Borrowed Theory Application to Problem


BorrowedTheory Application to Problem

BorrowedTheory Application to Problem

Theorieshave always been a crucial element in the contemporary human societyas they allow for the comprehension of varied aspects, of course,with particular assumptions pertaining to the phenomenon in question.In nursing, it is quite common to have theories that are developed inanother discipline to be applied in the nursing context, an aspectthat is called borrowed theory. One of the most popular borrowedtheories is Nursing Services Delivery Theory.

TheNursing Services Delivery Theory addresses the administrativepractices for the delivery subsystems of nursing services through theexamination of their efficiency and effectiveness. It makes use ofthe theory derivation strategy to provide a theoretical comprehensionpertaining to the nature of the entity, situating the nurses’ taskswithin the organizational context, as well as integrating theorganization and design of all that pertains to nursing work (Doranet al, 2006). This theory complemented and extended the scopepertaining to systems models that were previously used in theprofession through positing the form of entity, the explication ofthe coordination and division of nursing work and location of thenursing work at the work-group stage or level within the suprasystemof the organization. Varied questions guided the derivation of thetheory including the form of the entity, the manner in which thehealthcare institution provides nursing services, as well as themanner in which management structures contribute to nursing servicesdelivery (Doran et al, 2006).


Thereare varied scholars who contributed to the theory of Nursing ServicesDelivery. Key among them is Robert Khan, a psychologist with a Ph.Din Social Psychology who drew immense recognition for hiscontribution to the development of organizational theory.

Inaddition, there is Daniel Katz who, born in 1903 in New Jersey, wenton to be a key American psychologist after the attainment of hismasters from the University of Buffalo in 1925 and a Ph.D from theSyracuse University in 1928. Key among his accomplishments is thecreation of Department of Psychology for Social Research, which mayhave propelled him to the echelons of power to the extent of winningvaried awards including the American Association for Public ResearchAward.


Thereare varied fundamental concepts that apply to the theory. This theoryunderlines the need for the dynamic association of factors of output,input and throughput to allow for massive influence of production innursing workshops (Robert et al, 2000). Indeed, the theory statedthat workgroup clusters best deliver nursing case since they changethe energetic output.

Thistheory has gained widespread application in staffing of healthcareinstitutions, with scholars acknowledging the devastating effects ofshortages of professionals in certain fields on nursing staffing(Robert et al, 2000). This, however, can be solved through working insubsystems, where different disciplines would be represented, therebycreating effective and efficient output.

TheoryApplication in Healthcare Institutions

Thistheory may be applied in situations where there is unpredictablestaffing needs, in which case it would incorporate bufferinventories. Scholars have noted that agency and float pool nurses(inputs) would reduce the organizational costs (resource utilization)and offer the effective and efficient services.

Theefficacy of this theory has also been seen in the inter-professionalpractice for enhancement of care delivery. For instance, workgroupsthat have high teamwork levels are associated with enhancedorganizational and clinical outcomes in joint replacement surgeries.The tasks that were carried out in this study were iterative andconcurrent involving multidisciplinary roles and in limitedtimeframes (Carter &amp Chochinov, 2007). The throughputs includeteamwork, specialized patient population and patient volumes, withoutputs being reduced length of stay and enhanced patientsatisfaction with quality of care. The teamwork mediated the impactsof specialization, implying that the benefits of specialization andpartly attained via high teamwork levels.

Inaddition, it comes in handy in the elimination of staffing problemsas it matches the nursing work environment with the workers. Nursingwork environments are a priority for healthcare employers especiallyin the case of retention and recruitment to combat staff shortages(Carter &amp Chochinov, 2007). Graduates who undergo higheremployee-job fit are more likely to have higher human resourceoutcomes. Nurses (inputs) with a particular form of experience whomanaged to access information, resources, support and opportunity(power) have a higher potential to perceive greater fit with regardto control, community, workload, fairness, values and rewards (workenvironment), and, therefore, report higher work engagement andorganizational commitment and less burnout (professional and nursehealth outcomes) (Carter &amp Chochinov, 2007).

Insummary, the Nursing Services Delivery theory is one of the mostcrucial theories in nursing practice as it allows for the enhancementof the effectiveness and efficiency of service delivery in thelong-term and short-term. Of course, it may be determined that thereare limits to the application of the theory. Nevertheless, theNursing services delivery theory facilitates the detection ofunstudied or unexplored gaps, as well as the choosing of variablesthat have a meaningful concept. Further, it comes with an overarchingtheory for the examination and management of fundamental conceptsthat are theorized to influence nursing services delivery orprovision at point-of-care in recognized healthcare institutions.


CarterA.J.E. &amp Chochinov A.H. (2007) A systematic review of the impactof nurse practitioners on cost, quality of care, satisfaction andwait times in the emergency department. Canadian Journal of EmergencyMedicine 9(4), 286–295.

DoranD., Harrison M.B., Laschinger H., Hirdes J., Rukholm E., Sidani S.,McGillis Hall L., Tourangeau A.E. &amp Cranley L. (2006). Relationship between nursing interventions and outcome achievement inacute care settings. Researchin Nursing &amp Health29(1), 61–70

RobertJ., Fridkin S.K., Blumberg H.M., Anderson B., White N., Ray S.M.,Chan J. &amp Jarvis W.R. (2000) The influence of the composition ofthe nursing staff on primary bloodstream infection rates in asurgical intensive care unit.Infection Control and Hospital Epidemiology21(1), 12–17

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