Framework for Praxis Essay

Medical advancement and practices take up changed wellness manage over the years. As the health cargon dust changes so does the billet of a value. As the elderly population in the United States grows the demand for master(a) c are also outgrowths but the uptake of contain Practiti angiotensin converting enzymers is estimated to reduce the paucity of primary tutelage services (Schiff, 2012).This paper pull up stakes provide an overview of the benefit of a material for practice for an Adult native Care Nurse Practitioner (APCNP) and see to it how the textile seconds in the development of cherish make outledge. The writer will reveal an overview of the role of an APCNP and how this role low life history dish up enrich the general healthcare system. The paper will explore ideological, theoretical, and honor able-bodied components that guides and contribute to the growth of an APCNP frame pass water for drill. The paper will fin wholey examine a case reckon of t he use of the framework for praxis in a clinical fallting.Overview of recitationPraxis is defined in numerous ways for unlike disciplines, for the nursing profession it is defined as the combination of practice and possibleness (Kilpatrick, 2008). many healthcare practitioners see knowledge acquired through clinical practice (praxis) as subjective and not real knowledge because possible action is always link with scholarly achievement, as such it is difficult in present twenty-four hours nursing practice to recognize the importance of praxis (Penney & Warelow, 1999) consort to Chinn and Kramer (2011) praxis may arise out of a single person or a group. Praxis arising at an individual level is establish a person identifying and pondering on an issue that controls ones capabilities and understandings, so taking the responsibility in changing the issue for themselves and others affected (Chinn & Kramer, 2011). A signifi foundationt intent of praxis is the incorporating of specu lation and practice that helps in the character reference and valuing different types of knowledge (Kilpatrick, 2008).Chinn and Kramer (2011) states nursing praxis value and labels those clinical experiences by bringing to happenher the worlds of nursing practice and guess through the use of reflection and action (p. 83). It is believed nursing praxis helps in knowledge development. With apiece turn of reflection and action at least four ideals are used as abenchmark for determining the worth of emancipatory knowledge, these are sustainability, social justice empowerment and demystification (Chinn & Kramer, 2011, p. 84).Nursing praxis is important to an APCNPs practice it creates opportunity for change by influencing personal nursing possibleness and the development of nursing knowledge through self-importance-reflection. Self-reflection helps challenge the APCNPs personal and master copy standards. Praxis may also help advance the role of the APCNP by reducing the disparities between clinical practice and concepts (Chinn & Kramer, 2011). Incorporating theoretical, honourable and philosophical beliefs of the APCNP will help provide a framework for praxis.Overview of the role of an Adult Primary Care Nurse Practitioner (APCNP)An Adult Primary Care Nurse Practitioner (APCNP) is a primary care provider and is at the brain of providing healthcare to the public. Certain standards must be unwraped before one can become an APCNP these include graduate grooming with a meanness in an APCNP program and certification through examination. Duties of an APCNP include uncomplaining education, playing physical assessments, diagnosing and prescribing medications (Hamric, Hanson, Tracy, & OGrady, 2014). APCNP may practice in toffee-nosed clinics, acute care facilities, long-term care facilities or public health departments (Fitzpatrick & Emerson, 2011). As the elderly population in the United States grows the demand for primary care also increases, as such the use of an APCNP is estimated to reduce the shortage of primary care services (Schiff, 2012).The expanded use of APCNPs increases the ability to increase access to health care, curiously in the commonly underserved areas (Schiff, 2012).Ideological Influences expelling theory by Paulo Freire, a Brazilian educator establishes a proficiency of teaching literacy for underprivileged adults based on dialogue (Sanford, 2000). The Liberation theory is chosen as the philosophical basis for practice because its focus on on tolerant education and building trust between the lactate and enduring through dialogue .The use of pink slip theory and the theory of self-efficacy by Bandura will help the APCNP in the promotion of health education. According to Cody (2011), health is described as an attitude that reflects accepting responsibility for self in developingpurpose in life (p. 377). Health is presently viewed much to a greater extent than the absence of disease. According to Bandura (1989), the theory of self- efficacy is based on self-confidence and is a good indicator for motivation to tell on behavioral changes.Self-efficacy theory is based on the mastery of skills, modeling of skills especially by others and social persuasion of others to help create the belief that the tolerant is capable of mastering skills. Health literacy in the overall healthcare system is decisive it improves patient of satisfaction, decrease patient concerns, increase compliance to care, creates patient autonomy and increases overall quality of life. Utilizing theories provide the APCNP with the opportunity to effectively make grow to enable the patient to understand their current health conditions in enounce to be able to make suitable healthcare decisions. As an APCNP it is inevitable to explore ways to effectively educate patients because patient education is a vital part of continuum of health (DeMarco, Nystrom, & Salvatore, 2011).Theoretical InfluencesTheory development is the i nnate step for expansion of nursing knowledge. The theory of goal attainment by Imogene king addresses the phenomena, patient education. The theory was first presented in the 1960s by Imogene King (King, 1997). The basics of Kings Theory encourage suck in patient parley the restrain helps the patient set goals and work together with the patient to attain the goals (King, 1997). The theory focuses on patient education, through interpersonal relationship with nurses and patients allowing the patient to acquire knowledge