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Theoretical and Ethical basis of practice paper

For this assignment, you will be further defining your Phenomenon of Interest within a theoretical and ethical framework.

MY PHENOMENON OF INTEREST: CARE OF MEDICALLY SEDATED AND MECHANICALLY VENTILATED PATIENTS IN ICU.

The same Phenomenon of Interest (POI) identified in your first written paper should also be used for this assignment.  You will begin this paper by providing a concise description of your POI, this information should be a short summary of information your presented in your first paper.

Next, you will  discuss the Fawcett’s Meta-paradigm of Nursing and relate the paradigm directly to your POI. How do the four concepts (PATIENT, ENVIRONMENT, HEALTH, AND NURSING) within the meta-paradigm relate to your POI? Is one more important? Do all four have the same level of importance?  You should support this section with peer reviewed references as appropriate.  Specifically identify the components of the meta-paradigm within your discussion. Be sure to reference the meta-paradigm appropriately.

Then, you will select both a Grand nursing theory as well as a Middle range nursing theory.

I HAVE SELECTED THE FOLLOWING:

GRAND THEORY – ROY’S ADAPTATION MODEL

MIDDLE-RANGE THEORY – DAVIDSON’S FACILITATED SENSEMAKING

Take time to review several examples of each type of theory as the selected theories need to “fit” your POI…and work well together.

Grand theory discussion:  identify and discuss the inter-related concepts from your selected theory.  What aspects of the nursing meta-paradigm are addressed by your grand theory?  Then provide information about how you will view your POI through the lens of the grand theory.  How does the theory guide your assessment of the POI?  How does the theoretical framework chosen categorize or define your POI? How does the theoretical framework effect your perception of the POI?

Middle range theory discussion: identify and discuss the inter-related concepts within the middle range theory.  What aspectsof the nursing meta-paradigm are addressed in the mid-range theory? How will this theory guide your assessment/perception of the POI?  How does this mid range theory relate to your grand theory?

Complexity science: how does complexity science relate to your POI?  Depending on the nature of your POI, this conversation may have different foci for different students.  For example, if your POI is glycemic management of the peri-operative patient, this discussion would center on the complex responses of the human body as a Complex Adaptive System.  If your POI is focused on a policy change issue, the focus may be on organizational complexities with communication, change, etc.

Ethical framework:  you should discuss your specific POI in the context of ethical principles.  Basic principles include autonomy, justice, beneficence, and non-maleficence. Is your POI in violation of a core ethical principle?  Is it possible it may be in violation?  What ethical principles do you need to be sure to safeguard?

Conclusion:  this section should not contain any new information but should only provide a summary of what what discussed in the paper.