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Nursing Grand Theories

For effective outcomes, the nursing process requires a precise balancing of functions. Grand theories in nursing are essential to this process because they provide direction and guarantee that patients get the optimal results. The complexity of today’s health problems necessitates the use of big nursing theories by nurses in order to provide the best treatment and meet the patients’ various health requirements. Although there are numerous nursing grand theories, several models that are often used include the Roy Adaptation Model, Self-Care Theory, and General Systems Theory. However, the lack of such ideas can expose patients to unethical behavior, particularly in the modern healthcare environment where dishonest practitioners are on the rise. Grand nursing theories are thus essential since they make it easier to carry out the nursing process.

The demands of the patients are enshrined in nursing big theories. Patients are the most significant participants in the nursing process because nurses constantly use their skills and knowledge to satisfy their needs. Grand theories are difficult to implement, however, because of things like cultural variety and a lack of creativity. For instance, some patients follow customs that forbid having surgery or other medical operations. Because health demands are always changing, practitioners should use best practices to provide beneficial results. According to Richard-Eaglin (2021), nurses should develop cultural sensitivity so they may apply nursing theories without violating the rights or freedoms of their patients. Because permission is essential to the execution of medical operations, practitioners should never dismiss patient requests. In healthcare organizations concerned with conserving things like identity and integrity, the Conservation Model is an illustration of a grand nursing philosophy that is often used (Peterson & Bredow, 2020). In this situation, nurses who follow this paradigm must learn to respect the patient’s customs and beliefs while attending to their medical requirements. Grand nursing philosophies therefore reflect the requirements of the patients while respecting their views and values.

On the other hand, patients may suffer greatly if grand nursing ideas were absent from modern practice. Because accidents happen often in healthcare facilities, safety is emphasized by the self-care theory, humanistic nursing, and general systems theory. The lack of overarching nursing ideas might force nurses to use inappropriate techniques or depend on personal beliefs while performing delicate medical operations, which can result in injuries or even fatalities. Additionally, a lack of nursing ideas could encourage unethical experiments on unknowing patients. In the Henrietta Lacks case, for instance, cells were taken from the patient without her permission in order to further cancer research (Lyapun, Andryukov, & Bynina, 2019). Grand nursing ideas would have allowed doctors to consult with a variety of people and weigh the pros and drawbacks of their course of action. Additionally, owing to a lack of safety procedures, a lack of nursing theories may disclose private patient information. Electronic health records (EHRs), among other developments, are essential to modern healthcare delivery. In this sense, the absence of grand nursing ideas stressing security might result in security breaches leaking vital patient information into the public realm. Therefore, the demise of nursing’s great ideas has a variety of unfavorable effects on patients.

In nursing practice, it is often recommended to use nursing big ideas. These ideas enable nurses to prioritize patients’ needs while implementing evidence-based practice. These views may be used by practitioners to prevent damaging impacts on the patient’s rights or health. The nursing profession may be undermined in a number of ways if there were no such helpful ideas. As a result, big nursing ideas are becoming more and more important in contemporary practice.


Lyapun, I. N., Andryukov, B. G., & Bynina, M. P. (2019). HeLa cell culture: Immortal heritage of Henrietta Lacks. Molecular Genetics, Microbiology, and Virology, 34(4), 195-200.

Peterson, S. J., & Bredow, T. S. (Eds.). (2020). Middle range theories: Application to nursing research (4th Edition). Lippincott Williams & Wilkins.

Richard-Eaglin, A. (2021). The significance of cultural intelligence in nurse leadership. Nurse Leader, 19(1), 90-94.


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