Case study Grand nursing theories

Casestudy: Grand nursing theories


Casestudy: Grand nursing theories

Definitionof theory and concept

Atheory is a collection of interrelated notions that provide adistinct and clear action for a particular professional practice. Innursing, theories are a group of concepts, propositions, andrelationships derived from various nursing paradigms or othersubjects[CITATION Wil10 l 1033 ].Nursing theories are brought about through the inductive anddeductive methods and attempt to expound on a phenomenon. Nursingtheories are of vital importance in practice as they provideknowledge and insights on a particular nursing phenomenon. Typically,the nursing theories form the groundwork of nursing practices andguide nurses in what actions to take and maintain a professionalboundary[ CITATION Pol14 l 1033 ].Concepts are elements of theories that describe properties andobjects in explaining a particular nursing phenomenon.

Adiscussion of the case study

Mr.Gold faces multiple health complications that call for utmostattention and caring from health professionals and mostly from hisfamily. His condition seems to have deteriorated from the lastencounter with Ms. Frank. The worsened condition could be attributedto the lack of close care and personal care from the family. Thenurse’s visit to the patient is purposely to administer a constantintravenous antibiotic for his osteomyelitis condition. The nurse isnow obligated to take good care of Mr. Gold as his wife has apart-time job and his two daughters are not within the vicinity toalways nurture him. The patient also seems to have financial hurdlesas he has not been working for a couple of years since his healthdeteriorated. All the factors mentioned above bundled together pose apsychological burden to Mr. Gold hence adversely affect his health.

Possibleassessment questions and appropriate theories for the case study

Theaggravated knee condition is a grave concern for the patient’shealth, stability as the bacteria infection has adverse physicalimpacts. Ms. Frank’s apprehension of the patient’s conditionwould help her better understand the appropriate care for Mr. Gold.Therefore, she could ask the patient a couple of questions to assesshis current situation. For instance, how have you been taking care ofthe above the knee amputation (AKA), what medication have you beenusing on the amputated knee to prevent infections, and for how longhas the infection manifested?

Nursingmodel/ theories

TheCaring Science as Sacred Science theory, by Watson, better suits thecase study as it incorporates various aspects of healing andspiritual dimension. The Caring Science as Sacred Science is one ofthe current grand nursing theories that puts emphasis on humaninteraction and describes health and ailment as indicators of thehuman pattern[CITATION Wil10 l 1033 ].The theory is appropriate in Ms. Frank’s case as she takes care ofMr. Gold who is in his sick bed. A proper health care plan would helpMr. Gold recover from his current ailment, though it requiresconstant observation and administration of intravenous antibiotics.Mr. Gold’s is in a very critical condition and needs utmost care toheal.

Accordingto Watson, the theory focuses on a profound respect, ethical, andspiritual dimension throughout the human caregiving process[ CITATION Pol14 l 1033 ].Mr. Gold’s family is barely present to offer him the appropriatecare that he deserves at this stage of the illness. The tenets ofthe Caring Science as Sacred Science theory insinuate that healthprofessionals have a significant impact on the development of humanhealth through caring. The essence of nursing is caring,and the interactions between the patient and the nurse are vital inattaining health and well-being. In the modern world, nursing hasbecome more of machinery attachment rather than a personalattachment. Watson stipulates that nursing entails a personalconnection with the patient to help them gain control and facilitatehealth changes. The concept of the Caring Science as Sacred Sciencestems from the carative factors correlated with the hierarchy ofneeds[CITATION Wil10 l 1033 ].

Onthe other hand, the theory of modeling and role-modeling would alsoprovide a sound basis for the treatment of Mr. Gold’s condition.The modeling and role-modeling theory is another applicable theory inthe scenario mentioned above. According to the theory, nurses areobligated to provide care and nurture patients with respect andfocused on the patient’s needs. The theory emerges from othertheories such as the hierarchy of requirements, psychological stages,general adaptation syndrome, and the cognitive development theories.The application of the modeling and role-modeling theory in Mr.Gold’s case would have an immediate impact on his health andwell-being.

