Question This is the question: Link the theory you developed in Weeks 2 and… This is the question:Link the theory you developed in Weeks 2 and 5 with the Metaparadigm of Nursing. Each of the elements of the Metaparadigm should be represented in your theory. Revise your theory if necessary to include each of the components of the Metaparadigm.This is the information:The theory that I developed in Weeks 2 and 5 was as follows: (Concept A) early mobilization post operation and (Concept B) reduces post operative complications and to help reduce the recovery time.The theory that I chose the second week was (Concept A) early mobilization post operation and (Concept B) reduces post operative complications and to help reduce the recovery time. “Models of care for managing total knee or hip arthroplasty (TKA, THA) incorporating early mobilisation are associated with shorter acute length-of-stay (LOS).” (Chua, et. al., 2020) Using the Conceptual-Theoretical-Empirical (C-T-E) Model the theory is composed of empirical indicators (signs/symptoms), and the quantifiable components that support the theory. The theory has many ways of measurement, and there are several methods of measuring them. The majority of theoretical concepts are not immediately observable, and therefore must be related to an empirical indicator. Two widely used measures for assessing empirical success are assessment instruments and intervention procedures. Due to their simplicity, quick and straightforward tools are very useful, since they don’t create unnecessary work load. In the post operative stage, early ambulation within 24 hours of TKA was associated with a shorter length of stay, better knee function, lower hospitalization costs, and a lower incidence of DVT and pulmonary infection. Surgical problems may be averted if the patient is allowed to walk early. As a result, it is critical for patients and nurses to have a firm grasp of the idea. One way of assessing the empirical indicators is to show the complexity of these variables such as how long it takes a client to walk around alone after a procedure, how long it takes a client to recover following an operation, and how many problems arise as a byproduct of that recovery. To minimize the problems of deep vein thrombosis, shortens hospital stays, and promotes early healing, encouraging and aiding patients who have just had surgery to walk and participate in mild activities like sitting from bed and standing helps. “This novel study, examining a new mobilisation protocol in isolation with an embedded qualitative component, demonstrates that introduction of an early mobilisation protocol is associated with a modest reduction in LOS at a high-volume hospital whilst accounting for other factors.” (Chua, et. al., 2020) Early ambulation is vital for recovery, thus it is imperative that the patient understands why this is the case. Additionally, in certain cases, nurses may set particular criteria of early ambulation with patients before to and soon after a procedure. Patients who have recently undergone surgery to improve their mobility are encouraged and supported to take advantage of opportunities to move, such as getting out of bed and getting up from a chair. Such activities help to reduce the risk of complications such as deep vein thrombosis, shortens hospital stays, and speeds recovery. Through training patients and nurses on the benefits of early ambulation, patients may be certain that they will get early ambulation. “Enabling patients to ambulate following surgery requires early planning and interdisciplinary collaboration to address potential patient, structural, and cultural barriers that may prevent early ambulation.” (Wainwright & Burgess, 2020) The empirical indicators for my theory are the amount of time it takes for a client to walk post-operation and how many hours between my operation and walking. The findings of these empirical indicators may contribute to a knowledge of how early ambulation influences post-surgical problems. Early ambulation promotes healthy blood circulation in the body, thus avoiding future health issues. Mobilization immediately after surgery results in a faster recovery, a shorter length of stay results in a lower medical bill for the patient.ReferencesChua, H., Brady, B., Farrugia, M., Pavlovic, N., Ogul, S., Hackett, D., Farag, D., Wan, A., Adie, S., Gray, L., Nazar, M., Xuan, W., Walker, R. M., Harris, I. A., & Naylor, J. M. (2020). Implementing early mobilisation after knee or hip arthroplasty to reduce length of stay: a quality improvement study with embedded qualitative component. BMC Musculoskeletal Disorders, 21(1), N.PAG. https://doi.org/10.1186/s12891-020-03780-7Wainwright, T. W., & Burgess, L. (2020). Early ambulation and Physiotherapy after surgery. Enhanced Recovery After Surgery, 211-218. Retrieved May 15, 2021, from https://doi.org/10.1007/978-3-030-33443-7_23 Marrs, J. & Lowry, L. W. (2006). Nursing theory and practice: Connecting the dots. Nursing Science Quarterly, 19(44). DOI: 10.1177/0894318405283547 The most important empirical indicator to me is early mobilization pertains to physical activity implemented immediately after post op. Physical activity may be characterized as either active or passive. As previously mentioned, active mobility refers to actions. “Enabling patients to ambulate following surgery requires early planning and interdisciplinary collaboration to address potential patient, structural, and cultural barriers that may prevent early ambulation.” (Wainwright & Burgess, 2020) At the hospital I work at, when patients come up from the OR, they are immediately told that PT/OT will come by within 2 hours. The patients are advised to eat a full liquid lunch to help reduce nausea and vomiting during the first set of exercises. Walking serves as the ultimate end and should be done immediately after post op. This theory would be proved by collecting data on the amount of time that has passed since someone started exercising, with the intention of achieving a certain result. If this goal is to be fulfilled, then the support would be documentation and chart review is then required. In addition to measuring the amount of ambulation at release, one may also assess the effectiveness of early mobilization by measuring the amount of physical mobility at the time of release.ReferencesWainwright, T. W., & Burgess, L. (2020). Early ambulation and Physiotherapy after surgery. Enhanced Recovery After Surgery, 211-218. Retrieved May 15, 2021, from https://doi.org/10.1007/978-3-030-33443-7_23 Health Science Science Nursing MSN 561 Share QuestionEmailCopy link Comments (0)
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