MN502 M1-1 Apply a Conceptual Framework Focused on Advanced Nursing RolesAssignment 1This competenc

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MN502M1-1: Applying a conceptual framework on advanced nursing roles Example Solution

Grand theories and conceptual frameworks define the nursing practice, why, and why nurses do what they do. Grand theories provide frameworks related to health components. Most of these theories result from the individual’s experience in care delivery. Their postulations align with empirical evidence, and their implementation leads to improved professional practice (Mintz-Binder, 2019). Grand theories have broad scopes of applicability and widespread acceptability in nursing practice (Mintz-Binder, 2019). Sister Callister Roy is a grand nursing theorist and the proponent of Roy’s adaptation model. This paper expounds on nursing metaparadigms, Roy’s adaptation model, its explanation of nursing metaparadigms, and its application to advanced nursing practice.

Nursing Metaparadigm

Metaparadigms are a framework of theories or ideas that outline the structure of a discipline’s function (Bender, 2018). There are four nursing metaparadigms; person, environment, nursing, and health—the metaparadigms focus on the nursing core value of caring and holistic patient care. The person component refers to the care recipient and the people connected to them, such as their family. Care systems focus on spiritual, social, and health needs. The individual’s physical and social interactions determine their health. The environment component consists of factors that affect an individual’s health. These internal and external influences include social interactions, culture, economic condition, and physical environment (Bender, 2018). These conditions can be modified to improve a patient’s wellness. The health component entails the degree of wellness and access to health that an individual has. The component focuses on how a holistic approach that involves spiritual, social, emotional, and intellectual is leveraged for maximum health benefits (Mintz-Binder, 2019). Nursing is the last component, and it comprises promoting optimal patient health outcomes through mutual agreement and collaboration in a conducive care environment. These components of the nursing metaparadigm outline the structure of nursing practice.

Conceptual Framework/Grand Nursing Theory

The grand theory of choice is Roy’s adaptation model. The theory’s central idea is adaptation. Roy states that an individual’s health depends on their adaptation to the environment. The four modes for adaptation are physiologic, self-concept, role function, and interdependence modes (Callis, 2020). According to Roy, these modes produce behaviors classified as adaptive or ineffective responses depending on their ability to produce the desired results. The theory holds that the patient is an adaptive system that responds to stimuli (environment) and adapts (goal of nursing) to promote their health and well-being (Roy, 2019). In addition, Roy holds that patients’ values and beliefs should be respected

The theory’s primary goal is to promote integrating adaptation levels for patients to advance their quality of life and ensure death with dignity (Callis, 2020). Nurses utilize the theory to modify the environment and assist the individual in adapting to the environment to promote their well-being. The model applies to various areas of nursing such as patient care, nursing research, and research education and entails care throughout all the stages of life.

Metaparadigm Concepts within the Conceptual Framework/Grand Nursing Theory

Roy explained the person component as a bio-psycho-social being in constant interactions with the surroundings (environment). The person can be an individual, family, community, or society and uses innate and external mechanisms to adapt. Despite being an adaptive system, the patient is a living being and should be treated with dignity even in death. The person is the focus of care. The individual is explained as a conglomeration of differently functioning parts that work in unity and affect the person’s health. Roy describes the environment component as the immediate surrounding confronting the person. They are all the conditions, influences, contexts, interactions, and circumstances affecting an individual’s behavior and development (Harris, 2021). According to Roy, health is an inevitable life dimension accurately explained using a health-illness continuum. It is both a state and process of integrating the various areas that determine its wholeness (Harris, 2021). Nursing, according to Roy, is a system that helps individuals adapt to the environment. It promotes adaptation using the four adaptive modes. Nursing assesses behaviors and influences that negatively or positively affect adaptive abilities and intervene to ensure personal benefits from their interactions with the environment (Harris, 2021).

Application to Advanced Nursing

The core of the nursing profession is caring, and advanced nursing increases their knowledge and skills to provide better quality care. The model increases the discipline’s fund of knowledge by provoking nurses to improve their practice (Roy, 2019). Nurses with advanced knowledge and skills better understand their patients’ problems and better understand their environments. Advanced practice nurses have more knowledge and teach patients to add or portray better adaptive behavior in disease management (Tesh, 2019). APRNs also have advanced skills and can manipulate the ‘environment’ to enhance patient recuperation and holistic care delivery. In addition, RAM is vital in research that involves understanding and modifying human behavior because it focuses on manipulating the environment and utilizing the patient as an adaptive system (Callis, 2020).

RAM is integral in psychiatric/mental health advanced practice nurses. The first-line treatment for most mental health illnesses is cognitive behavior therapy, focusing on adaptation. Understanding the coping processes is the basis of effective patient teaching and optimum patient outcomes. PMH-APRNs have advanced knowledge and skills in understanding, explaini9ng, and modifying human behavior. RAM deeply interacts with PMH-APR in gathering patient data, understanding human behavior and error sources, tentative behavior judgment, and many other roles (Keliat et al., 2020). Sister Callista Roy’s adaptation theory is thus essential to advanced nursing practice roles, especially psychiatric/ mental health roles.

Conclusion

Grand theories provide essential frameworks in guiding nursing practice activities. The nursing metaparadigms outline the core concepts in nursing, and Roy’s model focuses on adaptation as the core of human wellness. Roy views health as the interaction of a person with the environment and the person’s ability to cope with the environment. Nurses play a significant role in understanding the intrinsic and external factors affecting coping and assisting the individual in coping, thus sustaining optimal health. Roy’s adaptation model provokes nurses to seek knowledge and understand patients and their environments for proper care. Hence, the theory is vital in advanced practice roles, especially psychiatric/mental health.

