Clinical Nursing Essay Example for Free

Clinical Nursing EssayIntroductionNurses utilize multiple theories daily to c ar for patients and their families, though these theories upchuck from grand, to situation-specific, to mid-range the sustain tends to foc intents on which opening will deliver the best divvy up to his/her patient. Perhaps in my opinion mid-range theories with their growing frequency of use are best suited for breast feeding in the twenty-first century. Mid-range theories are said to be middle rather than ordinary except they are specific nice to evaluate observed situations (McCurry, Revell, Roy, 2009). There are multiple reasons why mid-range theories offer some of the most up to date information when it comes to the care of our patients and families, but lets just break it down to terzetto interpersonal relations, family, and health promotion. The middle range theories of these three examples will provide a set of assumptions and/or predictions from specific situations confirmed by research (Nolan Grant, 1991).Interpersonal relationsFirst, Hildegard Peplaus Theory of Interpersonal transaction has learnd patient care in the 21st century worldwide. What is so all- burning(prenominal)(a) and probably most world-shattering with this mid-range conjecture is its focus on human issues and its value of future generations (Barker, 1998). Nurses utilize this theory to treat to each(prenominal) one patient as an case-by-case realizing that each person and their situation are unique. By applying this experience to each patient the nurse is able to develop a therapeutic kinship, which will promote the planning and implementation of nursing care. For nursing care to be successful they must view the nurse/patient descent as a partnership being aware both are working together for a cat valium goal (Barker, 1998). Also, interpersonal relations are used in all areas of nursing, which is why it is so important for the future of nursing, because without these relationships we would not be effective in our profession. These relationships are submited to expand our knowledge of each patient and their situation. By establishing trust the patients are encouraged to express themselves openly and honestly. Therefore the relationship built bridgesbarriers that may have hindered the patient outcome.FamilySecond, Hildegard Peplaus mid-range theory of family systems has revolutionized the nursing approach in which families are incorporated into decision makers. Currently, families are viewed as the most influenecial person when it comes to the care of their loved one, gist not only are nurses to build a therapeutic relationship and trust with the patient but with their family as well (Forchuck Dorsay, 1995). This theory molds nurses into advocates for the family unit, which in turn influences the patients quality of life. These relationships with families are crucial when it comes to care, for example, if a patient was unable to provide the nurse with health history or tell them when they are in pain the family is able to be the eyes, ears and speech of their loved one. This action improves the care for the patient and nurses need the families as much as the patient needs the nurse. This is one of the reasons why this theory works in the 21st century even with all the technology in the world, we as nurses legato need the human interaction to open our eyes to the patient/family dynamic.Family system nursing is both the mortal and the family simultaneously instead of just merely family nursing where the nurse takes care of the patient within the background of the family (Forchuck Dorsay, 1995). This practice focuses on the interactions and relationships made between the nurse, individual and family. In order for this theory to be successful the nurse must be aware of the range of choices and downfalls associated with family system nursing. Also it is necessary to build on these relationships to provide creative personal choice and co nsistent flow of care for the patient to enhanced achievable goals. This engagement of nursing with family systems opens the door for problem solving of patient situations, which implements structure in the nurse/individual/family relationship (Forchuck Dorsay, 1995).Health promotionThird, is the promotion and maintenance of health by utilizing Nola Penders Health furtherance Model. Health promoting expression is enhanced through nursing practice, which enhances the patients overall well being. This mid-range theory is important today because it guides a supportive and educative system in health promotion in a patient who needs teaching anddemonstration in performing self-care. By applying this method the nurse is able to identify patients health promoting behaviors such as, health importance, self-efficacy, comprehend control of health and perceived health status to find any gaps and/or barriers to their health promoting behavior (Simmons, 1990). By promoting health the nurse seeks to care for the individual by developing these behaviors of healthy living, which sets the stage for the individuals to sack knowledge to care for themselves. This applies to all nurses who bustlingly promote healthy living by becoming an active influence in developing healthy living behaviors through education and guidance.ConclusionThese middle range theories set the groundwork for research. Each are utilized daily in clinical practice to provide the best patient care. The rationale for considering the middle range theories is an important factor when considering a care plan, which requires the use of the nursing process. These theories follow the nursing process and help guide our responses to promote, educate, integrate and build relationships with these individuals and their families with the same common goal of promoting health. These authors point out how the nursing profession is influential in the care of other and how their actions influence health beliefs. These m iddle range theories build on other theories, which is why they are so important in nursing practice today. These theories can be used in different areas of nursing as well as using multiple theories in one area of nursing such as mental health. Also, middle range theories have identified multiple interventions for health related issues through impartial research (McCurry et al., 2009). Nurses like myself have adopted these theories and incorporate them into daily practice to increase my own appreciation of my patient and their situations and this is why I chose middle range theories.ReferencesBarker, P. (1998). The future of the Theory of Interpersonal Relations? A personal reflection on Peplaus legacy. Journal of Psychiatric and Mental Health Nursing, 5, 213-220. doi10.1046/j.1365-2850.1998.00128.x Forchuk, C. Dorsay, J. (1995). Hildegard Peplau meets family systems nursing innovation in theory-based practice. Journal of move on Nursing, 21,110-115. doi10.1046/j.1365-2648.1995 .21010110.x McCurry, M. Roy, C. (2009). Knowledge for the good of the individual and party linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11, 42-52. doi10.1111/j.1466769X.2009.00423.x Nolan, M. Grant, G. (1992). Mid-range theory building and the nursing theory-practice gap a respite care case study. Journal of Advanced Nursing, 17, 217-223. doi10.1111/j.1365-2648.1992.tb01876.x Simmons, S. (1990). The Health-Promoting Self-Care System Model directions for nursing research and practice. Journal of Advanced Nursing, 15, 1162-1166. doi10.1111/j.1365-2646.1990.tb01708.x