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Discussion

Theory used in ED?

In the first semester of my MSN, need to do a paper and am currently attempting to find research articles and information relative to nursing theory specifically used in the emergency care setting. I work in an ED, but we have no publicized nursing theory that is followed as some places do. Personally, I've always liked orem, but not finding anything out there on orem being applied in ED practice.

Any suggestions would be GREATLY APPRECIATED!!!!

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OK so first I will tell you that I think the whole theroy thing ranks up there with the nursing diagnosis thing- useless and a buch of time wasting BS. Now having said that I had to do the same thing in graduate school. So if you like Orem and the self care model use that with any patient. The alcoholic who comes into your ED is obviously not caring for themselves. Then explain how this person can be helped through nursing. Use things like universal self-care deficit as well as developmental self-care requisites and health deviation self-care requisites. You see here is my *****- you don't need to have a theory that says Mr. Jones is an alcoholic so he has a self care deficit and I can help him because I am his nurse. I don't need to read Leininger's chapter to know that different cultures are handled in different ways- IT IS COMMON SENSE. good luck with your project

Qanik

  • Expert

I too work in an ER and had the same assignment when I was in the MSN program (do all the instructors give the same assignments?? lol). I used Orem also and then brought in the Stages of Change model. I found the book "Nurse as Educator" by Susan B. Bastable to be very useful. Good luck. (It is also one of the books recommended by the ANCC for the Adult Med Surg CNS exam).

I just completed my MSN/CRNA, but did 10 years ED before going back. I would say that Henderson would apply for advocacy. Most patients are impaired in some way, or cannot comprehend everything thrown at them in that environment. The RN is responsible for being the advocate for the patient.

Theory? In ER? Not where I'm am. If it is not published clinical research no one wants to hear it. Nursing models to some extent but that's about it. Our ER docs even conduct their own clinical research, outside of medications, to decide best practice for their group. Cathy, Cleveland

OK so first I will tell you that I think the whole theroy thing ranks up there with the nursing diagnosis thing- useless and a buch of time wasting BS. Now having said that I had to do the same thing in graduate school. So if you like Orem and the self care model use that with any patient. The alcoholic who comes into your ED is obviously not caring for themselves. Then explain how this person can be helped through nursing. Use things like universal self-care deficit as well as developmental self-care requisites and health deviation self-care requisites. You see here is my *****- you don't need to have a theory that says Mr. Jones is an alcoholic so he has a self care deficit and I can help him because I am his nurse. I don't need to read Leininger's chapter to know that different cultures are handled in different ways- IT IS COMMON SENSE. good luck with your project

Qanik

I was going to say Orem, too.

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I like Benner's Novice to Expert: ER nursing is its own specialty, this theory allows for changing tracks as it were, and starting over in a new area as a novice. It describes a continuum of advancing in knowledge and confidence.

Martha Rogers... Duude you're on my energy field !

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