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Concepts in nursing metaparadigm
The Metaparadigm of Nursing
Metaparadigm of nursing
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Recommended: Concepts in nursing metaparadigm
Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts
A metaparadigm is commonly described as a set of concepts and propositions that set forth a general statement of a discipline. The central focus of the profession of nursing is developed around the idea of providing different dimensions of care to individuals in need by use of science and the promotion of health. As follows, nurses must always take a holistic approach towards the care of their clients and to maintain the same approach among all clients; the meta-paradigm of nursing was developed.
The metaparadigm of nursing was first developed by Florence Nightingale and has since been adopted by all nursing professionals. This is a general concept
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Individuals cannot be thought of exclusively without the consideration of their families and communities that surround them. A nurse’s care must extend beyond the patient and must involve the patient's entire support network.
The nurse must be mindful of the person’s subjective experiences about wellness, beliefs, values and personal preferences and should involve the person in decisions affecting his or her treatment and recovery. This greatly influences the way nurses approach people throughout their giving of care. When these factors are not considered by nurses this results in going against everything that defines the person and is an example of a nurse who does not adhere to the framework of the metaparadigm of nursing.
The second paradigm is environment. It can be thought in different ways; Physical, chemical, biological, and social contexts within which human being exist; environmental component include environmental factors, environmental elements, environmental conditions, and developmental environment. This can be achieved by providing medical practices such as assessing, diagnosing, implementing and evaluating. However, the overreaching goal of nursing is to provide the person with the support they need and to build on the strengths and natural abilities of the individuals while involving their families
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The art of Nursing practice, actualized through therapeutic nursing interventions, is the creative use of this knowledge in human care. Nurses use critical thinking and clinical judgment to provide evidence based care to individuals, families, aggregates, and communities to achieve an optimal level of client wellness in diverse nursing settings. Clinical judgement skills are therefore essential for professional nursing practice.
As a nurse, you must increase your integral awareness, comprehension and professional capacity to fully understand the mysteries of healing that is specific to every person. We believed that medical professionals were solely responsible for the well-being of individuals but having looked at these concepts we were able to see how involving the individual, analyzing their surroundings, understanding their view of their health will give me as the nurse a better understanding of the kind of care that is best suitable for that individual cultural and social conditions which are associated with the person's
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.
The second concept, the environment, is the setting that can be controlled by the nurse or an individual to augment comfort. (Masters, 2017). In a hospital setting this could include dimming the lights, providing a low stimulation environment, or limiting visitors. Another example may be removing an individual from a situation that is not conducive to healing. Health is the third concept and refers to the orchestration and collaboration of those involved in assisting the patient to a state of well-being. Lastly, the concept of nursing describes the utilization of the nursing process of assessment, planning, intervention to meet the comfort needs of the individual and evaluating the effectiveness of those
These four concepts play a very important role throughout the care in every single patient we are in contact with. The concept of person is used to represent each individual patient, such as a man or a woman (Chitty & Black, 2014). In the nursing profession, we know that every person is different in their own way from many different factors such as, genetics and environment. As a nurse, we incorporate the different factors that make a person who they are today. According to Chitty & Black (2014), the concept of environment includes all the influences or factors that impact the individual. The environment plays an important role in either promoting or interfering with the patient’s health. The environment can consist of many different systems, such as family, cultural, social and community systems. All these different systems can play a role in the patient’s health. The third major concept of the metaparadigm is health. The concept of health varies from person to person and day-to-day with many different factors included (Chitty & Black, 2014). Health includes every part that makes a person whole, which includes being able to perform their everyday tasks in life effectively. The last concept of the metaparadigm is nursing. Nursing, being the final concept includes all the previous concepts of person, environment and health to create a holistic approach (Chitty & Black, 2014). The holistic approach promotes the well-being of the mind, body and spirit in our
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
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.
"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.
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.
The article was complicated, but it helped address the learning patterns and what a nurse needs to know in their practice to better themselves and provide the best care for a patient. By acknowledging the patient as a person, applying science based practice, using artful skills, and ethically providing care to a patient, the nurse extends their patterns of knowing and forms their knowledge base.
Around the 1960s, nursing educational leaders wanted to formulate a nursing theory that contained knowledge and basic principles to guide future nurses’ in their practice (Thorne, 2010, p.64). Thus, Jacqueline Fawcett introduced the metaparadigm of nursing. Metaparadigm “identifies the concepts central to the discipline without relating them to the assumptions of a particular world view” (MacIntyre & Mcdonald, 2014). Fawcett’s metaparadigm of nursing included concepts of person, environment, health, and nursing that were interrelated. The metaparadigm ultimately contributed to conceptual framework to guide nurses to perform critical thinking and the nursing process in everyday experiences in clinical settings.
The nursing metaparadigm consist of the person, environment, health/illness, and nursing (Creasia &Frieberg, 2011). Persons are those individuals receiving nursing care, such as patients, families and communities (Creasia &Frieberg, 2011). Environment refers to the setting where nursing care is provided, as well as the surroundings and internal factors affecting the client (Creasia &Frieberg, 2011). Health and illness refer to the state of well being of the person and nursing refers to the actions taken to provide care for the person (Creasia &Frieberg, 2011).
The best way to look at nursing theories is like the foundational block. Nursing theories are important set the tone of how a nurse will practice. A nurse will use intuition, practice, past expertise and events, and couple with learned theories to work every day in order to give the best patient care. it is all the more important to appreciate what first advanced nursing beyond mechanisms of practice to becoming a knowledge-based force in healthcare: That force is nursing theory and the theoretical thinking and research that generate theory. The complexity and depth of nursing are reflected in its structure of knowledge, which includes discipline-specific components such as philosophies, theories, and research and practice methodologies”( Reed, 2006). Patient care is a wide topic, but a key role in a patient’s care is the patient themselves, an educated patient is vital to their well being and higher level of care.
Nursing entails self- directed and cooperative health care for the society at large in all contexts. It includes the promotion of appropriate practices to enhance health, prevention of diseases,
Society and the environment are key components to the nursing metaparadigm. The place that allows nurses to be nurses and facilitates their interactions with others. The environment varies from nurse to nurse and place to place. Some environments shape more of the framework than others but facilitate the interaction between the patient, their culture, and their relationships. Speaking to Jose, he was in the hospital but his home environment and culture were very prevalent in his experience. He did not lose sight of his culture and his beliefs remained