Nursing Theory

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Defining Attributes
Three attributes of this theory include characteristic patterns of a new disease process and the challenges involved with the patient’s expansion of health consciousness. Second, is pattern recognition and the chaos the APRN is willing to manage in a safe patient centered care environment. The final attribute is the provision of positive unconditional demonstration; safe and therapeutic, allowing the nurse and patient to achieve mutual self-actualization.
Antecedent and Consequence
Bateman & Merryfeather (2014) an antecedent necessary for this theory to be utilized would be the provision of a safe environment, positive unconditional regard and the acceptance of chaos in the patient’s life until the expansion of health consciousness …show more content…
69). An attribute of patient outcomes is patient satisfaction. This includes, “patient reporting of comfort and contentment” (pg. 69). An empirical referent to ensure this nursing theory is implemented effectively in APRN practice is the measurable healing process the patient experiences. According to Rosa (2014) caring for a patient is more than diagnosis, disease, and body. Healing is the focus of APRN care as opposed to a medical focus of curing. In evaluating patient outcomes, a survey evaluating patient outcomes; which, focuses on the APRN and patient relationship and understanding of new disease process would be beneficial. Another empirical referent would be a measurable outcome such as a new diagnosis of hypertension, implementation of an intervention such as pharmacologic therapy and the improved blood pressure. This would demonstrate successful implementation of this theory in APRN practice as the patient is an active participant in the relationship and knowledgeable with …show more content…
The patient is recommended diet and exercise to control blood pressure. At his follow up visit his blood pressure has not changed. His APRN asks him about the diet and exercise regimen he started based on the plan of care at his last office visit. The patient states he has not had time to start an exercise regimen and he eats what his family eats due to financial restraints. The APRN spends additional time with the patient discussing the new diagnosis of hypertension, identifying patterns make compliance with diet and exercise difficult and assess his understanding of his diagnosis. The patient asks appropriate questions demonstrating his understanding of the new diagnosis, treatment options and complications of his new diagnosis if untreated. He reports he cannot start an exercise program right now or afford to change his diet. The patient feels safe and comfortable in dialogue regarding his diagnosis at the follow up visit as evidenced by his concern for treatment. He is able to ask questions and identify a plan of care that he can may be successful in reaching optimal health and lowering his high blood pressure. The patient agrees to start pharmacologic therapy and blood pressure is measured as normal at his follow up visits. Both the patient and the APRN achieve self-actualization through the successful management of the patient’s
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