The theoretical foundation chosen for this paper is Imogen King’s Conceptual System. King’s foundation centers around an individual’s sustained ability to meet their basic needs and perform their socially defined role. The role of the nurse is to help individuals maintain their health status and adequately perform their social roles (Fawcett, 2016). The author selected this process because it both aids nurses in identifying patient problems as well as promotes mutual goal setting between the nurse and patient. King’s model relates to elective inductions because mutual goal setting requires exploration of care options to find the option that best incorporates patient health status, values/beliefs, educational level, and ethical sensitivity. In the instance of elective inductions, the nurse must be aware of potential ethical issues such as issues with informed consent (Fawcett, 2016). The nurse assists the patient into making an informed decision and also advocates for a patient pressured into an induction (AWHONN, 2012).
A second theoretical framework that relates to this issue is Dorothy…show more content… Because the author is new to practice, further self-education is needed to promote comprehensive documentation of uterine and fetal activity during administration of induction agents including standardized terminology. In addition, the author recognizes her room for improvement in communication with physicians regarding titration of oxytocin. In several professional instances, the physicians have pressured the author to increase oxytocin rates to a point where the author questioned safety. However, unclearly defined policies regarding oxytocin administration allow for physicians to increase oxytocin at their discretion. The author identifies the need for vigilance, careful assessments, and advocacy to both promote safe care and protect her professional
