Need Help, Working on Paper

Mar 11, 2004 09:16 PM

by Heather R.N.

I am working on paper for one of my core courses, specifically a nursing theory class

. I need some help finding a nursing theorists whose theory can be applied to the practice of CRNA's. The concept that my group is focusing on is prevention of untoward events. Some examples of variables that fall into this category: unplanned extubation, tracheal trauma, excessive fluid/blood loss, improper line placement, improper extubation, and ineffective anesthesia to name a few. I have been scouring my textbooks

but to no avail can I find a theorist that actually relates to this concept. I think it leans to close to the medical model.
ANY SUGGESTIONS OFFERED WOULD BE HELPFUL AND APPRECIATED MORE THAN YOU CAN POSSIBLY IMAGINE,
Thanks for any help, nursing theory is not my strong point.

gaspassah · Mar 11, 2004, 10:13 PM

i dont really remember her name but self care defecit comes to mind. under anesthesia the patient no longer has control of their own autonomic nervous system much less take care of any of their other needs...ie breathing/ just a thought
d

louloubell1 · Mar 11, 2004, 10:33 PM

Originally Posted by gaspassah

i dont really remember her name but self care defecit comes to mind. under anesthesia the patient no longer has control of their own autonomic nervous system much less take care of any of their other needs...ie breathing/ just a thought
d

I was thinking about that one too: Dorthea Orem's theory of self care deficit.

loisane · Mar 12, 2004, 10:00 AM

Heather,

Instead of looking for anesthesia, try looking up critical care. In terms of theory, nurse anesthesia has many similarities to critical care nursing.

I was the only CRNA in many of my theory courses. I always "aligned" myself with the ICU people when possible. It was the best fit I could come up with.

There was one theory that had a reputation for being useful for ICU type issues. I wish I could remember the name. It might have been Rogers.

You can really make most any of them fit (except maybe the ones grounded in psych). Just that some take more "creativity" than others ;-)

loisane crna

Neon8 · Mar 12, 2004, 10:44 AM

theories

Here's a link to the major nursing theories:
http://www.sandiego.edu/nursing/theory/

purplemania · Mar 12, 2004, 10:51 AM

The variables you mentioned all pertain to function. That is why I favor Ida Jean Orlando's theory of the nursing process. She stated that first the nurse must identify FUNCTION, then process. You cannot create a process when the function is not defined. There is a webpage about her by Schmelinger (I think). Her theory is very basic and easy to comprehend.

Heather R.N. · Mar 15, 2004, 08:28 PM

Thanks everyone for your posts, all of your suggestions have been very helpful. I still have a couple of weeks left until the paper is due. I will let you know who I pick and how it turns out. Thanks Again!!!!

Brenna's Dad · Mar 15, 2004, 11:59 PM

You guys are scaring me!

Roland · Mar 16, 2004, 01:54 AM

How about Roland's "integrated team" model to health care delivery. Should I ever acquire a Ph'd I will detail this simple concept which focuses upon nurses as integral parts of the "health care team". The entire "team" consisting of doctors, nurses, and other allied health care workers function as an interdependent system of "checks and balances" that under ideal conditions can optimize patient care outcomes. To use a football analogy the Dr's are akin to the "quarterback" and the nurses can be thought of as "wide receivers" or perhaps "running backs". Line men can be thought of as allied health care workers that make efficient delivery of services possible. Furthermore, organizations like the AMA and hospital adminstration could be compared to offensive coordinators and coaches.

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Need Help, Working on Paper

Need Help, Working on Paper

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