There is an obvious deficiency in the application of theory in nursing practice. This paper will include a discussion of how nursing practice is affected by the use of nursing theory. I will provide evidence in relation to how theory based practice relates to the core competencies of the Institute of Medicine (IOM) and Quality and Safety Education for Nurses (QSEN) project. I will discuss a journal article that reinforces the gap of nursing theory in nursing practice, and interview colleagues regarding the incorporation of theory in their individual practice. In conclusion I will express my own view point of why theory has been neglected.
Nursing Practice Theory
In the 1920’s the American Journal of Nursing published proof
…show more content…
My first interviewee relates Virginia Henderson to her nursing practice. She promotes her patients to increase their independence. By assisting them in their basic needs while they are critically ill and incorporating self determination and autonomy as the long term goal (C. Audus, personal communication, September 21, 2012). The second nurse I interviewed incorporates the theory of Hildegard Peplau. She integrates Peplau theory in her practice because she believes the foundation of nursing is the relationship between the nurse and patient. She establishes a relationship with her patients based on trust and respect which in turn fosters a comfortable judgment free environment. With each new patient relationship she takes away what she learned and in turn makes her a better nurse (M. Glennon, personal communication, September 26, 2012).
I believe there is a gap between the nurses who have an understanding of nursing theory and the nurses caring for patients at the bedside. “It is important for the profession of nursing to close this gap so that nursing theory is interwoven into nursing practice as intended, rather than continuing the pretense that currently exists”. (Sitzman & Wright Eichelberger, 2011, p. 18) There are many barriers to overcome before this integration can occur. One main reason nurses do not incorporate theory is because it is very difficult