Table of Contents
Unit I Introduction to Theory 1
1 Philosophy, Science, and Nursing Melanie McEwen 2
Nursing as a Profession 2
Nursing as an Academic Discipline 3
Introduction to Science and Philosophy 5
Science and. Philosophical Schools of Thought 7
Nursing Philosophy, Nursing Science, and Philosophy of Science in Nursing 12
Knowledge Development and Nursing Science 12
Research Methodology and Nursing Science 16
2 Overview of Theory in Nursing Melanie McEwen 23
Overview of Theory 24
The Importance of Theory in Nursing 25
Terminology of Theory 26
Historical Overview: Theory Development in Nursing 26
Classification of Theories in Nursing 34
Issues in Theory Development in Nursing 40
3 Concept Development: Clarifying Meaning of Terms Evelyn M. Wills Melanie McEwen 49
The Concept of "Concept" 50
Concept Analysis/Concept Development 55
Strategies for Concept Analysis and Concept Development 57
4 Theory Development: Structuring Conceptual Relationships in Nursing Melanie McEwen 72
Overview of Theory Development 73
Categorizations of Theory 73
Components of a Theory 79
Theory Development 82
5 Theory Analysis and Evaluation Melanie McEwen 94
Definition and Purpose of Theory Evaluation 95
Historical Overview of Theory Analysis and Evaluation 96
Comparisons of Methods 104
Synthesized Method of Theory Evaluation 106
Unit II Nursing Theories 115
6 Overview of Grand Nursing Theories Evelyn M. Wills 116
Categorization of Conceptual Frameworks and Grand Theories 118
Specific Categories of Models and Theories for This Unit 123
Analysis Criteria for Grand Nursing Theories 124
The Purpose of Critiquing Theories 127
7 Grand Nursing Theories Based on Human Needs Evelyn M. Wills 131
Florence Nightingale: Nursing: What It Is and What It Is Not 132
Virginia Henderson: The Principles and Practice of Nursing 136
Faye G. Abdellah: Patient-Centered Approaches to Nursing 139
Dorothea Orem: The Self-Care Deficit Nursing Theory 142
Dorothy Johnson: The Behavioral System Model 146
Betty Neuman: The Neuman Systems Model 150
8 Grand Nursing Theories Based on Interactive Process Evelyn M. Wills 159
Barbara Artinian: The Intersystem Model 160
Helen C. Erickson, Evelyn M. Tomlin, and Mary Ann P. Swain: Modeling and Role-Modeling 165
Imogene King: King's Conceptual System and Theory of Goal Attainment and Transactional Process 168
Sister Callista Roy: The Roy Adaptation Model 172
Jean Watson: Human Caring Science, A Theory of Nursing 177
9 Grand Nursing Theories Based on Unitary Process Evelyn M. Wills 187
Martha Rogers: The Science of Unitary and Irreducible Human Beings 188
Margaret Newman: Health as Expanding Consciousness 193
Rosemarie Parse: The Humanbecoming Paradigm 198
10 Introduction to Middle Range Nursing Theories Melanie McEwen 207
Purposes of Middle Range Theory 208
Characteristics of Middle Range Theory 209
Concepts and Relationships for Middle Range Theory 210
Categorizing Middle Range Theory 211
Development of Middle Range Theory 211
Analysis and Evaluation of Middle Range Theory 219
11 Overview of Selected Middle Range Nursing Theories Melanie McEwen 223
High Middle Range Theories 224
Middle Middle Range Theories 235
Low Middle Range Theories 243
12 Evidence-Based Practice and Nursing Theory Evelyn M. Wills Melanie McEwen 253
Overview of Evidence-Based Practice 255
Definition and Characteristics of Evidence-Based Practice 256
Concerns Related to Evidence-Based Practice in Nursing 256
Evidence-Based Practice and Practice-Based Evidence 258
Promotion of Evidence-Based Practice in Nursing 258
Theory and Evidence-Based Practice 259
Theoretical Models of Evidence-Based Practice 260
Unit III Shared Theories Used by Nurses 273
13 Theories From the Sociologic Sciences Joan C. Engebretson 274
Systems Theories 275
Social Construction and Interaction Theories 280
Exchange Theories, Conflict and Critical Theories 285
Complexity Science, Chaos Theory and Complex Adaptive Systems 292
14 Theories From the Behavioral Sciences Melanie McEwen Sattaria Smith Dilks 301
Psychodynamic Theories 303
Behavioral and Cognitive-Behavioral Theories 309
Humanistic Theories 312
Stress Theories 315
Social Psychology 318
15 Theories From the Biomedical Sciences Melanie McEwen 331
Theories and Models of Disease Causation 332
Theories and Principles Related to Physiology and Physical Functioning 340
16 Ethical Theories and Principles Cathy L. Rozmus Jeffrey P. Spike 356
Ethics and Philosophy: An Overview 357
Philosophical Theories of Ethics 358
Bioethical Principles 364
Ethical Decision Making 370
17 Theories, Models, and Frameworks From Leadership and Management Melinda Granger Oberleitner 376
Overview of Concepts of Leadership and Management 377
Early Leadership Theories 377
Contemporary Leadership Theories 385
Organizational/Management Theories 387
Motivational Theories 389
Concepts of Power, Empowerment, and Change 390
Problem-Solving and Decision-Making Processes 395
Conflict Management 397
Quality Improvement 397
Evidence-Based Practice 404
18 Learning Theories Evelyn M. Wills Melanie McEwen 409
What Is Learning? 410
What Is Teaching? 411
Categorization of Learning Theories 412
Behavioral Learning Theories 412
Cognitive Learning Theories 415
Learning Styles 426
Principles of Learning 427
Application of Learning Theories in Nursing 428
Unit IV Application of Theory in Nursing 433
19 Application of Theory in Nursing Practice Melanie McEwen 434
Relationship Between Theory and Practice 435
Theory-Based Nursing Practice 436
The Theory-Practice Gap 437
Situation-Specific/Practice Theories in Nursing 440
Application of Theory in Nursing Practice 442
20 Application of Theory in Nursing Research Melanie McEwen 452
Historical Overview of Research and Theory in Nursing 453
Relationship Between Research and Theory 454
Types of Theory and Corresponding Research 456
How Theory Is Used in Research 459
Nursing and Non-Nursing Theories in Nursing Research 467
Other Issues in Nursing Theory and Nursing Research 468
21 Application of Theory in Nursing Administration and Management Melinda Granger Oberleitner 475
Organizational Design 476
Shared Governance 480
Transformational Leadership in Nursing and in Health Care 482
Patient Care Delivery Models 483
Case Management 489
Disease/Chronic Illness Management 490
Quality Management 493
22 Application of Theory in Nursing Education Melanie McEwen Evelyn M. Wills 501
Theoretical Issues in Nursing Curricula 502
Theoretical Issues in Nursing Instruction 509
23 Future issues in Nursing Theory Melanie McEwen 519
Future Issues in Nursing Science 522
Future Issues in Nursing Theory 523
Theoretical Perspectives on Future Issues in Nursing Practice, Research, Administration and Management, and Education 524
Glossary 535
Author Index 545
Subject Index 584