Preview

Theoretical Ethical Basis for Practice

Best Essays
Open Document
Open Document
2106 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Theoretical Ethical Basis for Practice
Theoretical/Ethical Basis for Practice
Victoria Udongwo
University of South Alabama

Theoretical/Ethical Basis for Practice
The science of nursing is guided by theories which forms the foundation of understanding patients, their health problems and plan interventions to address these problems. Nursing has a set of beliefs unique to nurses and forms the foundation of practice. The objective of this paper is to explore various nursing theory and ethical framework as it relates to obesity. Phenomenon of Interest The rapid increase in obesity rate worldwide in the last decade has reached an epidemic proportion. Obesity has become a notable public health problem because of its overspreading impacts and measures to curb or reduce the obesity rates have not been successful (Hammond, 2014). Obesity has been identified as a complex problem which involves multi- related contributing factors. The Institute of Medicine (IOM) recent report recommended a “systems approach” and model tools from complexity science (Institute of Medicine [IOM], 2012). Reducing the obesity problem will require a holistic, multi-systems and integrated approach. Nursing Meta-paradigm A meta-paradigm is a generalized concept of a discipline. It acts as an enveloping structure where the most restrictive concepts can be developed (Fawcett & DeSanto-Madeya, 2013). The meta-paradigm of nursing focuses on the person, environment, health and nursing. These four concepts are the unifying force for all nurses regardless of their practice setting. In caring for an obese patient, the nurse approaches the care of this condition not only with the person in mind but that the individual is part of the family and the family is part of the environment , attempting to restore the patient back to health through various nursing interventions. The meta-paradigm of nursing. According to Nightingale, nurses should work to prevent disease and care for patients in an optimal environment that



References: Davis, B., & Simmt, E. (2003). Understanding learning systems: Mathematics education and complexity science. Journal for Research in Mathematics Education, 34(2). Retrieved from http://www.jstor.org/discover/10.2307/30034903?uid=3739256&uid=2&uid=4&sid=21104995779107 Fawcett, J. (1999). The state of nursing science: Hallmark of the 20th and 21st century. Nnursing Science Quarterly, 12. Retrieved from www.nsg.sagepub.com Fawcett, J., & DeSanto-Madeya, S. (2013). Contemporary nursing knowledge: Analysis and evaluation of nursing models (3rd ed.). Philadelphia, PA: F.A.Davis. Frood, S., Johnson, L., Matteson, C., & Finegood, D. (2013). Obesity, Complexity and the Role of the Health System. Current Obesity Reports, 2(4). http://dx.doi.org/10.1007/s13679-013-0072-9 Hammond, R. (2014). The challenge of obesity and a system approach to the solutions. Retrieved from www.santafe.edu/research Have, M., Beaufort, I., Terxeria, P., Mackenback, J., & Heide, A. (2011). Ethics and prevention of overweight and obesity inventory. Obesity Reviews, 12(9). http://dx.doi.org/10.1111/j.1467-789x.2011.00880 Institute of Medicine. (2012). Promoting Physical Activity and Healthy Food Choices. Retrieved from http://www.iom.edu/Reports/2012/Accelerating-Progress-in-Obesity-Prevention/Report-Brief.aspx?page=2 McEwen, M., & Wills, E. (2014). Ttheoretical Basis for Nursing (4th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Patel, A. M., Sundt, T. M., & Varkey, P. (2008). Clinical and health affairs core concepts and application for medical practice. Retrieved from http://www.minnesotamedicine.com/past-issues-2008/february-2008/clinical-february-2008 Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2011). Health promotion in nursing practice (6th ed.). Boston, MA: Pearson. Strout, K. (2012). Wellness promotion and the institute of medicine’s future of nursing report: Are nurses ready? Holistic Nursing Practice, 26(3). http://dx.doi.org/10.1097/HNP.0b013e31824ef581 Walker, L., & Avant, K. (2005). Strategies for theory construction in nursing (4th ed.). Upper Saddle River, NJ: Pearson Prentice Hall.

