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NUR 300 PHILOSOPHY PAPER 1

NUR 300 Philosophy Paper

Courtney Moore

Delaware Technical and Community College


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Introduction

The affirmed statement position of American Nurses Association (ANA) states ANA believes

the registered nurse is individually responsible and accountable for maintaining professional

competence.("Professional role," 2014, p. 1) One personal belief that is based on an established

nursing theory of Modeling and Role modeling, is treating the patient as a whole. In order to

treat the patient as a whole there are many aspects to consider such as; how exactly the Model

and Role modeling theory affects nursing practice, personal wellness, conflict management,

safety, and leadership. All these aspect go into being a professional nurse, all these aspects

require education and competency. Education beginning with general education, then nursing

school, and then continuing education which is required for any license renewal. Competency

can come from nursing school exams and skills assessment, the NCLEX, and then on the job

training and education in the desired field.

General Education and life-long learning

From a young age everyone is learning, whether it is learning to walk and talk or starting

school. As you grow older and finish high school, you have the option of continuing this

learning, some choose a trade school and some choose college. In regards to nursing school,

general education course in math, science, English and social studies are requirements. These

classes give the student a foundation for further learning, and must be taking with or before

nursing classes. Nursing where education is a priority as practices are always changing, which is

why nurses must complete continuing education to maintain their licenses, hence nursing being a

field where there is life-long learning. Although nursing school is not just about the classes and

the grades, and what comes after it teaches you about theories such as: Maslows Hierarchy of
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Needs, Piagets theory of cognitive development, and Eriksons theory of psychosocial stages.

These theories have something else in common they all have concepts that are drawn upon in the

nursing theory of Modeling and Role Modeling ("MRM Theory," 2013, para. 2).

Modeling and Role Modeling Theory

This theory tries to address the person as a whole, based on their needs, but also their

emotional and cognitive needs. The nurse start by modeling, which is understanding the patients

personal model It is how he or she views his or her own world, and the nurse must understand

that this is what will guide the way in which the nurse will approach the patient in order to insure

wellbeing. ("Nursing theory," 2016)

Role Modeling is the process by which the nurse facilitates and nurtures the

individual. This aspect is based on the patient being the expert on what is they need. With the

theory the nurse will take on three roles: Facilitator, a nurturer, and unconditional acceptance.

Within these are five nursing interventions: Build trust, promote clients positive orientation,

promote client control, affirm and promote clients strengths, and set mutual and health directed

goals. (Hertz, 2015, para. 4)

The Facilitator is a role nurses do in the form of education. Providing resources or

information on illness or/and treatment is part of this role. Every nurse does, whether it is during

a medication pass, or most of the time during discharge. Anytime a nurse provides information to

a patient they are acting as a facilitator in their care. This must not be taking lightly or hurried,

nurses spend the most time with patients and its important they understand what a medication is

or and why it is important for them to take it. Discharge teaching is important to prevent

readmission to the hospital, it might seem to some like its not a big deal, but the time you take to
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make sure you have answered a patients question could be so important in the long run.

The role of Nurturer, this is basically Maslows hierarchy of needs. Its providing the care

and comfort to a patient. Making sure each level is hit in order for them to move to the next,

when a basic need is not met the patient may experience grief. Eriksons theory also states that

distressors are unmet basic needs; stressors are unmet growth and Repeated satisfaction of

basic needs is a prerequisite to working through developmental tasks and resolution of related

developmental crises. ("Nursing theory," 2016, para. 16) Taking the time to make sure that a

patient is not wet, or if they want to get bathed and havent been able to. When someone who has

always been an independent person is all of a sudden reliant on others help. They can feel

embarrassed, upset or think they are capable of more than they are and this could lead to

falls/injury.

Unconditional acceptance is when the nurse accepts the patient as they are without

conditions.

Personal Wellness

Using the nursing theory discussed above in regards to personal wellness, involves

modeling how the patient views their world. What types of foods do they like, what can they

afford. As the nurse personal wellness can be followed and discussed in the same way, in this

authors opinion it is very easy to teach wellness, it is not always easy to follow. Using the tools

that are available is the first step to personal wellness, the internet for example is full of helpful

tips and recipes to succeed in personal wellness. Not all options need to be expensive, and it can

be easy to find recipes that are tasty and affordable. The gym is not the only option to get in

physical activity, just walking for 30 minutes a day can help in weight loss and health.

Conflict Management and Safety


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Conflict Management and Safety can go side by side in nursing. Conflicts arise in nursing

between nurses and patients, nurses and family, and nurses and nurses. Conflicts between nurses

and patients can possibly be resolved by following the Modeling and role-modeling theory, by

using the role-modeling aspect of the theory. Where the patient is the expert in his or her care

("Nursing theory," 2016). By listening and developing a plan of care with the patient based on

what they know from past experience works. Nurses and families can follow along the same

principle, although this may or may not be helpful as with families they might know as much

about the patients past experiences. This conflict will need to be based on what is ultimately best

for the patient. When dealing with nurse/nurse conflict must be handling with professionalism.

Not all people will get along but when working together co-workers should be treated with

respect, teamwork is a very good tool to help avoid conflict, and therefor can also aim to keep

staff and patients safe.

Leadership

Leadership in nursing is crucial, this is another way that conflict can be avoided. With a

strong leadership, those below feel comfortable going to the leaders with any struggles they may

have. This ability to have a strong leadership that is trusted and that can help resolve conflict

helps to create a team that works well together. Having leadership skills means you must be able

to delegate effectively without overwhelming those you delegate to. It means being able to

resolve conflict and be a trusted ear for those around you to vent frustrations in order to enact

change. Leadership can be difficult to learn, but so valuable when done right.

Conclusion

Modeling and Role Modeling nursing theory by Helen Erikson encompasses some

concepts from many theorists. It is a good theory to follow when beginning in nursing, it
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involves seeing the patient as a whole and not just an illness. Following this theory into nursing

helps in personal wellness, conflict management, and safety. In order to incorporate this theory

into nursing practice you must first learn it as well as the core theories that this theory takes

concepts from, in order to truly understand this theory as a whole. When all these aspects come

together a professional nurse will arise.


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References

Hertz, J. E. (2015). Modeling and Role-Modeling Theory: An Introduction. Retrieved from

http://www.mrmmursingtheory,org/mrmoverview.html

Modeling and Role Modeling Theory. (2013). Retrieved from

http://currentnursing.com/theory/modeling_and_role-modeling_theory.html

Modeling and Role Modeling Theory. (2016). Retrieved from http://nursing-theory.org/theories-

and-models/erikson-modeling-and-role-modeling-theory.php

Professional Role Competence. (2014). Retrieved from

http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/N

ursingStandards/Professional-Role-Competence.html