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The metaparadigm of nursing
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COMPASSION
In the field of nursing, compassion, understanding, and tenacity are valued characteristics that allows the nurse to be effective in his/her provision of care. It necessitates the delivery of quality care with the greatest respect and patience for all persons of varying lifestyles. The nurse-patient relationship respects the autonomy of patients as individuals through dignity and worth (Rich, 2008). It is mandated that in all professional relationships, the nurse practices with compassion and without restrictions toward each individual regardless of diversity, socioeconomic condition or ethnicity (Rich, 2008).
PERSONAL THOUGHTS
Health
Health can be defined as a state of being “whole” not just the absence of illness or disease.
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The concepts of the nursing metaparadigm symbolizes the worldview of a discipline in its broadest perspective. The metaparadigm of nursing has four concepts which are all interrelated however they have diverse meanings; person, environment, health, and nursing (Wills, 2007). When defined individually, these concepts incorporate many of the apprehensions of …show more content…
Nursing practice is facilitating, supporting and assisting individuals, families, communities and/or societies to enhance, maintain and recover health, and to reduce and ameliorate the effects of illness. Nursing’s relational practice and science are directed toward the explicit outcome of health related quality of life within the immediate and larger environmental contexts (Thorne et al., 1998, p. 1265).
Nursing is perceived as a moral practice, because its purpose is primarily the restoration of others, and not personal gain or profit (Austin, 2011). Nursing is experienced as a triad embodiment of: a caring relationship, caring behaviour (which includes cognitive and affective virtues, as well as expert knowledge and skills), and good care (Schotsmans et al., 1998) (Schotsmans, Gastmans et al. 1998).
Nursing is by nature a moral act since nurses and patients encounter each other and participate in a kind of ballet of faith, and because the nurse is concerned with enhancing the life of another human being (Delmar, 2008).The ultimate believe is that virtuous nursing requires a logical approach grounded on evidenced based practice, with unity in what matters most (patient care) but diversity by which paradigm is achieved. Such an approach recognises the difficulty of human experiences of health and illness and recommends the need to work within a range of knowledge forms and paradigms, making the best informed decision
Although nursing is universally practiced, not all nurses values and morals are the same. Nurses and nursing students are usually put in situations where they must operate within an ethical structure which is either unfamiliar to their cultural criterion or those of the patients for whom they are taking care of. The most prominent values and morals of nurses are based on human dignity and benevolence. Human dignity is the main component that branches off into other values under caring for health and well-being. Trust, integrity, autonomy, and privacy are one of the many sub-values that fall under human dignity. It is important for the nurses to respect and understand the culture and beliefs of the patient without being judgmental or confrontational. The wellbeing of the patient is priority and so the nurses must focus on gaining the patients trust first by tending to their needs and exhibiting
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
I pray that the busyness of life, the tasks that need to be done, the science of healthcare, sleep deprivation, or monotony will never cloud the love and compassion that I have for people. Personally, I love making connections with people. I love giving people a chance to tell their stories. During my nursing practice, I foresee that I will do my best to be the most caring nurse possible. The responsibility lays within each individual nurse as to the level of caring and compassion that they bring to carrying out their nursing duties. I will continually choose to focus on the needs of my patients above my own. Displaying empathy, I will strive to put myself in each one of their shoes and make self-reflection a priority. I foresee that I will do whatever is within my power to enhance trust, comfort, happiness, and wellness for my patients. This may look like spending extra time with a patient, visiting a patient when I’m off-duty, providing emotional or spiritual resources to a patient, respecting a patient’s beliefs and values, providing for any physical needs or extra comfort measures, or just lending a listening ear or a shoulder to cry on. My patients will always know that they are not
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
Genuine care and compassion are welcomed characteristics of nurses and the profession of nursing and the most basic demonstration of care displayed by a nurse is to meet the physiological needs of a client. Physiological needs are categorised as the first priority of care and are required to maintain positive health and well-being (Pearson, 2013). Examples of physiological needs include oxygen, adequate intake of fluids and nutrition, maintaining correct body temperature, shelter, sex, and regular elimination of waste (McLeod, 2007; Pearson, 2013). For a nurse to meet these needs and demonstrate they care f...
According to Orem, nursing science is a practical science, in that knowledge is developed for the direct purpose of nursing practice itself (Barbara, 2011). The goal of nursing science is to look for an understanding of the actual realities that are concerning to nurses and the nursing practice (Orem, 2001). We can do this through both research and producing scholarly articles. “Nursing science is the science of which knowledge is developed for the sake of the work to be done” (Barbara, 2011, p. 44). Without the nursing science as the backbone of nursing, the nursing practice would seize to exist, or at least have difficulty staying alive. Nursing science offers nurses the knowledge, skills and competency to develop order and direction in their nursing care (Malinowski, 2002). Models of case studies, rules and standards of practice along with the various
The notion of health is contextual and an interactive, dynamic process between person and environment (Schim et al, 2007). Both wellness and illness are conceptualized by the ‘person’, existing on a continuum across the lifespan (Arnold & Boggs, 2001).
Nursing is a varied career that offers opportunities to many. It offers a range of facilities and options for all. Nursing is an ethical centered profession that requires its members to give of themselves. Each individual must maintain a professional atmosphere while upholding his or her personal integrity. Each nurse brings his or her own unique values and beliefs to their work and care. A strong conviction toward those ideals is essential in the profession. Nurses are faced with differing views, ideas, and expectations every day and must maintain neutrality for the betterment of their patients. They care for those experiencing illness, loss, and health and have to nurture accordingly. Nursing is not about the skill set or knowledge we have but about those we help in the process. Nursing goes beyond a career; it is a
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
They provide morals and are used to form what is the best and right action to do. Ethics can be controversial, but the nurse must keep in mind the patient and their morals. The nurse must understand the different positions of what is good, what is right, what ought to be done, the complexity of moral judgment and the obligations required of them (Barbara A. Carper, 1978). Ethics represent the norms of society. Unethical actions endanger social judgment, the patient, and personal morality. Learning personal values as well as moral judgments through actions and personal beliefs helps form ethics in the nursing learning.
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.
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.
Ethics is defined as moral principles that govern a persons or a group’s behavior, ethical principles apply to both personal and professional relationships (Webster, 2015). The field of nursing is a profession that has been highly regarded and respected in society. Most nurses enter the profession in order to utilize their clinical skills to help others in their time of need. Those in failing health rely on nurses to care for them in their most vulnerable states, and expect a level of compassion and humanity while receiving care. Nurses have an ethical responsibility to their patients, clients, and their community. Compassion, empathy, and integrity are staple characteristics that nurses possess that allow them to successfully perform their
According to the American Nurses Association (2015) nursing is defined as optimization of health, prevention of injury, alleviation of suffering, and advocacy in the care of individuals and families. Two influences