The discipline of nursing is generally recognized to integrate health, nursing, environment, and person as vital components of its foundation. Though health is the commonly accepted goal of the nursing discipline, its definition of health has shifted in meaning to one that is multidimensional. Health was once universally accepted to be defined as the absence of disease among many health professionals. Presently, this concept is now considered one of many due to increasing diversity in cultural and societal norms. The rise of health promotion as a universal plan of action to improve health of mankind has since transitioned from its traditional meaning to a new concept that includes biopsychosocial, spiritual, cultural, and environmental elements. …show more content…
The more an individual frequently engages in positive or negative behavior, the greater the incidence of permanent change. If the behavior is positive and incorporated into everyday life, the result is “improved overall health, enhanced functional ability, and a better quality of life at all stages of development” for the patient (Pender, 2002). Competing demands such as children, employment, and prior obligations may interfere with an individual’s commitment to action. This can directly affect the outcome of participation and commitment in health behavior, but Pender noted that there is limited significance on its effects in comparison to all other …show more content…
Nurses should perform interventions and educate to encourage healthy behavior when an individual is not presently ill. Furthermore, relevance of this model regarding individuals who are presently ill is practically inconsequential due to lack of immediate curative factors. Regardless, the model can still be useful in educating the ill patient on how to participate in health promoting behavior that will prevent onset or further progression of illnesses. The goal of healthcare providers should be to evaluate, intervene, and help patients set realistic goals that accommodate the multidimensional aspects of their life in order to effectively promote optimal health as the end
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Although many stipulations and expectations of the nursing profession are predetermined through regulatory authorities and organizations, there is a deeper meaning to this profession and the care that it provides. For decades, nursing theorists have had an impact on the care that this profession delivers; however, it is also important for every practicing nurse to explore themselves and their personal thoughts and feelings on the profession they have chosen. As a nurse, I have been able to search myself and determine what nursing means to me and apply it in my daily interactions with my coworkers, patients, families, and the community in which I serve. The nursing metaparadigm serves as a framework on discovering and exploring these thoughts and values as it introduces four concepts: nursing, health, person, and environment. Nursing care is a delicate and integral balance of various components within these concepts. Nurses provide care to others during some of the most difficult times of life. Because of this, it is imperative to understand the meaning and application of these concepts and be able to apply that knowledge to the care we provide as a profession. As a nurse, it is important to realize that the care we provide is an extension of what we learn from textbooks; nursing care encompasses an understanding and acceptance of others as well as a continual willingness to help and improve society.
6). Workplace health promotion designed to improve lifestyle, and ultimately enhance health, the ability to function, and productivity (Rongen, Robroek, van Lenthe, & Burdorf, 2013, p. 406). Over the years, various theoretical models have evolved to “articulate variables involved in health behavior to predict participation and engage would be non-participants” (Galloway, 2003). Health Belief Model was one of the first theories of health behavior developed in 1950s by a group of social psychologists, who sought to explain what motivates public to participate in programs designed for wellness promotion and disease prevention (Nursing Theories, 2013). According to this model, preventative behaviors depend on the individuals’ beliefs, including their vulnerabilities to the disease, the effect of the disease on their lives, and the effect of health activities on reducing the disease severity and susceptibility (Sharafkhani, Khorsandi, Shamsi, & Ranjbaran, 2014, p.
The Scope of Nursing Practice describes the “who,” “what,” “where,” “when,” “why,” and “how” of nursing practice. Each of these questions must be answered to provide a complete picture of the dynamic and complex practice of nursing and its evolving boundaries and membership. (ANA, 2010). Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering
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
I still believe that this profession revolves around the nursing metaparadigm, which involves the aspects of nursing, health, the person, and the environment (Bender & Feldman, 2015), but I now see that it is also grounded in critical thinking. This critical thinking allows for nurses to gain a deeper understanding into each aspect of the metaparadigm and without this aspect or lack thereof, Arli, Bakan, Ozturk, Erisik, and Yildirim (2017) believes that the care being provided could be negatively affected. Moreover, while reflecting on what my philosophy entails, I first inquired into what I believe nursing to be. For me, nursing is a profession unlike any other and contrary to what I used to believe in first year, only those who are registered under the College of Nurses can be a part of this profession. It is important to remember that although anyone can help bandage a cut, this does not mean that they are a nurse or part of the profession. The difference between how nurses bandage a cut and everyone else is that nurses do so in a way that is more therapeutic and patient-centred. Next, while exploring my beliefs on the concept of health, I noticed that they parallel the beliefs I had during my first year. To me, health is a holistic concept that will always convey a different meaning for each person. As a result of these differences, nurses must engage in conversation with patients about their perception(s) of their current state of health and what health means to them so that care can be guided accordingly. From here, I thought about the concept of the person and how I originally believed that a patient could only be a single, holistic individual who has specific needs that must be cared for. Despite still agreeing with this, my definition of who the person is has expanded to also encompass the patient’s family and even their community if either/or are said to be within the
As I reflect on my nursing education, I relieved that I have unexpectedly created a set of values and beliefs for myself, otherwise known as my personal nursing philosophy. I believe that the core of nursing is advocacy, knowledge, integrity and caring. The focus of nursing is on patient need and patient health. According to the (American Nurses Association [ANA], 2017), “nursing is 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.” I believe that nursing is an art allowing the nurse to be competent,
There is a famous saying that “health is wealth.” I believe that health is of utmost importance when it comes to living a quality life. I have always been stricken by the role that health plays in our lives, thus I have a passion for being a healthcare professional. In order to bring significant changes in the health status of people and promote positive health in the society, I have chosen nursing as a career where I can spread good health through love, care, and support. Recently, I have joined the nursing program at San Francisco State University, and the fact that I am doing nursing makes me feel terrific because it involves taking care, and maintaining health and wellbeing.
