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...
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...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.
Nursing theories are based on four meta-paradigms which are commonly accepted in the nursing profession. These include nursing, person, health, and environment. These meta-paradigms are represented in Dr. Barnard’s Nursing PCI
It is made of concepts which define the discipline and is the most abstract viewpoint of a discipline. The accepted concepts that are universal in all nursing theory are human beings or persons, environment, health and nursing, commonly known as the nursing metaparadigm (p. 90). Fawcett (1984), considers nursing philosophy and knowledge development as the basis of the nursing metaparadigm concepts. They are “central concepts of the discipline” (Fawcett, p. 84) that interact and interrelate. The four metaparadigms must be considered in
The purpose of this paper is to present a personal belief about the metaparadigm of nursing and to incorporate it into that of Jean Watson’s Theory of Human Caring.
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
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.
Fawcett, J. (2001). The nurse theorists: 21st-century updates - - Dorothea E. Orem. Journal of Nursing Science Quarterly, 14(1), 34-38. doi: 10.1177/08943180122108021.
Summary of the main points discussed and stating my an interpretation on its relevancy to contemporary professional nursing practice
233). She studied anthropology and applied the research findings in nursing. Later, she developed the theory of “culture care diversity and universality” from her personal experience as a nurse and other factors that influenced such as ethnic conflicts, commuting, and technology changes. It is illustrated and described by the Sunrise four-level model, and it is labeled as “an enabler” (Masters, 2014, p. 69). The first level represents a “worldview”, the second level presents “knowledge concerning individuals and groups”, the third level includes “specific features of care in the system”, and the fourth level is “specific nursing care” (Masters, 2014, p. 69; Jarošová, 2014, p. 47). The main purpose of this theory is “to generate knowledge related to the nursing care of people who value their cultural heritage” (McEwen & Wills, 2014, p. 233). The major concepts in this theory include: culture, culture care, and diversities and similarities and sub-concepts include care and caring, emic view (language expression, perceptions, beliefs, and practice), and etic view (universal language expressions beliefs and practices in regard to certain phenomena) (McEwen & Wills, 2014, p. 233). The base knowledge
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.
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over 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 definite 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 in my nursing practice.
This paper is a first attempt at forming and articulating my own philosophy of nursing.
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.
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.
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.
"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.