Essay Example On Abdellah’s Patient-Centred Approach to Nursing Theory.

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Grand Theorist Report

Many great nursing theories have contributed to the establishment of the nursing profession. Faye Abdellah was one of the first to use her framework for Patient-Centered Approaches to Nursing to help shape nursing as a profession. Because Abdellah’s framework is readable and clear, her theory is simple to apply to nursing practice in a healthcare setting (McEwen & Wills, 2014).

Another reason for putting her theory into practice in a healthcare setting is that it explicitly addresses the four metaparadigms of person, environment, health, and nursing. We will discuss the theorist Faye Abdellah, her theory on Patient-Centered Approaches to Nursing, and how this theory can be implemented in a healthcare setting in this paper.

Theorist description

Faye Abdellah was born on March 13, 1919, in New York City. Abdellah decided at a young age that she wanted to work as a nurse. Fitkin Memorial Hospital provided her with her initial nursing certification. She continued her nursing education at Columbia University, earning a BA in Nursing as well as a doctorate in psychology and education (Dewey, 2016).

Abdellah had a significant impact on the nursing profession. She was a Rear Admiral and served as the Chief Nursing Officer and Deputy United States Surgeon General until 1993. She retired from the Uniform Services University of Health Sciences in 2000 as Dean of the Graduate School of Nursing (McEwen & Wills, 2014).

Abdellah received numerous academic honours for her nursing achievements throughout her career. Her main focus was to reshape nursing as a profession by encouraging nurses to look past a physical illness or diagnosis and see “patients as people with a complex of emotional and psychological needs” (Dewey, 2016, n.p). (Dewey, 2016, n.p.). Clearly, this concept of looking at patients as more complex beings significantly helped to influence and shape her Patient-Centered Approaches to Nursing.

Essay Example On Abdellah’s Patient-Centred Approach to Nursing Theory.

 

Category of Theory

Abdellah’s patient-centred Approach to Nursing is considered a grand nursing theory that is based on human needs. She believed that patients should be seen as ‘people’ who have individual unique needs that require personalized care from nurses. Furthermore, Abdellah developed her theory based on how she practised while providing care to patients—which is what helps to make the theory highly applicable. McEwen & Wills (2014) further explain that Abdellah’s theory is applicable not only in the hospital setting but also in the community setting.

The Theory’s Underpinning Assumptions

Abdellah’s original theory had no stated assumptions; however, as time went on, she added the following six assumptions: 1) changes in nursing education, 2) the importance of how social enterprises and social problems are related, 3) how poverty, racism, pollution, education, and other factors influence health and health care delivery, 4) changes in nursing education, 5) continuing education for nurses, and 6) the development of nursing leaders (McEwen & Wills, 2014).

Furthermore, the metaparadigm concepts/assumptions that underpin the theory must be clearly defined. The metaparadigms addressed in Abdellah’s Patient-Centered Approaches to Nursing are related to person, environment, health, and nursing.

Person

The patient in need of care is referred to as a person. According to McEwen and Wills (2014), Abdellah’s theory views the patient as an “individual who requires nursing care and is reliant on the health care provider” (p. 141). It’s important to remember that Abdellah emphasized the importance of individualized care and knowing the person’s needs when using Patient-Centered Approaches to Nursing.

Environment

When applying Abdellah’s theory, keep in mind that the patient’s environment is interconnected, encompassing not only the physical environment but also external factors that affect the patient, such as social problems, poverty, racism, and so on. These are all environmental factors that influence patients’ health and how they approach health care delivery (McEwen & Wills, 2014).

Health

A better state of being can be defined as health. The goal of Abdellah’s theory is to identify and eliminate problems that have a negative impact on patients. Later, we’ll talk about Abdellah’s 21 Nursing Problems and nursing’s role in identifying them.

Nursing

Nursing is defined as “a societal service that assists individuals and families in coping with their health needs” (McEwen & Wills, 2014, p. 141). Nursing is expected to recognize nursing issues and collaborate with the rest of the healthcare team to ensure that patients achieve their goals.

Essay Example On Abdellah’s Patient-Centred Approach to Nursing Theory.

 

 Major Concepts of The Theory

The major concepts in Abdellah’s theory revolve around the use of ten steps to identify and treat nursing problems in patients. According to Abdellah, there are 21 basic nursing problems that are related to patients, and it is important for nurses to be aware of these identified nursing problems so that they can use them when determining what the plan of care should be.

