A Theory-based Clinical Nurse Specialist Practice Exemplar Using Neuman's Systems Model and Nursing's Taxonomies

Abstract

This article illustrates the process of theory-based advanced nursing practice by presenting an exemplar of clinical nurse specialist practice using Neuman's systems model and nursing's taxonomies. A brief explanation of Neuman's systems model is given, and the process of assessment, diagnosis, and planned outcomes/interventions is fully described. A clinical example illustrates the entire process.

The effect of preoperative warming on patients' postoperative temperatures

“…This represents the person's buffer system. Unlike the internalized and slowly changing variables in the lines of resistance, the variables in the flexible line of defense change rapidly and function to cushion and protect the normal line of defense 18 …”

“…Stressors have the potential to invade the normal line of defense, thereby disturbing the usual health state 18 . The level of disturbance of the usual health state depends on the strength of the stressor and the flexible line of defense.…”

Types and Sources of Social Support and Maternal-Student Role Stress in Married Associate Degree Nursing Students

“…Socialization Enhancement (McCloskey & Bulechek, 2000), or enhancing one's ability to give and receive social support, is one promising intervention (Gigliotti, 2002a). However, before embarking on such an intervention, more specific knowledge about the relationship between social support and MSRS is needed.…”

“…Toward this goal, NIC interventions (McCloskey & Bulecheck, 2000) as outlined by Gigliotti (2002a) should be made context-specific. While communication skills are important for all, the focus for younger women should be on strategies for juggling school and young children, and for enhancing the relationship with one's husband.…”

“…While communication skills are important for all, the focus for younger women should be on strategies for juggling school and young children, and for enhancing the relationship with one's husband. On the other hand, the intervention for older women should focus on self-development issues and communicating honestly with their husbands and children, asking for their support and confiding their dreams and misgivings (for a complete discussion of this intervention see Gigliotti, 2002a). For both age groups it is recommended that, although group work may be the vehicle for the intervention, it is not enhanced peer support that is the desired outcome, but rather enhancing existing effective supportive relationships with their families.…”