Theory Application and Advanced Role Development in Nursing Essay

, ,

Theory Application and Advanced Role Development in Nursing Essay

Middle Range Theory Report

Outline

  1. Introduction
  2. The selected middle range theory is the quality of nursing care theory by June H. Larrabee.
  3. Middle-range theories are narrow in scope compared to grand theories and deal with some part of a discipline that is concerned with different topics.
  • The narrow scope and specificity make the nursing quality care theory a middle-range theory that can easily be used and tested in research projects. Theory Application and Advanced Role Development in Nursing Essay

    ORDER  HERE A PLAGIARISM-FREE PAPER HERE

  1. The report focuses on Nursing Quality Care Theory by June H. Larrabee as a middle-range theory.
  2. Theorist Background
  3. June is a nursing school professor and a clinical investigator with expertise in quality care, patient satisfaction, patient outcomes, perceptions, and care context (Waldon, 1994).
  4. The experiences of the theorist in quality of care may have influenced the development of this nursing theory.
  5. Theory Description
  6. The model includes ethical and economic elements: value, beneficence, prudence, and justice.
  7. Accordingly, this theory supports the need to view families and patients as partners with the same position as health providers in defining, evaluating, and attaining health quality.
  • The theory uses reproductive reasoning as it can be tested. The theory provides a possible explanation for an observation (Waldon, 1994).
  1. Theoretically, Larrabee believed that patients and their families should be considered partners to meet the expectations for healthcare benefits and achieve provider outcomes for patients.
  2. Theory Evaluation
  3. One of the assumptions in the quality of nursing care theory is that the providers’ goal is to provide high-quality care to patients irrespective of cost.
  4. Mainly, this may not always be the case for some health facilities as some are more money-oriented than quality oriented. Theory Application and Advanced Role Development in Nursing Essay
  • The elements viewed as relevant in theory can be researched and tested to ascertain and determine their relevance.
  1. The theory is consistent and lucid, making it clear to a reader who can subject it to observational research to test its truthfulness.
  2. Conclusion
  3. The Nursing Quality Care Theory is a middle-range theory by June H. Larrabee.
  4. The theory focuses on improving patient care in a hospital setting.

Annotated Bibliography

Larrabee, J. H., & Bolden, L. V. (2001). Defining patient-perceived quality of nursing care. Journal of Nursing Care Quality, 16(1), 34-60. https://doi.org/10.1097/00001786-200110000-00005

As argued in this study, most of the instruments for patient satisfaction are not based on patient perceptions, which limits their validity theoretically. This study aims to identify good nursing care as patients perceive it using a sample of 199 hospitalized adult patients in a public hospital in South Central United States. Five themes emanated from this qualitative study: provision of needs, pleasant treatment, care, competence, and prompt care. Quality of nursing care is determined by how well nurses provide for the patient’s needs, treat them well, care about patients, display their competence, and provide prompt and urgent care based on the patient’s perspectives.  Theory Application and Advanced Role Development in Nursing Essay

Tsogbadrakh, B., Kunaviktikul, W., Akkadechanunt, T., Wichaikhum, O., & Turale, S. (2020). Nurse and patient perceptions of quality nursing care in Mongolian public hospitals. Pacific Rim International Journal of Nursing Research, 24(4), 514-526. https://he02.tci-thaijo.org/index.php/PRIJNR/article/download/237091/166909/852726

In this study, quality nursing is a multidimensional concept that has attracted the interest of nurse professionals and health organizations worldwide. It is viewed as an integral component of healthcare. The study evaluated nurse and patient perceptions of quality nursing care in Mongolia’s public secondary and tertiary care health centers. 21 registered nurses and 18 patients were interviewed in focus group discussions, and content analysis was done for data evaluation. The findings showed that quality of nursing care involved effective management of symptoms, encouragement, provision of emotional support, nurturing relationships, respecting religious beliefs, and concern for cultural diversity. The findings could aid in assessing the quality of nursing services offered to patients.