Abdellah’s 21 Nursing Problems

Maintenance of Hygiene and Comfort Recognition of physiological responses to conditions Maintenance of Nutrition for Body Cells
Promotion of activity, exercise, rest, etc. Maintenance of normal body functions Achievement of spiritual goals
Promotion of Safety Appropriate sensory function Maintenance of Therapeutic Environment
 

 

Maintenance of Proper Body Mechanics

 

Identification and acceptance of positive and negative expressed and reacting appropriately

 

Awareness of physical, emotional, and developmental needs

 

Appropriate Oxygenation

 

Understand the relationship between emotions and illness

 

Acceptance of optimal goals despite physical & emotional limitations

 

Appropriate Elimination

 

Maintenance of appropriate verbal and nonverbal communication

 

Willing to use community resources

Maintenance of Fluid & Electrolyte Balance Development of positive interpersonal relationships Recognition that social problems impact illness

(McEwen & Wills, 2014)

Clearly, knowing the 21 Nursing Problems is critical because these are the issues that nurses must connect to their findings while using the ten steps for identifying and developing a nursing care plan. The ten steps build on each other, starting with learning the basics about a patient and then narrowing in on the specific nursing problem(s) that need to be addressed. The 10 stages that nurses must take to build a plan of care and achieve intended patient outcomes are outlined below.

Ten Nursing Skills to Identifying Problems & Developing a Treatment Plan

1.      Get to know the patient 6. Validate conclusions with patient
2.      Define relevant and irrelevant information 7. Observe and Evaluate Patient
3.      Develop generalizations 8. Evaluate patient & family reaction to plan— incorporate family in care if possible
4.      Identify a therapeutic nursing plan 9. Nursing’s perception of patient’s problems
5.      Test generalizations and modify the plan if needed 10. Discuss & develop a nursing care plan

(McEwen & Wills, 2014)

Nurses must be able to employ the 21 Nursing Problems in conjunction with the Ten Nursing Skills in order to realize the full potential of this nursing philosophy for patients. Each of the Ten Nursing Skills must be followed so that nurses may personalize care plans and collaborate with patients and their families to enhance their health.

Major Propositions

The primary idea of Abdellah’s approach is to treat the patient as a human being rather than a disease. While her philosophy covers a wide range of topics, it is principally concerned with patient-centred care (McEwen & Willis, 2014). It is testable in theory, such as patient satisfaction and nursing care, due to its wide character.

How Has It Been Used?

Abdellah’s idea has been employed in nursing education and research in the past. Her theory has been used in nursing education to organize lectures and curricula by categorizing nursing problems based on the needs of the patient and developing a classification of nursing skills and treatment (McEwen & Willis, 2014). Patient-centred approach to nursing, the evolution of nursing, perspectives on nursing theory, public policy impacting nursing care of older adults, and preparing nursing research for the twenty-first century are just a few of the topics covered by Abdellah’s nursing theory (McEwen & Willis, 2014).

Action Plan

This institution might benefit from using Abdellah’s theory as a basis for practice. All nurses might apply the following action plan as a daily practice to improve their critical thinking abilities while simultaneously providing better person-centred care (PCC). For years, PCC has been a priority for many healthcare organizations. Person-centred care was defined by Edith Balint in 1969 as “understanding the patient as a distinct human being” (Santana et al., 2017, p. 430). A PCC is being used by several healthcare systems to assess high-quality treatment.

This action plan would be based on McCormack and McCance’s Person-Centered Nursing (PCN) Framework. The PCN Framework was developed as a result of research on PCC with older adults and nursing experience (McCance, McCormack, & Dewing, 2011). There are four stages in the PCN Framework.

The first is prerequisites, which focus on the nurse’s professional ability and dedication to the work. Before moving forward, the nurse must be able to exhibit their views and principles, as well as know themselves. The care environment is the next phase. This involves determining if the nurse and the service line are a good match, as well as ensuring that the nurse has the necessary skills and expertise to care for patients. It is critical that the healthcare system be well-organized and able to provide a supportive environment for its personnel so that they may safely give patient care and form productive working relationships.

The third phase is the person-centred process, which is considered one of the most crucial. This phase entails delivering culturally competent care, as well as employee and patient involvement, staff presence, and holistic care. The fourth and last stage is to consider the results. This is the PCN Framework’s fundamental component, and it’s where we can connect everything. This encompasses patient and nurse satisfaction, a sense of well-being, and the ability to operate in a therapeutic setting (McCance et al., 2011).

Essay Example On Abdellah’s Patient-Centred Approach to Nursing Theory.

