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Patient centred care
Humanistic science of nursing theories
Patient centred care
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Paterson and Zderad Humanistic Nursing Theory is mainly about humanism which emphasize the value of each unique individual and as a nurse it is there responsibility to respond to their patient whenever they needed them (Paterson and Zderad, 2008). In this paper, it would include and explore the humanistic nursing theory by Paterson and would be apply to one specific patient. It would also talk about the call and respond between the nurse and the patient and how a nurse could apply the humanistic theory to improve the quality of care and to nurture the well being of their patient.
My patient is male, age 49 and was admitted because of pneumonia. Pneumonia is an infection that inflames the air sacs in one or both lungs (Ross - Kerr, 2014).
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
Dr. Jean Watson is a scholar, nurse, humanitarian and more. She is currently a professor at the University Of Colorado Denver School Of Nursing and has many distinguished titles such as Dean of nursing at the University Health Science Center as well as president of the National League of Nursing. She has earned her degrees, both graduate and undergraduate, in Psychiatric Mental Health Nursing and has excelled to the point of receiving various prestigious awards and writing her own award winning books.
In 2005 Fawcett stated “the metaparadigm of professional nursing incorporates four concepts: human beings, environment, health, and nursing” (as sited in Kearney, 2012, p. 4). This paper discusses my philosophy of nursing by stating my own personal definitions, values, and assumptions regarding each of the above mentioned concepts. My paper concludes with an exemplar from my own nursing practice and how I integrated my nursing philosophy into that particular clinical situation.
(AC 1.1) Jane with cervical cancer might be afraid of the problems around her, mostly about her children’s future during her illness and relationship with husband. Based on the Nursing Process and (according to Berridge and Liddle 2013) Roper’s Model, the oncology nurse will have to face Jane’s needs, give her support and prepare for emotional and physical changes.
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...
My philosophy of nursing is based on Erickson’s Theory of Modeling and Role-Modeling, which allows me to incorporate the patients’ needs into my plan of care. In order to have an effective and thorough plan of care, I must take the time to get to know the patient. Once I have built a rapport and trusting relationship, I can help meet the patients’ needs by implementing a plan of care with reachable goals. These reachable goals will be set and agreed upon by the nurse and patient. Not only is it important for the nurse and patient to establish individualized reachable goals, but it is important for the nurse to also have goals. The nurse may have personal and professional goals. My goals are to continually find, propose, and implement ways to make the
My philosophy is based on my personal values and beliefs as it relates to the body of work in nursing. The practice of nursing not only involves applying knowledge but the ability to differentiate the needs of the client and being empathetic to their needs. Hence, the importance of holistic nursing and not only being for the client but for the clients family as well. Holistic nursing is defined as “all nursin...
My philosophy of nursing incorporates knowledge, compassion, competence, and respect for each patient. It is based on my personal and professional experiences, both of which have helped me to positively contribute to a patient’s recovery and wellness. These are the attributes that give me a sense of pride and strengthen my commitment to the nursing profession. This paper explores my values and beliefs relating to a patient’s care, as well as, the responsibilities of health professionals.
Throughout society, though they didn’t always have the title, nurses have played an important role. In early civilizations the first people who served in their community as nurses were mothers who nurtured and cared for ill family and community members. During the early Christian period nurses were members of male religious orders; by the crusades, due to a huge demand in health care, both men and women were nurses.
Nursing is a nurturing profession, and caring is an essential component of its practice. Caring for others, however, is stressful. The goal of nursing is to help people gain a higher degree of harmony within the mind, body and soul, which generates self-knowledge, self- reverence, self- healing and self-care processes while increasing diversity. This goal may be pursued through the implementation of ten carative factors, via the human-to-human caring process and caring transactions, or clinical caritas processes.
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).
Wu, H., & Volker, D.L. (2012). Humanistic Nursing Theory: application to hospice and palliative care. Journal Of Advanced Nursing, 68(2), 471-479.
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
Theory evaluation often generates new thoughts, strengths, and weaknesses about the theory being examined (McEwen, 2014). Evaluating a theory is important to better understand the structure and its need for use in practice or research. In “Philosophy and Theory of Transpersonal Caring” by Jean Watson she believes that nurses hold an impact that is strongly based on the caring relationship between a nurse and a patient. The theory focuses on how nurses care for their patients, and how that care may help promote, prevent, or restore a patient’s health. Watson states “caring is essential in nursing, and requires the nurse to have a deep connection to the spirit within the self and to the spirit within the patient” (Lachman, 2012, p.112).
Owing to significant research into the relationship between physical, mental and social conditions, an awareness and understanding of psycho-social aspects in health care is vital (Walker et al, 2007). Those aspects are particularly important in nursing care, where an individual should be considered as the entire person with a need for physical, psychological, social, emotional, intellectual and even spiritual wellbeing (Holland et al, 2008). This essay will address psycho-social theory of health beliefs and attitudes in relation to nursing care. The essay will begin by considering how health beliefs lead to health behaviours. It will then discuss how theoretical models contribute to nursing care and their usefulness and importance in applying the theory to nurse patients.