1
The National Yang-Ming University
School of Nursing
N43001 Theoretical Basis for Nursing
Fall 2009
Credits: 3 semester hours
Class Time: Monday 9-12 noon
Place:護理館 RM416
Faculty: Zxy-yann Jane Lu, RN, PhD; Fu-Jin Shih, RN, DNSc
Course description
The nature and purpose of theory in nursing are introduced. Paradigmatic progress
in nursing is also introduced. Patterns of knowing in nursing are discussed. The
methods of concept development are compared and contrasted. The components of
theory and the process of theory development are described. Several schemes for
evaluating theory are presented. The relationship of theory, practice and research is
discussed.
Course Objectives
Upon completion of the course, the student will be able to:
1.
2.
3.
4.
5.
6.
Analyze four patterns of knowing in Nursing
Identify the components of a model or theory
Ascertain the relationship between knowledge synthesis and concept
development
Evaluate selected theories and conceptual frameworks using a variety of
schemes
Apply selected theories and conceptual frameworks to clinical nursing
situations
Identify the implications of selected theories and conceptual frameworks for
various areas of nursing research.
Required Textbooks
Chinn, P. L., & Kramer, M. K. (2008). Integrated theory and knowledge
development in Nursing. (7th ed.). St. Louis: Mosby.
Fawcett, J. (2005). Contemporary nursing knowledge: Analysis and evaluation
of nursing models and theories (2nd ed.). Philadelphia: F. A. Davis.
Recommended textbooks
Benner, P. (1984). From novice to expert: Excellence and power in clinical
nursing practice. Menlo Park, CA: Addison-Wesley Pub. Co.
Cody, W. K. (2006). Philosophical and theoretical perspectives for advanced
nursing practice. (4th. ed.). Boston: Jones and Bartlett.
Marriner-Tomey, A. & Alligood, M. R. (2005). Nursing theorists and their work
(6th ed.). St Louis: Mosby.
Meleis AI. (2007). Theoretical nursing: Development & progress (4th ed.). PA:
J.B. Lippincott.
Neuman, B. & Fawcett, J. (ed.). (2001). The Neuman systems model
(4th ed.). East Norwalk, CT: Prentice Hall.
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Orem, D. E.; Renpenning, K. M. & Taylor, S. G. (eds.). (2003). Self-Care Theory
in Nursing: Selected Papers of Dorothea Orem. Springer Publishing Company.
Pender, N.J., Murdaugh, C., & Parsons, M.A. (2006). Health Promotion in
th
Nursing Practice (5 ed.). Upper Saddle River, NJ: Pearson/Prentice-Hall.
Rogers, B. & Knafl, K. A. (eds.). (2000). Concept development in nursing:
foundations, techniques, and applications. (2nd.ed.). Philadelphia: W. B. Saunders Co.
Peterson, S. & Bredow, T. (2008). Middle-Range Theories: Application to
Nursing Research. (2nd. ed.). Lippincott Williams & Wilkins.
Walker, L. O., & Avant, K. C. (2004). Strategies for theory construction in
nursing. (4th. ed.). East Norwalk, CT: Prentice Hall.
Watson, J. (2008). Assessing and measuring caring in nursing and health science.
(2nd ed.). Dordrecht, Netherlands: Springer Publishing Company.
Watson, J. (2004). Caring Science as Sacred Science. Philadelphia: F. A. Davis
Company.
Course Evaluation
1. Class participation
20
Demonstrate your participation in discussion, Raise critical questions, and preparation
prior to the class by reading class materials. The successful session will be the
responsibility of each student.
a. Reading assignments
10
b. Participation in discussion
10
2. Team debate
25
Select a phenomenon (i.e. women’s menstruation) with various approaches (at least
two) in research endeavor. (Papers discussed the menstrual phenomenon with
various theoretical perspectives will be provided) Each group of students will take
up a theoretical approach and identify the major concepts in the theoretical model.
Theoretical definitions and operational definitions of the concepts will be discussed.
Strengths and weaknesses of philosophical foundations of concepts are evaluated.
Interrelationships among concepts are analyzed and reviewed. The class debate
focuses on the presentation of the strengths and weaknesses of philosophical
foundations of concepts as well as their antecedents and consequences.
Team leader hand in the outline of the debate and role assignment for each member on
10/26/2009
Major concepts identified
Attributes, antecedents and consequences are reviewed
Strengths and weaknesses of philosophical foundations of concepts
Analysis of interrelationships among concepts
Organization, Closely comply with time frame
Total
4
6
6
6
3
25
3. Prepared presentation in a selected conceptual model
25
Conduct discussions in the class by selecting a theory of interest. Discuss with
instructor the outline of the materials at least one month prior to the presentation.
