Professional Documents
Culture Documents
Basis for challenge of its speculative tenets or propositions. (e.g. Developing board
resolutions particularly addressing problems in the Licensure Re-takers Issue)
Challenges subsequent discovery of new ideas or knowledge that might explain and
predict events not yet understood. (e.g. The essential Newborn care protocol and
adaptation of the 2010 Cardiopulmonary Resuscitation Technique revised by the
American Heart Association in reviving Myocardial infracted patient, instead of the
traditional A-B-C pattern, replaced by the C-B-A protocol)
2. In practice
Provide a rationale for collecting reliable and valid data about the health status of
clients, which are essential for effective decision making and implementation.
Help build a common nursing terminology to use in communicating with other health
professionals.(eg. Ideas are developed and words defined in writing a Problem
oriented medical records, Nursing flow charts and problem base , focus data response
record, SOAPIE, endorsements, and Nursing progress notes.)
3. In education
Provide a general focus for curriculum design.(eg. This is the product or effort of the
TCNE panel or the Technical Committees in Nursing Education panel in the context of
their study-research of the new nursing curriculum approved by the Commission on
Higher Education- the CMO 14. Series of 2007, rationalizing nursing education to be
more globally competetive)
Guide curricular decision making. (e.g. The development of the DaCum- or Develop a
Curriculum by the Association of Deans of the Philippine College of Nursing; and
Formulation of the 11 Basic Nursing Core Competencies and Responsibilities in the
academics of the BSN Program in the Philippines organized by the Board of Nursing)
4. In research
Offer a framework for generating knowledge and new ideas. (eg. The Filipino for
founding theories that made by Dr.Araceli Balabagno, Dr. Carmencita Abaquin, Dr.
Letty Quan, Dr. Primitiva Paquiz and among others as the structural basis of cognitive
study in the Advancements in nursing practice in the Philippines)
Offer a systematic approach to identify questions for study, select variables, interpret
findings, and validate nursing interventions.
nursing in one way or another. Likewise, there is no single theory, or group of theories, that
is more correct than another.
Nursing practice is inexorably tied to human interactions and experiences;
precise and unwavering conclusions are often not possible (Sitzman and
Eichelberger, 2011). It is well said that the no single theory applies exclusively to the client,
rather it has to be holistic in nature. According to Catalano(2006), Nursing models tend to
be holistic; they are concerned with curing disease and restoring a clients health, but they
also focus on prevention of disease and maintenance of health. A healthy person is just as
important to many nursing models as the person with a disease.
These statements above are therefore supported by Hugh Mckenna (1997) stressing that,
perhaps a central selection criterion is fitness for purpose; in other words, does the theory
serve the purpose for which it is intended? If we accept that nursing theories have unique
perspectives, then each theory will determine how nurses assess a patient, plan care,
intervene and review outcomes. Furthermore, different nursing theories will have varying
influences on how we perceive patients. For instance, one theory may encourage
dependence by stressing that the nurse should do everything for the patient, while another
may encourage independence by stressing that the nurse should teach the patient about
self-care. Therefore, an unsuitable choice of a theory could easily have detrimental
effects on patient care.
I as a former DR/LR nurse at Buluan District Hospital had the most challenging yet rewarding
task ever encounterd. This perhaps is the most unique one, where in I was put to test
utilizing my talents and abilities pushing to the limit especially at middle of unique cultural
difference and the practices, incarcerated to traditional margin of practice and at the middle
to political conflicts of power. Let me give you the clear picture of the external milieu of my
locale. First, Majority of our clients are Muslim (some 94%, According to Buluan Municipality
records) and a fraction of Ethnic tribes (like Blaan, and Tboli) and Some Christian groups
(like Ilongo and Ilokano 4%) inhabiting the municipality. The group thrives harmoniously
under the strong Leadership of the Mangudadatus. At the middle of political upheaval
between the Ampatuans in 2009, I remain steadfast yet surrounded with fears,
disappointment and incommensurable compensation. Despite of the situation, I continue to
live, work and provide services. The greatest health problem I encountered was, the
incidence of neonatal tetanus, and the increasing incidence of neonatal mortality (majority
are not medically reported in the health institution however, the status of the overall
pediatric deaths remains very high) due to measles and amoebiasis, even helminthes
leading to anemia during resettlement.
