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Metaparadigm of Nursing
Discussion Topic
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Discussion Prompt
Link the theory you developed in Weeks 2 and 5 with the Metaparadigm of Nursing. Each of the elements of the Metaparadigm should be represented in your theory. Revise your theory if necessary to include each of the components of the Metaparadigm.
Your task is to make your theory that you developed in week 2 or 5 and discuss the following:
· does your theory have all four components of the metaparadigm of nursing: health, human, nurse, environment Does it specifically state each of these elements in the theory?
· if it does not, then revise your theory so that all four components are now present
Expectations
Initial Post:
APA format with intext citations
Word count minimum of 250
References: at least 2 high-level scholarly references within the last 5 years in APA format.
Plagiarism free.
Turnitin receipt.
2
Week 5 Personal Theory Improvement
Two weeks into the course, I came up with the idea that “enhancing movement goals stored in the brain, and the muscle synergies (concept) aid in minimizing redundancy before and after stroke diagnosis” (Proposition). The weeks that followed were spent refining and expanding my hypothesis utilizing a variety of theoretical frameworks and empirical indicators to obtain information on the specific clinical setting in which I was working. A new theory holds that “a multidimensional strategy and treatments that are specially created for the person will promote long-term adherence to the pharmaceutical regimen.” The first concept in implementing this principle is that alternative medicine distribution systems will help patients stick to their prescription regimens. Another concept is that a diversified strategy will help patients stick to their pharmaceutical regimens for longer periods.
Patients who do not follow their doctor’s instructions and miss dosages and times are operationally considered nonadherent by Ruksakulpiwat et al. (2020). Reminders, weekly bubble packs, pillboxes, and electronic medicine dispensers are all terms used to describe different types of prescription delivery systems. Using more than one intervention at the same time in order to reach adherence is referred to as an operational multifaceted strategy. A prescription schedule is operationally defined as a list of all prescribed drugs for a certain patient.
After then, the study’s attention will be on the empirical indicators’ operational adequacy. In order to do this, indicators must generate both believable and valid data, and these data must be totally in line with the theoretical concepts presented. As a result of this conceptual framework for building structures to evaluate theory, nursing knowledge for advanced practice nurses will be guided and further developed.
Multi-method evaluation would be my go-to strategy when doing a study. According to the “Morisky Medication Adherence Scale (MMAS-8)”, the first seven questions are yes/no, and the eighth item is an estimate of how likely it would be that the patient will adhere to the prescribed medication (Moon et al., 2018). Direct and indirect measuring techniques would also be included in the proposed plan.
References
Moon, S. J., Lee, W.-Y., Hwang, J. S., Hong, Y. P., & Morisky, D. E. (2018). Correction: Accuracy of a screening tool for medication adherence: A systematic review and meta-analysis of the MORISKY medication adherence scale-8. PLOS ONE, 13(4).
https://doi.org/10.1371/journal.pone.0196138
Ruksakulpiwat, S., Liu, Z., Yue, S., & Fan, Y. (2020). The association among medication beliefs, perception of illness and medication adherence in ischemic stroke patients: A cross-sectional study in China. Patient Preference and Adherence, Volume 14, 235–247. https://doi.org/10.2147/ppa.s235107
WEEK 2 DISCUSSION #2 Personal theory
The chosen clinical situation within the facility is the reported increase in the number of patients treated for stroke conditions. This is a condition that occurs when the blood supply into the brain is interrupted
(Concepts). This prevents the brain tissue from getting adequate oxygen and nutrients (Proposition). Patients with stroke are expected in the facility (Concepts), and it affects the well-being of the population since it impairs the motor systems of the individuals diagnosed with it (Proposition). Since it is an acute condition (Concepts), it compromises the cerebral perfusion, vasculature, or cerebrovascular accident that affects patients’ ability to successfully control their arms during complicated motor tasks (Proposition) (Maguire et al., 2018). Following the stroke incidents, patients tend to indicate modifications in their neural control activities such as movement.
Stroke condition is characterized by hemispheric localization (Concepts) that affects motor performance and muscle synergies during activities (Proposition). The applicable theory, in this case, is associated with the process of supporting the movement and the movement objectives encoded in the cortex, and the muscle synergies (concept) help in reducing the redundancy before and after diagnosis with stroke (Proposition). The muscle synergies involve converting the muscle actions from the cortex through the cortical demands. The muscle synergies involve some forms of activated muscles. In stroke conditions, there is a loss in the integrity of the muscle synergies and an indication that damage has occurred to the motor cortical (Concept). These processes interfere with organizations of the motor cortical as a result of the impairment of cerebrovascular (Proposition) (Maguire et al., 2018). The research studies associated with the kinematic synergies have shown a covariation in the motions of diverse joints (Concept), thus providing further reasons for the mechanisms associated with human motor behaviors (Proposition).
Regret refers to the negative emotion that is driven by the individual-focused thoughts of what might have been.
References
Maguire, C., Sieben, J., & De Bie, R. (2018). Movement goals encoded within the cortex and
muscle synergies to reduce redundancy pre and post-stroke. The relevance for gait rehabilitation
and the prescription of walking aids. A literature review and scholarly discussion, Physiotherapy
Theory and Practice, 35:1, 1-14, DOI: 10.1080/09593985.2018.1434579.
