...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...
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...Metaparadigm: Personal Development Study of theories stemming from individual nursing interpretations within the structure of the metaparadigm, have helped define personal ideals and beliefs about nursing. To start, it was interesting to learn what the nursing metaparadigm is, and then to see how different the concept can become when different views are allowed to shape it. The type of nursing one practices helps to shape and solidify each nurse’s personal metaparadigm. Person In the NICU, the person/patient is diverse in both life stage and care requirements. The primary focus should always be the infant, but the parents should be cared for as well. The infant has the full range of patient needs. However, the parents have intense emotional and educational needs. Infant bonding must be facilitated, and can be difficult when parents are not able to hold their infant. A multi-member team should be employed to support parents and the infant. Environment The environment can be as small as the sterile bag used to catch a micro-preemie, or as large as the country the infant is born in. Infants are not always mindful of the due date their mommies are given. At times, premature births occur during vacation travel from another country, state, or city. The environment can seem very hostile when parents find they are without a home for duration of the infant’s stay in the NICU. Accommodations should be made to provide parents with a place to rest, express...
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...Describe the definition of nursing as put forward by the American Nurses Association. How does it address the metaparadigm theories of nursing? “Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations”. (Nursing World, 2015) The metaparadigm is composed of four different things: Person, health, environment and nursing. These items are directly linked to the definition of nursing. Although the metaparadigm theories of nursing are very general in the definition, basically, we are providing care for people as a whole, meaning the patients we take care of, their families and our communities. We provide protection for these individuals and improve their health and wellbeing. In regards to environment, we are changing the patients’ environment to improve the outcome of the patient’s health and wellbeing. As for the nursing part it, this term is encompassing all that we do, from the time they come in to the time they are discharged. According to Merriam-Webster’s definition of nursing which is “the duties of a nurse”, meaning “the job of taking care of people who are sick, injured, or old”, (Merriam-Webster Dictionary , 2015). This means many things, which is based upon the patient you are taking care of. The nurse adjusts his/her...
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...According to the ANA, Nursing is "the protection, promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families and population. Metaparadigm is defined as the broadest perspective of a discipline. Metaparadigms of nursing describes the person, health and illness, nursing and the environment. A person is defined by the ANA as the patient, their families, the population that they are from and the community in which they live. It is treating the person as a whole and just an individual. The environment plays an important role in their well being. It is their surrounding, their situation at home, their economical status and culture. Health is the goal of the care that we as nurses provide for individuals. It is a state of well being. "Health is one inevitable dimension of a person's life" (Roy 1898) Nursing is the direct care and the experience that the individual receives. It is teaching our patients about their illnesses, medications, procedures and life style changes. It is the relationship between the individual and the nurse. "Nursing contributes to health, the quality of life and dying with dignity" (Roy 2009) References Conceptual Foundations of Nursing: the bridge to Professional Nursing Practice, 5th edition, 2011. Joan L. Creasia and Elizabeth E. Friberg Drexel.com/Nursing 3rd September 2014 http:www.Nursing...
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...According to the American Nurses Association (ANA), the definition of nursing is “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (n.d.). Metaparadigm theories of nursing consists of theories that describe the four interrelated concepts, which are persons, environment, health and illness, and nursing. Persons are the recipients of nursing care and include individuals, families, and communities. Environment refers to the surroundings of the client, internal factors affecting the client, and the setting where nursing care is delivered. Health and illness describe the client's state of well-being. Nursing refers to the actions taken when providing care to a patient. ANA’s definition of nursing has included three of the four concepts that make up the metaparadigm theories of nursing. Its definition strongly emphasizes the concept of nursing. It listed many functions that nurses perform such as: protecting, promoting, optimization of health and physical abilities, preventing illness and injury, alleviating suffering, and advocating for patients (ANA website, n.d.). All these nursing actions are related to the care of health and illness, which is the second concept of the metapardigm theories of nursing. The ANA’s definition of nursing describes in more detail...
