nursing theory wk 1 discussion

EXPLORING MIDDLE RANGE THEORIES AND FRAMING PRACTICE ISSUES You will begin this Discussion by identifying a practice issue that will be your frame of reference as you analyze the theoretical basis of nursing practice. Be aware that your choice can potentially carry through the course, as you will continue to address this issue in the context of other types of theories in Week 3. This practice issue can also be one focus of your Module 3 exploration of evidence-based practice and quality improvement, and your Module 4 investigation of a critical practice question. Consequently, as you prepare for this Discussion, think carefully about your example for connecting middle range nursing theories to patient care. TO PREPARE:Analyze your nursing practice for issues of particular interest or concern to you or your organization. Identify one issue as the focus of your application of theory to practice.Review the Week 2 Learning Resources to identify specific middle range theories that may apply to your practice issue.Choose at least two middle range theories that might be most relevant and valuable in addressing your practice issue.Search the Walden Library for scholarly articles that address application of middle range theories to practice issues.Consider how to frame your focus practice issue in terms of the middle range theories that you have selected.With these thoughts in mind …BY DAY 3 OF WEEK 2Post an explanation of your practice issue. Then, describe two middle range theories that are most valuable in addressing this issue and explain why. Be specific and provide examples.Read a selection of your colleagues†posts. BY DAY 6 OF WEEK 2Respond to at least two colleagues on 2 different days by suggesting other middle-range theories for them to consider. Support your recommendations with at least one scholarly article to share with each colleague.   YOU CAN GET AN IDEA FROM THIS OTHER STUDENT’s POST  Exploring Middle Range Theories & Framing Practice IssuesAs the healthcare landscape continues to evolve, advanced nursing practice faces increasing demands and complexities. To meet these challenges effectively, it is crucial for nurse practitioners, particularly those in the field of psychiatric mental health, to embrace and integrate nursing theories into their practice (Hansen & Dysvik, 2022). Nursing theories provide a solid foundation for evidence-based decision-making, promote holistic patient care, and foster professional growth and development (McEwen & Wills, 2018).Mental health stigma remains a pervasive and deeply concerning issue in our society, with far-reaching consequences for individuals struggling with mental illness. As psychiatric mental health nurse practitioners, we are uniquely positioned to confront this challenge head-on, leveraging our expertise, compassion, and the application of middle-range nursing theories to create a more inclusive and supportive environment for those in need. By exploring the profound impact of mental health stigma and how the integration of relevant theories can empower us to address this issue effectively, we can enhance our ability to make informed decisions, provide comprehensive care, and contribute to the advancement of the nursing profession while promoting the well-being and recovery of individuals with mental illness. Practice Issue: Mental Health StigmaAs a psychiatric mental health nurse practitioner, one significant issue I encounter in my practice is the pervasive stigma surrounding mental illness. Stigma can manifest in various forms, including negative attitudes, stereotypes, and discrimination, which can profoundly impact individuals’ willingness to seek treatment, adherence to treatment plans, and overall quality of life.Relevant Middle-Range Nursing TheoriesTwo middle-range nursing theories that can be valuable in addressing the issue of mental health stigma are the Theory of Stigma Management and the Theory of Human Caring.The Theory of Stigma Management, developed by Erving Goffman, explores how individuals with stigmatized conditions, such as mental illness, manage their identities and social interactions (Underhill et al., 2022). It provides a framework for understanding the strategies individuals use to cope with stigma, including concealment, withdrawal, and challenging stereotypes (Underhill et al., 2022). This theory can inform interventions aimed at empowering individuals with mental illness to manage stigma effectively and promote self-acceptance.On the other hand, the Theory of Human Caring, developed by Jean Watson, underscores the pivotal role of caring in nursing practice and the establishment of a profound, transpersonal caring relationship between the nurse and the patient (Najeh Alharbi & Ghazi Baker, 2020). This theory emphasizes the necessity for nurses to cultivate an authentic presence, characterized by genuine empathy and unconditional positive regard (Najeh Alharbi & Ghazi Baker, 2020). By embodying these qualities, nurses can effectively counteract the detrimental effects of stigma and instill a profound sense of dignity and self-worth in individuals grappling with mental illness. Through the creation of a caring and non-judgmental environment, nurses can foster an atmosphere of acceptance and support, empowering individuals to navigate their mental health challenges with resilience and hope. Application to PracticeBy applying the Theory of Stigma Management, psychiatric mental health nurse practitioners can develop interventions that help individuals with mental illness understand and manage the stigma they face. This may involve teaching coping strategies, facilitating support groups, and advocating for societal change to reduce stigma.The Theory of Human Caring can guide psychiatric mental health nurse practitioners in fostering a caring and non-judgmental environment, where individuals with mental illness feel accepted and supported. This can involve active listening, empathetic communication, and creating a safe space for individuals to express their thoughts and feelings without fear of judgment or discrimination.By integrating these theories into practice, psychiatric mental health nurse practitioners can play a crucial role in reducing the impact of mental health stigma and promoting the well-being and recovery of individuals with mental illness.In conclusion, the issue of mental health stigma demands our unwavering attention and commitment as psychiatric mental health nurse practitioners. By embracing the principles of the Theory of Stigma Management and the Theory of Human Caring, we can cultivate a practice environment that empowers individuals with mental illness, fosters self-acceptance, and promotes dignity and worth. Through our compassionate care, evidence-based interventions, and advocacy efforts, we can play a pivotal role in dismantling the barriers imposed by stigma and paving the way for a more inclusive and supportive society. As we continue to integrate these theories into our practice, we can inspire hope, facilitate recovery, and ultimately contribute to the well-being of those we serve.ReferencesHansen, B., & Dysvik, E. (2022). Expanding the theoretical understanding in advanced practice nursing: Framing the future. Nursing Forum, 57(6), 1593–1598. to an external site.McEwen, M., & Wills, E. M. (2018). Theoretical basis for nursing(5th ed.). Wolters Kluwer.Najeh Alharbi, K., & Ghazi Baker, O. (2020). Jean watson’s middle range theory of human caring: A critique. International Journal of Advanced Multidisciplinary Scientific Research, 3(1), 1–14. to an external site.Underhill, J. C., Clark, J., Hansen, R. S., & Adams, H. (2022). Exploring autistic college students’ perceptions and management of peer stigma: An interpretative phenomenological analysis. Journal of Autism and Developmental Disorders, 54(3), 1130–1142. to an external site.

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