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"Ethical behavior is not the display of one's moral rectitude in times of crisis, it is the day-to-day expression of one's commitment to other persons and the ways in which human beings relate to one another in their daily interactions." - Levine, Myra (1972) (Students, U. N. (1970, January 01). Myra Levine's Conservation Theory. Retrieved March 14, 2017, from http://nursingtheories.blogspot.com/2009/07/myra-levines-conservation-theory.html)
Myra Levine was born in 1920 in Chicago, Illinois in 1920 and in 1996 she unfortunately passed away. Myra was the oldest of one brother and one sister. Myra’s father became very ill will gastrointestinal problems and needed plenty of medical attention. Therefore, Myra gained an interest for nursing. “When
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“Moreover, conservation explains the way systems that are complex are capable to work or function even if they are challenged severely. Through conservation, individuals to confront obstacles, adapt, and maintain their personality/uniqueness, however, the goal is for health and the strength to confront disability.” (Students, U. N. (1970, January 01). Myra Levine's Conservation Theory. Retrieved March 14, 2017, from http://nursingtheories.blogspot.com/2009/07/myra-levines-conservation-theory.html) The primary focus in conservation is keeping together the wholeness of the individual. “Furthermore, conservation is achieving a balance of energy supply and demand that is within the unique biological realities of the individual. “(Students, U. N. (1970, January 01). Myra Levine's Conservation Theory. Retrieved March 14, 2017, from …show more content…
MS. Levine’s major concepts are person, environment, nursing, and health. The person an all-inclusive individual who is constantly striving to preserve wholeness and integrity. The environment completes the wholeness of the individual. For everyone, there is an internal and an external environment. The internal environment is a combination of the physiological and pathophysiological aspects of the individual and the challenges by the external environment. The external environment is the perceptual, operational, and conceptual environments. Next, is nursing. Nursing involves engaging in human interactions, such as, sharing moments. Consequently, sharing moments it leaves a permanent mark on the patient. To promote wellness, recognize each individual’s personal needs, and the separate requirement of care is the goal of nursing. Finally, is health. Health is implied through the unity, integrity, wholeness, and successful adaptations. ( Levine's Four Conservation Principles. (n.d.). Retrieved March 14, 2017, from
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).
The concept of person refers to the recipient of nursing care, such that no person is the object of care and no aspect of wellbeing is left out (Arnold & Boggs, 2001; Thorne, Canam, Dahinten, Hall, Henderson, & Kirkham, 1998). This not only includes disease and illness states, but also psychological, social and spiritual dimensions. Therefore, factors such as gender, lifestyle, behaviors, beliefs, values, coping skills, habits, perceptions and lived experiences are considered (Arnold & Boggs, 2011). This holistic and multi-centered approach also extends to families, communities, and populations (Schim et al., 2007). The concept of person is central to nursing theory and research, and is fundamental to the, “Code of Ethics for Registered Nurses,” as outlined by the Canadian Nurses Association (2008). In practice, ‘person’ is used to guide client teaching and nursing interventions (Kozier, Berman, Snyder, Buck, Yiu, & Stamler, 2014).
Watson, J. (1997). The theory of human caring. Retrospective and prospective. Nursing Science Quarterly. 10(1), 49-52.
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.
In 2005 Fawcett stated “the metaparadigm of professional nursing incorporates four concepts: human beings, environment, health, and nursing” (as sited in Kearney, 2012, p. 4). This paper discusses my philosophy of nursing by stating my own personal definitions, values, and assumptions regarding each of the above mentioned concepts. My paper concludes with an exemplar from my own nursing practice and how I integrated my nursing philosophy into that particular clinical situation.
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
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.
