Using a previous chosen Phenomenon of interest (POI), create and summarize a framework for praxis. I will submit previous papers written on this P.O.I. Formulate a conceptual framework for praxis through the use of concept analysis and the integration of scientific theories and models that support speciality advanced nursing practice. Summarize the philosophical, conceptual, theoretical, ethical and complexity science theories that form the Framework for Praxis. The identified Phenomenon of Interest, as well as the concept selected, will be included in this model.
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Framework for Praxis
The selected Phenomenon of Interest (POI) is the use of a non-pharmacological therapy to treat nausea. The POI focuses on using isopropyl alcohol to reduce nausea in post-anesthesia and emergency settings. Various studies have established that isopropyl alcohol can be used as an inhalant to alleviate nausea and vomiting in the pediatric and adult populations (Dalrymple, 2020). The nasal inhalation of isopropyl alcohol is a traditional alternative antiemetic used to alleviate postoperative nausea. Studies have established the efficacy of isopropyl alcohol in reducing the degree of nausea.
Phenomenon of Interest
The use of inhalation isopropyl alcohol is significant to my Family Nurse Practitioner (FNP) specialty since I will be managing patients in the ED and post-anesthesia units who often present with nausea and vomiting. Nausea and vomiting are associated with various adverse effects such as dehydration, acid-base balance, and dehiscence of surgical incisions, which affect patient outcomes and prolong hospitalization (Dalrymple, 2020). Therefore, isopropyl alcohol inhalant in ED and postoperative patients can help reduce these complications, improve health outcomes, patient satisfaction, and reduce hospitalization.
The continental philosophy is my preferred philosophical point of view. Continental philosophy focuses on synthesizing people with society, modernity with history, and speculation with the application (Rohlt, 2017). It is viewed as being closer to the humanistic traditions as well as to literature and art and appears to be more politically involved (Rohlt, 2017). When scientists employing the continental viewpoint discover some truth about a phenomenon, they direct their efforts to uncover the whole truth. Continental philosophers normally tackle broad questions using a synthetic or integrative approach (D’Amico, 2018). They deem specific issues as parts of broader unities and as clearly understood and addressed when integrated into those unities.
The continental viewpoint impacts my POI on using isopropyl alcohol as a non-pharmacological treatment for nausea and vomiting. For instance, I have used the concept of the continental view by applying knowledge on modern science to generate knowledge on the non-pharmacological therapies that can alleviate nausea in patients. The treatment modality was first discovered, and it is employed globally to manage patients with nausea (D’Amico, 2018). If patients use isopropyl alcohol in hospital settings and at home to alleviate nausea, then the world will have adopted and embraced the non-pharmacological approach. It will become a continental standpoint that every patient should use isopropyl alcohol to manage nausea owing to its fewer side effects than pharmacological treatments.
An ethical framework refers to established principles and values that offer a solid basis for ethical and safe practice within the nursing profession. Ethical decision-making is employed in situations where the right decision is not apparent or where there are conflicts of rights and duties (Copeland, 2019). An ethical framework for addressing ethical dilemmas ensues. The utilitarianism ethical framework will guide my FNP practice. Utilitarianism is an ethical theory proposing that a situation’s value is decided by its implications (Marseille & Kahn, 2019). Therefore, the outcome of an intervention rather than the intervention is used as the criterion for determining the value of that action. The principle of utility is a basic concept of utilitarianism. Utility proposes that action must result in the greatest amount of good for the greatest number of people involved in a situation (Marseille & Kahn, 2019). In this case, ‘good’ refers to a positive benefit. The utilitarianism framework is a common approach in ethical decision-making, particularly decisions whose consequences will affect many people. It directs one to weigh the various levels of good and bad that will result from our actions.
Ethical principles are doctrines that govern our actions. Ethical principles associated with the utilitarianism framework include beneficence and nonmaleficence. Beneficence refers to the moral duty to promote good and prevent harm (Copeland, 2019). The elements of beneficence are to offer benefit and balance benefits and harms. Therefore, the potential benefits should be weighed against potential harms before implementing an action when applying the utilitarianism approach. Nonmaleficence refers to the moral duty to cause no harm to other individuals, including potential and actual harm (Copeland, 2019). Nonmaleficence guides decision-making about actions to take to prevent causing more harm than good. In the utilitarianism framework, nonmaleficence applies to ensure that the results of an action will have a reasonable prospect of benefit.
