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 Grand Theory Essay


Toward a Mid-Range Theory of Nursing Presence

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Michelle A. McMahon, BING, RN, and Kimberly A. Christopher, PhD, RN, OCN Michelle A. McMahon, MSN, RN, is known as a Student in the PhD in Nursing Plan, College of Nursing, University or college of Ma Dartmouth, North Dartmouth, MOTHER; Kimberly A. Christopher, PhD, RN, OCN, is Affiliate Professor, University of Breastfeeding, University of Massachusetts Dartmouth, North Dartmouth, MA. Keywords Nursing occurrence, mid-range theory, nurse education, relational abilities Correspondence Michelle A. McMahon, MSN, RN, Student in the PhD in Nursing System, College of Nursing, University of Ma Dartmouth, North Dartmouth, MOTHER E-mail: [email protected] com HISTORY. Presence can be widely accepted as a primary relational skill within the medical profession. Registered nurse educators will be challenged to ensure the humanistic aspects of client care will be included in the Bachelors of Technology in Nursing (BSN) curriculum. Introducing and teaching presence skills early on in the BSN curriculum will make sure the essential worth of relational engagement with clients. Nursing jobs literature, however , notes existence is a demanding concept pertaining to BSN college students. Articulating a midrange theory of nursing jobs presence will certainly facilitate students' conceptual understanding of presence and guide nurse educators to teach presence abilities. AIMS. To propose a mid-range theory of breastfeeding presence. Within the theoretical style, identify advancement opportunities to boost student registered nurse use of presence as a relational skill. STRATEGIES. An extensive literature review was conducted. Supplies were produced and the mid-range theory originated. DISCUSSION. Kim's nurse-client website provided the angle that guided the parameters of the theory. Professional breastfeeding presence is dependent upon the combination of п¬Ѓve factors: individual health professional characteristics, person client qualities, shared attributes within the nurse-client dyad, a setting conducive to relational operate, and the nurse's intentional decisions within the practice domain. The variables will be described and the relationships among variables represented in the version. Speciп¬Ѓc nurse-sensitive points throughout a nurse-client connection determine or perhaps influence the nurse occurrence intervention and dose. Areas designed to teach or increase relational abilities are identiп¬Ѓed for the BSN mentor. CONCLUSION. A mid-range theory of presence contributes to the understanding of the relational aspects of nursing practice within the modern healthcare environment. Identifying strategies to teach BSN students presence skills will facilitate the incorporation with the humanistic aspects of client proper care in the undergrad curriculum.

Occurrence as a idea is extensively accepted as being a core relational skill within the profession of nursing (Covington, 2003; Gardner, 1985; Gilje, 1992). In the contemporary healthcare setting—characterized by simply economic and time restrictions, nursing disadvantages, agency objectives, and accreditation mandates— nursing's relational job is at risk (Cohen, Hausner, & Manley, 1994; Doona, Haggerty, & Chase, 1997; Finfgeld-Connett, 2008; Melnechenko, 2003). The

scope of nursing practice continues to expand and practicing rns are challenged to prioritize the humanistic aspects of medical care because they integrate increasing numbers of technical and scientific anticipations. In addition , nurse educators happen to be challenged to make certain the humanistic aspects of client care happen to be included in the baccalaureate curriculum (Kleiman, 2007). Current baccalaureate education emphasizes the use of informatics (Quality and Safety 71

В© 2011 Wiley Journals, Inc. Nursing Forum Quantity 46, No . 2, April-June 2011

Toward a Mid-Range Theory of Nursing Presence

Education pertaining to Nurses, 2010; Technology Informatics Guiding Education Reform, and. d. ) and simulationbased learning approaches (Simulation Innovation Resource Center, n. m. )...

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Toward a Mid-Range Theory of Nursing Presence

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Toward a Mid-Range Theory of Nursing Existence

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M. A. McMahon and K. A. Christopher

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