Posted: June 14th, 2023

Nursing Theory in Psychotherapy Assignment

Nursing Theory in Psychotherapy Assignment

Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.

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Explain why you selected these theories. Support your approach with evidence-based literature.

Nursing Theory in Psychotherapy Assignment
Develop at least three goals and at least three objectives for the practicum experience in this course.

Create a timeline of practicum activities based on your practicum requirements.

Assignment Details

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For this Assignment, you are going to write a paper explaining how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

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Right patient
Check the name on the order and the patient.
Use 2 identifiers.
Ask patient to identify himself/herself.
When available, use technology (for example, bar-code system).
Right medication
Check the medication label.
Check the order.
Right dose
Check the order.
Confirm appropriateness of the dose using a current drug reference.
If necessary, calculate the dose and have another nurse calculate the dose as well.
Right route
Again, check the order and appropriateness of the route ordered.
Confirm that the patient can take or receive the medication by the ordered route.
Right time
Check the frequency of the ordered medication.
Double-check that you are giving the ordered dose at the correct time.
Confirm when the last dose was given.
Right documentation
Document administration AFTER giving the ordered medication.
Chart the time, route, and any other specific information as necessary. For example, the site of an injection or any laboratory value or vital sign that needed to be checked before giving the drug.
Right reason
Confirm the rationale for the ordered medication. What is the patient’s history?

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Nursing Theory:
The nursing theory I have selected to guide my practice in psychotherapy is the "Self-Care Deficit Theory" developed by Dorothea Orem. This theory emphasizes the importance of self-care in maintaining and promoting an individual's health. According to Orem, individuals have the ability and responsibility to take care of their own basic needs, and nursing should focus on assisting individuals in achieving self-care when they are unable to do so independently.

I chose the Self-Care Deficit Theory because it aligns well with the principles of psychotherapy, which aim to empower individuals to take control of their mental health and well-being. By incorporating this nursing theory into psychotherapy practice, I can work collaboratively with clients to identify and address any deficits in their self-care abilities. This approach promotes a holistic view of clients and recognizes the interconnectedness between physical, emotional, and psychological well-being.

Evidence-based literature supports the integration of the Self-Care Deficit Theory in psychotherapy. For example, a study by Hekmatpou et al. (2017) found that using Orem's self-care model in mental health settings improved clients' self-care behaviors and reduced symptoms of psychiatric disorders. Another study by Duan et al. (2019) demonstrated that applying the Self-Care Deficit Theory in psychotherapy led to increased self-efficacy and improved quality of life among individuals with mental health conditions. These findings highlight the positive impact of incorporating nursing theories, such as the Self-Care Deficit Theory, into psychotherapeutic interventions.

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Counseling Theory:
The counseling theory I have selected to complement the Self-Care Deficit Theory in my practice is Cognitive-Behavioral Therapy (CBT). CBT is a widely recognized and evidence-based approach that focuses on how thoughts, feelings, and behaviors are interconnected and influence mental health. It emphasizes identifying and challenging negative or irrational thoughts and replacing them with more adaptive and constructive thinking patterns.

I chose CBT because it provides practical tools and techniques that can be integrated with the Self-Care Deficit Theory to address clients' cognitive and behavioral aspects in psychotherapy. By incorporating CBT techniques, such as cognitive restructuring and behavioral experiments, I can help clients identify maladaptive patterns of thinking and behavior that contribute to their self-care deficits. Through collaboration and skill-building, clients can develop healthier coping strategies and improve their overall well-being.

The effectiveness of CBT in psychotherapy is well-supported by empirical evidence. Numerous studies have demonstrated its efficacy in treating various mental health conditions, including depression, anxiety disorders, and substance abuse. For instance, a meta-analysis by Butler et al. (2006) found that CBT was significantly more effective than other therapies or no treatment in reducing symptoms of depression. Similarly, a review by Hofmann et al. (2012) showed that CBT was effective in treating anxiety disorders across different populations and settings. These studies provide strong empirical support for the integration of CBT as a counseling theory in psychotherapy practice.

In summary, the Self-Care Deficit Theory by Dorothea Orem and Cognitive-Behavioral Therapy are the nursing and counseling theories, respectively, that I have selected to guide my practice in psychotherapy. These theories complement each other by addressing both the holistic self-care needs of individuals and their cognitive and behavioral patterns. The evidence-based literature supports their effectiveness in improving client outcomes and promoting overall well-being.

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References
Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17-31.

Duan, X., Li, L., Liao, Y., Wang, Z., Wang, R., & Luo, D. (2019). Application of Orem's self-care deficit theory and self-efficacy theory in mental health nursing of patients with depression. Open Journal of Nursing, 9(3), 235-246.

Hekmatpou, D., Shamsi, A., & Roshanzadeh, M. (2017). Effect of Orem's self-care model on self-care behaviors and symptoms of psychiatric disorders in patients with bipolar disorder. Iranian Journal of Nursing and Midwifery Research, 22(3), 221-226.

Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440.

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