DNP 815 Select a nursing theory that you will use to guide your DNP Project

DNP 815 Select a nursing theory that you will use to guide your DNP Project

DNP 815 Select a nursing theory that you will use to guide your DNP Project

Excellent patient-centered care experiences are significant because it reflects the values and beliefs of health care clinicians that drive the implementation of patient-centered care principles. To identify the agencies with best practices, John Hopkins conducted an evaluation of patient-centered care in hospitals which is connected to Watson’s theory of human caring. The attending nurse caring model is designed to oversee and deliver continuous collaborative caring-healing nursing therapeutic practices, and it incorporates a caring theory as a philosophical and ethical base grounding nurses in shared world culture and view (Ortiz, 2021). The process of collective vision, values, goals, shared knowledge and caring therapeutics can generate new care and pattern delivery structure.

The utilization of Watson’s caring theory is a way to articulate the beliefs and values embedded within nursing practice since her theory is consistent with the pillars of patient-centered care (Ortiz, 2021). My patient population is patients with End-Stage Renal Disease (ESRD). Identifying and achieving patient-centered goals is an important component of dialysis care. Targeting the best practices process may lead to a better outcome, and contingency plans must be individualized taking into account the patient’s treatment goals. I would utilize the caring theory to guide me on my DNP project as this nursing theory is linked to the conceptual elements of high-quality patient-centered care.




Chan, C.T., Blankestijin, P.J., Dember, L.M., Gallieni, M., Harris, D.C.H., Lok, C. E., Mehrota, R., Stevens, P.E., Wang, A.Y., Cheung, M., Wheeler, D.C., Winkelmayer, W.C., & Pollock, C.A. (2019). Dialysis initiation, modality choice, access, and prescription: Conclusions from a Kidney Disease Improving Global Outcomes (KDIGO) Controversies Conference. Kidney International, 96 (1), 37-47.


Ortiz, M. R. (2021). Best Practices in Patient-Centered Care. Nursing Science Quarterly, 34 (3), 322-327.

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Identification, research, teaching, and communication are very crucial in treating and managing a disease condition hence the nursing process guides the nurse in the care and management of the patients as a unique individual. Orem’s theory of framework points to theoretical constructs of Self-Care, Self-Care Deficits, and Nursing Systems which are all interrelated in providing support and foundations for nursing practice (Marques et al., 2022).  Orem noted the inseparability of a person’s physical, psychological, interpersonal, and social aspects of health and suggests that human services provided by the nurse aid in recovering skills that may be deficient due to altered health status. The theory encompasses constructs that guide the nurse in rendering holistic person-centered care which includes the foundational capabilities and disposition that entails skills and traits, basic conditioning factors (BCFs) for self-care deficit ability, self-care requisites, includes actions, and items required for the patient to achieve holistic self-care, including health, development, and general well-being achieving these assist in attaining holistic self-care, including health, development, and general well-being (Yip, 2021). The context involved with Orem’s self-care theory reflects the nursing process that helps in the identification of a patient’s problem by systematically collecting and organizing data analysis, identification of people’s needs through the data analyzed, planning based on the information reviewed, implementation, and evaluation of care. Using clear and patient own language in educating a patient and revaluation and reemphasizing thought topics will empower patients to become involved and become experts in their care subsequently preventing and reducing diseases and infection. The DNP project focuses on the identification and management of the causes of urinary tract infection (UTI) among nursing home residents to reduce the rate of hospitalization. This theory introduces the use of the nursing process and individualized approach in the care of patients



Marques, F. R. D. M., Charlo, P. B., Pires, G. A. R., Radovanovic, C. A. T., Carreira, L., & Salci, M. A. (2022). Nursing diagnoses in elderly people with diabetes mellitus according to Orem’s Self-Care Theory. Revista Brasileira de Enfermagem75.

Yip, J. Y. C. (2021). Theory-Based Advanced Nursing Practice: A Practice Update on the Application of Orem’s Self-Care Deficit Nursing Theory. SAGE Open Nursing

In healthcare we provide nursing care to vulnerable patient populations that may have disease processes that are life

DNP 815 Select a nursing theory that you will use to guide your DNP Project
DNP 815 Select a nursing theory that you will use to guide your DNP Project

altering and limit their ability to care for themselves. Therefore, it is important that as nurses we encourage, promote and support patients in attaining self-care. Orem’s self-car theory states that patients should be self-reliant and responsible for their care and a patient’s knowledge of potential health problems will help promote self-care behaviors (Petiprin, 2020).  Nurses can help patients engage in self-care by encouraging active participation in their care (Wanchai & Armer, 2018).  This would help patients feel they have control and input into their care. Moreover, promoting self-care behaviors can be done by providing education material in a way that the patient can understand. Assessing their learning needs, avoiding unnecessary information, and focusing on just what the patient needs to know will be beneficial.



Petiprin, A. (2020, July 19). Orem’s self-care deficit nursing theory. Nursing Theory. Retrieved July 12, 2022, from


Wanchai, A., & Armer, J. (2018). Promoting self-care capabilities of patients: Nurses’ rolesself-care capabilities. JOJ Nursing & Health Care7(4). 

Professional advancement model theory is selected for this discussion. This nursing theory can be used in the process of defining and encouraging the promotion of professional contribution in nursing practices. The main role of this theory is the introduction of competency based nurses aiming to contribute in nursing profession from the unit level to advanced clinical practices. The theory encourages the professional development of nurses while focusing on all

areas of clinical practices. The clinical practice and care delivery are the important points in the professional development of nurses and advocated in this nursing theory (Paul, 2019). The production of leadership trait and incorporation of tenants’ traits in nursing profession are essential in the delivery of healthcare services and winning the satisfaction of the patients. The nurses are supposed to select a particular point and concentrate on it while developing their ndividual interest and introducing strengths. The acquisition of advanced knowledge and nursing skills will help nurses to effectively achieve the defined criteria of services while integrating the knowledge to clinical practices.

The main feature of the theory is the advancement of knowledge and implementation of integrated skills and practices into the nursing profession. This attitude is effective for me in the successful completion of my DPI project. The adoption of this theoretical model will encourage me to my professional growth and developmental skills for the successful completion of the project (Paul, 2019). The recognition of significance of professional contribution is an

important aspect of the theory and an essential trait of the advanced practice nurse to follow in the achievement of objectives and to make decisions for the enhancement of patient care outcomes.



Alligood. (2018). Nursing theorists and their work (Alligood, Ed.; Ninth edition.). Elsevier.


Paul ,F., Abecassis,L., Freiberger,D. and Hamilton,S. (2019). Competency-based Professional

Advancement Model for Advanced Practice RNs. J Nurs Adm, 66-72.