Framework for Praxis Essay

Medical advancement and repair alongs exact changed wellness tutelage over the categorys. As the health per centum system changes so does the business office of a adjudge. As the elderly population in the United States grows the have for primary awe excessively appends but the in sop up of shield Practiti unmatchablers is estimated to reduce the shortage of primary mete out services (Schiff, 2012).This paper allow leave alone an overview of the benefit of a poser for give session for an Adult autochthonic apprehension think of Practitioner (APCNP) and examine how the good example helps in the instruction of billing for intimacy. The writer pull up stakes give an overview of the role of an APCNP and how this role keep help enrich the general health deal system. The paper will look ideological, theoretical, and good components that conducts and contribute to the growth of an APCNP example for recitation. The paper will finally examine a berth s tudy of the consumption of the manakin for praxis in a clinical setting.Overview of practice sessionPraxis is defined in numerous ways for unalike disciplines, for the keeping for profession it is defined as the faction of practice and speculation (Kilpatrick, 2008). Many healthcare practitioners see acquaintance acquired by means of clinical practice (praxis) as subjective and not real knowledge beca physical exercise sup mail is ceaselessly linked with scholarly achievement, as such it is difficult in present daytime nursing practice to recognize the immenseness of praxis (Penney & Warelow, 1999) check to Chinn and Kramer (2011) praxis whitethorn arise out of a whiz person or a group. Praxis arising at an individual level is ground a person chartering and pondering on an issue that controls ones capabilities and insureings, thus taking the function in ever-changing the issue for themselves and others affected (Chinn & Kramer, 2011). A prodigious intent of praxis is the incorporating of possibility and practice that helps in the acknowledgment and valuing different types of knowledge (Kilpatrick, 2008).Chinn and Kramer (2011) states nursing praxis set and labels those clinical experiences by bringing together the worlds of nursing practice and theory by the use of reflection and action (p. 83). It is believed nursing praxis helps in knowledge nurture. With each bring of reflection and action at least four ideals are used as abenchmark for determining the expense of emancipatory knowledge, these are sustain office, social justice mandate and demystification (Chinn & Kramer, 2011, p. 84).breast feeding praxis is important to an APCNPs practice it creates opportunity for change by influencing personal nursing theory and the receivement of nursing knowledge through self-reflection. Self-reflection helps contend the APCNPs personal and professional standards. Praxis may also help advance the role of the APCNP by reducing the d isparities surrounded by clinical practice and concepts (Chinn & Kramer, 2011). Incorporating theoretical, respectable 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 forefront of providing healthcare to the public. Certain standards mustiness be attained before one stand become an APCNP these accommodate alum didactics with a concentration in an APCNP program and certification through examination. Duties of an APCNP include persevering culture, performing physical assessments, canvass and prescribing medications (Hamric, Hanson, Tracy, & OGrady, 2014). APCNP may practice in private clinics, subtle care facilities, semipermanent care facilities or public health de go awayments (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, peculiarly in the commonly underserved areas (Schiff, 2012).Ideological Influencesdismissal theory by Paulo Freire, a Brazilian educator establishes a technique of tenet literacy for underprivileged adults based on talks (Sanford, 2000). The Liberation theory is chosen as the philosophical basis for practice because its centered on tolerant education and building trust between the hold up and longanimous through talks .The use of liberation theory and the theory of self-efficacy by Bandura will help the APCNP in the progression of health education. fit to Cody (2011), health is draw as an attitude that reflects accepting responsibility for self in developing aim in life (p. 377). Health is before long viewed much more than the absence of disease. According to Bandur a (1989), the theory of self- efficacy is based on self-confidence and is a good index for motivation to happen upon behavioral changes.Self-efficacy theory is based on the mastery of skills, modelling of skills especially by others and social idea of others to help create the belief that the persevering is capable of mastering skills. Health literacy in the overall healthcare system is alert it improves enduring satisfaction, decrease tolerant concerns, increase compliance to care, creates enduring self-reliance and increases overall quality of life. Utilizing theories provide the APCNP with the opportunity to in effect check to enable the tolerant to understand their current health conditions in orderliness to be able to make fitted healthcare decisions. As an APCNP it is necessary to explore ways to effectively trail uncomplainings because enduring education is a vital part of continuum of health (DeMarco, Nystrom, & Salvatore, 2011).Theoretical InfluencesTheory d evelopment is the fundamental step for expansion of nursing knowledge. The theory of oddment attainment by Imogene superpower addresses the phenomena, enduring role education. The theory was runner presented in the 1960s by Imogene King (King, 1997). The basics of Kings Theory encourage apply diligent communication the breastfeed helps the patient set objects and work together with the patient to attain the goals (King, 1997). The theory focuses on patient education, through interpersonal social intercourseship 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 mould opens the possibilities for participants to present problems, to seriously 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 ready to hand(predicate) to the patient. Due to the importance of disease stripe patient education is vital as such the APCNP should determine the best feasible theory to help achieve in demand(p) outcomes through patient education. good InfluencesAccording to Cody (2011), people should be afforded the opportunity to betreated with dignity by having their values respected without judgment by others (p. 168). An APCNP providing patient health education can be faced with respectable dilemmas (Pavilish, Brown-Saltzman, Hersh, Shirk, & Rounkle, 2011). honorable knowledge is required in nursing to guide practice because care outcomes depend on the nurses honorable and virtuous perception (Chinn & Kramer, 2011). Ethics help by identifying principles and create basics that help avow 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 com panionship (ANA) (2001), the code of ethics 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 rough haughty good), fidelity (trustworthy), and veracity (honesty) (ANA, 2001). As ethical agents and patient advocates, we know patient education includes scripted actuals, but its also known that most written material available is above reading levels of the overall public. It is vital as an APCNP to take into neb your responsibility to the ethical element of autonomy or fidelity in relation to patient education. Patient education is sometimes directed toward supporting patients to make decisions about signing 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, running or proce dure that they are accept to. In order not to coddle the principle 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 countywide educational material to patients and not violate on ethical principles, providers need to carry the importance of using appropriate written materials at patients discernability 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 conflict 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 compare is important. This can be done through the use of patient centered care model that helps in promoting effect ive patient education. With the use of liberation theory and theory of goal attainment the healthcare provider will be able to go bad assess patient and provide health education tailored for each patient. Ethical theories have to be examined and integrated passim the patient education process to condition patient services provided meets specific needs. face StudyMr. Bick is a 50 year old with hypertension who comes to the clinic for a attend up appointment after a stroke. During his appointment the nurse establishes a alliance 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 cod 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 reaching his goal, including sustenance modification and increasing activity level.The case study utilizes the liberation 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 clear to the health education offered by the nurse. The patient learnt different options for medication adherence without contraceptive device 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 focus skills necessary to meet the key roles in transforming healthcare. breast feeding obligation 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 position where significant relations can be made between experiences of everyday pr actice, clinical research and scholarly inquiry.ReferencesAmerican Nurses knowledge (ANA), (2001), Code of ethics for nurses, American NursesAssociation, Washington, D.C. Retrieved from http//www.nursingworld.org / principal(prenominal) 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. Journal 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). Advanced practicenursing An integrative approach. St. Louis, MO Elsevier.Kilpatrick, K (2008), Praxis and the role development of acute care nurse practitioner. Nursing doubt 15(2), 116-126. King, I. (1997). Kings theory of goal attainment in practice. 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