Waldon, R. (1994). Patient perceptions of quality: The influence of value and beneficence. Theses and Dissertation. https://doi.org/10.21007/etd.cghs.1994.0425 Theory Application and Advanced Role Development in Nursing Essay

The study sought to determine the relationship between quality and value relative to worth, quality, and beneficence from the patients’ viewpoint. The study revealed a close association between patient-perceived quality and value and patient-perceived quality and beneficence. From these findings, value and goodwill are linked to quality. Value is relative worth that has a quality link. Nurses deemed a healthcare service valuable if it met their goals. Thus, this has considerable implications for nursing practice as nurses need to work to ensure they meet patient expectations for the value of the healthcare service and for quality to be acquired.

 

Reference

Larrabee, J. H., & Bolden, L. V. (2001). Defining patient-perceived quality of nursing care. Journal of Nursing Care Quality, 16(1), 34-60. https://doi.org/10.1097/00001786-200110000-00005

Tsogbadrakh, B., Kunaviktikul, W., Akkadechanunt, T., Wichaikhum, O., & Turale, S. (2020). Nurse and patient perceptions of quality nursing care in Mongolian public hospitals. Pacific Rim International Journal of Nursing Research, 24(4), 514-526. https://he02.tci-thaijo.org/index.php/PRIJNR/article/download/237091/166909/852726

Waldon, R. (1994). Patient perceptions of quality: The influence of value and beneficence. Theses and Dissertation. https://doi.org/10.21007/etd.cghs.1994.0425

Evolution of the APN role, services, and utilization in the practice arena:

– In the initial stages of anesthesia practice, nurses were utilized as the administrators while the practice of surgery was left to the physicians. Over time, physicians wanted a stake in anesthesia practice and so was born the dichotomy of the physician anesthesiologist and nurse anesthetist. Over time, the education requirements have increased, allowing the CRNA to become registered and a doctorally-prepared provider. Currently, the practice of anesthesiology is a recognized nursing and medical specialty unified by the same standards of care. CRNA’s are independent practitioners that plan and deliver anesthesia and pain management to patients of all health complexities across the lifespan. Theory Application and Advanced Role Development in Nursing Essay

 

Models of advanced practice (where relevant) and relevance to their role development and practice.

– There are a couple of different advanced practice models in anesthesiology. There is the Anesthesia Care Team (ACT) Model and Independent Practice Model. Essentially, the ACT model has one supervising physician anesthesiologist that can oversee four OR’s being run by CRNA’s. The anesthesiologist typically does all of the pre-ops, regional anesthesia, and post-ops, while the CRNA’s do all of the anesthesia in the operating rooms. In the Independent Practice Model, the CRNA’s are autonomous providers. Theory Application and Advanced Role Development in Nursing Essay

ORDER  NOW

Collaborative relationships with other practitioners especially physicians.

– We collaborate with the patient and other healthcare professionals in order to provide patient-centered high-quality, holistic, evidence-based and cost-effective care.

 

Reimbursement and Billing for APN Services

– Typically done through RVU’s in the civilian sector; however, I’m not well versed in this as I’ve only been a CRNA in the Navy.

Any legislative issues, legal and ethical trends relevant to their practice

– The largest legislative issue facing CRNA’s right now are the roadblocks to continued legislation success enabling CRNA’s to be autonomous in their anesthesiology practice. Currently, there are over 30 states that have passed legislature enabling CRNA’s to be independent practitioners. This means, we are over the halfway mark, but still have work to do in a large percentage of the country. In addition, there are a new group of anesthesia providers called Anesthesia Assistants (AA’s). These providers are meant solely to work under physician anesthesiologists and have no autonomy or prescriptive authority. I’m not quite sure how this will impact our profession in the future, but there has certainly been a lot of discussion amongst our community about them recently. Theory Application and Advanced Role Development in Nursing Essay