The advanced nursing practice theory-driven role analysis describes the traditions of nursing, principles, and processes that guide the practice. Additionally it will discuss the fundamental components of patient-centered caring. The nursing metaparadigm in the new worldview as unitary caring paradigm, relationship of the concept teach, and framework from Leininger with cultural care diversity and universality, and Swanson with her theory of caring with five processes of caring: knowing, being with, doing for, enabling, and maintain belief.
Nursing’s Metaparadigm
The metaparadigm of nursing is comprised of four parts: person, health, environment, and nursing. This concept is important to nursing theory because those four parts are the key
The domains of metaparadigm in the new worldview give meaning to life, both personally and for humanity as a whole. According to logical positivistic or logical empiricism, it is possible to gain true knowledge of reality what actually exists through the process of theory development and testing. “Values are fundamental constituents of the human lifeworld” (Cody, 2013, p.6). As Watson proposal of moving forward as a unitary-transformative viewpoint, “ This model has eliminated the subject-object and mind-body duality. It acknowledges unity and integrality between humans and the environment; thus conceptualized, human beings and their worlds are not separate” (Kleffel, 2013, p. 153). “Disciplines structure their praxis from science through testing theories and events experienced in the field. Their practice, then, should link back to the worldview from which their science evolve” (N. France, personal communication, January 26, 2016). Table 1 contemplates closer at each worldview in the five domains of nursing
France, personal communication, April 13, 2016). Nursing and advanced nurse practice focuses on the care of people, families, and community to achieve an overall goal of relative health and quality of life. The art of nursing practice accomplishes therapeutic nursing interventions such as discuss with patient and family on how the diagnosis and treatment are affecting the patient’s life, home, and work activities. Nursing practice also encourages discussion of concerns about the effects of cancer and treatments on social roles such as a homemaker, wage earner, parent, and so forth. It acknowledges difficulties the patient may experience. It has the capability to notice when the patient is upset as soon as the nurse steps into the room, and it has the ability to calm patient, their family through listening, being present with them, and advocating solutions. Providing information as counseling is often necessary and important in the adaptation process. The art of nursing involves caring, be with the patient, and advocates for the best interest of the
The purpose of this paper is to define, describe, and explain the thoughts, feelings and beliefs of the author in regard to the philosophy of nursing practice. Philosophy is the study of ideas about knowledge, truth, nature, and meaning of a subject Merriam-Webster Online Dictionary, (n.d.). I will address the four concepts of the nursing metaparadigm and the relationships of each as they guide my practice as a nurse. This concept synthesis paper will address the personal nursing autobiography, two practice specific concepts, and a list of propositions and assumption statements that clearly connect the described concepts. Many factors influence the philosophy of nurses and their practice.
When it comes to narrowing down and discovering personal philosophies on nursing, one can look to the metaparadigm of nursing to assist in their search. The metaparadigm of nursing is a collection of four concepts that
My personal nursing philosophy and fundamental beliefs of nursing using the four meta-paradigms concepts: nature of human beings, health, environment, and nursing. First, I believe that the profession of nursing is all about the nature of human beings as people. Care involves the patient as a whole, not just as a disease process. Second, I believe that health is on the same continuum as illness. Health is more about quality of life. Third, it is also necessary to look beyond the patient to the environment in which he/she lives in. This is important because people come from different backgrounds and have their own story, we cannot separate patients from their environment because they are interrelated. Last, I think that nursing involves being with the individual patient and having an active roll with them. This process of being engaged in meaningful relationships requires we as nurses be actively
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.
In conclusion, Jean Watson’s theory of caring, a middle-range theory, provides essential framework and guidelines in nursing shortage problem. Nurses who exposed to caring theory have moral and ethical obligations to care for others during challenging situations. Patients, families and other professionals depend on nursing profession, their expertise and knowledge for best patient
Jean Watson is a well-respected American nursing theorist who created the Theory on Human Caring. Watson’s concept on caring for a human being is simple, yet has much depth and meaning, and holds strong for nurses to work with compassion, wisdom, love, and caring. The Theory on Human Caring is necessary for every nurse, as it is our job to care for others in a genuine and sensitive way. The theory is extensive; its core foundation is based on nine concepts all interrelated and primarily focused on a nurse giving a patient care with compassion, wisdom, love, and caring (Watson, J., 1999). The nine essential aspects consist of: values, faith-hope, sensitivity, trust, feelings, decision-making, teaching-learning, environment, and human needs. Watson also created the Caritas Process consists of ten different ways of giving care:
The philosophy and science of nursing. Little Brown, Boston. Watson, J. (1985) The 'Standard' of the 'Standard'. Nursing: Human Science and Humanities.