You May Also Find These Documents Helpful

  • Good Essays

    This is the case study of Candy. Candy is 14 years of age; she is receiving counseling from her school counselor. This client was recommended for school counseling due to problematic behavior in her classroom.…

    • 570 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Following giant theorists in philosophy in nursing, I organize my perceptions and understanding in according with the four metaparadigm concepts of nursing. In common senses, every person is an existing entity in the universe. Therefore, environment of an entity is the universe without the entity. And health is a conditional state that defines the enduring and developing of an entity. A person as a whole is composed of properly functioning physical body, mental clarity, emotional harmony, and enlightened spirit. Healthy persons have their components proportionally operating in a synchronized fashion and in harmony with the environment. Unhealthy persons find themselves in deficiency of the components or in inappropriate for the surrounding.…

    • 236 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    Health complications are a concern in this population related to obesity. It is not clear why this community has a high rate of obesity as this community has a large population of educated blue-collar worker, which does not fit the typical population of obesity. Obesity in the country is on a rise, and this may be related to the lack of education on healthy eating habits and influences in the media with ads and commercials from food vendors. Education is important to this population and assisting them with alternative options. A nursing intervention would be to implement a group meeting within the community for obesity education. During these meetings discussions on different weight loss methods, complications associated with obesity, diet suggestions, and increase physical activity options would be helpful. Several partnerships may be made with this community such as Weight Watchers. Holding meetings in the borough hall with this weight loss group within the town will encourage the community to be involved because it is brought to them. These interventions will have a positive effect on the community to help reduce the incidence of obesity among…

    • 1148 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    HCA/250 Final

    • 1361 Words
    • 6 Pages

    Obesity is an epidemic in the United States. There are several risk factors from centralized obesity. According to Whitney and Sizer, “Fat that collects deep within the central abdominal area of the body, called visceral fat, poses the greatest risk with regard to: diabetes, hypertension, heart disease, gallbladder disease, stroke and some kinds of cancer. (2011, page 326) However, knowing these risks that can be potentially lethal; America continues to consume more calories than needed. This paper will include the mystery of obesity; why some people struggle with weight and others do not. The psychological characteristics that coincide with obesity and how to cope with related factors that cannot be controlled. The calculations that are included for energy requirements are: gender, age, physical activity, body size and weight, and growth. If one is not using the energy requirements, hence weight gain is the result. Health related behaviors will be indentified, and the sociocultural factors that impacts obesity. Last, the lifestyle changes that are vital to live healthy and the strategies that are necessary to overcome obesity for the groups who are most affected.…

    • 1361 Words
    • 6 Pages
    Powerful Essays
  • Satisfactory Essays

    applying ethics

    • 528 Words
    • 2 Pages

    This brief synopsis as a human service worker in which I make every effort to help people, groups, and communities to triumph over their issues and struggles. As a human service worker I almost certainly would come across many ethical predicaments that involve susceptible issues such as discrimination, social unfairness, and oppression, poverty, substance abuse and mental health issues. As a human service worker or provider my personal principles may become an ethical difficulty with reference to discrimination of any sort because of my private belief but of course I am conscious of how many ethical standards that can be challenged if I allow my individual view to develop into concern. Nevertheless of course I identify with knowing and should no bet use as an unbiased conclusion unless the circumstances turn out to be dangerous to myself or the client involved. Next, if this circumstance come to pass then I would use the code of moral principles produced by the national association of human service workers as a most important point addressing ethical predicament which it may cause. On the other hand, I was in a circumstance where a person that I was helping he was very serious and clear in his mind and full detail about who he wanted to work with and talk too. He was discriminating against a co worker because of skin color and race although we were on the job and others was watching him he decided to be rude and very sarcastic for no apparent reason. I wanted to voice my opinion but I didn’t but finally one day I decided to read the code of ethics at work and fill out a report on him with other co workers so that the discrimination could stop. It ended up being better than before the man was disciplined but functioning in the human service department there will be times when you do not agree with your client and your own principles could turn…

