Concept Comparison and Analysis across Theories Essay

The treat profession has do nigh remarkable accomplishment during the twentieth and 21st centuries, which has lead to the recognition of go for as an academic train. The move toward a opening- based usage has shifted the focus from the vocational ascertain of nurse to a more than meaningful and organized profession. As such, the fellowship and get along of breast feeding is embedded and command by the theoretical framework of the profession. Theories overly transgress prep beion and purpose to the solicitude for profession, and they argon modernizeed to improve treat veneration and nurture, and to pop the question a derriere for put. A opening is an idea recommended to explicate a phenomenon, interprets observation, defines sex actships, and project outcome (Parker & Smith, 2010). The theories of breast feeding tramp be categorize in three argonas (a) grand breast feeding theories, which gives oversea perspective to the goals and structure of breast feeding non meant to be easily grasp or tested, (b) mediate range theories, contains fewer model, and relationships are more applicable to nursing perform (c) exert level theories, which has more direct impact on nursing physical exertion than more abstract theories.Mid-range theories are two easily understood and applicable to the chance(a) practice of nursing. For the purposes of this assignment, the union concepts of two nerve range contemporary nursing theories volition be highlighted and the concept definitions analyzed. One opening will be discussed along with its employment to nursing practice, the theorys concept groundment, metaparadigms, philosophies, and conceptual model. Finally, nursing resources, and nursing familiarity from theorists are included in this news report to show the contributions to nursing science.Core planA concept is a backchat or ideas that provide a moral image to promote communication astir(predicate) a phenomenon and can be eac h empirical or abstract fuck off (Walker & Avant 2011). Core concepts are the fundamental mental synthesis blocks in the outgrowth of theories, as such theorists employ core concepts in the make for of theory advancement (George, 2011). The metaparadigm of nursing is make up of quatern main concepts they are individual, wellness, environment, and nursing (George, 2011). The core concepts of the two contemporary nursing theories selected are Leiningers last business theory, and Kolcabas alleviate theory. These theories are considered middle range theories beca wont they are more intelligible and easier to apply to day-to-day nursing practice and may be used to purport an intervention.Conversely, the grand theory is more protracted and provides a framework for organizing ideas (Smith & Liehr, 2008). Although wellness supervise has experienced numerous changes over the ago decades, the raw material principle of nursing, caring for the sick, has not changed. With the addit ion of evidence-based fullguard as a result of nursing research and all-encompassing research by nursing theorists in that location are additional components to nursing that nurses digest to know and understand to provide thin plow. Unfamiliarity with someone elses assimilation can lead to feelings of fear and jeopardy due to differences in belief, values and practices (Leininger (1991). These theorists view the patient role as a on the whole and believe shell out should be administered from a holistic approach.Concept AnalysisLeininger is the pioneer of the trans pagan nursing movement in research, education, and practice. The overarching concept of this theory ( socialization) based field of view is intended to serve one-on-ones, communities, establishments, and societies. In the 1950s, go working in a child guidance home with troubled children and their parents, she notice reiterate patterns of behavior in children that seemed to put up a pagan basis. She ide ntified these repeated patterns as the missing link in nursing understands of acquaintance and culture feel for that is required to support compliance, wellness, and healing. As a result of this experience, she pursued further education in gracious behaviors that led to the initiatement of her trans ethnic nursing theory (George, 2011). Leininger (1991) defines trans pagan nursing as the comparative postulate of cultures to understandsimilarities (culture universal) and difference (culture- specific) across merciful groups With this definition as the foundation for her work, Leininger center her practice on ethnical make do values, practices, and beliefs of individuals or groups of contrary cultures. The goal of her theory is to provide nursing condole with that promotes health or well-being to help race faced with illness or death, in a culturally meaningful air (Leininger, 1995).transcultural nursing is established on the basis that people of diametrical cultures no t only define elbow rooms in which they perceive and experience care, but how they bushel these perceptions, and experiences to their general health (George, 2011 ). Kolcaba worked as the full stop nurse on an Alzheimer patient care unit she observed that patients were nonparticipants in some of their daily living activities. This observation led to her development of the nurture Care Therapy. Kolcabas pacifier theory gives nurses the tools required to station the relief need of patients and families and ways to collect those inevitably. Comfort, she opined, is the purposeful action taken to reference ones physiological, cultural, social, financial, spiritual, environmental and physical of necessity. concordly, if the patient needs time to voice concerns and questions, it is imperative that the nurse listens attentively and offers culturally enamour boost and reassurance (Kolcaba, 2003).The ideas of another(prenominal) nursing theorists (Orlando, Henderson, Patterson, and Zderdad) were employed to justify the three different types of relieve needs (1)ease-the state of calm and contentment, (2) relief-the state of having specific sympathiser need met and transcendence, and (3) transcendence- that state in which one can rise preceding(prenominal) problems and pain( Parker & Smith, 2010). Because allay is a primal human need, it must be experienced in a holistic manner, and nurses who practice comfort care in their daily daily are innovative, effective, and satisfying to themselves and their patients. The contexts in which comfort need exist are physical, psycho-spiritual, socio-cultural, and environmental. Nurses are responsible for ensuring that patients are comfortable and safe because meeting the comfort needs of patients and their families leads to increase satisfaction, dedication and commitment to the cheek (Kolcaba, 2003). Transcultural and Comfort theories focus on different aspects of patient care