Fundamentals of Nursing Models, Theories andPractice 2e with Wiley E-Text
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More About This Title Fundamentals of Nursing Models, Theories andPractice 2e with Wiley E-Text


A concise, accessible introduction to the development, application and evaluation of nursing theories, this new edition of Fundamentals of Nursing Models, Theories & Practice provides a thorough overview of the body of knowledge on the topic, and a clear outline of their relevance to everyday nursing practice. Linking the development of theory to practice, this full-updated text features learning outcomes, key concept summaries and reflective exercises to aid the study of this key element of all modern nursing courses.

Special Features

  • Clearly examines the relationship between nursing theory, clinical practice and nursing roles
  • Accessible and user-friendly with a range of features to help study, including key concepts, learning objectives and reflective exercises
  • Useful for all pre-registration nursing students, as well as newly qualified nurses
  • Accompanied by an online resource centre featuring case studies, multiple choice questions, exercises and activities


Hugh P. McKenna CBE is Pro Vice Chancellor of Research and Innovation at University of Ulster, UK.

Majda Pajnkihar is Dean, Senior Research Fellow, and Head of Institute of Nursing Care in the Faculty of Health Sciences, University of Maribor, Slovenia.

Fiona Murphy is Associate Professor at the College of Human & Health Sciences, Swansea University, UK.


About the series viii

Dedication ix

Preface x

How to use your textbook xii

About the companion website xvii

Chapter 1 The case for nursing theory 1

Introduction 2

The necessity and meaning of theory 4

Theory defined 5

Construction of theory 9

Theory and science of nursing 11

Other interpretations of theory 13

Main paradigms and philosophies and their influence on the development of nursing science 14

Theory and practice of nursing 16

Do we really need theory? 18

Nursing theories today 18

Conclusion 21

Chapter 2 Knowing in nursing and nursing knowledge 23

Introduction 24

Defining knowing and knowledge 24

Philosophies of knowledge 25

How do nurses know? 35

Developing nursing knowledge 48

Conclusion 52

Chapter 3 Theory from practice and practice from theory 53

Introduction 54

First steps – reflecting on theory 54

The questions begged 55

Developing nursing theory 56

Levels of theory 58

The relationship between theory and practice 69

The questions begged – some answers 76

Conclusion 77

Chapter 4 Nursing theories and new nursing roles 79

Introduction 80

Defining role 81

Background to the development of new roles in nursing 81

Some implications of the new nursing roles 84

Using theory to understand new roles in nursing 85

Conclusion 97

Chapter 5 Nursing theories or nursing models 99

Introduction 100

Reasons for historical nursing theory evolution 100

Model 102

Theory 103

Theory or model? 104

The classification of theories 106

Current trends in nursing theories 109

The nursing metaparadigm 110

Limitations of nursing theories 114

Benefits of nursing theories 118

Conclusions 121

Chapter 6 Interpersonal relationships: the essence of nursing models and theories 123

Introduction 124

Types of interpersonal relationships 124

Interpersonal theories of nursing 127

Implications for nurse education 133

Social capital 135

Threats to the development of interpersonal relationships in nursing and the use of interpersonal theories 136

Conclusion 138

Chapter 7 How to select a suitable model or theory 140

Introduction 141

Selecting an appropriate nursing theory 142

Potential problems when selecting a nursing theory 143

Choosing a suitable nursing theory 150

Nurses’ own philosophy as a basis for selecting a theory 153

A strategy for choice 154

Who should select the theory? 155

Nursing theories or theories developed by another discipline? 156

Conclusion 158

Chapter 8 Research and theory: some relationships 161

Introduction 162

Building theory through research: an inductive approach 162

Is the link between theory and research strong? 165

Research in nursing 166

Theory-generating research (TGR) 167

Theory-testing research (TTR) 171

Theory-framed research (TFR) 174

Theory-evaluating research (TER) 175

Strategies for theory development through research 180

Conclusions 184

Chapter 9 Criteria for theory description, analysis and evaluation 186

Introduction 187

The evaluator of a nursing theory 187

Significance of the theory 187

Step 1: Theory description 189

Step 2: Theory analysis 192

Step 3: Theory evaluation 201

Conclusion 206

References 208

Index 220