Themodeling process involves the practice where nurses seek to apprehendand appreciate the patient’s personal paradigm[ CITATION Pol14 l 1033 ].Every patient has his or her uniqueness and different perspective,models. Therefore, nurses are obligated to provide theirunderstanding given patients’ perspectives. On the other hand, rolemodeling entails the process where the nurse provides sufficient careand supports the patient in promoting and attaining good health. Ms.Frank could also apply the modeling and role-modeling theory in thetreatment process of Mr. Gold so as to aid in quick recovery. Throughthe use of modeling and role-modeling theory, Ms. Frank is expectedto take the roles which include facilitation, nurturance, andunconditional acceptance.

Additionalinformation to collect/ assess

Itwould be important for Ms. Frank to establish whether the patientreceives any support and care at home. In his condition, the patientdeserves nurturance and facilitation to help promote and improve hishealth[CITATION Wil10 l 1033 ].The doctor should also determine the cause of the infection so as toprovide the appropriate treatment and care for the patient. Ms. Frankought to probe whether the patient has been using any othermedication for the infection to prevent any adverse effects.

Initiatinga plan of care for Mr. Gold

Ms.Frank would initiate a nursing care plan for Mr. Gold by firstestablishing the nursing diagnosis for the patient. A nursingdiagnosis would entail the physical, spiritual, and psychologicalresponses to Mr. Gold to the ailment. The core goal of Ms. Frank isto prevent further spread of the infection on the amputated knee. Onthe other hand, the results of the treatment process would be thatMr. Gold would recover and get out of the sick bed. Ms. Frank oughtto provide instructions that will facilitate the recovery process ofthe patient, and finally take evaluations to assess the progress.

Doyou think she would evaluate the plan differently if she used adifferent model? Why or why not?

Anursing care plan is aimed at providing an individualized care and adirection for a patient. It comprises of patient’s personal needsand diagnoses and actions taken to accomplish the desired nursingoutcome. Ms. Frank would not have assessed the patient differentlygiven an alternative nursing model because the diagnosis and goals ofthe treatment would have remained the same. Health care plans aidnurses in becoming critical thinkers and prioritizes on the patients’needs.

Anursing plan care for Mr. Gold

  1. Assessment

Swellingof the knee, pain, and discharge of pus

  1. Nursing diagnoses

Infectionof the above knee amputation

  1. Objectives


Toprevent further spread of the bacterial infection


Accomplisha timely recovery

Thetreatment ought to be effective in preventing further infection

  1. Nursing order


Assistedthe patient in cleaning the infected part

Appropriatehygiene emphasized

Monitorthe indicators


Ontime intake of medications as instructed

Providehelp for the patient in the house

  1. Rationale

Cleaningof the infected area aids in the healing process

Observationof proper hygiene helps prevent further spread of the bacteria

Indicatorsare significant, especially when the patient is in pain

Intakeof antibiotics is crucial in preventing and treating the infectedpart

Assistingthe patient provides mental peace and prevents him from straining.

  1. Evaluation

Nopain and discharge of pus, and the swelling has lessened


Thenursing theories aim at the human interaction aspect as the paramountbasis for nursing treatment and care. There is a broad range ofdifferences in the models, but each tries to demonstrate itsapplicability in the nursing practice. The case study utilizes theCaring Science as Sacred Science to address Mr. Gold’s condition.Nevertheless, other theories such as the modeling and role-modelingtheory and the king’s conceptual system theory could apply in thiscase in achieving the desired objectives.


Polit, D. F., &amp Beck, C. T. (2014). Essentials of Nursing Research: Appraising Evidence for Nursing Practice. Philadelphia: Lippincott Williams &amp Wilkins.

Wills, E. M., &amp McEwen, M. (2011). Theoretical Basis for Nursing. Philadelphia: Lippincott, Williams &amp Wilkins.