Incorporating Middle Range Theory in Nursing Care: A Case Study Analysis of “Breathing Lessons: The Life of Mark O’Brien”

Introduction

The film “Breathing Lessons: The Life of Mark O’Brien” offers a poignant portrayal of a man living with polio and his experiences navigating life with a disability. This assignment aims to explore how concepts identified from the film can inform nursing care, particularly in the context of caring for patients from diverse cultural backgrounds. By incorporating middle-range theories and models such as Leininger’s Cultural Care Diversity Model or the Purnell Model, nurses can enhance their understanding of patients’ unique needs and provide culturally competent care.

Concepts Relevant to Nursing Care of Mark O’Brien:

1. Disability
2. Independence
3. Quality of Life
4. Resilience
5. Adaptation
6. Empowerment
7. Cultural Competence
8. Communication
9. Advocacy
10. Family Dynamics

Selected Concepts Relevant to Leininger’s Cultural Care Diversity Model:

1. Cultural Competence:

– Definition: The ability of healthcare providers to understand, respect, and effectively respond to the cultural needs and preferences of patients.
– Reference: Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13(3), 181-184.

Nursing Assessment Questions:

1. How does Mark perceive his cultural identity and its influence on his healthcare beliefs and practices?
2. What cultural values or traditions are important to Mark in terms of his healthcare decision-making?
3. In what ways can healthcare providers integrate cultural considerations into Mark’s care plan to promote culturally competent care?

2. Communication:

– Definition: The exchange of information and understanding between healthcare providers and patients, taking into account language, non-verbal cues, and cultural nuances.
– Reference: Street, R. L., & Haidet, P. (2011). How well do doctors and patients communicate? A review of the literature. Effective Clinical Practice, 5(4), 15-27.

Nursing Assessment Questions:

1. How does Mark prefer to communicate his healthcare needs and concerns?
2. Are there any cultural or linguistic barriers that may impact effective communication with Mark?
3. What strategies can be implemented to enhance communication with Mark and ensure mutual understanding?

3. Advocacy:

– Definition: The act of standing up for and promoting the rights, needs, and well-being of patients, particularly those who may face barriers to accessing quality care.
– Reference: American Nurses Association. (2008). Code of Ethics for Nurses with Interpretive Statements.

Nursing Assessment Questions:

1. What are the specific advocacy needs of Mark in relation to his healthcare and living situation?
2. How can nurses advocate for Mark’s autonomy and self-determination in decision-making processes?
3. In what ways can healthcare providers collaborate with Mark to address any systemic or societal barriers to his care?

4. Family Dynamics:

– Definition: The patterns of interactions, roles, and relationships within a family unit that may influence health outcomes and caregiving responsibilities.
– Reference: Wright, L. M., & Leahey, M. (2013). Nurses and families: A guide to family assessment and intervention.

Nursing Assessment Questions:

1. How does Mark’s family structure impact his healthcare decisions and support system?
2. What roles do family members play in assisting Mark with daily living activities and healthcare management?
3. Are there any family dynamics that may pose challenges or opportunities for Mark’s care?

In conclusion, by incorporating relevant concepts from the film “Breathing Lessons: The Life of Mark O’Brien” and applying them through the lens of middle-range theories such as Leininger’s Cultural Care Diversity Model, nurses can enhance their ability to provide patient-centered and culturally competent care to individuals with diverse backgrounds and unique healthcare needs. Implementing thoughtful nursing assessments based on these concepts can help tailor care plans to meet the specific needs and preferences of patients like Mark O’Brien, ultimately promoting improved health outcomes and quality of life.