Application of Theory in Nursing Practice

Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1of 10

Chapter 19:

Application of Theory in Nursing


Practice
Introduction
 Theory is considered to be both a process and a product.
As a process, theory has numerous activities and includes
four interacting, sequential phases (analyzing concepts,
constructing relationships, testing relationships, and
validating relationships) that are implemented in
practice.
 Theory provides the basis of understanding the reality of
nursing; it enables the nurse to understand why an event
happens.

Copyright © 2019 Wolters Kluwer · All Rights Reserved


Relationship Between Theory and Practice
 Practice is the basis for nursing theory development, and
nursing theory must be validated in practice. Theory is
rooted in practice and refined by research, and it should
be reapplied in practice.

Copyright © 2019 Wolters Kluwer · All Rights Reserved


Theory-Based Nursing Practice

 Theory is both a process and a product. In the


discipline of nursing, theory and practice are
inseparable.
 To improve practice, nurses need to search the
literature continually, critically appraise research
findings, and synthesize empirical and contextually
relevant theoretical information to be applied in
practice.
 Theory-based nursing is the application of various
models, theories, and principles from nursing science
and the biologic, behavioral, medical, and sociocultural
disciplines to clinical nursing practice.

Copyright © 2019 Wolters Kluwer · All Rights Reserved


The Theory–Practice Gap
 Despite the recognition of the importance of theory in
nursing, there is a perceived gap between theory and
practice.
 Although most scholars believe that theory and practice
are, or at least should be, reciprocal, to many, the
relationship between theory and practice appears to be
unidirectional and hierarchical.
 Language also contributes to the gap in theory and
practice, as many theories contain concepts and
constructs that must be explained and understood before
they can be applied.

Copyright © 2019 Wolters Kluwer · All Rights Reserved


Closing the Theory–Practice Gap
 Theories may be developed by and for nurses (grand,
middle range, or situation-specific nursing theories), may
be shared with other disciplines, or may be implied
(routinely used without being conscious processes).

Copyright © 2019 Wolters Kluwer · All Rights Reserved


Situation-Specific/Practice Theories in
Nursing
 Practice theories are nursing theories used in the actual
delivery of nursing care to clients.
 Practice theories are clinically specific and reflect a
particular context that may include directions or
blueprints for action.

Copyright © 2019 Wolters Kluwer · All Rights Reserved


Situation-Specific Theory and Evidence-
Based Practice

 EBP has become widely accepted in nursing as an


approach to problem solving in clinical practice because it
consciously and intentionally applies the currently agreed
upon “best” evidence to direct care for patients.
 Situation-specific theories and EBP guidelines, standards,
and protocols have much in common.

Copyright © 2019 Wolters Kluwer · All Rights Reserved


Application of Theory in Nursing Practice
 A lack of understanding of theory leads to a failure to
recognize the use of theory on a day-to-day, even
minute-to-minute, basis in the practice of nursing.
 Theory in nursing taxonomy: examples from the Nursing
Intervention Classification System
 Examples of theory from nursing literature

Copyright © 2019 Wolters Kluwer · All Rights Reserved


Application of Grand and Middle Range
Theories in Nursing Practice

 Articles showing how grand and middle range nursing


theories have been applied in nursing practice can readily
be found in the nursing literature.

Copyright © 2019 Wolters Kluwer · All Rights Reserved

You might also like