1 Theoretical and Ethical Basis of Advanced Nursing Practice Paper

 
Theoretical & Ethical Basis of Practice Paper Theories made up of a framework that guided the science of nursing. These theories are based on the formation of concepts and purposes to define what nursing is, to identify nursing interventions and understand the reasons behind it. According to Beauchamp and Childress (2013), autonomy, nonmaleficence, beneficence, and justice are essential principles of the ethical nursing framework. The primary objective of the paper is to elaborate on the author's view as an advanced practice nurse (APN) on her phenomenon of interest (POI) of postpartum depression (PPD). Furthermore, the purposes of this paper are to discuss the application of metaparadigm to the POI, select and examine a grand nursing theory and a middle-range theory that can associate to the POI, explore the POI as it relates to the complexity science framework, and provide insight into ethical principles that pertain to the POI. Phenomenon of Interest PPD is a serious childbirth complication that leads to adverse outcomes and prevents the natural relationship development between new mothers and their infants. PPD appears immediately post-delivery up to 12 months and affects between 10% and 20% of new mothers and 17% of new fathers (Field, 2017). Signs and symptoms of PPD are varied but often include fatigue, insomnia, guilt, elevated anxiety, feeling overwhelmed or hopelessness, lack of interest in breastfeeding and decreased concentration (Leger & Letourneau, 2014). Consequently, PPD results in ineffective mother-infant bonding and, in severe cases, leads to psychosis and suicidal tendencies. Although PPD is manageable with pharmacotherapy and behavioral health interventions, the disorder is often misdiagnosed, with 50% of affected women not receiving proper treatment (Ko et al., 2017). Moreover, mothers with preexisting psychiatric conditions suggest a higher risk of experiencing PPD. Nursing Metaparadigm In 1984, Dr. Jacqueline Fawcett recognized four main focuses within the nursing metaparadigm as significant nursing concepts without regard to any practice setting. The term metaparadigm applies to a set of concepts that constructs a framework of a discipline (Bu