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Usefulness of nursing theory‐guided practice: an integrative review

Younas, Ahtisham ; Quennell, Shannon

Scandinavian journal of caring sciences, 2019-09, Vol.33 (3), p.540-555 [Periódico revisado por pares]

Sweden: Wiley Subscription Services, Inc

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  • Título:
    Usefulness of nursing theory‐guided practice: an integrative review
  • Autor: Younas, Ahtisham ; Quennell, Shannon
  • Assuntos: Adult ; Attitude of Health Personnel ; Comparative studies ; Efficacy ; Evidence-based nursing ; Evidence-Based Nursing - methods ; Evidence-based practice ; experimental studies ; Female ; Humans ; Illnesses ; Interpersonal relations ; Intervention ; Literature reviews ; Male ; Middle Aged ; Models, Nursing ; Nurse-Patient Relations ; Nursing ; Nursing care ; Nursing Care - psychology ; Nursing Staff, Hospital - psychology ; nursing theories ; Nursing Theory ; nursing theory‐guided practice ; Patients ; Professional practice ; Quality of life ; Self care ; Self-efficacy ; Usefulness
  • É parte de: Scandinavian journal of caring sciences, 2019-09, Vol.33 (3), p.540-555
  • Notas: ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Undefined-1
    ObjectType-Feature-3
    content type line 23
  • Descrição: Background Nursing theory‐guided practice helps improve the quality of nursing care because it allows nurses to articulate what they do for patients and why they do it. However, the usefulness of nursing theory‐guided practice has been questioned and more emphasis has been placed on evidence‐based nursing and traditional practice. Therefore, an examination of experimental studies was undertaken to analyse the extent of use and usefulness of nursing theories in guiding practice. We reviewed experimental studies because in this era of evidence‐based practice, these designs are given more weightage over other research designs. This examination would corroborate the usefulness of nursing theory‐guided practice compared to traditional practice. Methods An integrative review was conducted. Literature search was performed within multiple databases, and 35 studies were reviewed and appraised. Results Majority of the studies were from Iran, the United States and Turkey and used Orem's self‐care model, Roy's adaptation model and Peplau's theory of interpersonal relations. The effect of theory‐guided interventions was evaluated in improving quality of life, self‐efficacy, self‐care and stress of patients with chronic, acute, cardiac and psychological illnesses. The quality rating was judged to be strong for three studies, moderate for 25 studies and weak for seven studies. All of the strongly rated studies found nursing theory‐guided interventions useful. Overall, nursing theory‐guided interventions improved all of studied outcomes in 26 studies and at least one outcome in nine studies. None of the studies reported that nursing theory‐guided interventions as not useful. Conclusion Nursing theories have guided practice in both eastern and Western countries, and theory‐guided practice has been found useful compared to traditional nursing practice. Therefore, nurses should continue to guide their nursing practice through the lens of nursing theories and should continue to evaluate the effectiveness of nursing theory‐guided practice.
  • Editor: Sweden: Wiley Subscription Services, Inc
  • Idioma: Inglês
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