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The metaparadigm of nursing
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COMPASSION
In the field of nursing, compassion, understanding, and tenacity are valued characteristics that allows the nurse to be effective in his/her provision of care. It necessitates the delivery of quality care with the greatest respect and patience for all persons of varying lifestyles. The nurse-patient relationship respects the autonomy of patients as individuals through dignity and worth (Rich, 2008). It is mandated that in all professional relationships, the nurse practices with compassion and without restrictions toward each individual regardless of diversity, socioeconomic condition or ethnicity (Rich, 2008).
PERSONAL THOUGHTS
Health
Health can be defined as a state of being “whole” not just the absence of illness or disease.
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The concepts of the nursing metaparadigm symbolizes the worldview of a discipline in its broadest perspective. The metaparadigm of nursing has four concepts which are all interrelated however they have diverse meanings; person, environment, health, and nursing (Wills, 2007). When defined individually, these concepts incorporate many of the apprehensions of …show more content…
Nursing practice is facilitating, supporting and assisting individuals, families, communities and/or societies to enhance, maintain and recover health, and to reduce and ameliorate the effects of illness. Nursing’s relational practice and science are directed toward the explicit outcome of health related quality of life within the immediate and larger environmental contexts (Thorne et al., 1998, p. 1265).
Nursing is perceived as a moral practice, because its purpose is primarily the restoration of others, and not personal gain or profit (Austin, 2011). Nursing is experienced as a triad embodiment of: a caring relationship, caring behaviour (which includes cognitive and affective virtues, as well as expert knowledge and skills), and good care (Schotsmans et al., 1998) (Schotsmans, Gastmans et al. 1998).
Nursing is by nature a moral act since nurses and patients encounter each other and participate in a kind of ballet of faith, and because the nurse is concerned with enhancing the life of another human being (Delmar, 2008).The ultimate believe is that virtuous nursing requires a logical approach grounded on evidenced based practice, with unity in what matters most (patient care) but diversity by which paradigm is achieved. Such an approach recognises the difficulty of human experiences of health and illness and recommends the need to work within a range of knowledge forms and paradigms, making the best informed decision
The main tenants of Katherine Kolcaba’s theory can be summarized and defined in the four concepts in the metaparadigm of nursing. The first concept is Person. This can be defined as any individual or group in need of health care and is not restricted to the patient.
Care is defined as an action by an individual or group of people showing deliberate care and concern for one another and acting to meet the best interests of an individual. The act of caring for others has been recognised as one of the most important aspects of the nursing profession and labelled an “art.” Nursing encompasses autonomous and collaborative care of individuals or groups, sick or well and in all settings. A nurse’s work includes promoting health and preventing illness as well as caring for the ill, disabled and dying; however, the most important aspect of nursing care is meeting the potential and actual health needs of a client. Because a patient is at one of their most vulnerable points in life, it is imperative that nurses can effectively demonstrate they genuinely care for their patients by meeting the needs of a client holistically rather than merely focusing on the visible or physiological needs of their patients. This essay will explore how nurses can demonstrate their care for their patients in a deliberate and meaningful way.
Leo Buscaglia once said, “Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around.” In the field of nursing, this concept could not be illustrated more profoundly. The trait of caring within nursing is arguably the most important trait that a nurse could possess. It can be defined in various ways, but to me, caring is the act of being moved or compelled to action by feelings of compassion, empathy, sympathy, anger, intention, sadness, fear, happiness, protection, enlightenment, or love in light of another human being. There are many aspects to the term “caring”. It is an ever-present shape shifter, swiftly
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
Nursing is a varied career that offers opportunities to many. It offers a range of facilities and options for all. Nursing is an ethical centered profession that requires its members to give of themselves. Each individual must maintain a professional atmosphere while upholding his or her personal integrity. Each nurse brings his or her own unique values and beliefs to their work and care. A strong conviction toward those ideals is essential in the profession. Nurses are faced with differing views, ideas, and expectations every day and must maintain neutrality for the betterment of their patients. They care for those experiencing illness, loss, and health and have to nurture accordingly. Nursing is not about the skill set or knowledge we have but about those we help in the process. Nursing goes beyond a career; it is a
Nursing is a profession that prides itself in integrity, honesty and trustworthiness. True nursing revolves around service and commitment to the wellbeing of others, prevention of illness, and promotion of good health. I believe this is the hallmark 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.
Although nursing is universally practiced, not all nurses values and morals are the same. Nurses and nursing students are usually put in situations where they must operate within an ethical structure which is either unfamiliar to their cultural criterion or those of the patients for whom they are taking care of. The most prominent values and morals of nurses are based on human dignity and benevolence. Human dignity is the main component that branches off into other values under caring for health and well-being. Trust, integrity, autonomy, and privacy are one of the many sub-values that fall under human dignity. It is important for the nurses to respect and understand the culture and beliefs of the patient without being judgmental or confrontational. The wellbeing of the patient is priority and so the nurses must focus on gaining the patients trust first by tending to their needs and exhibiting
The metaparadigm encompasses the major philosophical orientations of a discipline, the models and theories that guide research, and the empirical indicators that operationalize theoretical concepts. The purpose or function of the metaparadigm is to summarize the intellectual and social mission of the nursing discipline and place boundaries on the subject matter of that discipline (McEwen & Wills, 2014). The four metaparadigm of the discipline of nursing are person or client, environment, health, and nursing (Parker, 2001). A person or client is the recipient of nursing care. The environment is the internal or external surroundings that affect the client. Health is the degree of wellness or well-being that the client experiences. The nursing concept refers to the attributes and actions
The article was complicated, but it helped address the learning patterns and what a nurse needs to know in their practice to better themselves and provide the best care for a patient. By acknowledging the patient as a person, applying science based practice, using artful skills, and ethically providing care to a patient, the nurse extends their patterns of knowing and forms their knowledge base.
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).
Nursing is considered one of the most trusted professions in the world. It is an essential part in the caregiving of sick, injured, and even healthy individuals. Developing a philosophy with any profession is the beginning basis of any practice. The nursing philosophy is usually incorporated from the science of nursing. That is because the field of health care is constantly changing, which causes the need of better competence in the health field of providing caring (Flagg, 2015). With nursing it starts by the science behind it. Then along with knowledge and experiences, that is when the nursing philosophy is developed. Researching differences between new ideas and cultural differences can then expand the viewpoint into a bigger picture.
The notion of health is contextual and an interactive, dynamic process between person and environment (Schim et al, 2007). Both wellness and illness are conceptualized by the ‘person’, existing on a continuum across the lifespan (Arnold & Boggs, 2001).
Ethics is defined as moral principles that govern a persons or a group’s behavior, ethical principles apply to both personal and professional relationships (Webster, 2015). The field of nursing is a profession that has been highly regarded and respected in society. Most nurses enter the profession in order to utilize their clinical skills to help others in their time of need. Those in failing health rely on nurses to care for them in their most vulnerable states, and expect a level of compassion and humanity while receiving care. Nurses have an ethical responsibility to their patients, clients, and their community. Compassion, empathy, and integrity are staple characteristics that nurses possess that allow them to successfully perform their
The purpose of this paper is to define my professional nursing philosophy. I will utilize the nursing metaparadigm as a framework for integrating the concepts of person, environment, health, and nursing into my nursing practice. Secondly, I will discuss Jean Watson’s theory of human care and how this has personally impacted my profession as a nurse and guided my nursing philosophy.