NUR 700 Assignment 2.1: Practice Exemplars
NUR 700 Assignment 2.1: Practice Exemplars
Assignment Guidelines
After completing the assigned readings, answer one question from category one and one question from category two. Be specific, give specific examples, and cite at least one source in each answer.
Your paper should be two to three pages long (not including the title page or reference page) and use correct APA 7th edition formatting.
Category One
Exemplar 1: Analyze the JBSM practice exemplar (Chapter 7, p. 102). Discuss one strength and one challenge of this model for nursing applications.
Exemplar 2: Compare the Orem practice (Chapter 8, p. 130) to aspects of your own clinical practice. Which of the three steps of Orem’s process of nursing is most challenging?
Exemplar 3: Select one of Roy’s four adaptive modes and share how it has been displayed in the practice exemplar (Chapter 10, p. 160).
Category Two
Exemplar 4: Describe how Parse’s concept of true presence (Chapter 15) could apply to your practice.
Exemplar 5: Explain how the nurse practitioner in the HEC exemplar (Chapter 16, p. 287) fostered the process of expanding consciousness.
This assignment will be graded using the Assignment 2.1: Practice Exemplars Rubric found in your syllabus.
Submission
Submit your assignment and review full grading criteria on the page.
Practice Exemplars
Nursing is one of the evolving professions in the healthcare industry that continuously
adopt new practices to meet the changing demands of patients. In order to adjust to these
changes, the profession relies on theoretical frameworks which, not only lay a foundation for
practice, but also guides in the choice of evidence–based care that guarantee quality health
outcomes to patients (Morrow, 2017). Different nursing theories recommend prospects for
improved patient care only if a nursing practitioner utilizes them appropriately when providing
services to patients. The present discussion is therefore an illustration of how Orem’s nursing
theory of self–care and Parse’s concept of true presence compare with my profession as a
registered nurse in the emergency room. The discussion is divided into categories one and two,
with each classification providing insights on how the theories are instrumental in my nursing
practice.
Category One: Exemplar 2: Comparison of Orem Practice to Aspects of My Clinical
Practice
Orem’s theory views a person as a unique self–care agent in need of self–care. In this
perspective, the person has the moral authority to take care of self and that they need guidance
from nurses on how to adhere to lifestyle habits that can improve the quality of their health
(Younas, 2017). In my clinical practice, I rely on Orem’s hypothesis that patients are self–reliant
and responsible when it comes to matters of their health. In my role as a registered nurse, I find
Orem’s theory effective in assessing the patients to ascertain the nature of their illnesses. The
self–care theory also enables me to identify the needs of patients as well as utilize effective
communication to solve health problems manifested by these patients. Orem’s theory compares
with my practice especially when I offer supportive and educative services to patients (Pinto et
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Kathleen Hendricks
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Kathleen Hendricks
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al., 2017). In this context, I bridge the gap between the needs of patients and their ability to
perform self–care by providing health education depending on the status of their ailment. As
such, patients learn how to meet self–care demands and build self–knowledge to implement the
same to improve quality of their health.
Orem’s process of nursing is instrumental in patient care but can also pose several
challenges if not implemented judiciously. As a registered nurse in a level I trauma center
emergency room, I find step two of Orem’s process of nursing more complicated to implement
when compared to steps one and three (Pinto et al., 2017). The step coincides with nursing
diagnosis and requires one to design compensatory or supportive practices that patients can adopt
to improve quality of their care. I find the step challenging as it requires much effort to overcome
self–care deficit of patients seeking health services. In other words, patients require guidance in
assessing self–care requirements and selecting the best option for their health status as well as
motivation to maintain these practices. Sometimes patients fail to identify self–care goals and
practices relevant to their condition which then means that a lot of time is spent to offer guidance
on the right option for them (Younas, 2017). Most often, I select for them self–care practices
especially when some patients fail to identify the best option for their health condition, and I
consider this a violation of their autonomy in deciding their wellness.
Category Two: Exemplar 4: Description of How Parse’s Concept of True Presence May
Apply to My Practice
Parse’s true presence is an illustration of a powerful connection between a nurse and a
patient in the process of care. In this premise, a nurse immerses self in full support of patient by
emulating intentional love to build trust and create a positive ambiance of care. True presence
depicts an intentional reflective love that I find appropriate in my profession as a registered nurse
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Kathleen Hendricks
(Parse, 2018). During practice, sometimes I observe patients undergo medical procedures that
traumatize and alter their emotional stability which necessitates my presence to show love for
them. For instant, patients whose part of their body is to be amputated may require true presence
of a nurse for the two to express shared feelings on how to cope with the situation later in life.
True presence will therefore allow me to set aside personal values and to be open to listen to
patients as well as offer guidance on the true meaning of life.
Parse’s true presence concept can also help me to console family members or patients for
the devastating loss of a patient, pregnancy or their loved one. I consider grieving as one of the
experiences that require an expression of care for the bereaved considering that it results in a
feeling of disappointment to the victims (Wilson, 2016). I will use Parse’s concept of true
presence not to change the feelings as experienced by the bereaved but engage them in
discussing the paradoxes associated with the death of their loved one. I believe that my presence
will enable the bereaved to express feelings of loss and therefore they will recognize the need to
move forward (Parse, 2018). True presence is vital during bereavement as it is an intentional
process that enables an individual to reflect on a belief that clients know their ways in managing
loss and that a nurse is only there to offer guidance on the desire to move forward past the grief.
Conclusion
The nursing profession requires practitioners to make explicit thoughts on how to
improve quality of health to patients. Use of nursing theories lays a foundation to explore
multiple options on how the health outcomes can be improved depending on the nature of
ailments presented to patients. As such, the illustrations in the preceding discussion depict how
nursing theories can be used by a nurse to guide patients in choice and implementation of self–
care to manage ill–health. Besides, I find Parse’s concept of true presence vital in consoling
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Kathleen Hendricks
clients for their loss. These models provide a roadmap to a holistic aspect of care that a nurse
practitioner can use to develop care strategies to address unique circumstances presented by
clients.
| Assignment 2.1: Practice Exemplar Rubric | ||
|---|---|---|
| Criteria | Ratings | Pts |
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Content
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20 / 20 pts
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Documentation and Mechanics
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0 / 0 pts
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| Total Points: 20 | ||
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