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...Metaparadigm of concepts and propositions The nursing metaparadigm basic concepts comprise of human being, environment, health, and nursing. The relational propositions involve the relationship between the following concepts: human being and health; health and environment; nursing and human being; and human being, health, and environment (Fawcett, 1984; Fawcett & DeSanto-Madeya, 2013). Leventhal et al explained the human being and health concept through The CSM as “Patients are active. Patients take in and interpret information and cope with whatever problems arise” and “People seek information to label or define their body states and they use symptoms, or body states, to define labels” (Leventhal et al., 1980, pp.15). The theorists also clarified the concepts of health and environment as “The influence of social and cultural factors on self-regulation is depicted in the CSM that is social and cultural factors are depicted as shaping individuals’ representations of their health conditions” (Leventhal, Brissette, & Leventhal, 2003, pp.57). Furthermore, nursing metaparadigm concepts of human being, health, and environment were described through the CSM by stating the fact that upon developing health problems, individuals perceive and initially interpret such problems based on their common-sense...
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...McEwen and Wills (2014) defines the metaparadigm as a representation of a discipline’s wordview (McEwen & Wills, 2014, p. 27). In week one, the group learned about the nursing metaparadigm consisting of the concepts of person, environment, health, and nursing, and how it was utilized in in grand theories. This week, the group learned about middle range nursing theories and how it differs from grand nursing theories. McEwen and Wills (2014) differentiates both levels of theories, “Compared to grand theories, middle range theories are more specific, have fewer concepts, and encompass a more limited aspect of the real world. Concepts are relatively concrete and can be operationally defined. Propositions are also relatively concrete and may be...
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...population. (American Nurses Association: Nursing World). This definition of nursing addresses the metaparadigm of nursing because they describe nursing and are comparable to each other. The metaparadigm of nursing provides a foundation for understanding the four fundamental components of interest to the nursing profession: person, health, environment, and nursing. (“A Foundation for Professional Nursing Practice.”) Person is not just describing the patient but everyone involved in the process. The nurses should help develop him or her into being able to care for themselves and to enable him or her to work to the best of their abilities. Health refers to one’s well-being or welfare, including mental, physical, cultural, social and spiritual concerns. Environment is anything that encircles or impacts the patient surrounding. This can be external like the place where they are receiving treatment or care, or it can be internal like their emotional state, personal relationship and or family situations. Nurses can help alter the environment to create a healthy atmosphere where patients can receive their care. Nursing is the act of caring for a patient. Nursing involves plan of care, interventions, protection, and being an advocate to help them to reach their most favorable state of health. ( Friberg & Creasia., pg72). The American Nurses Association’s view of nursing and the metaparadigm of nursing provide the nursing professions a standard of care. When combined it with compassion...
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...There are four key components in nursing that make up the metaparadigm of Watson’s Theory of Caring model. Human being, or person, is the first major concept described in the metaparadigm, and is defined as “the unity of mind-body-spirit” (Watson, 2008, p. 246). The second concept is health, and represents the overall physical and mental aspects, as well as social functioning that patients need in order to obtain genuine holistic care (Petiprin, 2015, Philosophy and Science of Caring section, para. 6). The third concept is environment, which Watson said that caring was not instilled from generation to generation, but was established in a unique way by which culture played a role in coping with its environment, and accepts people for who they really are, or may become (Petiprin, 2015, Philosophy and Science of...
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...How System Model Incorporates The Four Metapradigm Concepts Patricia Cleaves Grand Canyon University -NRS-430V October 21, 2012 How System Model Incorporates the Four Metapradigm Concepts For years, health care profession has increasingly moved toward specialization. Expansion of knowledge, especially in the technical fields, has caused compartmentalized and fragment care (S. & J., 1994) and an increase inability among health care provider to view the client as a whole and unique individual. The purpose of this paper is to explain how the Neuman System model (NSM) incorporates the four metaparadigm concepts. Understanding the NSM Understanding the model is the first step to incorporation of the NSM in any practice setting. There much flexibility in how this can take place, such as providing classes with expert lecturing on the model, sending staff to NSM symposiums holding a series of class in which lecture and discussion focus on various aspect of the NSM or taking the approach used by which team members used the model to develop treatment lived experience quickly and effectively brought the NSM from the level of theory to that of application and allow the team to experience the fit of the model to their institution and individual philosophies.(Neuman, 1989) Interdisciplinary Health care (I HC) The NSM IHC is not new to the health care system; it has gained increasing favor in the environment of health care reform as evidenced by the governmental recommendations...
