Nurses' Attitudes Towards and Understanding of Nursing Theories, Models and Care Planning
Aim: The research study sought to examine qualified registered nurses' attitudes towards and understanding of nursing theories, models and care planning in Scotland. Problems have been identified with the attitudes towards and understanding of nursing theories and models as well as the implementation of care planning. This is perceived as affecting the way care is carried out. Method: Qualified registered nurses' attitudes towards, understanding and knowledge of nursing theories, models and care planning in two regions of Scotland were explored. Data were collected through a questionnaire. Findings: The data suggest that there are five factor analysis themes (Enabling Theory; Caring Practice; Negative Doing; the Encompassing Nature of Nursing and Apprenticeship) concerning with nursing theories, models and care planning. These had some similarities and some differences with Benner and Wrubel's (1987) and Glen's (1998) ideas about these areas of nursing. There was a significant level of dissatisfaction with the education around care planning with more than half the respondents indicating that they had received no such training. The qualitative findings provided a more detailed picture of the quantitative results and showed that there are five groups of nurses where caring practice is involved. There was also uncertainty and confusion about whether or not nursing is an art or a science and a lack of knowledge about the issues surrounding models, theories and care planning. There is a negative attitude to care planning that specifically relates to the doing of care planning. Conclusions: There is a need to encourage the development of education about nursing theories, models and care planning for all nurses in all clinical areas because, despite the lack of credible evidence for them, there is an expectation by senior nurses that they should be used in practice.