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Personal Nursing Philosophy
cultural approach in nursing
contemporary ethical theory nursing
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Recommended: Personal Nursing Philosophy
Nursing Philosophy and Nursing Theory:
A Comparison of the Metaparadigm Concepts of Nursing of Nursing with Personal
Philosophy and the Theory of Madeleine M. Leininger
Developing a personal philosophy of nursing and patient care is essential to the development of every nurse. The development of a personal philosophy begins in nursing school. Nurses incorporate our personal beliefs within our nursing practice and as we grow and mature as nurses and human beings our philosophy changes. Exposure to new beliefs, cultural differences, and researching the views of a variety of nursing theorists assist nurses in developing an expanding their own philosophy with the culture of care.
Purpose
The purpose of this paper is to explore this author’s personal philosophy with that of nursing theorist Madeleine M. Leininger. To compare this author’s and Madeleine M. Leininger’s philosophy with the metaparadigm model of nursing and discuss the impact of the similarities on nursing practice.
Metaparadigm’s
The metaparadigm model consists of evaluating and examining the four distinct aspects of person, environment, health and nursing. These are important concepts in nursing and nursing theories contain most or all of these ideals (Chitty, 2007, p. 329).
Person is used to describe the individual and the systems and subsystems that make that individual unique. It includes a framework of inherent qualities, social, spiritual, cultural and environmental influences that are the foundation of the individual human being (Chitty, 2007, p. 294).
Environmental conditions that surround individuals influence a person’s state of well being. They include the social and cultural aspects that are present in the lives of individuals (Chitty, 2007...
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...ol both at the baccalaureate level and the associate degree level. If each nursing student presented a paper on a different culture a foundation for providing culturally congruent care could be established.
Works Cited
Chitty, K. K. (2007). Professional Nursing Concepts and Challenges. St. Louis: Saunders.
Clarke, P. N. (2009). Caring. Nursing Science Quarterly , 233-239.
Creasia, J. L. (2011). Conceptual Foundations The Bridge to Professional Nursing and Practice. St. Louis: Mosby.
Leininger, M. (2002). Culture Care Theory: A Major Contribution to Advance Transcultural Nursing and Practices. Journal of Transcultural Nursing, Volume 13, Number 3 , 189-192.
Leininger, M. (2007). Theoretical Questions and Concerns: Response From the Theory of Culture Care Diversity and Universality Perspective. Nursing Science Quarterly, Volume 20, Number 1 , 9-13.
...the formal and explicit cognitive practice learned through educational institutions. This type of practice is focused on the professional knowledge and care that nurses are taught in a educational establishment. Nurses provide (McFarland and Wehbe-Alamah 2015, p.14).assistive and supportive care for patients, along with the proper training to improve a patient 's health, prevent illnesses, and/or help with the dying. Taking the Culture Care Theory and ethnonursing research methods helps a nurse in the transcultural field provide culturally congruent care. This gives the nurses the ability to expand their knowledges and apply or teach their discoveries when interacting with a variety of diverse cultures. The form to obtain these new discoveries is presented in the most naturalistic and open way possible to keep a comforting relationship between the nurse and patient.
Leininger’s theory of nursing: Cultural care diversity and universality (1998). Nursing Science Quarterly. 1(152) DOI: 10.1177/089431848800100408
It is made of concepts which define the discipline and is the most abstract viewpoint of a discipline. The accepted concepts that are universal in all nursing theory are human beings or persons, environment, health and nursing, commonly known as the nursing metaparadigm (p. 90). Fawcett (1984), considers nursing philosophy and knowledge development as the basis of the nursing metaparadigm concepts. They are “central concepts of the discipline” (Fawcett, p. 84) that interact and interrelate. The four metaparadigms must be considered in
233). She studied anthropology and applied the research findings in nursing. Later, she developed the theory of “culture care diversity and universality” from her personal experience as a nurse and other factors that influenced such as ethnic conflicts, commuting, and technology changes. It is illustrated and described by the Sunrise four-level model, and it is labeled as “an enabler” (Masters, 2014, p. 69). The first level represents a “worldview”, the second level presents “knowledge concerning individuals and groups”, the third level includes “specific features of care in the system”, and the fourth level is “specific nursing care” (Masters, 2014, p. 69; Jarošová, 2014, p. 47). The main purpose of this theory is “to generate knowledge related to the nursing care of people who value their cultural heritage” (McEwen & Wills, 2014, p. 233). The major concepts in this theory include: culture, culture care, and diversities and similarities and sub-concepts include care and caring, emic view (language expression, perceptions, beliefs, and practice), and etic view (universal language expressions beliefs and practices in regard to certain phenomena) (McEwen & Wills, 2014, p. 233). The base knowledge
McIntyre, M. & McDonald, C. (2014). Nursing Philosophies, Theories, Concepts, Frameworks, and Models. In Koizer, B., Erb, G., Breman, A., Snyder, S., Buck, M., Yiu, L., & Stamler, L. (Eds.), Fundamentals of Canadian nursing (3rd ed.). (pp.59-74). Toronto, Canada: Pearson.