    • 528 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Nursing theory is the guideline for the nurses to follow during their health care work. But with the changing of the world, nursing theory also has to been changed and developed to accommodate the trends. During this process, evidence-based practice (EBP) and research will drive future development in nursing theory. “With the current emphasis on evidence-based practice, the importance of theory-based research and theory-based nursing practice for the future development of the discipline cannot be overemphasized” (Alligood, 2010, p. 491). For example, all nursing theories emphasize the impact of environment on human being’s health. But with the development of the world, environmental factors are changing. In future, public illness prevention and health promotion will stay in a core status in health care field. “Health professions, including nursing, must change their vision of education both in academic and practice settings, to focus on health promotion and illness prevention” (Jadelhack, 2012, para. 1). So the nursing theory has to been developed to follow this trend. Plenty of researches will be done to find what environmental factors can be improved to prevent illness and promote health. Those research results will become the evidence to develop the nursing theory, and guide the nursing practice in the future.…

    • 327 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Obesity Discourse

    • 762 Words
    • 4 Pages

    Over the years, my perspective on obesity has been informed by education in the fields of public health, family therapy, and feminist theory. While obesity may appear to have a clear definition, BMI of 30 or greater, speak this word in any of the three aforementioned disciplines and you will receive some opposing views. My goal for this report is to outline some key terms surrounding obesity based on field and argue for a more inclusive, interdisciplinary understanding rather than a one-sided view.…

    • 762 Words
    • 4 Pages
    Good Essays
  • Good Essays

    The obesity epidemic is a multifaceted crisis and not just a food addiction. Since 1957, the government has been conducting the National Healthy Interview Survey (NHIS) which takes sample from 35,000 households containing 87,500 individuals (Center for Diseases Control, 2013). The survey revealed that the steady rise of obesity cases started in 1997. The crisis is expected to worsen; warns that childhood obesity is expected to increase. Since then, the scientific community took notice and started studying the crisis. A plenitude of study recognized that obesity is widely driven by environmental and social factors (Rosengren & Lissner, 2008).…

    • 587 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Obesity in America

    • 2583 Words
    • 11 Pages

    In the United States today, obesity has become an enormous problem. In the last 3decades, the number of people overweight has increased dramatically. A study done by theCenters of Disease Control showed that since 1980, one third of our adult population has becomeoverweight. America is the richest but also the fattest nation in the world, and our obese backsides are the butt of jokes in every other country (Klein 28). The 1980s were a time whenAmericans suddenly started going crazy over dieting, jumping onto the treadmills, and buying prepackaged non-fat foods. However, while all of that was going on, the number of obeseAmericans began to increase. According to a report in the Journal of the American MedicalAssociation, 58 million people in our country weigh over 20 percent of their body’s ideal weight.The article “Fat Times” states, “If this were about tuberculosis, it would be called an epidemic”(Elmer-Dewit 58). The eating habits of society have steadily become more harmful and havestarted to produce gluttonous children, over-indulgent adults, and a food industry set too muchon satisfying our appetites.Obesity can begin at a very young age. Many children in our society are overweight,setting themselves up for serious health problems later in life. Type 2 diabetes, high bloodcholesterol, high blood pressure, and heart problems are just some of the risks. Children who areoverweight also tend to feel less secure, less happy, and be stressed more than normal weight…

    • 2583 Words
    • 11 Pages
    Good Essays
  • Better Essays

    Obesity has become a common issue in many American lives. In America, there is currently about “seventy-eight million adults and thirteen million children that are dealing with obesity, which accounts for more than one-third of the entire United States population” (“Adults Obesity Facts”). Obesity in adults and children is an issue that continues to grow. With a combination of education and government involvement, it is possible can decrease the number of obese Americans. Finding a solution for obesity can result in multiple benefits for the country like wasting less tax money on people who require medical assistance as a result of obesity. The issue of obesity has been recognized as a disease that can often be linked to other health problems like high blood pressure, diabetes, and heart complications. every year, it is estimated that “obesity cost millions of dollars in weight-related medical bills” (Why are Americans Obese?”). Therefore, reducing obesity would benefit more than…

    • 1491 Words
    • 6 Pages
    Better Essays
  • Better Essays

    Obesity in America is on the rise now, with 72-million people contributing to this new “epidemic.” People need to start taking care of their bodies or they could possibly lose their lives to the leading cause of death in America—heart disease. Believe it or not, this epidemic isn’t just effecting the human population. Twenty-five percent of cats and dogs are now heavier than they should be. With excess weight usually comes many kinds of physiological, behavioral, social, environmental and economic problems. Childhood obesity rates have nearly tripled since the 1980’s, and current research shows that almost one-third of children over two years of age are already overweight or obese ("Obesity In America: What 's Driving The Epidemic."). To put a stop to this epidemic, we need a solution that goes far beyond simply eating less. This obesity epidemic is responsible for more than one hundred sixty-thousand additional deaths each year in America now. Currently, 72% of men and 63% of women are overweight (White).…

