Where Did the Theory Come From ** I chose theorist Dorethea E. Orem**

This Assignment addresses this course outcome:

MN502-2: Explain how theoretical frameworks influence advance.

Purpose

The purpose of this Assignment is to explore how a theorist explicates his or her philosophy and thoughts behind a theoretical field. As in other fields of study, nursing has a plethora of theorists and theories. These theorists have developed their paradigm over time enriching it with research and dialogue with other theorists.

Directions

You are going to explore how a theorist of your choice created his or her theory. Did it develop as an acorn becoming a mighty oak over the decades? Did it arrive as a burst of light like the big bang as some believe created our universe? Was it developed from a blueprint like a spaceship where thousands of scholars worked together to create a rocket to the moon? In point of fact, how is a theory developed? This is what we are exploring.

You will pick a theorist who interests you, it does not have to be a nurse theorist. You may also choose from other disciplines such as: behavioral, leadership, business, education, technology.

You will become the theorist immersing yourself in the writings from the earliest mentioned to the most current.

As you read, look at how you (taking on the persona of the theorist) developed the theory.

In the first stage, theorizing occurs. This is where you, as the theorist, identify the concepts of what nursing is and is not. Perhaps you questioned what concepts were guiding those in nursing practice and then started to question your role. You started asking yourself, “Where am I in nursing, and where the profession is going? Is there some overarching concept that guides the professional in his or her practice?” This is where you recognize that a theory is needed.

In the second stage, syntax is developed. This is where you will define the terms. Look for changing definitions of terms. Consider, for example, Jean Watson. She starts by defining the word “caring.” Within the last ten years she has refined her terminology changing the term caring to caritas. This demonstrates a growth and maturation from decades of research she and other scholars did to produce the theory of caring.

The third stage is theory testing. Defined as the phenomena behind the theory that are exposed through research. The definitions of terms are refined. The theorists and other researchers consider whether this theory helps answer questions that arise in practice. This is where your theory is used in by a widening group of researchers. For example, graduate nursing students request the tool you developed while testing your theory.

The fourth and last stage is evaluation. This is where philosophical debate occurs as the concepts are applied through evidenced based practice in the act of providing nursing care.

Assignment Details

For this Assignment, you are going to write an article for a nursing journal explaining how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages.

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Overview/Description of Final Paper: The final written assignment will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum: APRNs, nurse educator, nurse informaticist, and nurse administrator/executive. You will review all roles and then examine the specialty for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. You will also identify the practice environment and population you will be working with, as well as peers and colleagues. In addition, you will discuss your future leadership role and participation in professional organizations.

Your paper is to be based on current literature, standards of practice, core competencies, and certification bodies for your chosen role. The paper should be 8-10 pages excluding the title and reference pages, and APA format is required.

Criteria:

• Advanced Practice Roles in Nursing:
  • Briefly define advance nursing practice and the roles in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and health information. Distinguish between ANP and the APN.
  • Describe the advance nursing practice role you aspire and briefly share the experiences and/or qualities you have that have influenced your decision. Include your personal philosophy.
• Selected Advanced Practice Role:
  • Identify the AP you interviewed and summarize the interview, which should/may include (if not in the interview, please address):

• Examine regulatory and legal requirements for the state in which you plan to practice/work.
• Describe the professional organizations available for membership based on your selected role.
• Identify required competencies (domains), including certification requirements for your selected role.
• Describe the organization and setting, population, and colleagues with whom you plan to work.

• Leadership Attributes of the Advanced Practice Role:
  • Determine your leadership style
  • Define Transformational Leadership and as it relates to your identified leadership attributes that you possess or need to develop
  • Apply the leadership style you will embrace in AP to one of the domains
• Health Policy and the Advanced Practice Role

Based on your program of study, review the literature and address the following:

• FNP/AGNP:Medicare reimbursement for NPs is 85%for the same health care that MDs receive at 100% reimbursement? Please address questions below and state your position on this mandate.
• FNP/AGNP:What states have NP Full Practice Authority and which states have limitations or restrictions? How does this apply to your state? Please address questions below and state your position on this regulation.
• Nurse Executive: What is value based care and how will it impact decisions made at the executive level relative to nursing and AP nursing? Please address and state your position on the regulation.
• Nurse Informaticists:What law(s) was enacted to regulate health information? Please address questions below and state your position on this regulation.
• Nurse Educator:What agency regulates nursing education? Explain in detail.