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over a broad spectrum of patients. The purpose of this post is to describe cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural congruence. I will also give an example of each term to help you understand the terminology related to nursing care. I will definite cultural self-assessment and explain why it is valuable for nurses to understand what their own self-assessment means. Finally, I will describe the five steps to delivering culturally congruent nursing care and how I have applied these concepts in my nursing practice.
This paper is a first attempt at forming and articulating my own philosophy of nursing.
A metaparadigm is an overarching framework that provides a comprehensive perspective of a discipline. In nursing, this framework serves to distinguish the profession intellectually, comprising of four concepts which provide a foundation to the content and context of nursing theory and scope of practice (Lee & Fawcett, 2013; Masters, 2014; Schim, Benkert, Bell, Walker, & Danford, 2007). Namely, these foundational concepts are: person, environment, health, and nursing. Hence, the intent of this essay is to describe the four main concepts that make up nursing’s metaparadigm and discuss how they are used in practice, education and research.
This paper explores the personal philosophy I have as a nursing student and what I intend to convey throughout my nursing career. A philosophy is “an analysis of the grounds and concepts expressing fundamental beliefs (Merriam-Webster’s online dictionary, n.d.). Before entering into any profession it is important to evaluate your personal philosophy about the profession, as it pertains to values and principles in which believe in to guide your practice. The field of nursing is more than treating a physiological ailment, but it involves providing quality care for the individualized needs of each patient, hence being client centered. My philosophy of nursing integrates the importance of knowledge base practice of medicine, combined with addressing holistic needs of the patient and family, including the physical, psychological, cognitive, emotional, spiritual and social care (Scottish Intercollegiate Guidelines Network, 2010). Additionally, a vital aspect of nursing is effective interpersonal relationships with other healthcare professionals to promote quality patient care. Moreover, my philosophy includes the importance the client-nurse relationship to aid in health promotion to prevent illness and increase the level of health of clients.
Providing culturally competent care is a vital responsibility of a nurse’s role in healthcare. “Culturally competent care means conveying acceptance of the patient’s health beliefs while sharing information, encouraging self-efficiency, and strengthening the patients coping resources” (Giddens, 2013). Competence is achieved through and ongoing process of understanding another culture and learning to accept and respect the differences.
Every nurse determines the way they will practice in the beginning of their career. More than likely these roles and values are created and sparked in nursing school. As time goes on, nurses dig deeper and establish who they are in their new role as a professional. When the metaparadigm of nursing and personal philosophy coincide with one another, individualized concepts, care, and professionalism are achieved and delivered in multiple settings. From a personal perspective, these concepts were established and developed very early in my career. Maintaining and establishing myself as a nurse remains a top priority ten years later in my practice.
"Philosophy is an attitude towards life that evolves from each nurses’ beliefs" (Parker, 2001). It is the philosophy that underlies our practice what brings to life our desire to be nurses. Philosophy is essential because it is the natural extension of our interest in knowing the truth (Parker, 2001). A metaparadigm is the widest perspective of the discipline and a way to describe the concepts that concern the profession of nursing (McEwen & Wills, 2014). In this paper, my philosophy of nursing will be discussed through reflection on the four nursing metaparadigm concepts to determine if anything should be added or taken out.
As a nurse strive to provide culturally sensitive care, they must recognize how their client's and their perceptions are similiar as well as different. Nurse enhance their ability to provide client-centered care by reflecting on how their beliefs and values impact the nurse-patient relationship. To provide appropriate patient care, the nurse must understand her/his culture and that of the nurse profession. Cultural biases can be particularly difficult to identify when the nurse and client are of a similar cultural backgroup. When we recognize and know a culture, we will know what is right for our patient, and thus may impose our own values on the client by assuming our values are their values. Recognizing differences a present an opportunity not only to know the other, but also to help gain a greater sense of self. In this paper, I will explain more about diversity and cultural competence in case study.
Miller, Leininger, Leuning, Pacquiao, Andrews, and Ludwig-Beyer, (2008) support that the skill of cultural competency in nursing is the ability to gather relevant cultural data on the presenting problem of the patient. This cultural assessment is defined as a "...
Madeleine Leininger is a nurse who realized that cultural care was an important concept in nursing. In the 1950s she found that behavioral issues in children stemmed from a cultural basis due to nursing having a lack of knowledge in a variety of cultural awareness (Buschur-Betancourt, 2015). The purpose of this paper is to identify the eight reasons Madeleine Leininger states transcultural nursing is necessary. I will describe the cultural diversity and how it relates to my field of nursing. I will also provide three ways that I have incorporated culturally sensitive care toward my patients.