Discussion: Nursing Theory Essay
Discussion: Nursing Theory
Nurse practitioners in different specialty areas use existing theoretical frameworks developed by nurses to get guidelines on care provision. These theoretical frameworks focus on different aspects of care provision and terms to ensure that nurse practitioners deliver optimal care to patients, health populations, and communities. As a family nurse practitioner, the selected nursing theory is person-centered care nursing (PCN) model developed by McCormack and McCannce (Parmar et al., 2020). The purpose of this discussion is to explore the theory by looking at its origin, meaning and scope, logical sufficiency, usefulness and simplicity and generalizability, and testability. The essay also discusses its use to improve or evaluate quality of practice for family nurse practitioners (FNPs).
Origin of the model
At the core of person-centered care nursing (PCN) is the centrality of forming and fostering therapeutic relationships between care providers, patients, and their significant others in their lives. The theory is based on values of respect for persons, individual right to self-determination, mutual respect and understanding. According to McCormack and McCance, (2017) the theory originates from humanistic psychotherapy that implores providers to view persons as possessing values. Therefore, they should love, value, and respect them so that patients and significant others to them feel worthy of the love, respect, and value. The theory was developed in 2006 to offer a model for caring nursing by providing an environment which focuses on establishment of a standard of care that ensures patients or clients are at the center of care delivery.
Meaning and Scope of the Model
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The theorists, McCormack and McCance, assert that the PCN model consists of five constructs contributing and leading to person-centered care. These include macro context, prerequisites, care settings, person-centered processes and outcomes (McCormack, B., & McCance, 2017). The theorists advance that providers need to work from the outermost circle of the model and continue to the core to establish patient-centered care in their practice and area of specialty. The macro context is an updated part to the original model and focuses on health and social care policy, strategic frameworks, development of workforce and strategic leadership. Prerequisites focus on the qualities and attributes of nurses who contribute to patient-centered care and include professional competence, interpersonal skills, commitment, clarity of values and beliefs, and self-awareness. The care environment consists of external factors contributing to attainment of a patient-centered care like shared decision-making and innovation and risk taking. Patient-centered processes include nursing interventions that promote person-centered care like working with patient values while outcomes are positive results when nurses and patients achieve patient-centered care.
Logical Adequacy of the Model
Logical adequacy determines the scientific agreement on the predictive availability of the theory and if its content makes sense to practitioners or users. It also identifies logical fallacies in the theory. A majority of scientists concur with the predictive availability and usefulness of the framework in family nurse practice (Parmar et al., 2020). However, critiques question the application of this framework in mental health, end of life care, community health nursing, and pediatrics care. Conversely, critical appraisal of the model shows that its practical to use it and leads to positive outcomes in family nursing practice.
Usefulness of the Model
The PCN model is practical and helpful to nursing care, especially for family nurse practitioners. Patient-centered care is no an important focus area and the goal of currently transforming healthcare practice. The model is effective in providing a framework for care, assess and improves processes towards the attainment of patient-centered nursing (McCormack & McCance, 2017). Through its consideration of a multidimensional approach to care and evaluating the contributory factors on different levels that impact patient-centered care outcomes, family nurse practitioners can have a comprehensive understanding of changes and attributes that must be present to offer effective care. The implication is that model is useful in different settings because of its constructs at every level of care provision and underlying their effects on care provision.
Generalizability of the Model
The PCN is highly generalizable since it can be used in different family nursing practice settings and situations. Patient-centered care focuses on different areas of clinical setting and even education for different patients, health populations, groups, and communities. The framework is broad as it can be applied to any general nursing care setting (Mallette, 2022). Understanding that the patient is the ultimate center of care and centering care revolving the patient can enhance quality outcome in family nursing practice.
Testability of the Model
Studies conducted on the model have tested and validates its use and interpretation in different areas of nursing, including family nursing practice. These studies have validated the model through surveys and feedback interpretations (Parmar et al., 2020; Wolstenholme et al., 2017). The implication is that this model is effective in family nursing settings.
Improving Quality of Practice
The PCN model is an essential component for FNPs to enhance quality of practice in their setting. FNPs can utilize the model to develop interventions based on existing patient conditions in family settings to enhance quality outcomes (Mallette, 2022). For instance, they can use the model to enhance shared decision-making and find a common approach to disease presence among patients and offer culturally-sensitive care to diverse patients, especially in an increasingly diverse care environment.
The PCN model is a valuable framework for nursing care since it offers a strategy for the transformation of nursing practice to offer excellent care which focuses on provision of an environment that addresses specific patient needs. As a patient-centered care is an essential goal for the transforming health care, the theory is excellent for FNPs to implement evidence-based practice research interventions in their nursing settings.
McCormack, B., & McCance, T. (2017). Person-centered practice in nursing and health care.
Theory and practice (2nd ed.). Oxford: Wiley Blackwell.
Mallette, C. (2022). Developing Person-Centred Therapeutic Relationships. Arnold and Boggs’s
Interpersonal Relationships-E-Book: Professional Communication Skills for Canadian Nurses, 195. Elsevier. eBook ISBN: 9780323635875
Parmar, J., Anderson, S., Duggleby, W., Holroyd‐Leduc, J., Pollard, C., & Brémault‐Phillips, S.
(2020). Developing person‐centred care competencies for the healthcare workforce to support family caregivers: Caregiver cantered care. Health & Social Care in the Community, 29(5): 1327-1338. DOI: 10.1111/hsc.13173.
Wolstenholme, D., Ross, H., Cobb, M., & Bowen, S. (2017). Participatory design facilitates
Person Centred Nursing in service improvement with older people: a secondary directed content analysis. Journal of clinical nursing, 26(9-10), 1217-1225. doi: 10.1111/jocn.13385
Identify your specialty area of NP practice. Select a nursing theory, borrowed theory, or interdisciplinary theory provided in the lesson plan or one of your own findings. Address the following:
Meaning and scope
Usefulness and simplicity
Finally, provide an example how the theory could be used to improve or evaluate the quality of practice in your specific setting (Family Nurse Practitioner). What rationale can you provide that validates the theory as applicable to the role of the nurse practitioner.
Specialty Area: Family Nurse Practitioner
Theory: McCormack and McCanceâ€™s Person-Centred Care Nursing (PCN) Framework
Integration of Evidence:The student post provides support from a minimum of one scholarly in-text citation with a matching reference and assigned readings or online lessons, per discussion topic per week.
What is a scholarly resource? A scholarly resource is one that comes from a professional, peer-reviewed publication (e.g., journals and government reports such as those from the FDA or (CDC).
Contains references for sources cited
Written by a professional or scholar in the field and indicates credentials of the author(s)
Is no more than 5 years old for clinical or research articles