Application
Philosophy
The holistic care philosophy summarizes the actions of the nurses involved in the patient care plan (Fielding & Briss, 2006). The intra-class component provides the scale for measuring reliability to determine the consistency and absolute agreement with the predetermined scale of nursing care (Alligood & Tomey, 2010). The actions should be accompanied by professionalism. This philosophy will aid in addressing the actions and strategies that will be applied to ensure sustainable implementation of the project.
Model
The DSM-5 model operates on the assumptions that patients are proactive in controlling their behavior and working to effectively improve the wellness and general environment (Fielding & Briss, 2006). This model “allows clinicians and organizations more flexibility in how to organize diagnostic information” (Judith et al., 2011, p. 48). The health promotion model is critical in facilitating the achievement of high and desirable levels of well-being. About the Pressure Ulcers Prevention in Intermediary Care Patients in Regional Medical Center project, the diagnosis will involve classifying the types of skin ulcers. The classification will be done through the use of predetermined diagnostic information that has a range of effects from mild to acute scales (Fielding & Briss, 2006). The diagnosis will be followed by tests that are measured against predetermined results for each stage of the disease to ensure that it has good reliability as indicated in the DSM-5 model (Guy, 2012).
Theory
Watson’s theory of human care explores strategies that should be adopted to make the healthcare environment holistic (Black et al., 2015; Fielding & Briss, 2006). In the proposed change project to prevent pressure ulcers among inpatients in hospitals, Watson’s theory of human care can be integrated into the aspects of preparation, caring processes, and building of trans-personal relationships to make the healthcare environment accommodative and ideal (Bell, 2012).
Nursing meta-paradigm
The clinical benefit of having a reliable nursing approach in the proposed project is accurate diagnosis and proper recording of the diagnosis information on the preventive care, home-based care, and treatment-based care treatment models (Fielding & Briss, 2006). Through these elements, the intervention nurse can be allowed to implement the triangular intervention mechanism, which balances theory, philosophy, and action model in the dynamic healthcare environment (Alligood & Tomey, 2010). This means that clinicians implementing the proposed project will be in a position to present the diagnostic information in an organized and presentable manner.
Reference
Alligood, M., & Tomey, M. (2010). Nursing theorists and their work (7th ed.). Maryland Heights, ML: Mosby/Elsevier.
Bell, M.P. (2012). Diversity in organization (2nd ed.). California, LA: South Western College Publication.
Black, A., Balneaves, L., Garossino, C., Puyat, J., & Qian, H. (2015). Promoting evidence-based practice through a research training program for point-of-care clinicians. Journal of Nursing Administration, 45(1), 14-20.
Fielding, J., & Briss, P. (2006). Promoting evidence-based public health policy: Can we have better evidence and more action? Health Affairs Journal, 25(4), 969-978.
Guy, H. (2012). Pressure ulcer risk assessment. Nursing Times, 1(3), 1-3. Web.
Judith, A., Baile, E., Anderson, A., & Docherty, S. (2011). Nursing roles and strategies in end-of-life decision making in acute care: A systematic review of the literature. Nursing Research and Practice, 2(5), 45-67.