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November18,2010
Nursing theory is the term given to the body of knowledge that is used to supportnursing practice. In
their professional education nurses will study a range of interconnected subjects which can be applied
to the practice setting. This knowledge may be derived from experiential learning, from formal sources
such as nursing research or from non-nursing sources. To speak of nursing theory is often difficult.
Nursing is many things to many people. Most universally agreed upon is that Nursing is a science
involving people, environment and process fueled by a vision of transcendence in the context of
healthcare. It is interesting to note that 90% of all Nursing theories have been generated in the last 20
years. Many schools encourage students to formulate personal philosophies or mid-range theories of
Nursing as part of their curriculum. Some might argue that this multiplicity of theory is detrimental to
the practice and undermines common vision. Others would say that the nature of the young science is
sufficiently far reaching to require such tactics to elicit true consensus.
Nursing models are conceptual models, constructed of theories and concepts. They are used to
help nurses assess, plan, and implement patient care by providing a framework within which to work.
They also help nurses achieve uniformity and seamless care.
There is no specific date and place nursing theory took place. The evolution of nursing is not a new
process, it has been in occurrence since the most basic of medical interventions started to be
practiced. Within the western model of nursing there is a clear progression of nursing from mothers, to
nuns, to doctor "assistants", to finally being recognized as a separate, complementary role in the
medical team. Presently nurses have more autonomy than ever, and on going theory development and
an exploration of professional borders are essential for the continued growth of the professional.
1. Helen Erickson
2. Virginia Henderson
3. Imogene King
4. Madeleine Leininger
5. Betty Neuman
6. Dorothea Orem
9. Rosemarie Rizzo-Parse
Purposely omitted from this list is that most famous of all nurses, Florence Nightingale. Nightingale
never actually formulated a theory of nursing science but was posthumously accredited with same by
others who categorized her personal journaling and communications into a theoretical framework.
Also not included are the many nurses who improved on these theorists' ideas without developing their
own theoretical vision.
The models used vary greatly between institutions and countries. However, different branches of
nursing have different "preferred" nursing models. These are summarized below:
Family nursing
Family centered care
Tidal Model
Children's nursing
Casey's model of nursing
prenatal nursing
Ramona T Mercer maternal role attainment
Adult nursing
Nightingale's model of nursing
Nursing models have been criticized for failing to provide holistic care, and preventing nurses from
thinking "outside of the box". This has been compounded by many hospitals who have developed "pre-
printed" care plans that have been misused by nurses who have failed to customize these generic care
plans to the patient. An example of this would be using a standard care plan for appendectomy for an
elderly patient with multiple pathology (for instance diabetes, angina pectoris and a history
of myocardial infarction). Evidently, the patient's care needs would be very different from a fit-and-
healthy 20 year old male with no previous medical history who neither smokes nor drinks. It is up to the
professional to tailor the care plan to suit the individual patient.
Models of nursing have always been accused of being "out of touch" with the harsh reality of patient
care, and creating yet more unnecessary paperwork for nurses to complete.
See also
Nursing portal
Nursing
Category: Nursing theory
Nursing process
Nursing assessment
References
External links
Nursing Theory Page
Nurses.info
NCLEX • Nursing school • Diploma in Nursing • Associate of Science in Nursing • Bachelor of Science in Nursing •Ma
Nurse education
and licensure Science in Nursing • Doctorate in Nursing
Nurse Licensure Compact • Nursing credentials and certifications
Ambulatory care • Cardiac • Child health • Critical care • Emergency • Flight • Legal nurse consultant • Midwifery
Specialties and
areas of practice practice • Neonatal • Nurse educator
Nursing management • Obstetrics • Oncology • Orthopedics • Perianesthesia • Perioperative • Psychiatry and mental
health •School nursing • Private duty nursing • WOCN
Nursing process Nursing process • Nursing assessment • Nursing diagnosis • Nursing care plan
Nursing classification
Nursing Minimum Data Set (NMDS) • NANDA • Nursing Outcomes Classification • Nursing Interventions Classificatio
systems
Nursing theory • Timeline of nursing history • Nurse-led clinic • Men in nursing • List of nursing organizations •Nurs
Miscellaneous
journals • List of nurses • Nurse-client relationship
Categories: Nursing theory
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