This paper will focus on the viewpoints of two influential nursing theorists, whom have helped to provide nurses and the public with insight on their understandings of each of the four concepts that make up the nursing metaparadigm. Through the exploration of both Roy's holistic approach to nursing and Leininger's cultural approach to nursing, I will be able to conclude my findings and produce a philosophy of nursing that is unique to my own ideas, values, and beliefs of what the metaparadigm of nursing represents to me. The first concept of nursing that will be focused on is, person. Roy has provided a general framework that allows for a baseline understanding of the metaparadigm. Roy's view of person, as stated in the Roy Adaptation Model (2009), is as follows, “An adaptive system with cognator and regulator subsystems acting to maintain adaption in four adaptive modes: physiologic – physical, self – concept – group identity, role function, and interdependence” (p. 12). Leininger has also been a notable contributor but more so for her incorporation of the importance of culture in making a person unique; this is especially true in regards to her involvement in the theory of Culture Care Diversity and Universality. This theory states the following: The term, culturally congruent care, was coined by the theorist in the early 1960s. The purpose of the theory is to discover culturally based emic and etic care phenomena that are congruent or meaningful to cultures, and which influence the lifeways of the people. The theory focuses on identifying the care values, beliefs, lifeways, and symbolic referents related to culture care phenomena that bear upon congruent care factors. The goal of the theory is to discover culturally... ... middle of paper ... ...t has the ability to change a person in an instant and I find it difficult to be able to summarize the role of environment in a single sentence. However, I feel as though my definition will be useful when assessing a client in order to fully understand circumstances that surround them in everyday life. For example, poor socioeconomic status could result in poor living conditions and this could affect their health state. To conclude, through comparing and evaluating Roy and Leininger's views on the four concepts of the nursing metaparadigm and taking into consideration my previous ideas of each, I was able to formulate my own philosophy of the nursing metaparadigm on person, health, nursing, and environment. Not only was I able to do this, but I was able to create definitions that can positively contribute to my present education and my future career in nursing.
Leininger’s theory of nursing: Cultural care diversity and universality (1998). Nursing Science Quarterly. 1(152) DOI: 10.1177/089431848800100408
According to Fawcett, this position is a simplistic solution to a difficult problem. Nursing, with its limited experience with metaparadigms and conceptual models, is not ready for restrictions on its ways of thinking. It's my belief that this act of advocating a single unified model was an act of multi-oppressed thinking influenced by men, the Roman Catholic Church and the medical world. During a 1987 conference of nursing theorists, Sister Roy made a number of deferring remarks to a speech made earlier by a male Bishop.
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
This paper is a first attempt at forming and articulating my own philosophy of nursing.
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.
Culturally congruent care starts with cultural safety. Unsafe cultural Practice is brought about by disregarding the cultural identity of the person which is embedded with understanding the values, beliefs and practices. In the domain of fronline practicing nurses, culture is seen as a relational experience. When health care personnel obtain, biographical history using any modality, like the Leininger sunrise model, and strive to understand particulars of each individual, it increases the potential of providing culturally responsive care.
Dreher, M. and MacNaughton, N. (2002). Cultural competence in nursing: Foundation or fallacy?. Nursing Outlook, 50(5), pp.181-186.
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.
Transcultural nursing requires us to care for our patients by providing culturally sensitive care to a broad spectrum of patients. The purpose of this post is to describe cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural congruence. I will also give an example of each term to help you understand the terminology related to nursing care. I will define cultural self-assessment and explain why it is valuable for nurses to understand what their own self-assessment means. Finally, I will describe the five steps to delivering culturally congruent nursing care and how I have applied these concepts to my nursing practice.
In the clinical setting, nurses are believed to spend the most time with patients. This involves regularly dealing with people coming from different ethnicities and with different cultural practices and beliefs (Brown & Edwards, 2012). Given this cultural diversity, every patient may have his/her own cultural beliefs and practices regarding his/her own health and its treatment which can be similar or different to those ... ... middle of paper ... ... nternational Journal for Quality in Health Care, 8(5), 491-497.
1). Nursing theory forms the basic foundation of nursing discipline, guides nursing practice and changed the perspective of nurses from the medical model of practice to holistic care model (Leninger, 1988). Among the notable nursing theories is Leninger’s Culture Care Diversity and Universality theory. This theory is also known as transcultural theory, was first developed in the 1950s, but later published in 1991(Leninger,
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.
As a nurse strive to provide culturally sensitive care, they must recognize how their client's and their perceptions are similiar as well as different. Nurse enhance their ability to provide client-centered care by reflecting on how their beliefs and values impact the nurse-patient relationship. To provide appropriate patient care, the nurse must understand her/his culture and that of the nurse profession. Cultural biases can be particularly difficult to identify when the nurse and client are of a similar cultural backgroup. When we recognize and know a culture, we will know what is right for our patient, and thus may impose our own values on the client by assuming our values are their values. Recognizing differences a present an opportunity not only to know the other, but also to help gain a greater sense of self. In this paper, I will explain more about diversity and cultural competence in case study.
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.