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What knowledge is essential for nursing
Advanced practice nursing in my own words
What knowledge is essential for nursing
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Nursing is a multidisciplinary career that encompasses many different aspects into one to be able to provide the best care possible for all patients. Nurses are caregivers, counselors, advisors, teachers, and more, but to be able to do the job of a nurse one must put into perspective the person or patient, the environment, health, and the nurse. These four concepts together create the Nursing Metaparadigm. These concepts directly influence how a nurse will perform care to a patient and the type of nursing practice that will be demonstrated by that nurse. Each concept above may vary from one theorist to another, but they are the most common concepts in all of the nursing theories. While some concepts are more important each concept will influence …show more content…
Every action that a nurse will make will be for the overall wellness of the patient, based directly on the type of care that the patient desires. One nursing journal that reflects on the concepts of the nursing metaparadigm defined the person as “a framework for organizing data about the individual person as the basic focus of the nursing’s attention” (Thorne et al, 1998). The person is the center of nursing care, and the care that the patient will receive is directly based on the information that they inform to the nurse. But the person also refers to the family and the loved ones of the patient. The family is the patient’s support system but they are also the ones that will advocate for the patient and put their own sense on the care that they believe their love one deserves or needs. The patient and the patient’s family will interact with the nurse directly to ensure that the patient receives the best care …show more content…
A nurse can be defined, according to the Fundamentals of Nursing book, as “promoting of health, prevention of illness, and the care of the ill, disable and dying people. Advocacy, promotion of a safe environment, research, and participation in shaping health policy and in patient and health systems management and education…” (Taylor et al, 2015). Nurses will provide the individual care for each patient based on the patient, the environment, and the health that the patient desires. Nurses spend the most time with patients, they are the ones observing the patient, monitoring the patient, and interacting with the patient. Thought these interactions nurses are able to build relationships with each patient, which in turns allows the nurse to care the patient to the best of their
In nursing, the patient is often viewed as the main priority of the nursing staff. The nurse works to provide care for the patient based on the patient 's admitting diagnosis. However, the patient must be looked at as a part of the greater system they exist in such as their family or home environment. While the patient may be ill due to a bacterial infection or virus, their family environment also plays a role in their overall health and wellness.
According to the American Nurses Association, nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (American Nurses Association, 2016). Nurses have many jobs and responsibilities and wear many different hats. Nurses can perform at many different levels depending on their scope of practice which is defined by the board of nursing in one’s state of residence. It is important as nurses to understand and follow
“A metaparadigm refers to a common communication, a common set of concepts, common understanding of these concepts, a common cognitive mind set and a common view of the discipline by a community of scholars within the field” (Wagner, 1986, p. 7). A metaparadigm is the foundation to the nursing profession, which can be used as a guide by nurses like me in making clinical judgment. There are four mataparadigms that are relevant to nursing practice- person, environment, health and nursing.
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
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.
"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.
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).
Each increasing level builds on the previous and reflects a movement from the abstract to the concrete, from separate parts to the whole, and from observer to
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.
Since its establishment as a profession more than a century ago, Nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore it is in a constant process of being redefined.
Defining what a nurse is varies from person to person. Some have described a nurse as a person who shows care to their patients while others say that nurses assist to regain the ill’s health back. There is no wrong answer in defining what a nurse is. Moreover, I believe that a nurse is one who treats their patients with the dignity and respect that they deserve, and assists them in promoting and preventing their health illness and lastly, enhancing their health to optimal status. Nursing is viewed as a human science because nurse must display a connection with each patient. One must view the patients as a person, who has feelings, who behaves a certain way and who deserve to be well cared for. In addition, nursing is not a profession that treats
A nursing theory is a innovative product of nurses who seek thoughtfully to explain the aspects of nursing in ways that could be studied, assessed, and used by other nurses (Sitzman & Eichelberger, 2010). Nursing theorists are people who are, or have been, nurses who have reflected about how one might describe the phenomenon of nursing (Sitzman & Eichelberger, 2010). Each theorist has then tried in their own way to document their thoughts and observations based on professional and personal experiences (Sitzman & Eichelberger, 2010). Theories are significant in the sense of providing structure and order for guiding and improving professional practice, teaching, learning activities and research (Sitzman & Eichelberger, 2010). Each theory is as unique as the individual(s) who developed it (Sitzman & Eichelberger, 2010). In this paper, nursing theorists Martha Rogers and Dorothea Orem are analyzed within the context of the their theory, questions, major assumptions and the four key concepts of the metaparadigm of nursing - person, environment, health and nurse (Meleis, 2011a). Each theorist will then be compared on similar and dissimilar components to their theory.
Many persons go into the healthcare ground because they want to work with people. For these nurses, it is the nurse-patient relationship that is one of the most significant things. By understanding the nurse-patient relationship, nurses can be better furnished to work with their patients and, eventually, deliver superior care for them. Hildegard Peplau's model of nursing emphases on that nurse-patient relationship and recognizes the diverse roles nurses take on when working with patients.
Person: recipient of nursing care, including physical, spiritual, psychological and sociocultural components, and can include an individual, family or community.
According to McEwen and Wills (2014), decades before Dorothea Orem developed the Self-Care Deficit Nursing Theory (SCDNT) in 1971, the identity of nursing as an independent field of study was not clearly defined. Several theories from Medicine and the Social sciences were the basis of earlier Nursing theories written between the 1950s and the 1970s. For example, Abraham Maslow’s work in Psychology, Hierarchy of Needs Theory, influenced earlier Nursing theories based on human needs. Orem, however, did not specify any theorist who provided the basis for the SCDNT. Instead, she cited Parson’s structure of social action and von Bertalanffy’s general systems theory – a sociologist and biologist respectively. In addition, Orem defined the metaparadigm