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Components of nursing philosophy
Components of nursing philosophy
Nursing theories summary
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Nursing had not initially been a career option for me, but nursing had made an impact on my life, even at an early age. There was a picture frame that sat on my mother’s dresser with an image of her in her student nurse uniform. It was very formal, and she wore a blue cape with red satin lining. This image gave me my first impression of nursing. Helping my mother with the laundry, bleaching the white uniforms and starching the stiff white cap banded with a thin black velvet ribbon was another activity I associated with nursing. In 1979, my mother was sent to Hershey Medical Center for training to become the first certified Enterostomal Therapist in the state of Virginia. It was at that point that I realized that nursing was a profession, with unique career goals, education and training that was …show more content…
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 …show more content…
Like holistic health, I identified this as an important concept to nursing practice early in my career. Nursing literature defines an advocate as someone who defends the patient against infringements of his or her rights. The primary obligation of the nurse is to the patient rather than the physician or hospital hierarchies (Mahlin, 2010). A failing on my part early in my nursing career guided the inclusion of this concept into my personal philosophy of
Merriam-Webster’s online dictionary defines an advocate as “one that pleads the cause of another,” or “one that supports or promotes the interest of another” (2014). Bu and Jezewski expanded on this by developing a mid-range theory of patient advocacy to implement into nursing (2007). They describe a patient as being “vulnerable and powerless” when stricken with illness and without knowledge of health care systems (Bu & Jezewski, 2007). The goal of the theory was to give the patient a voice in circumstances where they weren’t able to speak up for themselves and to maintain the patient’s integrity (Bu & Jezewski, 2007). They found three core attributes to what would make up
The professional discipline of nursing focuses on the knowledge gained from theories, concepts, research, and practice. The study of theory is important because it improves nursing practice that results in improved patient care (Parker and Smith, 2010).The central concepts of nursing, or nursing phenomena of interest, include person, environment, health, and nursing. The body of nursing knowledge increases when nursing uses theory to guide research and exploration. (Moore, 1990). Because discipline theories develop from conceptual models, an understanding of the terms is vital to the advancement of knowledge and nursing practice.
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
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.
Patient advocacy involves acting on behalf of patients who are unable to represent themselves, or those who do not wish to represent themselves (Kimble, 2012). When a nurse acts as an advocate for their patients they are able to empower the weak and vulnerable, releasing them from their discomfort and from unnecessary treatments (Kimble, 2012). During my clinical, there was one patient in particular who needed a patient advocate more than ever. The patient G. R., was quite ill at the time, he had no supports, no family or visitors, and was non-verbal. This patient required the judgment of the nurses in his care, as he had no one to speak for him and could literally not speak for himself. Eventually his care became too complex, and he needed to be sent to the Royal University Hospital (RUH), this was quite concerning to the Rosthern staff, as who would be there to care for him, and stand on his behalf. Using Carper’s (1978) “Five Ways of Knowing” I will examine G.
Ever since I was a little girl, my motivation to pursue a career in the medical field was evident. While other children my age watched Cartoon Network, I found more value in shows like ‘Trauma: Life in the ER’ and ‘A Baby Story.’ It wasn’t until high school that I decided I would become a nurse, specifically. I cannot say that I had a revelation or a particular experience that swayed my decision. However, ever since I began pursuing the career of nursing, I discover each and every subsequent day that it is what I was put on this earth to do.
Paradigm is described as the general rules of thumb of a discipline. It offers information regarding the boundaries, essence, and the purpose of the discipline. A paradigm has to be at least implicitly acknowledged by the members of the profession. Hence, every profession has one prevailing paradigm. A nursing paradigm must express the nature, the goals, and the process of nursing. There are four vital components of a nursing paradigm, which are: People, environment, health and nursing. All four must be incorporated in a paradigm to be considered a nursing paradigm (Thibodeau, 1983). The metaparadigm concepts are connected with the four propositions that are written by Donaldson and Crowley as cited in Fawcett and Malinski (1996), the first proposition is person and health, it shapes that the discipline of nursing focuses with the principles and laws that govern life-process, well beings and the optimal functioning of humans. The second proposition stresses about the interaction between people and envir...
Furthermore, nurses advocate for the health promotion of the society to prevent illness and provide adequate support when need it. A great example of how a nurse advocated for the patients was Florence Nightingale. She was able to identify what was the problem during that time in history. The implementation of sanitary conditions helped to save many lives. She made a huge impact in her society at that
The purpose of this paper is to enlighten others on my perspective of what Nursing Philosophy is and describe in grave detail the cyclic pattern and the reason why it is necessary. Nursing philosophy is a set of beliefs and guidelines that focus on person, health, environment, and nursing, these four concepts create the Nursing Metaparadigm. Individuals differ substantially, so does their definition of each of the previously mentioned concepts varies to a certain extent. My definition of each concept is my own perceived notion that has been influenced by M. Hegge’s “Nightingale’s Environmental Theory” (2013), The College of New Jersey’s “Nursing Metaparadigm” (2016), and E. Taylor & M. Carr ‘s“ Nursing ethics in the Seventh-day Adventist religious
In Nursing, there will always be instances where the patient's nurse needs to advocate for their patient. There are numerous reasons why a nurse would advocate for their patient ranging from getting the doctor to change the patient’s orders, helping the patient’s treatment team understand what it is the patient is requiring for the day, to expressing the patient’s last wishes before death. In every situation, the nurse should do what is in the patient’s best interest. Tomajan (2012), “Advocacy skills are the ability to successfully support a cause or interest on one’s own behalf or that of another. Advocacy requires a set of skills that include problem solving, communication, influence, and collaboration”(p. 2). With those skills, the nursing staff will be able to work together to advocate for their patients. Along with those skills, nurses need to keep in mind the three core attributes that are: safeguarding patients’ autonomy; acting on behalf of patients; and championing social justice in the provision of health care. (Bu & Jezewski, 2006)
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
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.
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
Advocating is the promoting and defending of a specific cause; it is the supportive framework nurses build and maintain for every client that they encounter (Mahlin, 2010). Definitively defining the theoretical concept of advocacy is difficult due to its dynamic nature. Within the realm of nursing specifically, advocacy focuses on patient representation, confidentiality and informed consent. The advocacy role of the nurse includes ensuring the efficacy of a protocol or treatment, effectively communicating and educating the client and maintaining overall well being (Bu & Jezewski, 2007). Advocacy is mobilizing evidence, exercising voice and engaging others; this includes public awareness building and influencing public policy (Mahlin, 2010).
The decision to become a nurse lies on my mother when she was diagnosed with Tuberculosis and Crohn’s Disease in the summer of 2012. The pain that I went through was an indescribable feeling because I did not know how to tend to my mother’s need or understand what she needed. What became apparent to me was when the acute nurse provided more than just patient care to my mother. He had made the necessary arrangements to help my mother became better and stronger. The acute nurse made sure that my mother ate the correct meals, provided the correct medication that she needed, and gave her fitness training to keep her healthy. Most importantly, he listened to my mother, not judge her condition, and was an advocate to make sure that her voice was heard. I felt that the acute nurse helped relieved my emotions and educated me on how to take care of my mother. As I was sitting next to my mother and holding her hand, I knew that my purpose of “providing” and “caring” was to become a nurse.