 

Integration

To produce current data inside their hospital, a PCC Team would need to come together. Patient satisfaction ratings, nurse satisfaction scores, readmission rates, and a foundation of patient-centred care knowledge among nurses will be collected via a questionnaire. The PCC Team would then organize a class for all presently hired nurses, explaining the PCN Framework in detail and what each stage entails.

Role-playing and case studies might be utilized to assist workers in implementing PCC in the workplace. This component is critical to the implementation of PCC because it helps nurses understand the relevance of person-centred care in their own healthcare environment, allowing them to provide better care (McCance et al., 2011).

Leaders will be able to implement the PCN Framework after staff has completed their training. We can evaluate the outcomes listed previously: patient satisfaction scores, nurse satisfaction scores, and readmission rates, according to McCance et al. “using the Framework ‘in action’ within the workplace as a tool to evaluate care during handovers or during analysis of critical events, both positive and negative; and using the Framework to assess the experience of patients being cared for in each site” (para. 17).

After a year, review the nurses using the same questionnaire that was sent at the start of the PCN Framework implementation. The PCC Team would be able to measure their success in presenting the information, and the data from satisfaction ratings and readmission rates would allow them to validate the PCN Framework’s effectiveness.

Following the collection of data, the PCC Team would present the information to all new hire nurses and build a curriculum for preceptors to teach the PCN Framework and assist in the development of new nurses within it. It is critical to continue with the PCC knowledge questionnaire so that the PCC Team may continue to assess their efficiency.

After a year of new hire training, the team will gather satisfaction ratings and readmission rates to present to the healthcare institution’s Board of Directors so that the PCN Framework may be presented as a standard of practice in all of the hospital’s locations.

Finally, healthcare expenses are increasing at an exponential rate, and patients and their insurance companies are demanding higher-quality treatment as a result. Nursing as a profession must evolve to become more patient-centred. Without this strategy, nursing will be mistaken for medicine, and patients will continue to feel excluded from their healthcare team.

Patients are now advised what drugs to take, when they should take them, and who will be in charge of their treatment. Patients should have a role in their treatment plan and be able to have open dialogues with their caregivers about how they feel about their disease and their plan of care in order to minimize readmission rates and so save money.

Patients will feel safer and more inclined to speak out if they don’t understand anything, and they will trust their treatment plan to continue beyond discharge, lowering their risk of readmission.

 Essay Example On Abdellah's Patient-Centred Approach to Nursing Theory.
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Frequently Asked Questions (FAQs)

1. What is Abdellah’s theory?

patient-centred approach to nursing theory
patient-centred approach to nursing theory: Faye G.Abdellah’s Patient centered approach in nursing theory

“Nursing is founded on an art and science that moulds the attitudes, intellectual capacities, and technical abilities of the individual nurse into the desire and capacity to assist people, sick or healthy, deal with their health requirements,” according to Faye Glenn Abdellah’s idea.

2. What is the importance of Faye Glenn Abdellah theory in the nursing field?

Faye Glenn Abdellah was a great pioneer in the nursing sector. Her hypothesis served as a foundation for defining and arranging the patient’s nursing care. Her idea also provides a framework for organizing effective nursing interventions.

3. Can someone help me with my nursing theory essay?

Yes. Do not hesitate to contact our professionals at Domyessayfast.com if you feel you need help with your nursing theory essay assignment even after going through our essay example guide.

Additional content on Abdellah’s patient-centred approaches to nursing theory

References

  • Dewey, J. P. (2016). Faye Abdellah. Salem Press Biographical Encyclopedia. Retrieved from http://eds.b.ebscohost.com.lopes.idm.oclc.org/eds/detail/detail?vid=4&sid=b8238afd-f12d-4800-89ca-ff4e2c58d36d%40sessionmgr101&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=113931050&db=ers
  • McCance, T., McCormack, B., & Dewing, J. (2011, May 2). An exploration of person-centeredness in practice. The Online Journal of Issues in Nursing16. http://dx.doi.org/10.3912/OJIN.Vol16No02Man01
  • McEwen, M., & Willis, E. M. (2014). Theoretical Basis for Nursing (4 ed.). Philadelphia: Lippincott Williams & Wilkins.
  • Santana, M. J., Manalili, K., Jolley, R. J., Zelinsky, S., Quan, H., & Lu, M. (2017, September 30). How to practice person-centred care: A conceptual framework. Health Expectations, 429-440. http://dx.doi.org/http://dx.doi.org.lopes.idm.oclc.org/10.1111/hex.12640

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