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The post: Karen is still not convinced that Theory has any place in APN practice. Provide a specific example of how theory is relevant to APN practice in one of the four specialties (CNM, CNP, CRNA or CNS). Provide evidence to support your arguments.

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POST 1:

As an emergency room nurse, working alongside several nurse practitioners, it is very apparent that nursing theory is relevant to everyday practice. Woten and Karakashian (2017) describe the role of an emergency room nurse practitioner as, an advanced practice nurse with specialized training that can provide holistic care to patients. The idea of providing holistic care branches from several nursing theorists that discuss the importance of treating every individual as a whole. For example, an individual may arrive to the emergency department with chest pain, which will immediately warrant an electrocardiogram.  The patient will then be triaged and have vital signs taken. Most patients with chest pain will have blood work and a chest x-ray. Sometimes patients may present with chest pain and all the results are negative, this does not mean that the patients pains are not legitimate or a concern.  As a holistic provider, we are to rule out every life-threatening emergency but also provide continuation of care. Sometimes patients may not have a primary care provider, a support system, or means of seeking further help.  This is where the provider is to seek help from a social worker and assist the patient in having follow-up care. In some cases, the patient may be admitted to the hospital for further testing that cannot be completed in the emergency room.  This plan of care shows a holistic approach to treating a patient. Patients “pain” level should never be ignored, even though results are negative. On several occasions, patients are treated with antacids to rule out gastritis or GERD that can cause chest pain, and anti-inflammatory medication to treat possible costochondritis. The importance of a holistic approach is to avoid missing any possible findings that are not initially seen and so that if there is something that may occur the patient is not treated as if nothing is wrong with them.  Holistic nursing care is one of the most important theories all nurses should follow, it leads to the best possible patient outcomes.

POST 2:

Theory helps to generate knowledge in which nursing should develop in the future. Nursing theory can be used to improve and evaluate the quality of clinical practice by distinguishing the practice that can help patients with better care and enhance professional status for nurses. Nursing theory helps to define a relationship that creates a domain of interest in the healthcare profession. A valuable theory creates expectations about a conduct, health problems, and environment that are reasonable and reliable with daily remarks. For instance, in nursing theory class, we discussed Watson theory of caring which focuses on the caring aspect of nursing practice. I think that it is a very important theory because it reflects on the ability to create a relationship of trust and respect with patients. The theory of Watson implies the ability for a nurse to care for patients holistically to accommodate a better relationship between patients and healthcare providers. A recent study was done that applies Watson’s theory of practice in an assessment for patients with chronic heart failure with acceptance of collaboration between nurses and patient for transpersonal teaching-learning was showed to be efficient on improving CHF self-management. The strategy of nursing management of care for CHF patients activates the main element of Watson’s model for an enhancement for a better result of self-management care for CHF patients (Leong, Lao, & Chio, 2013).  A CNP can use the Watson model to interact with patients. For instance, as a future NP, it is vital that we connect with patients, so we can create a good relationship with patients in order to help them. Based on King’s theory, nursing is outlined as a practice of interactions between nurse and patients to perceive and set goals to reach the goals (Leon-Demare et al., 2015). The function of king’s theory of goal accomplishment to NP clinical encounters supports the nursing foundations motivating advanced practice nursing. King’s theory accentuates on a constructive bond between the presence of connection and patients ‘point of view of belief and gratification as outcomes of the NP patient connection.

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