As maternity nurse at those times, the challenge to me is how to handle childbearing
woment ages 14 to 16 years old coming to our hospitals daily, not for check-up but during
labor and delivery. Prematurity and sometimes, small gestational age were often
encountered.
Now as to application of nursing theory from above situation, I am a great follower of the
following nursing models:
1. Penders Health promotion model
infection, the nurse must do something to retard the growing number of tetanus case, or if
not, sepsis. Considering the degree of education of these mothers have, the nurse must
intervene as an advocate to the safe care needs of the mother, safeguarding them from
dominions of ignorance, nothing more powerful than giving health education-using
demonstration and return demonstration procedure, to enhance retention and eventually a
handful skill are developed.
Roys Adaptation theory
To promote adaptation for individuals and groups in the four adaptive modes- physiologic
needs, self- concept, role function and inter-dependence, thus contributing to health, quality
of life, and dying with dignity by assessing behaviors and factors that influence adaptive
abilities and by intervening to enhance environmental interactions. From the given situation
above, wounded-amputated, victims of political upheavals are encourage to use crutches to
help him able to walk again, mobilizing and transporting ones body is part of Activities of
daily living.
Liningers Transcultural Nursing
The most important value should a nurse be caution is his self awareness. Health care
provider need to be flexible in the design of programs, policies, and services to meet the
needs and concerns of the culturally diverse population, groups that are likely to be
encountered. Most cases of lay illness have multiple causalities and may require several
different approaches to diagnosis, treatment, and cure including folk and Western medical
interventions. The use of traditional or alternate models of health care delivery is widely
varied and may come into conflict with Western models of health care practice. Culture
guides behavior into acceptable ways for the people in a specific group as such culture
originates and develops within the social structure through inter personal interactions. For a
nurse to successfully provide care for a client of a different cultural or ethnic to background,
effective intercultural communication must take place.
References
1. Mc Kenna H. (1997). Routledge Essentials for Nurses: Nursing Theories and
Models. 1st Edition. London. Routledge.
2. Parker M. (2000). Nursing Theories and Nursing Practice. 1st Edition.
Philadelphia. F.A. Davis Company.
3. Sitzman K. & Eichelberger L.W. (2011). Understanding the work of nurse
theorists: a creative beginning. 2nd Edition. Massachusetts. Jones and Bartlett
Publishers.
4. Catalano, J.T. (2006). Nursing Now: Todays Issues, Tomorrows Trend. 4th
Edition. Philadelphia. F.A. Davis Company.
Theories are mental patterns or constructs created to help understand and find meaning
from our experience, organize and articulate our knowing, and ask questions leading to new
insights.
As such, theories are not discovered in nature but are human inventions. They are
descriptions of our reflections, of what we observe, or of what we project and infer.
help, in particular the poor, depressed, oppressed and marginalized sector of the society
situated in the province of Maguindanao, ARMM.
My name is Dennis Nabor Muoz, RN, RM; a proud product of Notre Dame of Marbel
University. At present, I am the Junior National Marketing Officer of St. Louis Review Center
based in General Santos City, Tacurong City, Urdaneta City and Cabanatuan City Branches. I
am with SLRC for one and a half years and in progress. In my spare time from five pm to
nine in the evening, I teach at Nikki Louise College, General Santos City as Part-Time
instructor, teaching subjects like Obstetrics and Primary Health Care. I used to be the DR
Nurse in Buluan District Hospital 2 years ago, thus it heralds me to specialize in Maternal
and Child Health Nursing.
Over the next few years studying at UPOU, I would like to conduct a study on how
cultural indifferences and mal-adaptation to modern western medical science cause ethnic
groups and minorities remain resistant to change and continues not to evolve changes.
Instead of amelioration, they remain incarcerated to traditional yet risky and threatening
practices. It poses general health threat to the overall organization of the family and to the
mother and child in particular. In spite of the effort and massive campaign initiative of the
health department, the program remains unsatisfactory due to several contradicting factors.
And this is my quest, my anticipated challenge and the supposed underpinnings I should to
go through. Thank you