Emphases are on raising issues and generating critical discussion.
Discuss outline with instructor
3
Overview of the theory
4
Concepts and their relationships in the theory
4
3
Evaluation of the theory
Raise critical questions for discussion
Organization, Closely comply with time frame
Audiovisual aids preparation
Total
4. Final written papers
4
4
3
3
25
Due on 1/15/10 (ranges: 15-20 pages)
30
Select the theory you have presented and carefully discuss its application for
advanced nursing practice.
Overview of the theory
3
Concepts and their relationships in the theory
4
Evaluation of the theory
4
Advance nursing practice applications
8
Appropriate literature support for the paper
4
Content comprehension
4
APA Style
3
Total
30
Assignments must be submitted on the due date unless prior arrangements are made
with the instructors. One point per hour will be deducted for late assignments.
Papers should be typed written, and double-spaced with fond size 12. (Double-sided
print is encouraged to save trees in the world!!)
1
The National Yang-Ming University
School of Nursing
N43001 Theoretical Basis for Nursing
Fall 2009
Class Schedule
Date
Wk 1
Topics
9/14
Course Overview
Wk 2
Wk 3
9/21
9/28
The historical development of nursing theory
Patterns of knowing in nursing
Wk 4
10/5
Wk 5
10/12
Wk 6
Wk 7
10/19
10/26
Wk 8
11/2
Wk 9
Wk 10
Wk 11
Wk 12
Wk 13
11/9
11/16
11/23
11/30
12/7
Nature and purpose of nursing theories
施富金
Components of nursing theories
Concept development & Concept analysis
盧孳艷
(Finalize debate format)
Evaluation and analysis of theories
盧孳艷＊
The relationship among theory, research, and empirical 施富金＊
implication
(hand in the outline of the debate content)
Midterm exam: Preparation for theory debate
盧孳艷
分組討論
施富金
Betty Neuman’s Systems model
施富金
Watson’s Human Caring Theory
施富金
General Systems theory(I)
盧孳艷
General Systems theory(II)
盧孳艷
Dorothea Orem’s Self-Care Deficit Theory of 施富金
Nursing(I)
Dorothea Orem’s Self-Care Deficit Theory of 施富金
Nursing(II)
Nola Pender’s Health Promotion Model
盧孳艷
Debate rehearsal
施富金
分組討論
盧孳艷
Team Debate I in class
施富金
分組報告
盧孳艷
Team Debate II in class
施富金
分組報告
盧孳艷
Summary & final evaluation
Wk 14 12/14
Wk 15 12/21
Wk 16 12/28
Wk 17 1/4
Wk 18 1/11
授課教師時數
授課教師
施富金
時數
30
授課教師
盧孳艷
Instructor
施富金
盧孳艷
盧孳艷
盧孳艷
時數
33
2
Date
Wk 1
9/14
Topic and assignments
Course overview
Date
Wk 2
9/21
Topic and assignments
Wk 3
9/28
Patterns of knowing in nursing
Assignment:
Chinn, P. L., & Kramer, M. K. (2008). Integrated theory and
knowledge development in Nursing. (7th ed.). St. Louis: Mosby. Chap.
1.
The historical development of nursing theory
Assignments:
Meleis, A. I. (2007). Theoretical nursing : Development & progress
(4th ed.). Philadelphia: Lippincott. Pp.78-108.
Study questions:
1. What are the dominant themes in different stages of
development of nursing theories?
2. What are the forces and barriers confronted in our
endeavor of theory development?
Study questions:
1. What kinds of knowledge are represented in clinical
nursing practice?
2. How this nursing knowledge is developed?
3. How the unique processes and expressions of each
pattern contribute to the whole of knowing?
4. Why do we need to develop substantive theory
(midrange practice theory)?
Recommended reading:
White, Jill (1995). Patterns of knowing: Review, critique,
and update. Advances in Nursing Science 17(4) , 73-86.
Wk4
10/5
Nature and purpose of nursing theories; Components of a
nursing theories
Assignment:
Fawcett, J. (2005).
Contemporary nursing
knowledge: Analysis and evaluation of nursing models and
theories. (2nd ed.). Philadelphia: F. A. Davis. Chap. 1.
Study questions:
1. Compare and contrast three concepts: theory, conceptual
framework, conceptual model
2. What are the characteristics of a theory (conceptual
framework)?
3. Analyze the levels of theory
4. What are the major themes in nursing theoretical
conceptualization?
5. What are the components of a theory?
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6.
Discuss the relationship of assumptions, concepts and
propositions in a theory.