however, commonalities exist betwi xt the theories.Concept ComparisonIn compare and analyzing the concept definitions among the two theories it is significant to differentiate that Leiningers goal of nursing care is to provide care arranged with the patients cultural values, practices, and beliefs. Nurses are often unaware of the cultural issues surrounding a patients health and need for care which results in a lack of sensitivity towards the patient. According to Leininger (1995), cultural proficiency begins with the examination of own(prenominal) values, biases, prejudices, and beliefs of the caregiver. Leiningers theory was created to establish cultural competence among nurses and other caregivers because it is important to throw contact and communication with people of other cultures, thus creating awareness. One important agent of nursing care is the engagement with individuals of different cultures by asking questions prior to providing care. The bankruptcy to include culture into patient care increases the possibility of mistrust by patient and resentment from the health care provider. Comfort and trust strengthen when nurses consider cultural preferences during patient care (Andrews & Boyle, 1999).Contrariwise, Kolcabas comfort theory is viewed from a holistic approach. The four areas of the human experience are communicate are the physical, which includes all physiological orbits, the psycho-spiritual, which is self-awareness, the sociocultural, which includes the family, social relationships, traditions, rituals, and religious practices and the environment( Kolcaba, 2003). Cultural sensitivities are important to patients and families, and they are allowing for significant moments to remember a nurse. Nurses also reflect on these moments which give them feelings of satisfaction. Nurses can show small, non-technical acts of comfort for causa a back massage, holding a dying patients hand, washing hair, sitting with an anxious(predicate) patient and holding a repetitive child for a parent. Each of these gestures is an illustration of holistic comfort measures that will imbibe a positive impact on a patients full comfort (Kolcaba, 2003).Like patients, nurses have comfort need which includes a safe and plum work environment, continuity of care, flexible schedules, and resources for educational improvement. Kolcabas comfort model allows nurses to be a part of the decision making process and in-turn provide feedback and support for cater. These comfort measures for nurses provide a strong nursing department and which teamwork and professional goals are fostered(Kolcaba, 2003). The core of these two theories is care, which is the unifying feature of the nursing profession.Concept Statement, Metaparadigms, PhilosophiesThe selected theory is Leiningers culture care theory. Leininger is one of the first transcultural, global, nursing consultant and is the founder of transcultural nursing, the transcultural nursing society, and the journal of transcultural nursing. civilization influences every aspect of human behavior and defines health, illness, and the search from relief from diseases (George, 2011). Culture can be applied to all aspects of health care both in convict and outpatient settings. Because of the culturally diverse population in the United States and other first population countries, it is of snappy importance that culture care is a part of the course of instruction for nursing and other health science cerebrate field.Due to health concepts related to cultural groups, people may not contain modern day medical interposition and cures therefore it is important to educate the communities close culture care. This theory may be best applied to nursing practice by first educating nursing students to develop an understanding, appreciation, and respect for the diversity and individuality of patients values, beliefs, and culture regarding illness, treatment and outcome. Extensive training in hospitals and outpatient set tings for all nurses, and health care providers is of vital importance.Concept StatementCulturally consistent nursing care is meaningful and appropriate to the cultural beliefs, values and traditions of patients for their health and comfort. Nurses should fulfil a culture care estimation on admission to determine the scope of care for the patient while in hospital (Leininger, 1995).MetaparadigmsHealth is a state of living to sustain and help the individual perform their daily care in a culturally beneficial way (Leininger (1995). The environment is defined as the kernel of geophysical situation (p. 10). She describes nursing as a learned, humanistic and scientific discipline focused on human care activities. Leininger, however, does not define the concept of person he states the person is not culturally suitable in many cultures. The philosophical system of nursing is founded on the scope of practice for the profession, and the values individuals hold as basic to their belief in nursing theory (Fitzpatrick & Whall, 2005). Leiningers philosophy is that there are similarities and differences in culture, which should be explores in relation to ones values, beliefs, and traditions.ResourcesA website has been dedicated to the housing of broad amount of information on Leiningers theory. This site contains valuable information on culture theory and transcultural nursing. Additionally, Leiningers work, research, and publications are all featured on the website. Leininger is a member of Sigma Theta Tau International (STTI), an awarding society for nursing, was founded in 1922 it is the second largest of its kind in the United States. The mission of this organization is to support the learning, knowledge, and professional development of nurses connected to making a difference in health care worldwide. cobblers lastThe conceptual and theoretical models used in nursing provide information on ways to improve practice, develop curriculum and identify goals of nursing practice. The area of nursing theory is experiencing celebrated growth as theorists continue to create new knowledge that is impacting, positively, the nursing profession. Nurses can no long-dated afford to provide care as usual but must use new knowledge, skills, and insights to provide nursing care that is culturally relevant and sensitive to the needs of patients. As the complexity and acuity of patients continue to rise, it is notable that a community of practice is established that utilizes strategies that promote the transcultural and comfort needs of both nursing staff and patients. Twenty-first century nursing practice demands that nurses identify and meet the comfort and cultural needs of all patients, family and community. Further, nurses must develop the knowledge and skills that will enable them to provide acceptable care and to identify uncommitted resources for the patient.