b. An example is role modeling c. Set small achievable goals, use formalized behavioral contracting to establish goals and specify rewards, monitor, and reinforce self-monitoring by keeping records (Glanz, Burke & Rimer, 2015). 5. Behavior Learning Theory a. There is no way to know what is going on in someone’s mind. Focus on what is observable. b. Based on associations between stimulus and responses c. Useful in teaching new habits d. Person must be motivated e. New behavior is learned by changing the stimulus- response association with some kind of reinforcement. f. Learning needs to be strengthened with practice 6. Socialization and the nursing role a. Role theories- not a nursing theory, but relevant to nursing 1. Focuses on how individual with perform in a role 2. Assumptions- a. People seek challenging situations to use their skills and knowledge b. Conflict is necessary for progress and facilitate growth 3. Socialization deficit- promotion with lack of adequate socialization 4. Role differentiation- changes in role due to technology or organizational complexity 5. Conflict is inevitable in organizations
6. Ambiguity- is a challenge to professional skills and demand creativity. Can be more detrimental to role performance than conflict. b. Change Theory- not a nursing theory but relevant to nursing 1. Success in one area often leads to problems in another area 2. Not everyone has the power to effect change 3. Big three theory of change- three kinds of movement, three forms of change, three action roles in the change process. a. Three forms of movement 1. macroevolutionary-related to an entire industry geographical movement. 2. Microevolutionary- related to parts of a organization as it grows 3. Revolutionary- power struggle and control to make decisions in the organization b. Three forms of change 1. Identity- changes in relationships between organizations and environment 2. Coordination- changes in internal parts of the organization 3. Control- changes in ownership or political dimension c. Three action roles 1. Strategists- concerned with organization direction 2. Implementers- responsible for the change effort, internal organizational structure 3. Recipients- those most strongly affect by the change without an opportunity to influence (Peterson, 2017) References Bredow, T.S., (2017). Analysis, evaluation, and selection of a middle range nursing theory.
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- Fall '17
- Nursing, nursing practice, middle range theories