A nurse is able to achieve this great balance, with the patient and self, by being conscious of the environment that surrounds them and through self awareness. For example, in the scene of an emergency, first and foremost, a nurse must check the environment before started emergent care. Both the patient and nurse must be safe for treatment to be effective. The environment is what surrounds us; our workplace, home, communities, issues we think about, the people we interact with, and the emotions associated with these interactions. The nurse knows that all of these components play an integral role in maintaining stability in a person’s life and health. The nurse assumes care of not just a disease process but of a human being as a whole; a family, a livelihood, a spirit, a person. A nurse knows that in order for holistic care to be effective, the care taker themselves should be at a point of stability as well. A true nurse knows that in order to excel you must know your limits and understand that while your main goal is to help the patient regain their strength, identity, and independence, that goal does not have to be achieved by compromising your own self, identity, and
Our group definition of health showed that health is broad and consists of objective and subjective parts. In contrast, the king’s interaction model (theory of goal attainment), the purpose of nursing is to help people maintain, or restore health by mutually goal setting. Her view towards the concept of health are easy to understand, but difficult to realize because the role of nurses is based on the health needs of patient, family, community and population. The other needs of patient, family and community will be resolve by nurses giving patients referrals or follow-up for care to other professionals. These health needs exclude health disparities and inequities in vulnerable population that nurses serve. Also, these health needs include reciprocal
I believe people are connected beings with fundamental pride and values. To appropriately care for a person, the patient must be considered as a whole package. In order to do this, the person’s physical, social, psychological, cultural, spiritual, and aspects of their life must be considered when creating a plan of care. Environment can be defined as “the aggregate of surrounding things, conditions, or influences; surrounding and the social and cultural forces that shape the life of a person or a population,” (n.d.). A person’s environment is such a large part of their life and such an influencing factor on their day-to-day decisions. Their environment includes their socio-economic status (can they afford their prescriptions? Is the test that’s being run really necessary or an undue burden on them financially?), demographics (what is their understanding of health? What are their religious beliefs? what are their race/are they more susceptible to certain conditions?), access of to health care (do they drive/have transportation? Do they have health insurance?), and social support (are they alone? Do they have too much support with too many opinions?). As a nurse, one must always know a person is in continuous contact with their environment and the stress that come along with it. An appropriate and relaxing environment can impact a patient’s adherence to their medications and treatments and reduce their recovery time. The third concept on which I based my philosophy is health, which is the absence of illness. As a nurse and/or practitioner, it is important to focus on the patient’s main health complaint as well as any associated symptoms, needs, and overall wellness of the patient. Nursing is the promotion, deterrence of sickness and harm, protection, optimization of wellbeing and abilities; and advocacy in the care of individuals, populations, communities,
Often in practice, we as nurses deal with a variety of diseases and treatments and often have to react to the illness that the patient presents with upon our interaction. While this is an essential piece of our practice, we also have a duty to our patients to be proactive in preventing specific health-related consequences based on their risk factors and to promote their health and well being. Health promotion as it relates to nursing is about us empowering our patients to increase their control over their lives and well beings and includes: focusing on their health not just illness, empowering our patients, recognizing that health involves many dimensions and is also effected by factors outside of their control (Whitehead et al. 2008)..
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.
Health promotion consists of all actions that encourage maximum spiritual, mental and physical functions despite of whether an individual is ill or well. Most of these plans are aimed at bringing positive lifestyle changes (Van Leuven, & Prion, 2007). A major core competency for all NPs is health promotion. Through regular screening, immunizations and counselling, NPs can guide their patients towards the goal of health promotion and disease prevention. As a future NP, my goal is to provide patient-centered, holistic care focusing on health promotion and sickness prevention. I also believe that an understanding of practice models like Pender’s Health Promotion Model will enable me to empower patients to obtain self-efficacy and behavior specific changes.