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The nursing profession has undergone significant evolution in recent decades. The traditional view of nursing as a subservient and subordinate role has given way to a more expansive and dynamic view of the discipline, one that recognizes the importance of nursing knowledge as a unique and valuable contribution to healthcare. Nursing knowledge is an ongoing process that is constantly evolving, reflecting changes in healthcare systems, advancements in technology, and new research findings. Nursing grand theories have played a significant role in shaping nursing knowledge, but their relevance for contemporary practice and research is a subject of debate. In this essay, I will discuss the case for the ongoing development and use of nursing grand theories, as well as the case for their obsolescence in today’s practice and research.
Nursing grand theories emerged in the mid-20th century, as nurse scholars sought to develop a theoretical framework for nursing that could guide research, education, and practice. These theories aimed to define the unique aspects of nursing as a profession and to provide a basis for understanding the nature of the nurse-patient relationship. Nursing grand theories such as Orem’s Self-Care Deficit Theory, Roy’s Adaptation Model, and Neuman’s Systems Model, among others, have had a significant impact on nursing knowledge development, shaping the way nurses think about patient care and the role of the nurse in healthcare delivery.
One argument for the ongoing development and use of nursing grand theories is that they provide a framework for understanding the complex and dynamic nature of nursing practice. These theories provide a basis for exploring the nature of the nurse-patient relationship, the role of the nurse in promoting health and wellness, and the impact of healthcare systems and policies on patient outcomes. Nursing grand theories also provide a basis for developing research questions and hypotheses, guiding the design of research studies, and interpreting research findings. By providing a theoretical framework for nursing practice and research, nursing grand theories help to unify the profession and promote a common understanding of nursing knowledge and practice.
Another argument for the ongoing development and use of nursing grand theories is that they provide a basis for promoting nursing as a unique and valuable profession. Nursing grand theories emphasize the importance of the nurse-patient relationship, the role of the nurse in promoting health and wellness, and the impact of healthcare systems and policies on patient outcomes. By highlighting the unique contributions of nursing to healthcare delivery, nursing grand theories help to promote nursing as a profession in its own right, rather than as a subservient role within the healthcare system. This can help to attract and retain highly skilled and motivated nurses, promoting high-quality patient care and better health outcomes.
However, there are also arguments for the obsolescence of nursing grand theories in today’s practice and research. One argument is that nursing grand theories are too abstract and theoretical, and do not provide practical guidance for nurses in their everyday practice. Nurses are often faced with complex and dynamic situations that require quick thinking and practical decision-making, and nursing grand theories may not provide the practical guidance needed in these situations. Additionally, nursing grand theories may be too broad and general, and may not reflect the unique needs and experiences of individual patients or communities. This may limit the relevance of nursing grand theories for contemporary practice and research.
Another argument for the obsolescence of nursing grand theories is that they may be outdated, reflecting a time when healthcare systems, technologies, and policies were very different from today’s reality. Nursing grand theories may not reflect the current realities of healthcare delivery, and may not be relevant for addressing the complex challenges faced by nurses in today’s healthcare systems. Additionally, nursing grand theories may be too focused on individual patient care, and may not adequately address the importance of population health and community-based healthcare delivery. This may limit the relevance of nursing grand theories for contemporary practice and research.
References
1-Barreto, C. N., & da Cruz, D. A. L. M. (2021). Nursing theories and their relevance to contemporary nursing practice. Revista Brasileira de Enfermagem, 74,
2-Reed, P. G. (2019). Theory development in nursing: The importance of grand theory. Nursing science quarterly, 32(1), 18-20.
Nursing Theories’ Continuing Significance
The growth of nursing awareness is indeed a progressing instance, plus it entails progressive changes in nursing models. Nursing grand models have had a vital role in the growth of nursing as a profession. These models give the structure for comprehending, organizing nursing awareness, and directing nursing activities and education. This essay looks at the progressing utilization of grand nursing models and detailed arguments for their desuetude in current research and practice.
To begin with, grand nursing models assist in organizing as well as classifying nursing awareness, thus giving the structure that enables care providers to comprehend dissimilar elements of their practices. These models give a detailed structure that utilizes different outlooks, for instance, patient care as well as health promotion (Roy, 2019). Also, grand nursing models give the theoretical basis for nursing activities, and this assists the nurses in comprehending the underlying values plus ideas that direct their practices. Besides, these models assist nursing scholars in recognizing the variables and examining the available mechanisms of nursing (Roy, 2019). These models assist scholars in recognizing the variables, illustrating the connections, and examining the nursing phenomena’ underlying instruments. By utilizing grand models, models can lead to the growth of evidence-based practices, enhance patient results, and increase the while nursing quality care.
Besides, there is also the uselessness of the grand nursing models. First, some scholars contend that grand nursing models usually direct deficiency usability to the complicated as well as diverse realities of the current nursing activities (Wijaya et al., 2022). These models might have been created in a dissimilar time, making their use in the current times less productive. Besides, grand nursing models give an enhanced as well as full outlook that might fail o effectually handle the particular shades of particular nursing parts.
Lastly, while grand nursing models have given a solid base for the growth of nursing awareness, the progressing change of the profession leads to queries concerning their progressive importance.
References
Roy, C. (2019). Nursing knowledge in the 21st century: Domain-derived and basic science practice-shaped. Advances in Nursing Science, 42(1), 28-42.
Wijaya, Y. A., Yudhawati, N. L. P. S., & Ilmy, S. K. (2022). Development of Nursing Concept and Theory Model: Differences and Identification of Nursing Theory Group Between Theory, Grand Theories, Middle Range Theory, and Nursing Practice Theory.
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