Overview of theories Flashcards

1
Q

It is the unique theories and perspectives used by a
discipline that distinguishes it from other disciplines.

A

Overview of Theory

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2
Q

Theories of a discipline

A

Clarify basic assumptions and values

Define the nature and purpose of
practice

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3
Q

A systematic explanation of an event in which constructs
and concepts are identified and relationships are
proposed and predictions made

A

Theory

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4
Q

A system of interrelated propositions used to predict,
explain, understand, and control a part of the empirical
world

A

Theory

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5
Q

Are composed of concepts, propositions, and laws; can
be communicated

A

Theories

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6
Q

Vary according to the number of elements,
characteristics and complexity of the elements, and type
of relationships among the elements

A

Theories

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7
Q

Are invented rather than discovered

A

Theories

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8
Q

a tentative suggestion that a
specific relationship exists between two concepts or
propositions.

A

hypothesis

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9
Q

Theory provides structure and organization for nursing
knowledge.

A

Theory in nursing

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10
Q

Theory provides systematic means of collecting data to
describe, explain, and predict phenomena of importance
to nursing.

A

Theory in nursing

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11
Q

Theories define and clarify nursing and distinguish it from
other caring professions.

A

Theory in Nursing

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12
Q

Identify certain standards for nursing practice

Identify settings in which nursing practice should occur
and the characteristics of what the model’s author
considers recipients of nursing care

❖Identify distinctive nursing processes and technologies to
be used, including parameters for client assessment,
labels for client problems, a strategy for planning, a
typology of intervention, and criteria for evaluation of
intervention outcomes

A

Uses of Theory in Nursing #1

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13
Q

❖Direct the delivery of nursing services
❖Serve as the basis for clinical information systems,
including the admission database, nursing orders, care
plan, progress notes, and discharge summary
❖Guide the development of client classification systems
❖Direct quality assurance programs

A

Uses of Theory in Nursing #2

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14
Q

beliefs about phenomena that are
accepted as true

A

assumptions

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15
Q

abstract elements of a phenomenon necessary
to understand it

A

concept

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16
Q

complex concepts; comprises more than one
concept and built or “constructed” to fit a purpose

A

construct

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17
Q

specific and concrete identifiers of
concepts; method used to observe or measure the
concept(s)

A

empirical indicator

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18
Q

graphic or symbolic representation of a
phenomenon

A

model

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19
Q

organizing framework that contains concepts,
theories, assumptions, beliefs, values, and principles that
form the way a discipline interprets the subject matter
with which it is concerned

A

paradigm

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20
Q

a statement of beliefs and values about
human beings and their world

A

philosophy

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21
Q

indicate specific relationships
between two or more concepts; may be propositions,
hypotheses, laws, or theorems

A

relationship statements

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22
Q

o Nurses were trained in hospitals.
o Education was controlled by the hospital
and doctors.
o Education and practice were based on
tradition, rules, and principles and focused
on technical skills.
o Apprentice form of education

A

Silent knowledge stage (1870s–1940s)

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23
Q

o Serious nursing shortage
o Hill-Burton Act increased the need for nurses.
o Nursing for the Future published—promoted
nursing education in universities

A

Received knowledge stage (1945–1960)

24
Q

o Testing for registration began.
o Nursing Research first published
o Books on nursing research and theory were
published.
o Slow growth of graduate education—nurses
questioning practice

A

Received knowledge stage (1945–1960)

