The Cycle of Nursing Theory Essay Paper

Nursing cannot exist without theory, and the concepts that define those principles. Every intervention a nurse organizes is based off of theory, and revolves directly around the patient. The current practice used as a Registered Nurse in the emergency room setting is similar, but less complicated than that of an Advanced Practice Nurse Practitioner.The Cycle of Nursing Theory Essay Paper

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Emergency room nurses firstly ask the patient what their chief complaint is upon arrival. The chief complaint labels the patient, and gives them a triage level based on the amount of resources needed to intervene.

The chief complaint (or illness) is the nurse’s focus of his/her practice. The nurse also takes into consideration the need to educate the patient and his or her own readiness to learn. All of these factors help reach the goal of making the patient “feel” better and regain health. Below is a model of how nurses in the emergency room revolve directly around the patient. Figure 1.1: Emergency Room Registered Nurse Conceptual Framework Making the decision to use this framework of nursing and theory helps organize the nurse and prioritize his/her actions. Without knowing the chief complaint, the nurse cannot treat. Furthermore, the nurse must ask the patient the reasoning for his visit in the emergency room today. Often, patients have many symptoms regarding their illness; nurses must prioritize which symptoms are most concerning, and ask the patient what his bothering him/her the most (i.e. headache versus shortness of breath). After learning what the patient has arrived for, the nurse must start gathering data that relates to the patient’s chief complaint. For example, if the patient presents with shortness of breath, it is important to gather data such as: oxygen saturation, respiratory rate and effort, lung auscultation, presence of cough, and observing patient color. In addition to objective data, it is important to gather subjective data.The Cycle of Nursing Theory Essay Paper

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This type of data includes: patient symptoms, health history, and social history (such as smoking). Next, the nurse will implement her plan of care and intervene by: providing supplemental oxygen, if needed, elevate head of bed, and encourage the patient to breathe slowly if breathing appears to be labored or fast. After each intervention, the nurse must reassess the patient to see if his/her interventions worked; if not, the plan of care must be changed to improve patient status. Subsequently, the nurse must take into account the need to educate the patient and his/her ability and readiness to learn. If a patient is not ready to learn, it makes it difficult to for the nurse to teach and help reach the overall goal of restoring health. This cycle continues each time the patient gets ill; the nurse always forms her plan of care around the patient. For example, if a patient is mentally handicapped, the nurse might direct her education towards the patient’s caregiver to ensure the patient has the greatest success of reaching health. This conceptual framework is applicable to emergency room nurses’ practice because it is a constant cycle, organized, direct, and patient-focused. In the emergency room setting, it is vital that nurses are able to prioritize and organize symptoms and data. If a nurse forgets to obtain an oxygen saturation (in the data section), this can be life-threatening to the shortness of breath patient!The Cycle of Nursing Theory Essay Paper

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