Description
Directions: Identify an outcome of nursing practice in the specialty area of surgery that can be improved. For example, surgical counts to be performed during change of shift with staff member who is coming into the case while the surgical technologist who initially started the case continues to assist the surgeon to ensure no errors are made, no retained foreign objects are missed and surgical team endures less stress during change of shift. Or preparation of the surgical case to be completed thoroughly before the start of the case to ensure patient safety and less time under anesthesia due to missing items or implants. Or correct surgical prep of GYN patients to help lower infection rates. Or communication between bed management team, PACU and OR is efficient the day before the next business day to ensure flow of surgery patients out of the surgical unit and into PACU to meet scheduled surgery times and unit staffing needs. (IF YOU HAVE ANY OTHER IDEAS PLEASE DISCUSS AND WE CAN DECIDE TOGETHER 🙂 )
Briefly support why it is a problem with evidence from the literature. This is not the major focus of the assignment so do not elaborate.
Create a clinical nursing (not medical) theory in the form Concept A | Proposition | Concept B. Think of the structure like two nouns and a verb. While the term proposition is much more complex in the dictionary, in our use it is the connecting term between the two concepts. Examples include Concept A improves Concept B, Concept A is related to Concept B, when Concept A increases then Concept B also increases, etc. When you get to research, you will explore this further as you develop independent and dependent variables. How to use these statistically will come in research and statistics courses.
This clinical theory is identified as an empirical theory when you get to the C-T-E model later in this course. It is empirical in that they can be measured.
Identify and define your concepts. Identify how they could be measured in a research study. Be careful that you do not use compound concepts. If you find the words “and” or “or” in your theory, you are probably too complex.
If you research your question and seek funding, you will need a theoretical model to guide the research. In our assignment, we are using Watson. You will identify the concepts in Watson’s theories that are represented by the concepts you are using in your clinical theory. Match the proposition in her theory with your proposition. To help, the 10 Caritas Processes are Concept A. Choose the one that matches your concept. To clarify, let’s look at Caritas 1 Embrace and use it in middle-range theory. Sustaining humanistic-altruistic values by the practice of loving-kindness, compassion, and equanimity with self/others (Concept A – Very complex and abstract) improves (Proposition) subjective inner healing (Concept B).
Remember that the paper is not about the problem. It is about constructing a clinical theory and matching it to a middle-range theory and conceptual model your clinical theory represents.
Conclude the paper with your discoveries made in your readings and the impact on the nursing profession of your discoveries. Explore, briefly, discovered questions that require further research. Summarize the paper in the conclusion.
Present your outcome in an APA 7TH ED formatted paper
Length: 6 to 8 pages including title and reference pages
References: 6 to 10. There should be enough to support the links between the concepts of the problem and the concepts of Watson’s Theory of Caring.