The progress of nursing theories reflects the development of nursing science. Theories go beyond describing professional abilities, and aim for a synthesis which in turn becomes a reference to practitioners. This interplay between theory and practice currently mirrors specific features of our profession: its focus on the individual, the behavior, and the importance of the experiences, considered in a universal way. In consequence, the biological, psychosocial, cultural and spiritual connections of the human beings are the focus of the nursing discipline. This paper offers a nursing view, analyzing main concepts of the professional nursing roles.
This paper is a first attempt at forming and articulating my own philosophy of nursing.
Throughout this philosophy paper, I have explored what nursing is based on my personal values and beliefs as it relates to the body of work in nursing. I value the importance of holistic nursing and the care of patients being individualized for them and their family. Also, effectively collaborating among health care professionals to ensure quality care for patients. Additionally, the importance of health promotion as one of the main roles of nurses is being a teacher, since promoting health prevents illness and increases the level of health in clients. These principles will serve as a guide for my personal standards of nursing practice.
The metaparadigm encompasses the major philosophical orientations of a discipline, the models and theories that guide research, and the empirical indicators that operationalize theoretical concepts. The purpose or function of the metaparadigm is to summarize the intellectual and social mission of the nursing discipline and place boundaries on the subject matter of that discipline (McEwen & Wills, 2014). The four metaparadigm of the discipline of nursing are person or client, environment, health, and nursing (Parker, 2001). A person or client is the recipient of nursing care. The environment is the internal or external surroundings that affect the client. Health is the degree of wellness or well-being that the client experiences. The nursing concept refers to the attributes and actions
Paradigm is described as the general rules of thumb of a discipline. It offers information regarding the boundaries, essence, and the purpose of the discipline. A paradigm has to be at least implicitly acknowledged by the members of the profession. Hence, every profession has one prevailing paradigm. A nursing paradigm must express the nature, the goals, and the process of nursing. There are four vital components of a nursing paradigm, which are: People, environment, health and nursing. All four must be incorporated in a paradigm to be considered a nursing paradigm (Thibodeau, 1983). The metaparadigm concepts are connected with the four propositions that are written by Donaldson and Crowley as cited in Fawcett and Malinski (1996), the first proposition is person and health, it shapes that the discipline of nursing focuses with the principles and laws that govern life-process, well beings and the optimal functioning of humans. The second proposition stresses about the interaction between people and envir...
This interactive grand theory is grounded in humanist philosophy, which expresses the belief that humans are unitary beings and energy fields in constant interaction with the universal energy field. This model guides the nurse who is interested in “physiologic” and “psychological” adoptions (McEwen & Wills, 2014, p. 177). This model views the nurse as holistic adaptive system constantly interacting with different stimuli. And also explains how different sets of interrelated systems maintain a balance between various stimuli to promote individual and environmental transformation (Alkrisat & Dee, 2014). This model creates a framework to provide care for individuals in health and “in acute, chronic, or terminal illness” (Shah, Abdullah, & Khan, 2015, p. 1834). It focuses on improving basic life processes of individuals, families, groups of people; nurses see communities as holistic adaptive systems. It consists of three basic assumptions: philosophical, scientific, and cultural. And it also contains many defined concepts about the environment, health, person, goal of nursing, adaptation, focal, contextual, and residual stimuli, cognator and regulator subsystem, and stabilizer and innovator control processes (McEwen & Wills, 2014, p.
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.
Nursing is considered one of the most trusted professions in the world. It is an essential part in the caregiving of sick, injured, and even healthy individuals. Developing a philosophy with any profession is the beginning basis of any practice. The nursing philosophy is usually incorporated from the science of nursing. That is because the field of health care is constantly changing, which causes the need of better competence in the health field of providing caring (Flagg, 2015). With nursing it starts by the science behind it. Then along with knowledge and experiences, that is when the nursing philosophy is developed. Researching differences between new ideas and cultural differences can then expand the viewpoint into a bigger picture.