Purdue University 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. Pediatric nursing has been my specialty throughout my entire ten years as a nurse. …show more content…
They were often administered at night when his room would be dark and he could not see the bag of packed red blood cells hanging from his intravenous (IV) infusion pump pole. He was receiving narcotic pain medicine resulting in very mild sedation and causing him to sleep more. Jose was also persistently febrile and overall did not feel well so his wakefulness and alertness were decreased. If he questioned what was hanging from his IV pole or why his vital signs needed to be checked again, he was told it was a different type of IV fluid or a different type of medication he needed to …show more content…
A nursing philosopher discusses wholism as viewing “the biophysical, psychological, and sociological subsystems as related but separate, thus the whole is equal to the sum of the parts” (Alligood, 2014, p. 20). As with all the components of the metaparadigm, nursing scholars have varying perspectives. Jose was not looked at as a whole person. His age, situation, beliefs, and culture separated him from having any consistency with his whole self and what he believed. His personal opinion was considered but was not taken seriously. This resulted in Jose receiving treatment against his will. Society and the environment are key components to the nursing metaparadigm. The place that allows nurses to be nurses and facilitates their interactions with others. The environment varies from nurse to nurse and place to place. Some environments shape more of the framework than others but facilitate the interaction between the patient, their culture, and their relationships. Speaking to Jose, he was in the hospital but his home environment and culture were very prevalent in his experience. He did not lose sight of his culture and his beliefs remained
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
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.
The concept of person needs to be explored to go into further depth with the remaining concepts of the metaparadigm of nursing. Person refers to the person undergoing nursing care which includes individuals, families, groups, and communities (MacIntyre & McDonald, 2014, p.63). It is evident that each person may be unique with different biological, psychological, social, and spiritual depth (Thorne, 2010, p.66). Therefore, it is necessary for nurses to realize that each person at the centre of any nursing care will experience different feelings in regards to their body as a whole. The theorist, Parse, defines the concept of person as being “linked to an unfolding process, the relating of value priorities, meaning, and quality of life” (Wu, 2008, p.6). Also those human beings are free and choose in situations that arise from personal experience and becoming with the universe (Thorne, 2010, p.71). The nurses’ role in regards to this theory is to act encourage individuals in their human becoming process. Wu (2008) looks at the p...
"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.
The greatest aspect about nursing is that it is never going to be just a job and is even more than a merely profession. Instead, it is a belief system or way of life and not a discipline that can simply be practiced then abandoned to the dictates of a time clock. To simply say that “I love people” or want to “help people get better” does not demonstrate the drive behind this feeling. Articulating my philosophy is not an easy task, to better explain my philosophy of nursing, I am going to use some values that I have learned. These tools truly explain how I feel and what has motivated me to pursue nursing as a career.
The ongoing education and training which supports the nursing as a profession must be maintained. The self-concept of nurses is enormously important in maintaining a professional identity.
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.
