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Nursing Theory

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Nursing Theory
Unit 10: Stress Theory; Selyle/Psychoneuroimmunology
By Jessica Cronin RN, Teri Lieser RN
Unit Summary
Unit 10 examines stress, the stress response as described by Dr. Hans Selye in addition to clinical situations and research involving Stress Theory, a borrowed theory used in nursing practice.
Unit Objectives 1. Describe the background, development and concepts of Stress Theory 2. Identify the relationship among Stress Theory concepts 3. Outline the phenomena, populations and clinical situations Stress Theory explains
Assigned Readings Clancy, J. & McVicar, A. (1993). Subjectivity of stress. British Journal of Nursing, 2(8), 410- 417. Hays, M., All, A., Mannahan, C., Cuaderes, E., & Wallace, D. (2006). Reported stressors and ways of coping utilized by intensive care nurses. Dimensions of Critical Care Nursing, 25(4), 185-193. McEwen, M. & Wills, E.M. (2007). Theoretical Basis for Nursing. Chapter 13 (314-317, 323), Chapter 14 (338-340). Unit 10 Key Points
Background, development and concepts of Stress Theory
Relationship among Stress Theory concepts
Phenomena, populations and clinical situations explained by Stress Theory Find the definitions of the following terminology of Stress Theory Equilibrium/disequilibrium Stress, Distress, Eustress General Adaptation Syndrome Psychoneuroimmunology Overview of Stress Theory
Introduction
The patient is a 27 year old female, vital signs are normal, lab values are WNL. Normal is a very subjective term. It can have many different meanings to many different people. In nursing, normal can often be described in terms of homeostasis. Homeostasis is a concept that was first conceived by Claude Bernard, a 20th century physiologist. Walter Canon, a physician in the 20th century expounded upon this concept, using feedback mechanisms to explain Bernard’s concept’s regulation. These men discussed the body’s physiologic



References: Clancy, J. & McVicar, A. (1993). Subjectivity of stress. British Journal of Nursing, 2(8), 410- 417. Donatelle, R. (2006). Access to health. San Francisco, CA: Benjamin-Cummings Publishing Hays, M., All, A., Mannahan, C., Cuaderes, E., & Wallace, D. (2006). Reported stressors and ways of coping utilized by intensive care nurses Kenney, J. & Bhattacharjee, A. (2000). Interactive model of women’s stressors, personality traits and health problems McEwen, B. (2005). Stressed or stressed out: what is the difference? Journal of Psychiatry Neuroscience, 30(5), 315-318. McEwen, M. & Wills, E.M. (2007). Theoretical Basis for Nursing. Chapter 13 (314-317, 323), Chapter 14 (338-340). Olofsson, B., Bengstsson, C., & Brink, E. (2003). Absence of response: a study of nurses’ experience of stress in the workplace

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