Developing a Visual Model to Inform Patient-centered Nursing Care and Practice

Question

Using your own stories, you have shared thus far; you will write a paper using these headings: 

Introduction

Introduce the reader to the paper

Cases

A brief overview of each story (no more than 1/2 to one page for each story).

 Concepts

Introduce the reader to the 4-5 key concepts that emerged from the cases. Concepts are identified, and names are easily identifiable from the cases. Concept definitions are logical and appropriate. Include definitions from three academic (use concept analysis, EBP, and research articles - not a dictionary or Wikipedia) sources for each concept. Writes a synthesis definition for each concept. NOTE: CONCEPTS MUST BE INTEGRATED INTO THE STORIES. 

EXAMPLE: The patient had severe CHF and was dying (dying). He had no visitors (loneliness) and was angry with everyone (anger). One afternoon I sat with him and asked: "what is this like for you" (connection). He said, "I have two sons, and they do not visit" (loneliness). I asked him, "how do you make it through"? (connection) He said, "they are all in the military and overseas. I think of them daily and remember my days in the military". He went on to tell me over 3-4 minutes a military story (narrative). Then he said to me, "you care" (connection).  

Model

Develop a visual model representing relationships among the concepts is included. Arrows/lines reflect logical relationships. Diagram the major relationships among the concepts you want to include in your theory (draw a model). The concepts need to be logically related, and the diagram/model must make sense. There must be an outcome of the model. What happens (what is the outcome) if you follow the model to provide nursing care? You may want to refer to the discussions we had on General Systems Theory (GST).

Narrative Explanation of Model

Develop a clear, understandable, logical, narrative explanation of the model. Discuss the relationships among the concepts. At this point, do not reiterate your stories: describe the relationships among the concepts and the outcome.

 Conclusion

Add a brief narrative summary of the paper

Theory Model De….docx

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Theory development paper guidelinesThis paper is designed to help students learn how to systematically identifyphenomena (facts and ideas) arisingfrom nursing practice, determine relationships among the phenomena, and label concepts that arise from thephenomena and their relationships. Students will start with a single case (story), identify phenomena from thatcase, determine relationships among the phenomena, and then label concepts that result from the phenomenaand relationships. After working with a single case, students will add 2 more cases and aggregate the data fromthem and create a model.Cases (significant nursing experience):1. Select a single, personal, nursing case that springs to your mind from your clinical experience. This can be apositive or negative experience. Think about the case; write the story down; paint a picture of the nursingencounter. Include as many details about the patient/family/situation/nurse as you can remember.2. After you write down the case in narrative form, re-read the case carefully and determine: What are thephenomena (or facts) of the case? What are the importantaspects of the case? These important aspects (facts)will be the phenomena. Make a list of the phenomena that follows the case narrative.3. How do the phenomena relate? Look at the phenomena list. Do any of the phenomena “fit” together or relateto oneanother? (They will relate to one another, trust me). How do they relate? When you identify somephenomena that are similar, list them and write out a paragraph explaining their similarities or how they relate.Label the concept that emerges from the paragraph about how the phenomena “fit” together. Compose aparagraph for each group of phenomena that “fit” together to form an individual concept. In other words, you willhave several paragraphs of phenomena and their relationships, and each will be labeledas a concept.Label the concepts:4. What can I call this concept? When you are able to determine that some of the phenomena relate to oneanother, you will need to decide what to call that concept. You do not have to come up with a new name for theconcept. It may be a very common concept. Or you may determine that a new name/concept is necessary. Either isfine as long as the synthesis of the phenomena into the identified concept is logical.5. Add 2 more cases that spring to your mind. Repeat theabove procedure.Relationships among the concepts:6. Look for patterns among the cases/concepts and identify them. What patterns do you see in the three cases?List the concepts for all the cases. How do all the concepts relate together? Completing theconcept matrix belowmay help you. It’s not required for the paper, but it may help you see important concepts.7. Choose only 4-5 of the key concepts and diagram the major relationships among the concepts (draw a model).The concepts need to be logically related, and the diagram/model must make sense. There must bean outcome ofthe model. What happens (what is the outcome) if you follow the model to providei.e.nursing care?Following the model, write a narrative paragraph explaining how the model works. In the narrative section, discussthe relationships among the concepts. At this point,do not reiterate your stories, just describe the relationshipsamong the concepts and the outcome.

Story/Concept MatrixCompleting the matrix below may helpyou to see how your concepts cross 3 of stories.There is no need to includethe matrix in the paper (space is at a premium)!Story 1Story 2Story 3Concept 1Concept 2Concept 3Concept 4Concept 5Concept 6Concept 7Concept 8Concept 9Concept 10Put an “X” in each box under Story 1, Story 2, and/or Story 3, if the concept (at the left) was a part of that story.Do not put an X in the box if the concept did not occur in the story. See example onthe next page.Story/Concept MatrixEXAMPLEStory 1Story 2Story 3Concept-hopeXXConcept-presenceXXXConcept-painXXXConcept-distressXXConcept–therapeuticcommunicationXXConcept-touchXConcept-supportXXXConcept-angerX

Concept-frustrationXConcept-stigmaXIn the example above you can clearly see which concepts occur more frequentlyin the stories. This may be a clueto the concepts that you will include in your theory. This is not to say that you won’t include concepts that onlyoccur in one story, because you may. It’s just a way for you to more clearly see the role of the conceptsin all threestories.In this example it is apparent that pain, presence, and support were in all three stories and that anger, frustrationand stigma only occurred in one story. Again, this is not to say that anger, frustration and stigma will NOT be inyour theory, it’s only to help you see the patterns that emerge from all 3 stories.Theory Development PaperStudent Name: __________________CriteriaDetailsInstructor's CommentsMarkOverall Style:5 pointsThe paper is prepared in aprofessional and scholarlymanner with accuratespelling, grammar, sentencestructure, and APA format.Headings in this gradingguide are used to organizethe paper. Paper length is 7-10 pages (title & referencepage not included). Paper isturned in on time.Introduction:Introduce the reader to thepaperCases: Brief overview of each caseis included (no more than ½to one page per case) withonly the 4-5 keyconceptsused in the modelidentifiedin brackets after appropriatesentences.Concepts: sIntroduced the reader to theconcepts that emerged fromthe cases. Concepts areidentifiedwithin the casesand names are easilyidentifiable from the cases.Concept definitions arelogical and appropriate.

Includes definitions from three academic sources foreach concept (i.e., conceptanalysis, research, and DBPpractice papers–do not usedictionary definitions orWikipedia). Writes asynthesis definition for eachconcept.Model: representingrelationships among theconcept

A table for the concept. I can attach an example of how the table is suppose to look like. Let me know when you need it