A plethora of theories have served as the basis for the practice of psychiatric mental health nursing since the 1950’s. Hildegard Peplau drew her theory of Interpersonal Nursing from the work of Harry Stack Sullivan and the interactionists, who focused on the interpersonal relationship as the focus of healing. Certainly, this is a strong choice for the psychiatric nurse in practice. Fitzpatrick and Tusaie identify clearly how important it is that “Advanced Practice Registered Nurse professional practice should be theoretically based and the practitioner should be cognizant of the influence of theory on the choice of interventions. Building the theoretical knowledge derived from within the nursing discipline and across disciplinary boundaries
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Grando explored the use of Orem’s Self-Care Deficit Nursing Theory practice model and applied it to PMHNs in advanced practice. Grando makes the connection between Orem’s beliefs about nursing and the theories of Nightingale and Henderson but she differentiates Orem’s focus on achieving health by addressing patients’ ability to engage in self-care. Orem identified the four metaparadigm concepts person, environment, health and nursing. Nursing actions according to Orem and Grando, fall into the categories of wholly compensatory, partly compensatory, or supportive educative systems (Masters, 2012, p. 184, Orem, 1985).
Analyze the theory for good fit for purposes of this …show more content…
One of her core assumptions is that “self- care is the proper object of psychiatric mental; health nursing (Grando, 2 , p.6).Grando goes on to identify how the model is used to identify patients’ therapeutic self-care demands and assist patients to establish self-care systems, recognizing that many patients enter mental health care when their “established self-care systems are inadequate to cope with a stressful event and they are unable to develop new ones.” (Granado, p.6). The goal of PHN/PMHNP nursing is to find solutions to self-care deficits. Orem’s theory and Grando’s model was a good fit for the article. Grando connects the development of her model clearly and provides examples demonstrating the identification of self-care deficits, the patient’s basic conditioning factors, determining therapeutic self-care requisites, and how to develop self-care actions to meet the requisites. Clear examples of how to use the model in practice included detailing how she worked with a young adult, who was depressed and unable to get up in the morning to get to work. The focus was on developing a system of self-care actions that assisted her in getting to work, increasing motivation, using antidepressant medication to treat depression and
Grando explored the use of Orem’s Self-Care Deficit Nursing Theory practice model and applied it to PMHNs in advanced practice. Grando makes the connection between Orem’s beliefs about nursing and the theories of Nightingale and Henderson but she differentiates Orem’s focus on achieving health by addressing patients’ ability to engage in self-care. Orem identified the four metaparadigm concepts person, environment, health and nursing. Nursing actions according to Orem and Grando, fall into the categories of wholly compensatory, partly compensatory, or supportive educative systems (Masters, 2012, p. 184, Orem, 1985).
Analyze the theory for good fit for purposes of this …show more content…
One of her core assumptions is that “self- care is the proper object of psychiatric mental; health nursing (Grando, 2 , p.6).Grando goes on to identify how the model is used to identify patients’ therapeutic self-care demands and assist patients to establish self-care systems, recognizing that many patients enter mental health care when their “established self-care systems are inadequate to cope with a stressful event and they are unable to develop new ones.” (Granado, p.6). The goal of PHN/PMHNP nursing is to find solutions to self-care deficits. Orem’s theory and Grando’s model was a good fit for the article. Grando connects the development of her model clearly and provides examples demonstrating the identification of self-care deficits, the patient’s basic conditioning factors, determining therapeutic self-care requisites, and how to develop self-care actions to meet the requisites. Clear examples of how to use the model in practice included detailing how she worked with a young adult, who was depressed and unable to get up in the morning to get to work. The focus was on developing a system of self-care actions that assisted her in getting to work, increasing motivation, using antidepressant medication to treat depression and