A theoretical framework for psychiatric nursing practice. 1991

L L Onega
School of Nursing, University of Virginia, Charlottesville.

Traditionally, specific theoretical frameworks which are congruent with psychiatric nursing practice have been poorly articulated. The purpose of this paper is to identify and discuss a philosophical base, a theoretical framework, application to psychiatric nursing, and issues related to psychiatric nursing knowledge development and practice. A philosophical framework that is likely to be congruent with psychiatric nursing, which is based on the nature of human beings, health, psychiatric nursing and reality, is identified. Aaron Antonovsky's Salutogenic Model is discussed and applied to psychiatric nursing. This model provides a helpful way for psychiatric nurses to organize their thinking processes and ultimately improve the health care services that they offer to their clients. Goal setting and nursing interventions using this model are discussed. Additionally, application of the use of Antonovsky's model is made to nursing research areas such as hardiness, uncertainty, suffering, empathy and literary works. Finally, specific issues related to psychiatric nursing are addressed.

UI MeSH Term Description Entries
D009732 Nursing Care Care given to patients by nursing service personnel. Care, Nursing,Management, Nursing Care,Nursing Care Management
D009742 Nursing Theory Concepts, definitions, and propositions applied to the study of various phenomena which pertain to nursing and nursing research. Theory, Nursing,Nursing Theories,Theories, Nursing
D009937 Organizational Objectives The purposes, missions, and goals of an individual organization or its units, established through administrative processes. It includes an organization's long-range plans and administrative philosophy. Goal Setting, Organizational,Goals, Organizational,Objectives, Organizational,Organizational Goals,Goal Settings, Organizational,Goal, Organizational,Objective, Organizational,Organizational Goal,Organizational Goal Setting,Organizational Goal Settings,Organizational Objective,Setting, Organizational Goal,Settings, Organizational Goal
D010687 Philosophy, Nursing The underlying rationale or theoretical basis for the principles of NURSING. Nursing Philosophy,Nursing Philosophies,Philosophies, Nursing
D011568 Psychiatric Nursing A specialty concerned with the application of psychiatric principles in caring for the mentally ill. It also includes the nursing care provided the mentally ill patient. Mental Health Nursing,Nursing, Psychiatric,Psychosocial Nursing,Nursing, Mental Health,Nursing, Psychosocial
D011788 Quality of Life A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral, social environment as well as health and disease. HRQOL,Health-Related Quality Of Life,Life Quality,Health Related Quality Of Life
D004645 Empathy An individual's objective and insightful awareness of the feelings and behavior of another person. It should be distinguished from sympathy, which is usually nonobjective and noncritical. It includes caring, which is the demonstration of an awareness of and a concern for the good of others. (From Bioethics Thesaurus, 1992) Caring,Compassion
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D015399 Nursing Research Research carried out by nurses, generally in clinical settings, in the areas of clinical practice, evaluation, nursing education, nursing administration, and methodology. Research, Nursing
D016294 Models, Nursing Theoretical models simulating behavior or activities in nursing, including nursing care, management and economics, theory, assessment, research, and education. Some examples of these models include Orem Self-Care Model, Roy Adaptation Model, and Rogers Life Process Model. Nursing Models,Model, Nursing,Nursing Model,Orem Self-Care Model,Model, Orem Self-Care,Models, Orem Self-Care,Orem Self Care Model,Orem Self-Care Models,Self-Care Model, Orem,Self-Care Models, Orem

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