Recommended readings:
Chinn, P. L., & Kramer, M. K. (2008). Integrated
theory and knowledge development in Nursing. (7th ed.). St.
Louis: Mosby. Chap. 2.
Dickoff, J. & James, P. (1968). A theory of theories: A
position paper. Nursing Research, 17, 197-203.
Meleis, A. I. (2007). Theoretical nursing: Development
& progress (4th ed.). Philadelphia: Lippincott. Pp. 250-254.
Wk5
10/12
Concept development & concept analysis
Assignments:
Rogers, B. & Knafl, K. A.(eds.). (2000). Concept
development in nursing: foundations, techniques, and
applications. (2nd.ed.). Philadelphia: W. B. Saunders Co.
pp.1-37.
Study questions:
1. Discuss philosophical foundations of concept
development
2.
3. Discuss the steps of concept analysis (Wilson method
and Walker and Avant method)
4. Application of concept analysis to a specific nursing
phenomenon
Recommended readings:
Gallant, M. H., Beaulieu, M. C. & Carnevale, F. A.
(2002). Partnership: an analysis of the concept within the
nurse-client relationship. Journal of Advanced Nursing,
40(2), 149-157.
Rogers, B. & Knafl, K. A.(eds.). (2000). Concept
development in nursing: foundations, techniques, and
applications.(2nd.ed.). Philadelphia: W. B. Saunders Co.
Chap.5. pp.77-102.
Schumacher, K. L., Stewart, B. J. & Archbold, P. G.
(1998). Conceptualization and measurement of doing family
caregiving well. Image: Journal of Nursing Scholarship,
30(1), 63-69
Walker, L. O., & Avant, K. C. (2004). Strategies for
theory construction in nursing. (4th. ed.). East Norwalk, CT:
Prentice Hall. Pp. 35-54.
Wk 6
10/19
Evaluation and analysis of nursing models and nursing
theories
Assignments:
Fawcett, J. (2005). Contemporary nursing knowledge:
Analysis and evaluation of nursing models and theories.
(2nd ed.). Philadelphia: F. A. Davis. Chap.3,11.
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Study questions:
1.
What are the steps involved in the evaluation of a
nursing model and nursing theory?
2.
Compare and contrast various models for evaluating a
nursing model and nursing theory
3.
What are the units of analysis included in the structural
components of a nursing model and nursing theory?
4.
What are the units of analysis included in the
functional components of a nursing model and nursing
theory?
Recommended readings:
Hardy, M. E. (1974). Theories: Components,
development, and evaluation. Nursing Research. 23(2),
100-107.
Meleis, A. I. (2007). Theoretical nursing : Development
& progress (4th ed.). Philadelphia: Lippincott. Chap. 11.
Wk7
10/26
The relationship among theory, research, and empirical
implication
Assignments:
Chinn, P. L., & Kramer, M. K. (2008). Integrated theory
and knowledge development in Nursing. (7th ed.). St. Louis:
Mosby. Chap. 9,10.
Study questions:
1. What are the ways in which the conceptual model
influences nursing practice?
2. What are the criteria for evaluating theory-testing
research?
3. What are the implications of theoretical pluralism in
nursing for clinical nursing practice?
Recommended reading:
Fawcett, J. (2005). Contemporary nursing knowledge:
Analysis and evaluation of nursing models and theories. (2nd
ed.). Philadelphia: F. A. Davis. Chap. 2.
Wk8
11/2
Midterm exam: Preparation for team debates: Please prepare
for about 4 classrooms
Student should divide into two groups. Apply the forum of
debate to discuss the pros and cons of two different
theoretical perspectives of a phenomenon (provided by
faculty).
Debate topics: team I.—Should menopausal women take
HRT?
Team II—Is the medical technology development a barrier to
the nursing practices of humanity caring?醫療科技是人性
關懷護理實務工作之障礙
5
Wk9
11/9
Betty Neuman’s Systems Model
Wk10
11/16
Watson’s Human Caring Theory
Wk11
11/23
General Systems Theory (I)
Wk12
11/30
General Systems Theory (II)
Wk13
12/7
Dorothea Orem’s Self-Care Deficit Theory of Nursing (I)
Wk14
12/14
Dorothea Orem’s Self-Care Deficit Theory of Nursing (II)
Wk15
12/21
Nola Pender’s Health Promotion Model
Wk16
12/28
Debate Rehearsal: please prepare for 2 classrooms
Wk17
1/4
Team Debate I in class: please prepare RM 603 classrooms
Wk18
1/11
Team Debate II in class: please prepare RM 603 classrooms
Summary & final evaluation