ICNP® terminology subset for the care of people with heart failure

ABSTRACT Objective: to develop an ICNP® terminology subset for the care of people with heart failure. Methods: this is a methodological study, which used the theoretical framework of the Mid-Range Nursing Theory for Cardiovascular Rehabilitation, with the steps: Construction of nursing diagnoses/outcomes and interventions statements and Cross-mapping of statements constructed. Results: forty-two diagnosis/outcome statements and 179 nursing intervention statements were constructed, organized based on five theory concepts, with a higher prevalence of statements related to “Rehabilitative care”, “Psychosocial support for patients and families” and “Supervised cardiovascular rehabilitation program”. Final considerations: it was possible to build nursing diagnosis/outcome and intervention statements for developing a terminology subset for the care of people with heart failure, based on the chosen theory.

Impaired knowledge in individuals with heart failure: a middle range nursing theory

ABSTRACT Objective: To develop a middle range nursing theory of impaired knowledge in individuals with heart failure. Methods: Descriptive study of the cross type developed through the theoretical-causal validity method, which used six steps for theory building: Definition of the construction approach; Definition of theoretical-conceptual models; Definition of main concepts; Development of a pictorial scheme; Construction of propositions; and Establishment of causal relations and evidence for practice. Results: Twenty-four articles were found, which identified two attributes, eight antecedents, and seven consequences, which gave rise to the pictogram, which schematized the concepts by relating them to cardiac physiology. Finally, 11 propositions and four causal relationships were created. Conclusion: The constructed theory enables a targeted driving of nurses’ clinical judgment regarding impaired knowledge in individuals with heart failure, culminating in individualized interventions to improve quality of life.

HUBUNGAN TINGKAT KEPUASAN PEMBELAJARAN ONLINE DENGAN PRESTASI AKADEMIK MATA KULIAH NURSING THEORY AND PRACTICE MAHASISWA KEPERAWATAN [RELATIONSHIP BETWEEN ONLINE LEARNING SATISFACTIONAL LEVEL AND NURSING STUDENT ACADEMIC ACHIEVEMENT ON NURSING THEORY AND PRACTICE COURSE]

<p><em>These days, things are developing rapidly, especially in the field of education. One of developments is in the </em><em>use of technology in education. Online learning is one of important technology-based learning methods in </em><em>today's world that requires people to do learning activities from home through online learning. The Covid-19 </em><em>pandemic requires all fields including Education to implement online learning to prevent transmission. The </em><em>objective of the study was to determine the relationship between online learning satisfaction level on Nursing </em><em>Theory and Practice course and nursing student academic achievement. This study employed quantitative </em><em>correlation. The research population is 335 active students Faculty of Nursing Universitas Pelita Harapan </em><em>batch 2019. Purposive sampling technique and Solvin’s formula were used in this study which involved 185 </em><em>students. The results show that there is a significant and unidirectional relationship between the level of online </em><em>learning satisfaction and student learning outcomes (p=0,001). Most students have a level of satisfaction of </em><em>Nursing Theory and Practice online subjects (68%), with an average learning achievement (final grade) of </em><em>81.40. Student satisfaction with online learning methods is related to academic achievement, the higher the </em><em>level of student learning satisfaction the better students’ academic achievement.</em></p><p><strong><em></em>BAHASA INDONESIA ABSTRAK: </strong>Belakangan ini, banyak hal berkembang dengan pesat, terutama di bidang pendidikan. Salah satu perkembangan tersebut adalah dalam hal penggunaan teknologi dalam pendidikan. Online learning merupakan salah satu metode belajar berbasis teknologi yang penting dalam keadaan dunia sekarang yang mengharuskan kegiatan pembelajaran dilakukan dari rumah melalui pembelajaran online. Pandemi Covid-19 menuntut semua bidang termasuk pendidikan untuk menerapkan pembelajaran online untuk mencegah penularan. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat kepuasaan pembelajaran online pada mata kuliah<span class="Apple-converted-space"> </span><em>Nursing Theory and Practice</em><span class="Apple-converted-space"> </span>dengan prestasi akademik mahasiswa keperawatan. Metode penelitian ini menggunakan desain kuantitatif korelasional. Populasi penelitian adalah mahasiswa aktif Fakultas Keperawatan Universitas Pelita Harapan angkatan 2019 berjumlah 335 mahasiswa. Tehnik<span class="Apple-converted-space"> </span><em>purposive sampling</em><span class="Apple-converted-space"> </span>dan rumus Slovin diterapkan dalam penelitian ini dengan jumlah sampel sebanyak 185 mahasiswa. Hasil dari penelitian menunjukkan adanya hubungan yang signifikan dan searah antara tingkat kepuasan pembelajaran online dengan hasil belajar mahasiswa (p=0,001). Sebagian besar mahasiswa memiliki tingkat kepuasan terhadap pembelajaran<span class="Apple-converted-space"> </span><em>Nursing Theory and Practice online</em><span class="Apple-converted-space"> </span>(68%), dengan rata-rata prestasi belajar (nilai akhir) 81,40. Kepuasan mahasiswa akan metode pembelajaran online berhubungan dengan prestasi akademik, semakin tinggi tingkat kepuasan mahasiswa terhadap pembelajaran menunjukkan semakin baik prestasi akademik yang dicapai mahasiswa.</p>

Orem’s Self-Care Deficit Nursing Theory: Relevance and Need for Refinement

The purpose of this article is to highlight the relevance of Orem’s Self-Care Deficit Nursing Theory (SCDNT) in contemporary and future practice, explicitly within the global self-care movement and interprofessional healthcare. The authors discuss the relevance and important strengths within Orem’s nursing theory and recommend theoretical refinement within the context of significant societal and healthcare transformation. The constructs of global people-centered care and population health, with related social determinants of health, are identified as critical areas for development if SCDNT is to have continued relevance for nursing practice. Implications for theoretical thinking and nursing education are recommended.

