Recently, Beajerry at the Cosmic Watercooler wrote about his/her thoughts on the definition of nursing practice (provided by Wikipedia.org) and his/her opinion of the nursing diagnosis.
To me there’s no “theory” or anything specific to “nursing”. It’s all real and it’s all medicine, baby!I’m not some Nightingale cult member practicing ‘theory’ over in the corner separate from the medical team. I don’t sit around shuffling idiotic nursing diagnosis cards trying to translate a medical problem into Fisher-Price speak.
Nurses aren’t allowed to officially diagnose and prescribe treatment – that’s the doctors’ job and they get paid for it. However, nurses are on their team and they do most of the skilled labor.If some nurse ‘researcher’ knows more about how to treat a medical problem than a doctor then I’m proud of ‘em, but it seems a waste of time since they don’t have an M.D.
I don’t know of any people with a high degree in architecture and design who would rather pound rivets all day.
I disagree with Beajerry that there is no theory being used. Instead, I believe that theory is being used, its just that it’s beneath the surface and we are never really required to think about it in terms of pure theory. That said, having studied the core concepts of many nursing theories, I consider many complete bunk.
And, in my experience, there’s a direct relationship between nursing theory and the nursing diagnosis: The more far-fetched a nursing theory (see the Orem Model of Nursing or any of the Holistic nursing theories), the more completely it incorporates the ideas of the nursing diagnosis.
In my work environment, an ICU, we are required to “write” a nursing careplan for each patient upon admission to the ICU. But it is not as complex or time-consuming as it sounds. By “write” I mean we select 3-5 nursing diagnoses that are applicable to the particular patient from a list in the computer program we use, highlight those diagnoses, and hit enter. We don’t revisit them. They are a hoop we are required to jump through.
And then we return to the bedside where, as nurses, we provide a high level of nursing care that derives its focus from critical care medicine. Does that make me less of nurse? I don’t think so. I enjoy being part of a critical care team that uses a multivary approach and one language. I think it works best.
What do you think?