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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.
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.
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.
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.
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).
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.
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.
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