or develop skills to help achieve goals. The theory encourages dialogue between the patient and nurse and this process opens the possibilities for participants to present problems, to naughtily reflect and to identify solutions not previously realized. Essential attributes of the theory that influences patient education includes the necessity to make all health information complaisant to the patient. Due to the importance of disease prevention patient education i s vital as such the APCNP should determine the best possible theory to help achieve desired outcomes through patient education.Ethical InfluencesAccording to Cody (2011), commonwealth should be afforded the opportunity to betreated with dignity by having their value respected without judgment by others (p. 168). An APCNP providing patient health education can be faced with ethical dilemmas (Pavilish, Brown-Saltzman, Hersh, Shirk, & Rounkle, 2011). Ethical knowledge is required in nursing to guide practice because care outcomes depend on the nurses ethical and moral perception (Chinn & Kramer, 2011). Ethics help by identifying principles and create basics that help maintain human rights, and ethical values (Hamric et al., 2011). The changing healthcare system and patient care delivery systems have increased the complexity of ethical issues (Hamric et al., 2011). According to the American Nurses Association (ANA) (2001), the label of ethical motive provides an outline nurses can use in making ethical decisions when performing their duties to the public, to members of the health team, and to the nursing profession.Ethical principles include autonomy, beneficence (bring nigh positive good), fidelity (trustworthy), and ingenuousness (honesty) (ANA, 2001). As ethical agents and patient advocates, we know patient education includes written materials, but its also cognize that most written material available is above reading levels of the overall public. It is vital as an APCNP to take into account your responsibility to the ethical particle of autonomy or fidelity in relation to patient education. tolerant education is sometimes directed toward supporting patients to make decisions about write consents.It is the responsibility of the health care professional who is educating the patient to confirm that the patient has enough understanding about the consequences of the diagnosis, test or procedure that they are consenting to. In order not to violate the princi ple of autonomy, veracity and beneficence, the primary ethical step for healthcare providers would be to learn more about the patients literacy level and then assess to get appropriate educational materials suitable for the patient. In order to provide the most comprehensive educational material to patients and not infringe on ethical principles, providers need to consider the importance of using appropriate written materials at patients readability level.The combination of the APCNPs ideology, theoretical and ethical framework helps provide a framework for praxis. This also gives nurses the opportunity to help impact changes to the health of the community by concentrating on the quality of life of the community. As an APCNP creating a practice thatpromotes health literacy, empowerment, acceptance and equality is important. This can be done through the use of patient centered care model that helps in promoting effective patient education. With the use of liberation theory and theory of goal attainment the healthcare provider will be able to better assess patient and provide health education tailored for each patient. Ethical theories have to be examined and integrated end-to-end the patient education process to ensure patient services provided meets specific needs.Case StudyMr. Bick is a 50 year old with hypertension who comes to the clinic for a follow up involution after a stroke. During his appointment the nurse establishes a relationship by having a dialogue with patient inquiring about patients overall life, through the dialogue the patient is able to share personal struggles with medication compliance due to work schedule. The nurse is able to educate patient on how to effectively take all medications without interfering with the patients work schedule .The patient sets a goal to reduce BP, the nurse guides the patient with different methods on scope his goal, including diet modification and increasing activity level.The case study utilizes the liber ation theory to educate by building trust between the nurse and patient through dialogue. In the case study, it is noted that the patients self-efficacy made the patient more receptive to the health education offered by the nurse. The patient learnt different options for medication adherence without interference in his work schedule. The theory of goal attainment was also utilized the patient set a goal and the nurse helped by educating the patient on different options to achieve his goal.ConclusionAPCNPs are considered as nurses who are equipped with the clinical and management skills necessary to meet the key roles in transforming healthcare. Nursing agreement to patient education is entwined into many theoretical frameworks. The intent of the framework for praxis is to place the practice of patient education in a rig where significant relations can be made between experiences of mundane practice, clinical research and scholarly inquiry.ReferencesAmerican Nurses Association (ANA ), (2001), Code of ethics for nurses, American NursesAssociation, Washington, D.C. Retrieved from http//www.nursingworld.org /Main MenuCategories/EthicsStandards/CodeofEthicsfornurses /code-of-ethics.pdf Bandura, A. (1989). Regulation of cognitive processes through perceived self-efficacy.developmental Psychology, 25, 729-735.Chinn, P. L., & Kramer, M. K. (2011). Integrated theory and knowledge development. (8th ed.).St Louis Mosby Elsevier.DeMarco, J., Nystrom, M., & Salvatore, K. (2011). The importance of patient educationthroughout the continuum of health care. daybook of Consumer Health on the Internet,15(1), 22-31. doi 10.1080/15398285.2011.547069.Hamric, A. B., Hanson, C. M., Tracy, M. F., & OGrady, E. T. (2014). go on practicenursing An integrative approach. St. Louis, MO Elsevier.Kilpatrick, K (2008), Praxis and the role development of acute care nurse practitioner. Nursing question 15(2), 116-126. King, I. (1997). Kings theory of goal attainment in practice. 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