Theory in Practice

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  • Topic: Nursing, Patient, Environment
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Theory into Practice Plan, Implementation and Evaluation
Week 4
NURS 6110 - Section 15: Linking Theory to Nursing Practice
Glenda Liz Tirado
October 3, 2010

Theory into Practice Plan, Implementation and Evaluation
The purpose of this paper is to discuss a theory that can be applied to my professional practice as a Home Health Nurse. As a nurse one understand the importance of finding a theory that can be professionally used to promote better patient goal outcomes and assure quality of care. The following paper will review the Levine’s Conservation Model providing insight into its concepts and the attempt to implement this model into my professional practice. My priority as a home health nurse is to assist the patient toward a healthy regardless of absence of illness. I chose the Conservation Model created by Myra Levine because it was created to guide the nurse toward implementing interventions that my help the patient during illness. The model is designed to care for the individual towards health taking into consideration aspects in the individual’s environment that could affect him in that journey. The conservation model depends greatly on the nurse’s ability for observation and the identification of problems affecting the patient’s health. By visiting the patient at home, I have the opportunity to observe and understand firsthand the patient’s living situation and dangerous environmental factors in the community where he or she resides. Observation is a vital factor in Levine’s Conservation Model. (Schaefer, 2006; Leach, n.d.) The Conservation Model

The purpose of the Conservation Model, created by Myra Levine in the 1970s, is to “guide the nurse to focus on the influences and responses at the organismic level” (Schaefer, 2006, p. 97). Organismic refers to “related of belonging to an organism (considered as a whole)” according to Thesaurus definition (2008). Levine was aware of nurse’s influence as they were assisting the patient to attain health by controlling their environment through diet, hydration, ambulation, and rest. The concept of wholeness in Levine’s model is based on Erickson’s-theorist in social development-definition of wholeness. The model consist of the components; adaptation, conservation, and wholeness. For Levine, the individual has unique responses to adapt, but the nurse can provide assistance by controlling environmental factors that could halter healing (Schaefer, 2006).

The main components of this model are as presented earlier: (1) adaptation that is the response the individual’s body has in response of illness manifestations. These responses are dependent on physical and environmental factors affecting the patient during the illness process like predisposition, exposure, age, and financial limitations. (2) Conservation which is that intrinsic need of the person to maintains his wholeness through safeguarding their integrity. (3) Wholeness refers to the individual seen as a whole and the constant adaptation from the environment to guarantee integrity maintenance. The three components interact one with the other as the organismic being continue to be expose to different environmental factors that could affect health and while the organismic being adapts to the environment it tries to maintain integrity and wholeness. The person and the environment are in a constant challenge to harmonize with each other. (Schaefer, 2006; Leach, n.d.) Concepts and Definitions

Nursing’s Paradigm
Health. Health is defined as the individuals’ response to environmental challenges that can change instantly due to new life challenges, situations, age, and in response to political, economical, social, and religious factors (Schaefer, 2006, p. 99). Environment. This concept is divided into two: internal environment and external environment. The internal environment refers to all those internal aspects of the being “physiological and pathophysiological” (Schaefer, 2006, p. 99)....
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