Leininger Theory Development through Mentoring Students and Community-Leaders in Preventing the Spread of COVID-19

Background: The COVID-19 pandemic requires everyone to behave in a healthy way and prevent the spread of the virus in very simple ways such as wearing a mask, keeping a distance, preventing crowds, washing hands and there is also a behavior to do a rapid or swab if you want to leave the area, but this behavior is partly Most people have not behaved optimally to prevent the spread of the virus. The solution that can be done is a community approach with the development of the Leininger model theory carried out by the surrounding community and assistance from FKK Unusa students. Purpose: The purpose of the study was to analyze the development of a community-based Leininger nursing theory model through mentoring Faculty of Nursing and Midwifery Unusa students and community leaders to prevent the spread of Covid-19 in East Java. Methods: Research design using explanatory which aims to explain the causal relationship between variables. The research population is the community around the residence of the students of the Faculty of Nursing and Midwifery and community leaders with a sample size of 30% of the population, the sampling technique used is proportional sampling. The instruments used were questionnaires and observations. The independent variable is the development of the Leininger model theory, while the dependent variable is the degree of public health. Variables were analyzed descriptively on each variable and then analyzed by t-test to determine the difference between the independent variable and the dependent variable with a significance level of 0.05. Results: The results showed that there were differences before and after mentoring students with community leaders regarding the development of the Leinenger theory model and the degree of public health. The results of the statistical test with the results obtained sig = 0.000 < 0.05 probability means that there is a difference before and after the companion on the development of the Leinengre theory model with the degree of public health. The statistical test results obtained sig = 0.000 < 0.05 probability, which means that there is a difference in the development of Leininger's nursing theory model with the degree of public health with the assistance of Faculty of Nursing and Midwifery Unusa students and community leaders in East Java. Conclusion: There are differences in knowledge, attitudes, behavior and degrees of public health before and after mentoring students with community leaders to prevent the spread of Covid 19.

Nursing Theory Makes a Practice Turn in the 21st Century

The author assumes that practice became prominent in nursing theory in the first two decades of the 21st century. The end of the last century saw a burgeoning of literature on what is known as grand theories, their implementation, and evaluation. The era of healthcare quality research began when the Institute of Medicine issued a report on building a safer health system. At this time, the 21st-century literature in nursing took a distinct turn toward practice, influencing nursing theory. The movement to individualize care acted to further this influence. The nurse and patient relationship is the source of data for knowledge development. Established research approaches such as grounded theory and new approaches such as story theory were being used to create nursing theory from practice. Grand theory work moved to the development of instruments to measure the effects of theory in practice, such as that of Watson and Roy. The middle-range theories were developed and seen as closer to and easier to use in practice. The evidence-based practice movement also contributed to the role of theory in practice. These knowledge developments led to nurses having expanded roles in nursing.

Developing Mid-Range Theories for the Maturation of Nursing Care in Colombia

Nursing theory has evolved since the 1960s, from conceptual models to concept analysis to mid-range theories. Mid-range theories are developed primarily for qualitative research, to target patient problems, to respond to patient needs, to identify interventions and the changing patterns of patient care. These mid-range theories cluster in various patterns to provide valid, coherent, and significant interventions. Examples of programs that have dramatically impacted our understanding of nursing and patient care are presented. Thus, by developing and implementing the findings of mid-range theories, nursing care matures, and the standards advance.

A Path Analysis of Agitation in Persons with Alzheimer Disease

This study tested a theory-driven path model of predictors and outcomes of agitated behavioral symptoms in persons with Alzheimer Disease (AD) guided by the Nursing Theory of Unpleasant Symptoms. This secondary analysis included data from 48 persons with AD from institutional residences in Midwestern United States. Data included measures of physical, psychological, and situational antecedents of agitation, the symptom of agitation, and functional outcomes of agitation with 15 instruments and subscales. The data were a good fit for the empirical path model (χ2 = 1.049, df = 2, p = .592). Statistically significant paths were found from measures of physical, psychological, and situational antecedents to agitation (B = 0.58, 0.446, and 0.51; p ≤ .001) which explained 63% of the variance in agitation. Functional performance was influenced only by physical antecedents, which explained 66% of the variance in functional performance. While physical and psychological states may be comorbid to the AD disease process and therefore less modifiable, the situational measure was primarily defined by measures related to caregiver burden. Therefore, future agitation interventions should target strategies to improve caregiver burden.