    • 2237 Words
    • 9 Pages
    Better Essays
  • Best Essays

    Obesity Prevention Policy

    • 1904 Words
    • 8 Pages

    “Health policy refers to decisions, plans, and actions that are undertaken to achieve specific health care goals with a society”. An explicit health policy can achieve several things: it defines a vision for the future which in turn helps to establish targets and points of reference for the short and medium term. It outlines priorities and the expected roles of different groups, and it builds consensus and informs people”, (1948).The World Health Organization (WHO, 1948) defines obesity as “abnormal or excessive fat accumulation that may impair health”. Obesity is a condition in which weight gain has reached the point of seriously endangering health. The increasing epidemic of obesity amounts adults and children is a major public health concern both nationally and internationally.…

    • 1904 Words
    • 8 Pages
    Best Essays
  • Better Essays

    There have been thousands of premature deaths in the United States because of obese-related diseases. The conditions related to obesity may include high blood pressure, heart disease, diabetes, joint problems, cancer, metabolic syndrome, psychosocial effects, sleep apnea and respiratory problems. Overall, obesity has become a dangerous issue that has affected many in the United States causing numerous diseases and conditions that affect the lives of Americans. According to Health Effects of Obesity (2013), “Each year obesity-related conditions cost over 150 billion dollars and cause an estimated 300,000 premature deaths in the US.” Every year obesity takes its toll on American’s lives through the number of people acquiring the diseases and conditions linked to obesity. All of these medical conditions have to be treated, which leads to more money spent on medicine and medical help. Even with all of this money going into trying to improve people’s health and curing their diseases, there are people who do not overcome these obstacles and have to face death prematurely. (“Health Effects of Obesity”,…

    • 1984 Words
    • 8 Pages
    Better Essays
  • Good Essays

    Being a nurse is not as easier as simply providing nursing care according to individuals’ disease during hospitalization. Neuman (1980) describes the person as a whole system and recognizes that there are common features in any species and a core of such features in people.Also, nursing model is not restricted to nursing but can be shared by anyone of health professional. (Neuman, 1995) .Therefore, nursing models have been variously referred to as philosophies, conceptual frameworks, paradigms, theories and metatheories (Fawcett, 1995) that can give some guide to nurses working in a particular area.…

    • 698 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Practical Ethics

    • 3532 Words
    • 15 Pages

    H.Narayanan, EE Department IIT Bombay, Mumbai (Text of a lecture delivered on 16th Oct 2012) A dilemma faced by young people, usually at the stage when they leave home for the first time, is that rules that they have lived by thus far seem questionable. On the one hand the impulses that tempt and torment them seem natural while on the other, breaking rules that the parents have taught them in their childhood seems very wrong. Further, those who break their shackles are in danger of going completely overboard with nothing sacred anymore. This could lead to deep unhappiness later. This article is about an approach to handling the problem of formulating a very personal but practical ethical code. The actual, detailed, solution to the problem is personal and not addressed here but the factors which need to be kept in mind are. Also some simple `dos and donts' are described. Ethical code: need and strategy First, should one have an ethical code at all? Why not play life by the ear? A personal ethical code is a strategy for choice of action in situations encountered commonly by an individual. It limits the choice and thereby reduces the stresses involved in constantly optimizing according to objectives which might vary with time and circumstance. If the choice is made according to a code, it is usually thought of as a duty carried out and therefore leads to lesser feelings of guilt, dissatisfaction with outcomes, fear of punishment etc. There is often a sense of satisfaction of having performed one's duty when one has acted in consonance with the code. What strategy should one use to design an ethical framework that is suitable for oneself while conforming broadly to universally accepted norms? First study the condition of the individual by him/herself and in relation to others. Then look for generally agreed `universal principles'- as few of them as possible. Finally match the two and work out details. The individual and his/her relationship with…

    • 3532 Words
    • 15 Pages
    Powerful Essays

Related Topics