Mary Stewart defines the domain of person in having” the ability to think and conceptualize, the capacity to interact with others, the need for boundaries, and the use of language” (Masters, 2017 pp. 105). I believe the person is the center of the domains within the conceptual model and that they are the receivers of the care. The second domain being environment is the surrounding in which the person domain resides in. Stewart suggests the importance for nurses to look beyond the person but towards the surroundings (Masters, 2017). Reasons to looking beyond the person are because the environment does many times have an influence on the quality of life; with that being said making a difference in a person’s environment can overall create a different outcome. For example, a homeless man who is sick from a cold from having no shelter. Change the environment of that homeless man with a shelter and he has a better chance of not being sick or cold. The third domain being the health domain is a domain that is totally unique and has a subjective meaning depending on the person. One person might describe their health as not being ill but to another having their chronic diabetes under control. There is no one standard of health baseline because everyone’s perception of health is different; so this concept of health is an individualized focused domain of the person’s state. The last domain nursing, Stewart describes the meaning provided by the American Nursing Association as “the protection, promotion, and optimization of health and abilities, preventing illness and injury, alleviation of suffering through the diagnosis and treatment of human response” (Masters, 2017, pp.106). I believe this final domain is the basis and foundation of nursing, so it is the nurse’s action towards the plan of care to the patient’s health
Participant 4 stated, “I think just basically being there for the family as well…I think even just a cup of tea can go a long way with any family (McCallum & McConigley, 2013). Another theory that intertwines with Watson’s is Barbara Dossey’s Theory of Integral Nursing. Dossey articulates, “Healing is not predictable, it is not synonymous with curing but the potential for healing is always present even until one’s last breath,” (Parker and Smith, 2015, p. 212). Dossey believes that integral nursing is a comprehensive way to organize different situations in fours perspectives (nurse, health, person and environment) of reality with the nurse as an instrument in the healing process by bringing his or her whole self into a relationship with another whole self. In the HDU, the RN’s interacted with each patient while providing high quality care to create a healing environment for the patient and family even when their prognosis was otherwise. Patient 3 specified that “We still have to provide care...and make the family feel that they are comfortable and looked after” (McCallum & McConigley, 2013). These theories ultimately show the importance of a nurse through the aspects of caring to create and maintain a healing environment that is not only beneficial to the patient but to their loved ones as
The concept of person needs to be explored to go into further depth with the remaining concepts of the metaparadigm of nursing. Person refers to the person undergoing nursing care which includes individuals, families, groups, and communities (MacIntyre & McDonald, 2014, p.63). It is evident that each person may be unique with different biological, psychological, social, and spiritual depth (Thorne, 2010, p.66). Therefore, it is necessary for nurses to realize that each person at the centre of any nursing care will experience different feelings in regards to their body as a whole. The theorist, Parse, defines the concept of person as being “linked to an unfolding process, the relating of value priorities, meaning, and quality of life” (Wu, 2008, p.6). Also those human beings are free and choose in situations that arise from personal experience and becoming with the universe (Thorne, 2010, p.71). The nurses’ role in regards to this theory is to act encourage individuals in their human becoming process. Wu (2008) looks at the p...
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 human becoming theory posits quality of life from each person's own perspective as the goal of nursing practice. It is a human science theory that views individuals as an open, unitary and free-willed beings that co-creates their health and interact with their environments. The human becoming theory views nursing as a basic science with a unique knowledge base. Parse defined unitary as the indivisible, unpredictable and ever-changing part of human that makes choices while living a paradoxical pattern of becoming in mutual process with the universe (Parse, 2004). Health is living one’s own chosen values; it is the quality of life experienced and described by the person and it cannot be given, guarded, manipulated, judged or diagnosed. It is a process of becoming that is unfolding and cannot be prescribed or described by societal norms but by the individual living t...
According to Kristen Swanson’s theory of caring, caring consists of Knowing, Being with, Doing for, Enabling, and maintaining belief. She believes that the environment and what is in the environment can affect people, either positively or negatively. As a nursing student, I possess the qualities of enabling, doing for, and being with. These qualities are implanted in me via my upbringing, culture, religious belief, and life experience/encounters(my environment). “Enabling” is the nurses’ responsibility to help the make a transition into the unknown.
My career of nursing is like the cyclical pattern of life, as time passes and situations are experienced, one is shaped into a certain individual/professional, ending up in places that never seemed to be part of life’s plan. Personally, the challenges and triumphs of providing patient centered care to help others live a healthier life, and aiming to prevent illness, is rewarding and quite humbling. As I continue to learn about opportunities to provide individualized care to patients and their families, I further understand the imperativeness of the “whole person,” which is a critical skill of a nurse practitioner. As a skilled clinician, progressing in my career as an aspiring family nurse practitioner in the Stony Brook University School of Nursing, I will impact my patients by providing them comprehensive care that will result in improved quality of life.