25
o Dickoff et al. published articles on theory development and theory for a practice discipline. o Number of nursing theorists grew.
Subjective knowledge stage (1960–1970)
26
o Nursing viewed as an academic discipline o Theories became the framework for nursing education. o More nursing theories were published.
Procedural knowledge stage (1970–1985)
27
❖Procedural knowledge stage (1970–1985)— o What are the consensus developed regarding the common elements of nursing?
▪ Person or client (man) ▪ Health ▪ Nursing ▪ Environment
28
o What are the Books published on Procedural knowledge stage (1970–1985)?
▪ Theory evaluation/critique ▪ Theory application ▪ Theory construction
29
Graduate courses on nursing theory implemented
Procedural knowledge stage (1970–1985)
30
o Incorporation of philosophy of science courses into graduate programs o Development of middle range and practice theories
Constructed knowledge stage (1985–2010+)
31
o Increasing focus on “evidence-based practice” o Continued development of middle range and situation-specific theories o Attention to “translation” of research in practice
Integrated knowledge stage (2010–Present)
32
theory about theory
metatheory
33
In nursing, metatheory focuses on broad issues. o What are the philosophical issues
-Philosophical worldviews (perceived view vs. received view) ▪ Nature of health and man; purpose of nursing ▪ Appropriate level of nursing theory
34
In nursing, metatheory focuses on broad issues. o What methodological issues
▪ Processes of theory evaluation ▪ Processes of knowledge development
35
o Most complex and broad theories o Attempt to explain broad areas within a discipline
Grand theories
36
What are the characteristics of grand theory
▪ Nonspecific ▪ Composed of relatively abstract concepts and propositions ▪ Are not generally amenable to testing ▪ May incorporate other theories
37
o More circumscribed than grand theories o Contain a limited number of concepts that are operationally defined o Focus on a limited aspect of reality o Propositions may be tested through research.
Middle range theories
38
o A description of a particular phenomenon o An explanation of the relationship between phenomena o Prediction of the effects of one phenomenon or another
Middle range theory
39
o Called microtheories, prescriptive theories, situationspecific theories o Least complex; contain fewest concepts o Refer to specific, easily defined phenomena o Limited to specific populations or fields of practice o Often use knowledge from other disciplines
Practice Theories
40
❖Describe, observe, and name concepts ❖Do not explain how or why concepts are related ❖Provide observation and meaning regarding phenomena ❖Generated and tested through descriptive research
Descriptive Theories—Factor Isolating
41
❖Relate concepts or propositions to one another ❖Attempt to explain how or why concepts are related ❖Focus on correlations or rules that regulate interactions ❖Developed through correlational research
Explanatory Theories—Factor Relating
42
❖Explicate conditions under which concepts are related and relational statements are able to describe future outcomes consistently ❖Experimental research is used to generate and test them.
Predictive Theories—Situation Relating
43
❖Prescribe activities necessary to reach defined goals ❖Address actions and predict consequences of interventions ❖Describe the prescription (action or intervention), consequence, type of client, and condition
Prescriptive Theories—Situation Producing
44
Issues in Theory Development in Nursing
❖Borrowed versus unique ❖Metaparadigm
45
the most global perspective of a discipline
metaparadigm
46
The primary phenomena that are of interest to a discipline
metaparadigm
47
Explains how the discipline deals with phenomena in a unique manner
metaparadigm
48
o Domain is distinctive from other disciplines. o Encompass all phenomena of interest to the discipline o Are perspective-neutral (concepts and propositions do not represent a specific perspective or worldview) o Must be international in scope and substance (do not reflect national, cultural, or ethnic beliefs and values)
Characteristics of a metaparadigm
49
Most scholars and theorists consider that nursing’s metaparadigm consists of the concepts of:
o Person and health o Person and environment o Health and nursing o Person, environment, and health
50
o Being consisting of physical, intellectual, biochemical, and psychosocial needs o Human energy field o Holistic being o Open system o Integrated whole o Being who is greater than the sum of his or her parts
Person
51
o The ability to function independently o Successful adaptation to life’s stressors o Achievement of one’s full life potential o Unity of mind, body, and soul
Health
52
the concept reflecting greatest diversity in nursing theory.
health
53
o External elements that affect the person o Internal and external conditions that influence the organism o Significant others with whom the person interacts o An open system with boundaries that permit the exchange of matter, energy, and information
Environment
54
is a science, art, and practice discipline.
nursing
55
Goals of nursing include:
o Care of the well o Care of the sick o Assisting with self-care o Helping individuals attain their human potential