We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy

Application of A Grand Theory

essay
The whole doc is available only for registered users

A limited time offer! Get a custom sample essay written according to your requirements urgent 3h delivery guaranteed

Order Now

Nurses use theories in every day practice to help answer questions and to build a strong foundation from. In this paper, two theories will be compared and contrasted. The first article applied Virginia Henderson‚Äôs grand theory of Principles and Practice of Nursing, also known as the activities of living theory (Nicely & DeLario, 2011). She believed, ‚Äúthe best health care is patient-focused; better still, family-focused‚ÄĚ (Nicely & DeLario, 2011, p. 72). In this article, Henderson‚Äôs theory was applied specifically to the population of organ donation. Nicely and DeLario (2011) defined an organ donor as ‚Äúan individual who is brain dead and is a candidate for solid-organ donation for transplantation‚ÄĚ (p. 72). As one can imagine, this situation places a significant amount of stress on not only the patient but also the patient‚Äôs family and support system.

By applying the fourteen activities categorized under Henderson‚Äôs theory, nurses are able to provide the brain dead patient with the proper care they deserve and to ease the process for the family going through this unfortunate situation. For example, the first activity involves normal breathing. In order for organs to be viable, a person who cannot breathe independently will require immediate intubation. According to Nicely and DeLario (2011), ‚Äúintubation and ventilation is necessary and is not negotiable in a brain-dead patient‚ÄĚ (p. 73). A competent nurse will recognize the need for such an intervention and assist in achieving the desired outcome.

Henderson‚Äôs activities go beyond physiological interventions for the patient, they include personal care and family support as well. Such as, bathing the patient and presenting them in a way to the family that encompasses comfort and holistic nursing care. By performing all fourteen of Henderson‚Äôs activities, a nurse is able to ‚Äúcontribute significantly to transferring the gift of life from one human being to one or more patients at the next phase of the donation¬†process‚ÄĚ (Nicely & DeLario, 2011, p. 77).

In the second article, Mefford and Alligood (2011) performed a study involving Levine‚Äôs Conservation Model of Nursing to test a middle range Theory of Health Promotion for Preterm Infants. The theory suggests that when a baby is delivered preterm, it generates a chaotic atmosphere for both the baby and family which requires immediate adaptation (Mefford & Alligood, 2011). Levine‚Äôs model consists of four conservation principles: conservation of energy, conservation of structural integrity, conservation of personal integrity and conservation of social integrity (as cited in Mefford & Alligood, 2011). The study concluded that ‚Äúconsistency of nursing caregivers significantly reduced the age at which the infant and family were healthy enough for hospital discharge‚ÄĚ (Mefford & Alligood, 2011, p. 47).

The two theories shared several similarities. Both theories placed a significant amount of importance on support for the family. Anyone who walks into a room and sees their loved one on a ventilator is at great risk for emotional discomfort. Henderson expressed the need to treat the patient holistically and to never forget that the patient is still a human, brain activity present or absent. Sometimes nurses need to assist physicians and other medical professionals in remembering this because it can easily get overlooked while trying to maintain organ viability. Furthermore, Levine‚Äôs theory explained that preterm birth is a ‚Äúfamily crisis that disrupts usual family functioning‚ÄĚ (Mefford & Alligood, 2011, p. 44). It is important to remember that every situation is unique and each family will react differently. The nurse must provide consistency in care to assist in a healthy adaptation for both the patient and the family. The two theories agree that by placing a strong emphasis on the therapeutic nurse-patient-family relationship then the desired goal will be achieved.

Although the two theories shared similarities, they also shared differences. One of the main differences was the focus of each theory. Henderson‚Äôs theory focused primarily on the needs of the patient and returning independence such as ‚Äúensuring that the decisions the patient made while independent are realized‚ÄĚ (Nicely & DeLario, 2011, p. 73). The theory was¬†applied to organ donation and end of life care. On the other hand, Levine‚Äôs theory focused primarily on the outcome and achieving that outcome through adaptation. Preterm infants were the population tested and the focus was on the beginning of life and achieving overall health. In conclusion, it is important to remember how theories provide a foundation for nursing practice and how they influence and improve patient care each day.

References
Mefford, L. C., & Alligood, M. R. (n.d.). Testing a theory of health promotion for preterm infants based on Levine’s conservation model of nursing. The Journal of Theory Construction & Testing, 15(2), 41-47. Nicely, B., & DeLario, G. (2011). Virginia Henderson’s principles and practice of nursing applied to organ donation after brain death. Progress in Transplantation, 21(1), 72-77.

Related Topics

We can write a custom essay

According to Your Specific Requirements

Order an essay
icon
300+
Materials Daily
icon
100,000+ Subjects
2000+ Topics
icon
Free Plagiarism
Checker
icon
All Materials
are Cataloged Well

Sorry, but copying text is forbidden on this website. If you need this or any other sample, we can send it to you via email.

By clicking "SEND", you agree to our terms of service and privacy policy. We'll occasionally send you account related and promo emails.
Sorry, but only registered users have full access

How about getting this access
immediately?

Your Answer Is Very Helpful For Us
Thank You A Lot!

logo

Emma Taylor

online

Hi there!
Would you like to get such a paper?
How about getting a customized one?

Can't find What you were Looking for?

Get access to our huge, continuously updated knowledge base

The next update will be in:
14 : 59 : 59