This article addresses wisdom-in-action for nursing practice. We briefly describe nursing theoryreview the wisdom literature as presented in various disciplines, and identify characteristics of wisdom by analyzing four models of wisdom from other disciplines. We also present the ten antecedents of wisdom and the ten characteristics of wisdom identified in our analysis of the wisdom literature, discuss and summarize these antecedents, and conclude that understanding these ten antecedents and the ten characteristics of wisdom-in-action can both help nurses demonstrate wisdom as they provide nursing care and teach new nurses the process of becoming wise in nursing practice.
Tomlin, and Mary Anne P. It was first published in in their book Modeling and Role Modeling: A Theory and Paradigm for Nursing.
The theory enables nurses to care for and nurture each patient with an awareness of and respect for the individual patient's uniqueness. This exemplifies theory-based clinical practice that focuses on the patient's needs. The theory draws concepts from a variety of sources.
The Modeling and Role Modeling Theory explains some commonalities and differences among people. The commonalities among people include: Holism, which is the belief that people are more than the sum of their parts. Instead, mind, body, emotion, and spirit function as one unit, affecting and controlling the parts in dynamic interaction with one another.
This means conscious and unconscious processes are equally important. Basic needs, which drive behavior. Basic needs are only met when the patient perceives they are met. According to Maslow, whose hierarchical ordering of basic and growth needs is the basis for basic needs in the Modeling and Role Modeling Theory, when a need is met, it no longer exists, and growth can occur.
When needs are left unmet, a situation may be perceived as a threat, leading to distress and illness. Lack of growth-need satisfaction usually provides challenging anxiety and stimulates growth.
Need to know and fear of knowing are associated with meeting safety and security needs. Affiliated Individuation is a concept unique to the Modeling and Role Modeling Theory, based on the belief that all people have an instinctual drive to be accepted and dependent on support systems throughout life, while also maintaining a sense of independence and freedom.
This differs from the concept of interdependence. Attachment and Loss addresses the idea that people have an innate drive to attach to objects that meet their needs repeatedly. They also grieve the loss of any of these objects. The loss can be real, as well as perceived or threatened.
Unresolved loss leads to a lack of resources to cope with daily stressors, which results in morbid grief and chronic need deficits. Psychosocial Stages, based on Erikson's theory, say that task resolution depends on the degree of need satisfaction.
Resolution of stage-critical tasks lead to growth-promoting or growth-impeding residual attributes that affect one's ability to be fully functional and able to respond in a healthy way to daily stressors.
As each age-specific task is negotiated, the person gains enduring character-building strengths and virtues. Cognitive Stages are based on Piaget's theory, and are the thinking abilities that develop in a sequential order. It is useful to understand the stages to determine what developmental stage the patient may have had difficulty with.
The differences among people include: Inherent Endowment, which is genetic as well as prenatal and perinatal influences that affect health status. Model of the World is the patient's perspective of his or her own environment based on past experiences, knowledge, state in life, etc.
Adaptation is the way a patient responds to stressors that are health- and growth-directed. Adaptation Potential is the individual patient's ability to cope with a stressor.1 Theoretical Foundations and Role Development for the Advanced Practice Nurse NUR - Section 3 Credits Spring Catalog Course Description: Integration of theories from nursing and related disciplines to provide a foundation for the graduate student to transition into the advanced practice role.
Theory development seeks to help the nurse understand the practice in a more complete and insightful way and provides a method of identifying and expressing key ideas about the essence of practice It is a global term to refer to the process and methods used to create, modify or refine a theory Theory development is a complex, time consuming /5(3).
The School of Nursing offers programs leading to the degrees of Bachelor of Science in Nursing, Master of Science in Nursing and Doctor of Nursing Practice. The concept of Nursing Process. Nursing process has been defined by several authors.
Nwonu () defined Nursing process as the systematic collection of patient care data for determining nursing care needs and evaluating patient care outcomes. These courses may also satisfy a general education (GE) requirement and apply to GE Areas A, B, D and E. Cultural Diversity, which is a required GE category (Area F), is embedded throughout the Nursing program curriculum.
Open the door to greater career options within the nursing field by completing a Bachelor of Science degree in nursing. The University of Colorado, College of Nursing RN to BS program is completely online, allowing you to seek your BS degree, balance your life, and work at the same time.