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Metaparadigm

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Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts
Metaparadigm #1: Person
In Florence Nightingale’s theory the “person”, one of the elements in the four metaparadigms, is the individual receiving care. Her perception of the Person is that the person is a complex, holistic being. This includes biological, psychological, spiritual, and social components. But, the practice of nursing should not be limited by gender, spiritual beliefs, or values. * Holistic in her perception of people * Saw patients as individuals * Each person shows individual needs which should be determined by the patient and nurse
Metaparadigm #2: Environment
The environmental setting plays an enormous and significant role in promoting recovery from illness. Nightingale’s concept of the environment was the primary was focus of nursing care. Her framework for practice was manipulating the patient’s environment to include appropriate noise, nutrition, hygiene, light, comfort, socialization, and hope. By doing so, she believed this would help patients deal with symptoms and changes in body functions related to an illness. During the Crimean War, she observed and collected data that linked the patient’s health status with environmental factors and introduced better-quality hygiene and sanitary conditions. She also believed the basic nursing activity is the alteration of the internal and external environment
- The environment could be altered in such a manner as to improve conditions to allow patient healing
- Observing and collecting data linked to the patient’s health status
- The environment is BOTH internal and external to the patient
Metaparadigm #3: Health
Nightingale states that “health is not only to be well, but to be able to use well every power we have.” She had 6 D’s of disease. These included dirt (general hygiene and cleanliness), drink (clean drinking water), diet, damp, drafts, and drains (proper drainage and sewage systems).Nightingale believed the goal of nursing is to foster health within the patient. * Nightingale’s goal of nursing ‘is not only to be well, but to be able to use well every power we have’ – Nightingale 1860 * The 6 D’s of disease
Metaparadigm #4 Nursing:
Overall, her view on nursing is one that is very much intertwined by factors relating to the environment. As said before, she believed that many of the symptoms and sufferings of the patient were not directly correlated to their disease, but rather penalties of meager environmental factors. The jobs of nurses are to provide essentials like fresh air, warmth, quiet and proper diet, and cleanliness. By attempting to control environmental factors, nurses can assist in maintaining the health of patients. * Goal is health by caring through manipulation of the environment * Providing essentials * Maintaining health of patients

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