HEALTH SCIENCE 11 Theoretical and Ethical Basis of Advanced Nursing Practice

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HEALTH SCIENCE 11 Theoretical and Ethical Basis of Advanced Nursing Practice Theoretical and Ethical Basis of Advanced Nursing Practice Nursing theories and ethical principles form the basis of nurs... ing research, education and practice (Fowler, 2016). This article will discuss the relationship between a phenomenon of interest (POI) and the nursing metaparadigm. The phenomenon of interest describes a scientifically interesting event or fact susceptible to scientific explanation and description. The POI of interest, in this case, is patient education on prevention strategies of preeclampsia. Therefore, this paper will discuss the relationship between the chosen POI and the various nursing theories, including the grand nursing theory, the middle-range theory, and the complexity theory. Understanding the relationship between the nursing metaparadigm and patient education on ways to prevent preeclampsia would help in the development of evidence-based teaching practices. Nursing Metaparadigm Relationship to POI Chosen POI Preeclampsia is a disorder that is superimposed to maternal nephropathy or hypertension and is characterized by proteinuria or hypertension in pregnant women commonly beyond twenty weeks of pregnancy. About two to five per cent of women are affected by preeclampsia, with a prevalence of between ten to eighteen per cent in developing countries (Maia et al. 2012). The condition is a primary cause for prenatal, and maternal morbidity and mortality. It can be categorized as either early or late-onset, which represent different forms of diseases. Early-onset preeclampsia is characterized by severe neonatal and maternal outcomes, fetal growth restriction, and unusual umbilical and uterine artery Doppler waveforms (Maia et al. 2012). Unlike the early-onset preeclampsia, the late-onset is characterized by reduced rates of fetal involvement and milder maternal diseases. Besides, late-onset preeclampsia exhibits favourable prenatal outcomes. References Bender, M. (2018). Re‐conceptualizing the nursing metaparadigm: Articulating the philosophical ontology of the nursing discipline that orients inquiry and practice. Nursing Inquiry, 25(3), e12243. doi: https://doi.org/10.1111/nin.12243 Fawcett, J. (2005). Middle range nursing theories are necessary for the advancement of the discipline. Aquichan, 5(1), 32-43. Retrieved from http://www.scielo.org.co/pdf/aqui/v5n1/v5n1a04.pdf . (Links to an external site.) Fawcett: Middle Range Nursing Theory and clinical practice Florczak, K., Poradzisz, M., & Hampson, S. (2012). Nursing in a complex world: A case for grand theory. Nursing Science Quarterly, 25(4), 307-312. doi: 10.1177/0894318412457069 Fowler, M. D. (2016). Nursing's Code of Ethics, Social Ethics, and Social Policy. Hastings Center Report, 46, S9-S12. doi:10.1002/hast.624 Hastings Center Report: Nursing's Code of Ethics Geary, C. R., & Schumacher, K. L. (2012). Care transitions: Integrating transition theory and complexity science concepts. Advances in Nursing Science, 35(3), 236-248. doi:10.1097/ANS.0b013e31826260a5 Haddad, L. M., & Geiger, R. A. (2019). Nursing Ethical Considerations. Maia e Holanda Moura, S. B., Marques Lopes, L., Murthi, P., & da Silva Costa, F. (2012). Prevention of Preeclampsia. JOURNAL OF PREGNANCY. Mallari, M. G. D., & Joseph, D. (2016). Ethical frameworks for decision-making in nursing practice and research: an integrative literature review. J Nurs. Pract. Appl. Rev. Res, 7(1). 10 Nikfarid, L., Hekmat, N., Vedad, A., & Rajabi, A. (2018). The main nursing metaparadigm concepts in human caring theory and Persian mysticism: a comparative study. Journal of medical ethics and history of medicine, 11. Pype, P., Mertens, F., Helewaut, F., & Krystallidou, D. (2018). Healthcare teams as complex adaptive systems: understanding team behaviour through team members’ perception of interpersonal interaction. BMC health services research, 18(1), 570. The ANA updated the Code of Ethics for Nurses with Interpretative Statements, or "The Code" in 2015, and the year was designated the "Year of Ethics". A link to the ANA website Code of Ethics and other information is provided for you here. ANA Code of Ethics [Show More]

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