The third construct is the person-centered process which
includes nursing team with the ability to deliver care with the patient as the center of focus for
shared decision-making, patients’ beliefs, and values and providing safe and sympathetic care.
Lastly the fourth construct in the framework is expected outcomes and includes positive
outcomes with patients’ involvement in care, patient satisfaction, and patient feeling safe, and
cared for in a holistic and therapeutic environment (McCormack & McCance, 2006; McCormack
& McCance, 2010). A therapeutic environment includes shared decision making, collaboration
between staff members, transformational leadership, and practices with innovations are
supported (Wolstenholme, Ross, Cobb, & Bowen, 2017).
Logical Adequacy
The components of the theory are structured logically. The first construct is prerequisites
which are focusing on the nurses’ skills and attributes that need to be met. Then the care
environment construct is involved and focuses on how care is delivered. Next, the patient-
centered process is approached by providing care for the patient by utilizing different activities,
and the final construct is person-centered outcomes, and the construct can be reached by working
with patients beliefs, values, sharing decision-making, and allowing the patient and provider time
to engage in the care. All four constructs together make up the person-centered nursing
framework model (McCormack & McCance, 2006).
Usefulness
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