The advanced nursing practice theory-driven role analysis describes the traditions of nursing, principles, and processes that guide the practice. Additionally it will discuss the fundamental components of patient-centered caring. The nursing metaparadigm in the new worldview as unitary caring paradigm, relationship of the concept teach, and framework from Leininger with cultural care diversity and universality, and Swanson with her theory of caring with five processes of caring: knowing, being with, doing for, enabling, and maintain belief.
Nursing’s Metaparadigm
The metaparadigm of nursing is comprised of four parts: person, health, environment, and nursing. This concept is important to nursing theory because those four parts are the key
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
France, personal communication, April 13, 2016). Nursing and advanced nurse practice focuses on the care of people, families, and community to achieve an overall goal of relative health and quality of life. The art of nursing practice accomplishes therapeutic nursing interventions such as discuss with patient and family on how the diagnosis and treatment are affecting the patient’s life, home, and work activities. Nursing practice also encourages discussion of concerns about the effects of cancer and treatments on social roles such as a homemaker, wage earner, parent, and so forth. It acknowledges difficulties the patient may experience. It has the capability to notice when the patient is upset as soon as the nurse steps into the room, and it has the ability to calm patient, their family through listening, being present with them, and advocating solutions. Providing information as counseling is often necessary and important in the adaptation process. The art of nursing involves caring, be with the patient, and advocates for the best interest of the
The purpose of this paper is to define, describe, and explain the thoughts, feelings and beliefs of the author in regard to the philosophy of nursing practice. Philosophy is the study of ideas about knowledge, truth, nature, and meaning of a subject Merriam-Webster Online Dictionary, (n.d.). I will address the four concepts of the nursing metaparadigm and the relationships of each as they guide my practice as a nurse. This concept synthesis paper will address the personal nursing autobiography, two practice specific concepts, and a list of propositions and assumption statements that clearly connect the described concepts. Many factors influence the philosophy of nurses and their practice.
The progress of nursing theories reflects the development of nursing science. Theories go beyond describing professional abilities, and aim for a synthesis which in turn becomes a reference to practitioners. This interplay between theory and practice currently mirrors specific features of our profession: its focus on the individual, the behavior, and the importance of the experiences, considered in a universal way. In consequence, the biological, psychosocial, cultural and spiritual connections of the human beings are the focus of the nursing discipline. This paper offers a nursing view, analyzing main concepts of the professional nursing roles.
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.
McIntyre, M. & McDonald, C. (2014). Nursing Philosophies, Theories, Concepts, Frameworks, and Models. In Koizer, B., Erb, G., Breman, A., Snyder, S., Buck, M., Yiu, L., & Stamler, L. (Eds.), Fundamentals of Canadian nursing (3rd ed.). (pp.59-74). Toronto, Canada: Pearson.
Janice A. Thibodeau (1983), described nursing as a practice-oriented profession. Nursing is a “doing” profession and the development of a theoretical base for nursing practice is required. Since nursing has a wide range of parameters, the method must be structured by the use concepts. The ability to understand concepts and apply them in nursing is advanced by using well-defined models in practice. In order to understand models, it is imperative to understand the concept of paradigm, because the development of a model is based on a certain paradigm (Thibodeau). The purpose if this posting is to define and discuss the relationship of paradigm, model, and theory. Also it will discuss the importance of nursing theory in praxis.
This paper explores the personal philosophy I have as a nursing student and what I intend to convey throughout my nursing career. A philosophy is “an analysis of the grounds and concepts expressing fundamental beliefs (Merriam-Webster’s online dictionary, n.d.). Before entering into any profession it is important to evaluate your personal philosophy about the profession, as it pertains to values and principles in which believe in to guide your practice. The field of nursing is more than treating a physiological ailment, but it involves providing quality care for the individualized needs of each patient, hence being client centered. My philosophy of nursing integrates the importance of knowledge base practice of medicine, combined with addressing holistic needs of the patient and family, including the physical, psychological, cognitive, emotional, spiritual and social care (Scottish Intercollegiate Guidelines Network, 2010). Additionally, a vital aspect of nursing is effective interpersonal relationships with other healthcare professionals to promote quality patient care. Moreover, my philosophy includes the importance the client-nurse relationship to aid in health promotion to prevent illness and increase the level of health of clients.
In conclusion, Jean Watson’s theory of caring, a middle-range theory, provides essential framework and guidelines in nursing shortage problem. Nurses who exposed to caring theory have moral and ethical obligations to care for others during challenging situations. Patients, families and other professionals depend on nursing profession, their expertise and knowledge for best patient
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.
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.
Jean Watson is a well-respected American nursing theorist who created the Theory on Human Caring. Watson’s concept on caring for a human being is simple, yet has much depth and meaning, and holds strong for nurses to work with compassion, wisdom, love, and caring. The Theory on Human Caring is necessary for every nurse, as it is our job to care for others in a genuine and sensitive way. The theory is extensive; its core foundation is based on nine concepts all interrelated and primarily focused on a nurse giving a patient care with compassion, wisdom, love, and caring (Watson, J., 1999). The nine essential aspects consist of: values, faith-hope, sensitivity, trust, feelings, decision-making, teaching-learning, environment, and human needs. Watson also created the Caritas Process consists of ten different ways of giving care:
Jean Watson has stated that her work was motivated by her search for a new meaning to the world of nursing and patient care. “ I felt a dissonance between nursing’s (meta) paradigm of care-healing and health, and medicine’s (meta) paradigm of diagnosis and treatment, and concentration on disease and pathology”. Watson, 1997, p.49. Jean Watson’s theory was first published in 1979.
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
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
Separating the nursing theory from other healthcare professions seems to be a daunting task. One of the main goals in nursing is to promote the healing of patients and the ultimate goals of any healthcare profession would be to ensure that the patients are receiving adequate and substantial healthcare.