Grand nursing theories integrate relationships, explanations, principles, and ideas developed through nursing care and practice. They offer knowledge and guidance in providing high-quality and improved patient care (Wills, 2019). Middle-range theories are developed from a set of related ideas engrossed in the limited dimension of nursing realism (Russo et al., 2020). The selected Grand nursing theory is that the non-pharmacological modalities can manage and alleviate nausea and are as effective as medical treatments. The theory will be applied in the POI to create a relationship with nurses and patients by utilizing their knowledge to identify the modality suitable for nausea with no side effects (Wills, 2019). Besides, the theory can be applied to create ideas that will provide patients with high-quality care in emergency and postoperative settings. The selected middle range theory is the Deliberative Nursing Process. The theory centers on the patient’s immediate need for help regarding current stressors (Russo et al., 2020). Therefore, non-pharmacological modalities to alleviate nausea in vomiting can be put into practice founded on nursing knowledge from various spheres, including clinical, educational, and cultural.
Complexity theory is a group of individual agents free to operate in ways that are not entirely predictable and whose actions are interrelated. The action of one agent alters other agents’ context. The complexity theory recognizes the impact of the various factors impacting health while appreciating the uniqueness of every nursing interaction (Butts & Rich, 2018). Complexity science refers to the most recent generation of systems thinking and studying complex systems. The systems center on the relationships of the components of the systems. A complex adaptive system (CAS) is a more complex system with a powerful network of interactions (Butts & Rich, 2018). The CAS’s adaptability is evident when people and their behavior change are consistent with the change-prompting the collections of events.
A CAS related to the POI include action research and appreciative inquiry. Action research integrates an options perception to modify an organization’s patterns by involving key stakeholders (Butts & Rich, 2018). Most stakeholders are interested in protecting financial assets. Thus, treatment approaches that might secure the organization’s assets will be viewed as a procedural change. Appreciative inquiry is a complex CAS that employs a scientific model to establish what works and what is not founded on an organization’s history (Butts & Rich, 2018). In the POI, understanding the nausea treatment interventions that have worked in the past and what can improve the quality of care can steer the organizations’ approach to use isopropyl alcohol.
Concept Map of Praxis Framework
The POI of the praxis framework is using isopropyl alcohol inhalant to reduce nausea in patients in the post-anesthesia and emergency setting. The concept that I chose to relate to the POI includes evidence-based studies that establish that inhaling isopropyl alcohol is a possible treatment for vomiting and nausea in EDs and post-anesthesia units compared to traditional antiemetics. The continental philosophy influences the POI on focusing on non-pharmacological treatments to alleviate nausea. The Grand nursing theory for the framework is that all non-pharmacological modalities can manage and prevent nausea and are as effective as medical treatments, while the middle range theory will be the Deliberative nursing process. Lastly, the utilitarianism ethical framework will guide my FNP practice by focusing on the ethical principles of beneficence and nonmaleficence.
Butts, J., & Rich, K. (2018). Philosophies and theories for Advanced Nursing Practice (3rd ed.). Jones & Bartlett Learning.
Copeland, D. (2019). Moral ecology in nursing: A pluralistic approach. SAGE Open Nursing, 5, 2377960819833899. https://doi.org/10.1177/2377960819833899
Dalrymple, R. A. (2020). Inhaling isopropyl alcohol from alcohol wipes was a more effective antiemetic than oral ondansetron in nauseated adults. Archives of disease in childhood. Education and practice edition, 105(3), 190–191. https://doi-org.libproxy.usouthal.edu/10.1136/archdischild-2019-316913
D’Amico, R. (2018). Contemporary continental philosophy. https://doi.org/10.4324/9780429501388
Marseille, E., & Kahn, J. G. (2019). Utilitarianism and the ethical foundations of cost-effectiveness analysis in resource allocation for global health. Philosophy, ethics, and humanities in medicine: PEHM, 14(1), 5. https://doi.org/10.1186/s13010-019-0074-7
Rohlt, T. (2017). On the Divide: Analytic and continental philosophy of music. The Journal of Aesthetics and Art Criticism, 75(1), 49–58. https://doi.org/10.1111/jaac.12331
Russo, I., Pellathy, D., & Omar, A. (2020). Managing Outsourced Reverse Supply Chain Operations: Middle‐Range Theory Development. Journal of Supply Chain Management.
Wills, E. M. (2019). Overview of grand nursing theories. Theoretical Basis for Nursing. 5th ed. China: Wolters Kluwer, 116-158.