NU500 Discussion 1 (Savana) Identify one specific nursing theory that relates to

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NU500 Discussion 1 (Savana)
Identify one specific nursing theory that relates to your area of practice.
-The nursing theory that I found that relates to my current area of practice is Dorothea Orem’s Self-Care theory. Orem’s overall view of nursing as a whole is included in three parts: theory of self care, theory of self care deficit, and theory of the nursing system. The self care theory includes self care and self care agencies, therapeutic self care demand and self care requisites, (Current Nursing, 2020). The patients need to be engaged in their own healthcare and be willing to take initiative to better their life, health, and well being (Current Nursing, 2020).
Discuss the type of the selected nursing theory according to scope (meta-theory, grand, middle-range, or practice theory) and purpose (descriptive, explanatory, predictive, or prescriptive).
-When looking at the self care theory according to scope and purpose, its purpose is for patients to be able to recover from an illness/hospitalization better when independance over their self care is being maintained. This theory is related to practice because it is referring to the practice of performing self care activities on a day to day basis (Post University, 2021).
Provide an example of how the selected nursing theory can be applied to your area of practice. The example should include core concepts of the theory and demonstrate its practical application.
-Self care is important to my area of practice because we don’t see our patients everyday, but do see them on a regular basis. A lot of their health relies on their own self care at home when they are away from the unit. Ensuring they are taking their medications as prescribed, following a renal diet selected for them, maintaining good fluid restriction, monitoring their blood pressures/blood glucose, etc. are all important self care factors that play a large role in my current patient population. Staying active physically and mentally are also very important aspects of self care that my patient population should be following. Dialysis patients need to be engaged in their own healthcare at the unit and away from the unit.
NU500 discussion 2 Savana
What is personal knowing; how does your personal knowing affect your personal professional development?
-Personal knowing is having the knowledge and the will to become a more whole and authentic self. Personal knowing is really to know who you are as a person. When you meet someone for the first time, they know who you are based on your looks, your name, your voice, etc. It takes time, but eventually people start to get to know you and who you are based on your actions and the way you present yourself in your daily life. To me, knowing your true, authentic self can enhance your professional development. Knowing who you are as a person can help you better know how to shape your day to day schedule. It can help your professional development in ways such as organization, workflow and even work ethic (Themes, 2016).
Identify and discuss 2 professional strengths and 2 weaknesses that you have?
-2 professional strengths I have include: problem solving skills and attention to detail. In dialysis, there is a lot of problem solving and critical thinking that comes with taking care of these patients. Why are their blood pressures elevated? Why is the machine alarming? How are the labs? Are the treatment logs looking okay? Are they short of breath? How much fluid did they gain? What are their comorbidities? So many different things can cause a problem to arise with a dialysis patient, so problem solving and paying attention to those little details are strengths of mine that I have picked up on over the years of working in dialysis.
-2 professional weaknesses that I have include: lack of clinical expertise and attempting to do too much at once. I am a rather new grad nurse, so lack of clinical expertise is something that every new nurse goes through. Although I am not new to the unit I currently work in, I am a newer nurse and do lack some of that clinical expertise. As a new nurse, learning how to multi-task is also something that I need to work on. Sometimes I find it difficult to say no to tasks at work because I am a newer nurse and want to get all the experience I can get but sometimes that means taking on too much.
How can you apply nursing theory to address your weaknesses and further develop your strengths?
-Nursing theory can be applied to my professional development to enhance my strengths and strengthen my weaknesses in many ways. Having a good theory foundation gives me a better understanding of why I do what I do. Understanding the reasonings for actions I take in my current nursing career is due to applying nursing theory. For example, looking at Orem’s self care theory model…knowing the importance of caring for yourself and your wellbeing can help me know when to say no to too many tasks. It allows me to understand that it is okay to say no to things that will not help my well being professionally (Current Nursing, 2020).
NU560 discussion 1 Alexzondra
Describe the participant protections provided by the researchers for participants.
Participant protection was maintained by the researchers throughout the study. All participant responses to the standardized questionnaire were pseudonymous. This means that personal identifiers of the participants were not directly linked to their responses.
How were the participants selected? How might this impact ethical principles within the study?
The participants were selected by first obtaining records of active patients from January to May of 2014 at the Department of Gynecology and Obstetrics located at the Technical University of Munich in Germany. From these patient records, women that had previously undergone surgery related to gynecologic cancer during January of 2011 through December of 2013 were selected for interview. The study’s participant selection might impact ethical principles as it is not clearly stated in the research study if these original records were obtained while adhering to Health Insurance Portability and Accountability Act (HIPPA) practices, as the study was not performed in the United States of America. There is no documentation on whether or not the records obtained from the Department of Gynecology and Obstetrics were acquired with patient consent.
Would the participants in this study be considered “vulnerable”? Why or why not?
I do not believe that the participants in this study are to be considered vulnerable. This is because their responses were pseudonymous; therefore, there was nothing linking them to the questionnaire responses and future patient care would not be altered.
Were participants subjected to any physical harm or discomfort or psychological distress as part of the study? What efforts did the researchers make to minimize harm and maximize good?
The participants were not subjected to any physical harm, discomfort, or psychological distress as part of the study, as it was a questionnaire regarding previous cancer treatment and lifestyle modifications. The efforts made by researchers to minimize harm and maximize good were to utilize a questionnaire providing pseudonymous responses to protect the participants private information while obtaining needed information.
Does the report discuss steps that were taken to protect the privacy and confidentiality of study participant?
The report only discusses the protection and confidentiality of participant information and participant privacy by not utilizing their real names on the study questionnaires.
NU560 discussion 2 Kuburat
How stringent or similar should ethical principles be to the standards placed on the conduction of clinical and/or educational research?
The ethical principle are the morals that one needs to follow when doing research. The ethical principle of beneficence encourages the researcher to do good and doing no harm to the participant. The researcher should always recruit subjects who has basic education to increase their understanding of the medical terms involved in the experiments. The participants should inform about the risk and the potential benefits of the study. Only allow participants who give informed consent to participate and provide with option to withdraw from the study at any time. However, if the study involves invasive approaches such as exposure of subjects to diseases, or injuries, or drugs that have not been tested on animals should not involve human subjects at all (Grove & Burns, 2017).
Offer examples where controversy exists regarding application of ethical principles in evidence-based practice projects, best practices in education versus clinical research.
A good example of controversy regarding application of ethical principle in evidence-based practice is 1932 Tuskegee Syphilis Experiment (Murray, 2014). The purpose of the study was to compare the effect of Syphilis in Black men with effects of the same disease in Caucasian men. The experiment involves a group of African American subjects. The study failed to obtain voluntary informed consent from the participant hence adding to the study’s ethical breaches. The study did not provide valuable information because the study was marred by ethical breaches, including racism, that discredited the outcome of the study (Hermann, 2001).
Be sure to address HIPAA and FERPA depending on your focus – clinical practice vs academic education.
HIPPA and FERPA are both federal regulation to safeguard the privacy and security of an individuals. HIPPA protect the privacy and right of the participant and their information. HIPPA is mostly in used in clinical practice. HIPPA also allow individual right to request and access their medical record. While FERPA give parent right to access their minor children medical record and is mostly used in academic educational setting.

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