McCrae Article Critique: The Value of the Theory of Nursing

Introduction

The McCrae (2011) article examines about the value of the theory of nursing within the context of evidence-based practice as well as in the context of the multidisciplinary health care. The major aim of this article is to discuss the key function of nursing models as well as the theory in the contemporary clinical environment. In the review of background, the nursing models have had limited achievement when it comes to bridging the gap between the authentic practice and the theoretical model. However, most of the arguments against the theory of nursing are challenged. This is because, in the present perspective of multidisciplinary doctrine and the services of evidence-based actions, an exceptional theoretical perspective comprising the science and the art of nursing is more significant than ever. Therefore, these papers entail major theoretical nursing models alongside their respective critiques.

Is your time best spent reading someone else’s essay? Get a 100% original essay FROM A CERTIFIED WRITER!

Save 25%

Interpersonal Relations in Nursing

The article highlights issue concerning interpersonal relations in nursing which was founded by Peplau. Peplau in her discussion, she noted that nursing is like any other profession which is affected by both internal and external factors within the system (cite). Peplau emphasized on the nurse as personnel of a greater benefit rather than taking more stances on the service of the organization along with the physical treatments as being the agents of change (Vasconcellos& Shin, 2017). Peplau portrayed an interactional procedure applicable to all nurses.

Peplau illustrated about orientation where individuals feel a call for and seek professional assistance; through orientation, nurses always assist the patient to understand well about their health problems. On the other hand, she narrated issues about identification which patients in the hospital always relate to nurses whom they have believe that they can help. In this article, Peplau talks about exploitation where patient tries helping the situation; nurses normally formulate goals and objectives for a patient as they recover gradually. Additionally, there are issues of resolution in which patient discards earlier goals as well as accepts new set goals, at the same time relinquishing reliance on the nurse (Vasconcellos & Shin, 2017).

Theorists projected that nursing models would allow practitioners to be more independent and accountable for making various clinical decisions and care organization, at the same time boosting growth and development of the nursing discipline (cite). The article also inspiring nursing to sunny highlands of hypothetically grounded practice, some theories have been deemed as idealistic dogma from ivory towers, and as distractions from instinctive care for example making proper clinical decisions on menace. The building, teaching as well as applying a presumption of nursing is certainly a huge challenge; however, that is no rationalization for abandoning the attempts. Practical relevance has been stalled by a series of constraints; nevertheless, all of these could be trounce (LoBiondo-Wood & Haber, 2017). With a surfeit of theoretical frameworks for nursing, it was by then appealed for systematic assessment and the requirement for rigorous legalization which is pronounced by the present hymn of evidence-based application. For instance, patients frequently feel distressed on admission to the strange surroundings of the hospital.

Discussion

By lacking direction for practice as a medium for a theory of nursing, a model supposed to consist of clear processes, goals, and concepts. Impenetrability in the utilization of models in nursing was perhaps intensified by some terminology like expanding the consciousness of Newman as well as the Rogers' dynamic energy fields, which diverge from modern nursing discourse. However well-argued a theory, it is presently superfluous if it doesn't make sagacity to the practitioner (Djulbegovic, & Guyatt, 2017). However, theorists use a lot of times regarding years for refining models to make them unavoidable conjectural complexity readily logical for daily application. The nursing school, as well as universal hospital, had pursued incorporation of teaching plus applications by instilling the model all through clinical surroundings, but in authenticity, the system depreciated into a ritualistic documentary process mostly that was performed by students as a learning application.

Also, Clarke's illustrated philosophical holism idea which tends to be misinterpreted by nurses as an approach of eclectic, when it actually means incorporation of medical model and positivism of nursing literature.But medicine normally considers patient in context, as in the model of Biopsychosocial espoused by psychoanalysis. The care of Holistic has to be innermost core to a theory of nursing but is inadequate as a reason. The theoretical expansion is a step onward from indistinct ideals mission of nursing to more evidently demarcated purpose, scope, and method, however, this is the process of iterative whereby the theory informs practice as well as vice versa (Djulbegovic & Guyatt, 2017).

Conclusion

In conclusion, there are theoretical models that diversified assumptions regarding human nature as well as nurture which extends to the wider socio-environmental framework. The nursing theory authorship has reflected so much relatively on the advanced, rational culture of nursing in the United States of America. Thus theorists have tried in a range of ways to present a broad, rational as well as a systematic approach to nursing. With a surfeit of theories and models, hence various classifications have been offered; for example, sorting out models as systemic, interactional or developmental.

References

Djulbegovic, B., &Guyatt, G. H. (2017). Progress in evidence-based medicine: A quarter century on. The Lancet, 390(10092), 415-423.

LoBiondo-Wood, G., & Haber, J. (2017). Nursing research-E-Book: Methods and Critical Appraisal for Evidence-Based Practice. City, State:.Elsevier Health Sciences.

Vasconcellos, A. P., & Shin, J. J. (2017). Evidence-Based Medicine. In Medical and Surgical Treatment of Parathyroid Diseases (pp. 3-9). Springer, Cham. See APA.