Question

discuss how a borrowed theory can be applied by family nurse practitioners and give example

Answer 1

Borrowed theory are middle range theory that are non nursing in nature but borrowed from other discipline so as to predict A phenomenon or test a measurable tool. Various types of non Nursing borrowed theory includes Abraham Maslow's hierarchy of needs, Chaos theory, Kurt Levins theory of change etc. As a nurse practitioner, the main focus is on independently working in the rural community as as to help in the health and progression of the community. Prevention of disease and Health education will be my objectives.

Kurt Levins theory of change consist of three stages namely Unfreezing, ready to change and freezing or refreezing.

Unfreezing - in this stage, assessment of a person towards preventive measures of health and promotion of good good h are been done. This stage basically prepares the patient to be ready to change to a positive health habit.

Change- in this stage, activities are done in the form of education, Demonstration, counselling etc. This is a transitional phase which may seem to be very chaotic in nature, dynamic and may progress slowly initially but the output should be continuing focussed on and measured as to to obtain the intended objective.

Freeze or refreezing- in this stage, activities or change in behaviour which have shown changes should be practiced on daily basis so as to improve or maintain the positive outcome achieved by the change in behaviour.

Example of Nurse Led Diabetic Clinic as a nurse practitioner in the community.

Initially the nurse practitioner can identify the population at risk of developing the complications of Diabetes.

Stage 1: unfreeze.

In this stage , the nurse will do assessment of the patients who show development of the complications of Diabetes. The nurse will obtain a history of their daily routine, their glycemic indexes, their food pattern, activity level and will show it to the patient the need to change their lifestyle for improvement of glycemic parameters and to maintain a healthy living. She will physically, mentally and emotionally prepare the patient to undergo change in habits so as to achieve a positive outcome.

Stage 2: change

This stage mainly involve implementation of all strategy ie. Health education, counselling, teaching for early detection, improving of activity levels, promotion of exercise and its effect on glycemic index. This stage should be accompanied by continuous monitoring, re-emphasis on particular points, proving the benefits of change in action etc. This stage is very dynamic and slow but patience and persistence alone will lead to success.

Stage 3: refreeze or freeze

In this stage, the activities which has shown reduction in glycemic index, prevention of short term complications and delayed of long term complications should be emphasized and the healthy behavior should be freezed and be practiced on daily basis for healthy living.