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...Nursing as defined by the American Nurses Association (ANA) is the “protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations”. The metaparadigm theories of nursing include the concepts of person, health, environment and nursing. These concepts are very important to nursing because the delivery of standard and efficient patient care will lead to prompt patient recovery and lead to ability to function within these four parts. Person This refers to the individual as a whole according to Martha Rogers in the theory science of unitary human beings. In caring for the patient, the nurse needs to have good relationship with the patient, the family and even friends since these factors make up a person as a whole. Involving the family in patient care and sometimes-close friends will bring about speedy recovery of the patient. Health Health is a state of well being and using of ones power to the fullest. The nurse helps the patient attain optimum health through assessing the patient’s physical, mental/emotional, social and spiritual wellbeing. Example, through pain reduction, a patient can perform and complete activities of daily living thereby achieving physical wellbeing. This will also help him be able to interact with others around him, which will promote his social and emotional...
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...treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (American Nurses Association website, 2015). The metaparadigm theories of nursing involves: health, person, environment and nursing. This theory is the basis to being a nurse because you cannot properly take care of your patient without putting all four of these things into consideration. As a nurse you should be able to first evaluate each patient individually and their health issues, second take care of each patient as a person not as a disease, third are able to understand that if the patient’s environment is unhealthy then the patient will not fully recover and last nurses are caring and compassionate. The ANAs definition of nursing incorporates all four concepts by including all individuals, caring and health promotion. It helps the nurse to focus on the patient as an individual and not only as an illness to help decrease pain and suffering. Nursing is not just handing out medication and following the physician’s orders. It is the act of being kind, giving support to others, making someone smile, spending a few minutes just to listen or even just a simple hug. References American Nurses Association website, 2015, retrieved from http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing Four Basic Metaparadigm Concepts in Nursing website, 2015 retrieved from...
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...The American Nurses Association (ANA) describes nursing as the “protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations”. (ANA website, 2014) The metaparadigm of nursing provides a framework to better understand the four major components for the nursing profession: person, health, environment and nursing. Treating the person as a whole and realizing that each patient is an individual and may responded differently is very important. What may work for one patient may not work for another. As a nurse, we must recognize this and advocate for our patients, as we are the ones that are with them for 8, 10 or 12 hours a day. Again, when we find that a treatment is not working for a patient it is imperative that we communicate this with other members of the care team. Nurses are also key in education of the patient and their families, often times because of the stressors the patient is going through they are not able to focus, concentrate or retain the information that is taught. Involving the patient’s support system in the education, will often help to provide better outcomes by preventing reoccurrence or further injury. When a bedside nurse recognizes that a patient may still need more education she should bring in the appropriate members of the care team. This could encompass a...
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...the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.” Metaparadigm is a way to explain the concepts or conceptual models that concern the discipline and framework function of the nursing profession. There are four concepts to the metaparadigm theories of nursing, which are “person, environment, health/illness, and nursing" (Creasia & Friberg, 2011, p. 97-98). The first metaparadigm concept is the “person” referring to the individual who is receiving the nursing care, such as patient, families, or public in general. The second metaparadigm is the “environment” in relation to the setting of the patient, internal factors affecting the patient, and the situation or condition where the nurses are giving care. The third metaparadigm pertains to “health" to level of wellness or illness experienced by the patient. The last metaparadigm is “nursing,” which is defined as the actions, interventions, care of plans, or treatment of the nurse that is giving care to the patient. All four metaparadigms are interrelated and incorporated in the ANA definition of nursing. The ANA refers to concepts of the person by upholding the care of “the individuals, families, communities, and populations” (American Nurses Association, 2014). The nurses can provide protection, increase...
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...directly relates to nursing. According to Alligood (2014), specific nursing philosophies encompass theory guided nursing practice. The three different philosophies of nursing that each has their own value system are Nightingale’s, Watson’s and Benner’s. Each philosophy addresses its own concept of nursing care and factors that are associated with that. Alligood (2014) suggests nursing philosophies give us different views to consider when applying nursing care. Each philosophy serves its purpose as an interpretation of a rationalized value system of ideas of nursing care. Metaparadigm A metaparadigm is a knowledge type of nursing. The core basis of nursing is founded on a knowledge approach. According to Alligood (2014), a metaparadigm applies human beings, environment, health, and nursing in a concept of philosophical significance to nursing care. A NURSING PHILOSOPHY 3 metaparadigm is used as a way to better understand the relationship with those factors to the differing philosophies, models and theories of nursing. Nursing...
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