For the above category chosen, address the following:

• • Describe the current policy or trends and determine if it needs to change; if opposed to change state why
  • Provide the process required to make the change with key players and parties of interest; support opposition
  • Explain how you could lead the effort to make or influence the change in policy or keep the policy the same and the impact in healthcare quality.
• Conclusion-Summarize your role paper by highlighting key points made in your paper.

Must be APA 6th edition format with an abstract.

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This week, you will learn how to plan care for patients while considering their diverse cultural backgrounds. This is an APA paper, which requires a title page, double spacing, and set up as per the example papers in your APA book. Please select a culture different from the one you chose to research in week 2 Which is Islamic Culture.

Then, address the following:

1. Describe the key components of conducting a comprehensive cultural assessment (rationales, interventions and evaluations may be found on the internet).
2. Choose two of the components, reflect on your own culture and how it impacts your own attitude toward those aspects of providing culturally diverse care.
3. Imagine that you are working in a physician’s office. A patient of a background different from your own comes in to be seen for a newly diagnosed problem. Create two nursing diagnoses that reflect cultural diversity (look at Appendix A for guidance ie., “Barrier to communication”); then give rationale for each diagnosis and describe how you would intervene and evaluate for success of your plan of care

References

Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)

Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

Style

Unless otherwise specified, all the written assignment must follow APA 6th edition formatting, citations and references. Click here to download the Microsoft Word APA 6th edition template. Make sure you cross-reference the APA 6th edition book as well before submitting the assignment.

Number of Pages/Words

Unless otherwise specified all papers should have a minimum of 600 words (approximately 2.5 pages) excluding the title and reference pages.

Textbooks:

Transcultural Concepts in Nursing Care, Joyceen S. Boyle & Margaret M. Andrews. (2015), 7th edition.

• Chapters 3 – Cultural Competence in the Health History and Physical Examination
• Chapters 10 – Transcultural Perspectives in Mental Health Nursing
• Chapters 11 – Culture, Family, and Community
• Chapters 13 – Religion, Culture, and Nursing

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As a team consider the following scenario:

On December 7, 2000, the Cincinnati OSHA Office heard through media and police reports that there were two deaths at a nursing home in Ohio. OSHA determined that the FDA should take a lead role in performing an investigation.

Since the nursing home had many residents who had unhealthy respiratory systems, the nursing home routinely ordered and received tanks that contained pure oxygen. During one delivery, the supplier mistakenly delivered one tank of pure nitrogen in addition to the three tanks of pure oxygen that had been ordered. The nitrogen tank had both an oxygen and nitrogen label. An employee at the nursing home connected the nitrogen tank to the nursing home’s oxygen delivery system. This event caused two nursing home residents to die, and three additional nursing home residents were admitted to hospitals in critical condition. Within the following month, two of these three additional residents also died, bringing the total death toll to four. 

(Based on accident # 837914 from www.osha.gov)

Write a 1,050- to 1,400-word paper in which your team compares the Normal Accident Theory to the Culture of Safety model.

Include the following in your paper:

• Explain what factors can play a role in organizational accidents similar to the one highlighted in the scenario:
  • How organizational processes give rise to potential failures?
  • How can certain conditions influence errors and violations within the workplace? (e.g., operating room, pharmacy, intensive care unit)
  • The errors and violations committed by “sharp end” individuals.
  • How the breaching of defenses or safeguards affect these accidents?
• Explain why the FDA, not OSHA, was responsible for investigating this case. 
• Explain how the Culture of Safety model could have been applied to reduce risk in this scenario. 
• Explain the five general principles used in the Culture of Safety model.
• Explain actions that could have been taken to manage risk by applying each of the five general principles used in the Culture of Safety model to this scenario.

Cite at least 3 peer-reviewed, scholarly, or similar references and your textbook to support your information.

My Portion is coming up with 150 word introduction and  bullet point 2 : Explain why the FDA, not OSHA, was responsible for investigating this case. bullet point2  will be 225words.

dont forget refere   

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