NR 391 Week 1 Discussion1 Models of Transcultural Nursing Recent

The nursing theory that has a close resemblance to my practice as a nurse is Helen Erickson, Evelyn Tomlin and Mary Ann Swain’s Theory of Modeling and Role Modeling.  MRM is based in several nursing principles that guide the assessment, intervention, and evaluation aspects of practice (Smith, 2020). According to this theory, nursing interventions should have intent; nurses should aim to make something happen that facilitates health and healing when they interact with clients (Smith, 2020). The modeling aspect of the theory refers to assess the situation of the patient. It involves interaction with the patient to create an understanding of how the patient perceives his environment and circumstances. Through modeling, as nurses, we can understand our patient better and then try to look world through patient’s perspective. Role-modeling refers to facilitating and nurturing the individual for the attainment, promotion and maintenance of health. (Themes, 2017).

In the article, Modeling and role-modeling theory: a case study of holistic care, authors have explored the experiences of a young woman with diabetes keto acidosis and  demonstrated how nursing care based on the Theory of Modeling and Role-Modeling enabled the client to recognize and develop strengths and empowered her to begin the healing process (Sappington & Kelly, 1996). In the article, using the modeling and role modeling theory, the nurse was able to gather information from the client which concluded that the client is going through many stressors in life such as living away from family and friends, beginning of college, start of a new job and due to these stressors, she was unable to monitor her blood glucose levels and maintain good health which led to her third admission to hospital within two months. After this, the nurse assisted the client to realize her strengths which included knowledge about her disease, athletic ability, willingness to live in a new environment and parent’s support. Later the nurse connected her to the helpful resources such as college campus health center that can assist her with medication and diet. This way the theory guided nurse to first assess specific aspects of client’s life and next, to plan interventions and set goals for the patient. Development and cognitive stage, basic life needs attainment, ability to adapt to stress and individualization were explored and all are integrated into holistic nature of client (Sappington & Kelly, 1996).

This article also emphasizes that the Theory of Modeling and Role-Modeling enables nurses to care for and nurture each client with an awareness of and respect for the individual’s uniqueness (Sappington & Kelly, 1996). When care is offered to patients, it must be recognized that clients have the knowledge and ability to understand what has made them sick, as well as what will make them well.

I believe in order to provide the best nursing care, it is very important to consider the patient’s viewpoint and worldview. I work as medical surgical nurse. I base my clinical practice mainly focusing on what and how a patient needs or wants things to be done. By implying theory of modeling and role-modeling, I  build up trusting relationship with patients and promotes patient’s positive attitude. It helps provide patients’ a sense of control and affirm and promote the patient’s strengths, and  set mutual, health-directed goals. For instance, in my daily practice, I always spend at least 15-20 minutes in the morning in having a detailed conversation with the patient (doing head to toe assessment side by side) which aids me knowing the patient and his/her health condition in a better way. This helps me understand the patient’s pererspectives about health and also it results in the development of trusting nurse-patient relationship. In this part, the modeling part of theory is covered. Next, I make evaluations about patient’s current situation and set short term and long term goals. In role-modeling part of theory, I educate patients about their diagnosis, help them understand the set goals, realize them their strengths, educate them on making the lifestyle changes that can pace their path to recovery.

References

Smith, M. C. (2020). Nursing theories and nursing practice (5th ed.). F.A. Davis.

Themes, U. F. O. (2017). Modeling and role-modeling theory in nursing practice. Nurse Key.

Sappington, J., & Kelley, J. H. (1996). Modeling and role-modeling theory: a case study of holistic care. Journal of holistic nursing: official journal of the American Holistic Nurses’ Association, 14(2), 130–141.