The domains of metaparadigm in the new worldview give meaning to life, both personally and for humanity as a whole. According to logical positivistic or logical empiricism, it is possible to gain true knowledge of reality what actually exists through the process of theory development and testing. “Values are fundamental constituents of the human lifeworld” (Cody, 2013, p.6). As Watson proposal of moving forward as a unitary-transformative viewpoint, “ This model has eliminated the subject-object and mind-body duality. It acknowledges unity and integrality between humans and the environment; thus conceptualized, human beings and their worlds are not separate” (Kleffel, 2013, p. 153). “Disciplines structure their praxis from science through testing theories and events experienced in the field. Their practice, then, should link back to the worldview from which their science evolve” (N. France, personal communication, January 26, 2016). Table 1 contemplates closer at each worldview in the five domains of nursing
In order to do that the nurse has to be able to incorporate all aspects of nursing into the care. Whether it is caring for physical, cognitive, mental, social, or cultural problems the nursing science and philosophy should always be implemented in the same manor or basis. It is important to understand that these factors can theoretically continue to impact the development of science, including nursing science (Daiski, 2016). It is essential to incorporate all the central concerns of nursing into the nursing practice to be able to provide the necessary care. Daiski stated that it is demonstrated by the four-metaparadigm concepts, which are human being, health, environment, and nursing. It then contains a philosophy based on social justice, so that we are able to comprehend the complications of the narratives our patients tell us so that we are more prone to holistically understand their journeys (Daiski,
The concept of person refers to the recipient of nursing care, such that no person is the object of care and no aspect of wellbeing is left out (Arnold & Boggs, 2001; Thorne, Canam, Dahinten, Hall, Henderson, & Kirkham, 1998). This not only includes disease and illness states, but also psychological, social and spiritual dimensions. Therefore, factors such as gender, lifestyle, behaviors, beliefs, values, coping skills, habits, perceptions and lived experiences are considered (Arnold & Boggs, 2011). This holistic and multi-centered approach also extends to families, communities, and populations (Schim et al., 2007). The concept of person is central to nursing theory and research, and is fundamental to the, “Code of Ethics for Registered Nurses,” as outlined by the Canadian Nurses Association (2008). In practice, ‘person’ is used to guide client teaching and nursing interventions (Kozier, Berman, Snyder, Buck, Yiu, & Stamler, 2014).
Nursing’s metaparadigm consists of four concepts. These concepts include the person, health, environment and nursing. The concept of person refers to the recipient of care, which may include a person, their family or even the community. Nurses must respect the unique qualities of each patient, family and community and should provide individualized care to meet those needs. Health refers to an individual’s state of health being a balance between their developmental and behavioral wellness to the fullest extent possible. Since health is dynamic and constantly changing one must constantly adapt to change, which may lead to stressors that can have a negative affect on health if not addressed. Environment refers to all the outside conditions that affect the patient within the setting where health care needs occur. These may include health care needs that are being influenced by factors at home, in school or at the workplace. Finally nursing is the diagnosis and treatment of the current or potential health problems....
This interactive grand theory is grounded in humanist philosophy, which expresses the belief that humans are unitary beings and energy fields in constant interaction with the universal energy field. This model guides the nurse who is interested in “physiologic” and “psychological” adoptions (McEwen & Wills, 2014, p. 177). This model views the nurse as holistic adaptive system constantly interacting with different stimuli. And also explains how different sets of interrelated systems maintain a balance between various stimuli to promote individual and environmental transformation (Alkrisat & Dee, 2014). This model creates a framework to provide care for individuals in health and “in acute, chronic, or terminal illness” (Shah, Abdullah, & Khan, 2015, p. 1834). It focuses on improving basic life processes of individuals, families, groups of people; nurses see communities as holistic adaptive systems. It consists of three basic assumptions: philosophical, scientific, and cultural. And it also contains many defined concepts about the environment, health, person, goal of nursing, adaptation, focal, contextual, and residual stimuli, cognator and regulator subsystem, and stabilizer and innovator control processes (McEwen & Wills, 2014, p.
Nursing is a discipline of knowledge acquired through formal education and through life experiences. My philosophy of nursing is to always see the beauty in the art of being a nurse. I chose nursing as my profession as caring for people and the nursing profession is a true art form.
Over the past century, nursing made remarkable accomplishment that has led to the recognition of nursing as an academic discipline and as a profession. Essential in this journey, has been both, the belief that nursing must raise the nature of its work and that nursing is different from medicine, but similarly worthy of professional status. While there is no general agreement as to what establishes correct features of a profession, the following features are frequently distinguished: “a unique body of knowledge, altruistic service to society, a code of ethics, significant education and socialization, and autonomy in practice, i.e. reasonable independence in decision- making about practice and control of the work situation and conditions” (Liaschenko & Peter, 2003, p. 489). These features are clearly distinguished in nursing profession and validated by pr...