Essay Example on CLABSIs: Nursing Ethics and Theory in Practice

Introduction

The foundation of nursing, research, education, and practice is based on ethical principles and nursing theories. To serve the community effectively, advanced nursing clinicians need to learn and participate in knowledge development. Just as nursing is known as a human practice science, there exist theories and set of the ethical framework that governs how they go about the handling of the central line-associated bloodstream infections (CLABSIs). The objectives of this essay are to relate the phenomenon of interest to the metaparadigm of nursing. It will involve selection and discussion of middle-range theory and a grand nursing theory that can be applied to the phenomenon of interest. It will also examine the relation of the POI to the complexity framework and distinguishing some ethical principles applicable to the POI.

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The Phenomenon of Interest (POI)

Central line-associated bloodstream infections (CLABSIs) are infections of the bloodstream confirmed in the laboratory, not in any way related to infection on any other place, which develops within a time of 48 hours from the placement of a central line (Holmes, 2016). CLABSI is related to the burden of high costs compared to all other healthcare-associated infections, with a single case accounting for approximately $46000 (Conley, 2016). CLABSIs rate of patients in the ICU is estimated to be 0.8 per 1000 in the USA (Branch et al., 2018).

Nursing Metaparadigm

The nursing metaparadigm comprises a set of theories on how nursing as a discipline should operate (Bender, 2018). There exist many theories, but the following are the main that connects to the person's wellbeing. They include:

Person

This component concentrates on the receiver of care and how they relate to positively to their connections. In the prevention and treatment of CLABSIs, the people around the patient need to be taught how to handle the patient in order to prevent them from acquiring It and how to handle it (Branch et al., 2018).

Environment

This component talks of a person’s continuous interaction with their internal and external environments. A person's environment consists of social and physical factors such as technology, social and economic conditions, culture, and geographical location (Holmes, 2016). A person is capable of controlling their environmental factors in the prevention of CLABSIs.

Health

It covers a person's genetic makeup and integration of their emotional, physical, and spiritual wellbeing with healthcare for maximum benefits. These factors will influence how a patient effectively recovers from CLABSIs.

Nursing

It applies the component skills, knowledge, and expert judgment to achieve the best health outcomes of a CLABSIs patient since it values the patient's wellbeing.

Grand Nursing Theory

These are broad and complex theories that may, at times, incorporate numerous other theories. They comprise global concepts that attempt to clarify and explain broad areas built on the thoughtful appraisal of existing ideas (Holmes, 2016). It involves diverse ways of viewing the field of nursing.

Roy's Grand Nursing Theory

This model acknowledged various stimuli, including influences, circumstances, and influences that tamper with a person's mode of functioning. These modes of adaptation are interdependence, self-concept, role function, and physiologic needs. A patient's adaptation is improved through the modification of stimuli when a nurse recognizes certain adaptive behaviors. The metaparadigm concepts and adaptation are the major concepts. CLABSIs can be dealt with in this theory by teaching patients to respond to stimuli of the insertion (Branch et al., 2016). The patients can be trained to adapt to the insertion being on them and how to take care of it to prevent any infections from getting to the central line.

Middle Range Nursing Theory

Its concepts tend to be more verifiable through testing hence offering a more concrete connection of nursing theories to the practice (Holmes, 2016). Philosophy and Theory of Transpersonal Caring by jean Watson is mainly concerned with how nurses express care to patients. Major concepts in this theory include the metaparadigm and ten carative factors that form human care (Branch et al., 2016). CLABSIs can be dealt with by creating a care plan for patients after assessment, helping to determine how variables are examined and the implementation of a core strategy.

Complexity Science

Complex adaptive systems are agents with unpredictable behaviors but affect the framework of other agents. In contrast, complexity science allows for emergent behavior while focusing on relationships among variables. The transition of a CLABSI patient is a complex adaptive system, particularly self-organization and planning (Holmes, 2016). This is majorly associated with a reduction in reinfections (Branch et al., 2016). The complexity of science is the addressing of better intervention measures in the hospital.

• Ethical/Bioethical Framework
• Dignity Enhancing Care Framework
• Ethical Principles
• Interpretative Dialogue

The general aim of nursing should be taking good care of patients. Nurses should communicate openly to ensure the concrete care process takes place.

Normative standard Nurses should be obligated to view the treatment of man from some anthropological view. They should normalize the obligatory character of care.

This framework tends to value people, and I believe that the sick are vulnerable people. The caring process is ethical since a vulnerable person is at the mercy of a nurse (Conley, 2016). The dignity of a patient should always be upheld.

Conclusion

In this essay, we related the POI to the metaparadigm of nursing involving selection and discussion of middle-range theory and a grand nursing theory applicable to the POI. We also examine the relation of POI to the complexity framework and distinguishing some ethical values that applying to the POI.

References

Bender, M. (2018). Reconceptualizing the nursing metaparadigm: Articulating the philosophical ontology of the nursing discipline that orients inquiry and practice. Nursing Inquiry, 25(3), e12243. https://onlinelibrary.wiley.com/doi/abs/10.1111/nin.12243

Branch, C., Deak, H., Hiner, C., &Holzwart, T. (2016). Four Nursing Metaparadigms. IU South Bend Undergraduate Research Journal, 16, 123-132. https://scholarworks.iu.edu/journals/index.php/iusburj/article/view/22199

Conley, S. B. (2016). Central line-associated bloodstream infection prevention: Standardizing practice focused on evidence-based guidelines. Clinical journal of oncology nursing, 20(1), 23. http://search.proquest.com/openview/d25e06b63a0befa8c24a00af2071b533/1?pq-origsite=gscholar&cbl=33118

Holmes, C. A. (2016). Some implications of postmodernism for nursing theory, research, and practice. Canadian Journal of Nursing Research Archive, 32(2). http://cjnr.archive.mcgill.ca/article/view/1578