Concept Comparison

Topics: Nursing, Culture, Nursing theory Pages: 9 (2018 words) Published: August 24, 2014


Concept Comparison and Analysis across Theories and paper
John Thorpe
NUR/513
May 12, 2013
Dr. Roboam Aguirre

Concept Comparison and Analysis across Theories
The nursing profession has made some remarkable accomplishment during the 20th and 21st centuries, which has led to the recognition of nursing as an academic discipline. The move toward a theory- based practice has shifted the focus from the vocational view of nursing to a more meaningful and organized profession. As such, the knowledge and practice of nursing is embedded and guided by the theoretical framework of the profession. Theories also give direction and purpose to the nursing profession, and they are developed to improve nursing care and education, and to provide a basis for practice. A theory is an idea recommended to explain a phenomenon, interprets observation, defines relationships, and project outcome (Parker & Smith, 2010). The theories of nursing can be categorize in three areas: (a) grand nursing theories, which gives abroad perspective to the goals and structure of nursing not meant to be easily grasp or tested, (b) middle range theories, contains fewer concept, and relationships are more applicable to nursing practice (c) practice level theories, which has more direct impact on nursing practice than more abstract theories. Mid-range theories are both easily understood and applicable to the daily practice of nursing. For the purposes of this assignment, the core concepts of two middle range contemporary nursing theories will be highlighted and the concept definitions analyzed. One theory will be discussed along with its application to nursing practice, the theory’s concept statement, metaparadigms, philosophies, and conceptual model. Finally, nursing resources, and nursing knowledge from theorists are included in this paper to show the contributions to nursing science.

Core Concept
A concept is a word or ideas that provide a mental image to promote communication about a phenomenon and can be either empirical or abstract experience (Walker & Avant 2011). Core concepts are the fundamental building blocks in the development of theories, as such; theorists employ core concepts in the process of theory advancement (George, 2011). The metaparadigm of nursing is composed of four main concepts they are; person, health, environment, and nursing (George, 2011). The core concepts of the two contemporary nursing theories selected are Leininger’s culture care theory, and Kolcaba’s comfort theory. These theories are considered middle range theories because they are more understandable and easier to apply to day-to-day nursing practice and may be used to suggest an intervention. Conversely, the grand theory is more extensive and provides a framework for organizing ideas (Smith & Liehr, 2008). Although health care has experienced numerous changes over the past decades, the basic principle of nursing, caring for the sick, has not changed. With the addition of evidence-based care as a result of nursing research and extensive research by nursing theorists there are additional components to nursing that nurses have to know and understand to provide excellent care. Unfamiliarity with someone else’s culture can lead to feelings of fear and insecurity due to differences in belief, values and practices (Leininger (1991). These theorists view the patient as a whole and believe care should be administered from a holistic approach. Concept Analysis

Leininger is the innovator of the transcultural nursing movement in research, education, and practice. The overarching concept of this theory (culture) - based discipline is intended to serve individuals, communities, establishments, and societies. In the 1950s, while working in a child guidance home with troubled children and their parents, she observed repeated patterns of behavior in children that seemed to have a cultural basis. She identified these repeated patterns as...
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