Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Theoretical framework of patricia benner
Don’t take our word for it - see why 10 million students trust us with their essay needs.
The Theories of Patricia Benner and Philip Barker Regarding the Nurse’s Role Concepts of patient, health, environment, and nursing, which collectively comprise the metaparadigm of the nursing profession, are consistent with all nursing theories and derive largely from the clinical field. While most theorists attempt to place the patient at the center of this framework, some stray from convention to challenge and expand the horizons of theory. Patricia Benner’s “Model of Skill Acquisition in Nursing” and Philip Barker’s “Tidal Model of Mental Health” are two such ideologies (Johnson, 2015, 178, 194). Whereas Benner focuses on competency development through experience in the field, Barker emphasizes the centrality of interpersonal relations …show more content…
From observations of “chess players and airline pilots,” Benner extrapolated a theory that systematically describes five stages of nursing practice: first, novice; then, advanced beginner; competent; proficient; and, finally, expert (Johnson, 2015, 179; Benner, 2001, 21-35). Unlike most theorists, who centralize the patient, Benner’s Model of Skill Acquisition in Nursing emphasizes the importance of the nurse’s “skilled performance based upon experience” in the clinical setting (Benner, 2001, 36). In her theory, Benner thus describes each component of the nursing metaparadigm as a catalyst of the nurse’s …show more content…
The theory describes the patient’s environment as “an ocean,” an image that implies the chaos and constant changes of mental dis-ease (Barker, 2005, 10). Amidst the characters, voices, or disillusions that otherwise occupy her psychological environment, the schizophrenic mother from the previous example might struggle to communicate with her nurse regarding her experiences and emotions. The nurse’s responsibility is to connect with patients suffering from mental dis-ease and to bridge this gap between their psychological ocean and the firm ground of a nurturing social
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).
She goes beyond the past tendencies of just looking at the differences of nursing theories to ideas that unite them to evoke new creative ideas. She tries to explain how the theoretical framework of caring evolved into philosophical, conceptual and epistemological undertaking and differs from just caring. Concurrently, nursing’s focus on the relationship of caring for health and healing differentiated it from other disciplines. However, I felt, the difference between “just caring” and caring in nursing can explain through exploring the concepts of healing and consciousness. Even though, nurses possess an ethical obligation for caring, the ultimate aim is to restore health through healing. These two concepts were not explicitly defined in the conceptual framework of caring. The other main elements missing in the Metaparadigm of the caring theory are environment and culture that seek to inform and embrace
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 is a first attempt at forming and articulating my own philosophy of nursing.
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.
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.
"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 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...
Hood, L. (2013). Leddy & Pepper 's conceptual bases of professional nursing. Lippincott Williams & Wilkins.
In her theory, nursing skills and experiences are what is required to become an expert. Each step a nurse takes to build up their skills to master the expert level is built upon the previous steps. The nurse needs to have a good foundation in order to move them closer to obtaining the expert level. Benner’s theory also showed that practicing nurses can and should form theory (Current Nursing, 2013). Benner’s theory has five levels: the novice, advanced beginner, competent, proficient and expert. The novice needs to be told what to do. Advanced beginner can recognize components that reoccur. A competent nurse is one that has had two-three years in the same type of situations. The proficient nurse starts to look at the whole picture and starts to critically think. The expert nurse does not need to look at the guidelines to react. An expert nurse has had many similar situations that, he or she can reflect upon a situation, analyze it and react quickly. Benner’s theory will be applied by discussing the problem,. a strategy to solve the problem,. discussion around the strategy and problem,. and finally the conclusion,. which will state what new knowledge was gathered by the
Patricia Benner was born in 1942 in Hampton, Virginia. However, she received her education in California. Patricia Benner has had a tremendous impact in nursing with her numerous contributions. She is a very successful and accomplished nurse. She has earned several degrees, served as a member on numerous committees, published several works, has been involved in several writings and research projects and has been the recipient of numerous prestigious awards.
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...
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.
Martha E. Rogers, one of nursing’s foremost scientists, was a staunch advocate for nursing as a basic science from which the art of practice would emerge. A common refrain throughout her career was the need to differentiate skills, techniques, and ways of using knowledge from the body of knowledge that would guide practice to promote well-being for humankind. “The practice of nursing is not nursing. Rather, it is the use of nursing knowledge for human betterment” (Rogers, 1994a, p. 34). Rogers identified the human–environmental mutual process as nursing’s central focus, not health and illness.