An integrative nursing theoretical framework

Abstract

The use of an integrative nursing theoretical framework for both clinical and administrative practice has recently been suggested. The author developed a theoretical framework which incorporates key concepts from the writings of Ida J. Orlando and Virginia Henderson and proposes it to be used as an integrative framework. The rationale for using a framework is discussed along with clinical and administrative examples of how to integrate concepts from the proposed framework. The reasons for using an integrative theoretical framework are that it: serves as a guide for both clinical and administrative decisions; forms the basis of the nursing philosophy; facilitates communication with patients and colleagues; helps identify congruent supporting theories and concepts; provides a basis for educational programmes; helps to differentiate nursing from non-nursing activities; and enhances nurse unity and self-esteem. The premise of the article is that benefits are derived from the use of a nursing theoretical framework because it provides a specific vision of nursing.

Nursing in Slovenia

“…Mulhall and Le May (1999: 50) assert the need for knowledge that will provide information on which to base and build practice, and that nurses in practice use various types of knowledge. Many authors argue that nursing theories help professional practice (Botha, 1989;Upton, 1999), includes theoretical basis for nursing practice (Draper, 1990), helps articulate the nature of nursing (Chalmers, 1989;Fawcett, 1995;Meleis, 1997), provides guidance in practice, enhances the quality of care (McKenna, 1994(McKenna, , 1997Jacono and Jacono, 1995), provides direction in education (Schmieding, 1990), basis of a curriculum (Draper, 1990), and expands knowledge about the discipline (Jacono and Jacono, 1995).…”