References

Bender, M. (2018). Re?conceptualizing the nursing metaparadigm: Articulating the philosophical ontology of the nursing discipline that orients inquiry and practice. Nursing Inquiry, 25(3), e12243 https://doi.org/10.1111/nin.12243

Callis, A. M. B. (2020). Application of the Roy Adaptation Theory to a care program for nurses. Applied Nursing Research, 56, 151340. https://doi.org/10.1016/j.apnr.2020.151340

Harris, R. (2021). Sister Callista Roy: Adaptation Model. Nursing Theorists and Their Work (10thEd.). E-Book, 247.

Keliat, B. A., Riasmini, N. M., Daulima, N. H. C., & Erawati, E. (2020). Applying the community mental health nursing model among people with schizophrenia. Enfermería Clínica. https://doi.org/10.1016/j.enfcli.2020.10.024

Mintz-Binder, R. (2019). The connection between nursing theory and practice. Nursing made Incredibly Easy, 17(1), 6-9. https://doi.org/10.1097/01.NME.0000549615.05397.55

Roy, C. (2019). Nursing knowledge in the 21st century: Domain-derived and basic science practice-shaped. Advances in Nursing Science, 42(1), 28-42. https://doi.org/10.1097/ANS.0000000000000240

Tesh, A. (2019). Nursing Theory: The Basis for Professional Nursing. Professional Nursing E-Book (9th Ed.). Concepts & Challenges, 198.

MN502M2-2: Apply a Model of Practice to the Advanced Nurse Roles.

This competency assessment assesses the following Outcome(s):
MN502M2-2: Apply a model of practice to the advanced nurse roles.
Introduction
Theoretical Models used in Practice
A model demonstrates the theorist’s interpretation of how concepts are related to one another and are developed. Models are frequently illustrated with a graphical representation. Theoretical statements, the characteristics of the model, are used as precursors to more specific theory development. Nursing may utilize theoretical models from a variety of other disciplines such as from sociology, business, organizational leadership, biomedicine, or education.
Directions
In this assessment, you will:
• locate a model from a different discipline (other than nursing) that you could apply to nursing. Theoretical models can be found in a variety of other disciplines such as leadership, business, education, technology, sociology, etc.
• explain why you have chosen the model
• apply the model to your advanced practice role.
Assessment Details

1. The content of the paper will start with an introduction in the narrative format that briefly explains the model and explains why you chose the model.
2. After the introduction, you will insert the table using this template.
3. Please SINGLE SPACE the table; the rest of the document should be double-spaced as required for APA format.
4. In the left column, in the top box, write the name of the chosen model. An example has been provided in the first rows to guide you. Please remove the examples when entering your information.
5. In the left column of the template in the following boxes, list the characteristics of the model you have chosen. Provide a source of support for each characteristic.
6. In the right column, in the top box, identify your future role e.g., Family Nurse Practitioner, Nurse Educator, etc.
7. In the right column, list an application to your advanced nursing practice role that corresponds with each characteristic. Include a source of support/s for each application.
8. After the table, you will provide a concluding paragraph.

Minimum Submission Requirements
• This assessment should be a Microsoft Word document and contain 3-4 pages of content in addition to the title and reference pages.
• Five (5) credible sources of support are required. Use your textbook, the Library, and the internet for research.
• Use APA 7th Edition for format and style.
• Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions.
• Your writing should be well ordered, logical, and unified, as well as original and insightful.
• Your submission should provide a clearly established and sustained viewpoint and purpose.
• Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar and mechanics.
• Review the writing resources for APA 7th edition formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center.

MN502M3-3: Apply a Model of Practice to Advanced Nursing Roles.

This competency assessment assesses the following Outcome(s):

MN502M3-3: Apply a model of practice to advanced nursing roles.

Introduction

There is a strong relationship between nursing theory, research, and practice. Nursing theory is foundational to nursing research and practice, and theory is also informed and developed by the results of research and practice. Nurses may select a theory to describe or explain phenomena encountered in practice, and during application in practice the theory is further defined. Nurse researchers test theories’ applicability in practice through clinical research, and nurse scientists develop new theories to explain research findings.

Directions

In this assessment, you will identify a grand nursing theory used in a research article and a middle-range nursing theory used in a research article. You will examine how each theory was applied within the respective research study and then analyze the utility of grand and middle-range nursing theories to advance the discipline of nursing and its impact upon your advanced nursing practice.

Assessment Details

1. Introduce the reader to the content of this paper with an introductory paragraph.
2. Provide general background information about grand, middle and practice theories.
3. Examine a research article in which a Grand Nursing Theory was applied in the research. Describe how the theoretical concepts and propositions were used.
4. Examine a research article in which a Middle Range Nursing theory was applied in the research. Describe if the theory was used as a descriptive, explanatory, predictive, or prescriptive theory in the research.
5. Explain the importance of theory to your advanced nursing role and how research informs and advances the discipline of nursing.

Minimum Submission Requirements

• This assessment should be a Microsoft Word document and contain 3–4 pages of content in addition to the title and reference pages.
• Five (5) credible sources of support are required. Use your textbook, the Library, and the internet for research.
• Use APA 7th Edition for format and style.
• Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions.
• Your writing should be well ordered, logical, and unified, as well as original and insightful.
• Your submission should provide a clearly established and sustained viewpoint and purpose.
• Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar and mechanics.

All competency criteria must be met to earn a B grade and pass this Course Outcome. 

A predefined number of mastery criteria must be met to earn an A grade, indicating mastery of the Course Outcome. See the CLA and Grade Criteria Chart below.

MN502M3-3 Grading Rubric