Self Care Theory in Nursing: Selected Papers of Dorothea Orem

By Katherine McLaughlin Renpenning; Susan G. Taylor | Go to book overview

CHAPTER 38 Nursing Practice Models
Nursing, like other human services, requires practice models as one area within its domain of knowledge. Practice models are about actions needed to give the service. They are expositions of the range of types of actions and the articulations of actions and systems of actions of nurses in the designing and the rendering of the human health service of nursing. Practice models have implicit in them the kinds of knowledge that must be applied by nurses in their decision making and in performing the types of actions specified by the practice models.Model is used in the sense of a pattern or a design for some action to be taken. Nurses take action in nursing practice situations and acquire knowledge needed to make systems of care for specific persons, families, or groups of persons in particular places at this or that time over some duration. Each situation of nursing practice is a concrete reality situation. Practice models, on the other hand, are not concrete. They are abstractions derived from predictable schemes of recurrence of human and environmental events and conditions in nursing care situations. Practice models thus ideally are based upon valid and reliable knowledge of nurses about some range of concrete reality situations of nursing practice. Knowledge necessary for developing practice models for some range of concrete nursing practice situations (after Lonergan, 1958) includes the following:
1. Known schemes of recurrence of human and environmental events and properties within situations
2. Validated predictable schemes of variation in the recurring human and environmental events and properties within situations

This chapter originated as undated handwritten notes.

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