...2013). “Nursing is defined as the protection, promotion optimization of health and ability, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individual, families, communities and population. According to (Fawcett, 2005, P.52) metaparadigm is defined as the global concepts that identify the phenomenon of central interest to a discipline. Nursing focuses and revolves around the concepts of person, health and environment and nursing practice, these are called metaparadigm theories of nursing. ANA definition of nursing concerns to the metaparadigm theories of nursing as varies. I will relate each definition to the theoretical concept. The concept of person address in ANA as” individual, families, communities and population” They could be individual who needs nursing assistance of various degrees, families that needs coping skills or referral due to disruption in function, communities who needs health promotion or a large population experiencing after effect of a natural disaster. These are all participants in the nursing and each of these participants has nursing needs which nursing provide for them to ensure optimal health. Environmental concept talked about humans in constant interaction with their environment and therefore considers protection, promotion and optimization of health and abilities in any given environment. Environmental concept could affect...
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...Reflection Paper One Advanced practice nursing (APN) can be loosely defined as an area of nursing in which nurses are required to practice at an advanced level in a specific area of interest. APN extends the boundaries of nursing’s scope of practice and contributes to nursing knowledge, and the development of the profession (Canadian Nurses Association, 2008). In order to become an APN, the nurse must obtain a master’s or doctoral degree from an accredited university in an area of concentration designated for advanced practice nursing. According to Joel (2009), there are currently four major groups of APNs: certified registered nurse anesthetist, certified nurse midwives, clinical nurse specialists, and nurse practitioners. APN focus on critical thinking, educating the public, diagnosing and treating illnesses, and prescribing medications to name a few. This paper will discuss the future of the nurse practitioner and how I, as a future adult-gerontology primary care nurse practitioner, will advocate for my patient population. Philosophy and Beliefs of Nurse Practitioners Due to the fact that nurse practitioner is a branch of advanced practice nursing, the two professions often share many of the same philosophic beliefs. The overall philosophy of both professions is centered on four key concepts of person, society, health and nursing; whereas, the core philosophy for nurse practitioners is that of individualized care where focus is on patients’ conditions, as well as, the...
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...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 the concept of health and illness in terms of health, abilities...
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...Community Conceptual Model Leonie Taylor-Brown, Kellie Durner, Diane Nims, Jessica O’ Hara NUR/544 August 25, 2014 Amy Weaver FNP Community Conceptual Model Milio's framework for prevention was created as a complement to health belief model (HBM). HBM is based on individuals avoiding disease, but has limitations, such as placing the burden of action on the patient (Nies and McEwen, 2011). While Milio recognized these limitations, she continued the development of her framework for prevention. She focused on opportunities for nurses to make changes at the population level. Milio also noted that health care deficits resulted in an imbalance between health needs and health resources, and therefore believed that health promoting resources should be readily available and at a low cost. No matter what a person’s background is, they will choose options that are the simplest and less resistant. If the simplest means were choosing health-damaging options, individuals will present increased risk for poor health. It is up to the policies created by the government, federal or local, and organization to provide the education and resources for individuals. Based on Milios framework of prevention, these resources should be cost efficient and easily learned. According to Milio (1976) "The range of options available to them, and the ease with which they may choose certain ones over others is typically set by organizations public and private, formal and informal" (p...
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...Like any other profession, nursing is also built on certain important concepts. These concepts include ‘person, environment, health and nursing practice’. Combinations of all these concepts are known as metaparadigm of nursing. American Nurses Association defines 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”. The first metaparadigm is the person and the American Nurses Association definition incorporates the importance of the patients served, the individual, their families and their communities. This could be the individual who need help with nursing care, families who are undergoing stress with several issues and need further assistance, and finally the community or a population is undergoing thorough a disaster effects. A person has the ability to think, interact and communicate each other. Each person has their own needs and all those needs to be met according to the standards of care. Second concept is environment, and the definition of American Nurses Association is associated with the protection, promotion, and optimization of abilities, prevention of illness and injury, we need to provide a safe and comfortable environment for an individual to live in a healthy atmosphere. It is not necessary to be in the hospital, but it can be in their home...
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...University of Phoenix Material History of Community Nursing Matrix • Complete the matrix with the following concepts, and relate the concepts to two different periods of time in history and the present time: o Describe each period briefly. o Clarify the differences during each period with public health nursing and community health nursing. o Describe the key health issues. o Identify community health partnerships used during this period of time. o Describe how Watson’s theory of human transpersonal caring is related. |Period |Historical time |Nursing role in |Major health issues |Partnerships used |Watson’s theory | | |period |community | | | | |Past period 2 |1900’s |In this era nurses were |Influx of people coming |This is the era of |Cultivation of one’s | | | |recognized as a |to America lead to a |acceptance when |own spiritual practices| | | |profession and education|decrease in sanitation |partnerships and |and transpersonal self,| | | |moved from the hospital |and resources. Increase|acceptance of all races |going beyond the ego | | | |to the university...
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...Nurse Association (ANA, 2014), “ 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.” 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,...
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...Environmental Health The environment has a symbiotic relationship to the health of individuals, families and communities. The environment must be healthy in order for achievement of optimal health (Stanhope and Lancaster, 2014). Nurses have a responsibility to understand the health environmental risks, including how and what, should be included in assessment, planning and implementing interventions to reduce or eliminate the environmental risk. In addition, nurses must be able to communicate the environmental health risks, provide needed education and advocate for public policies to mitigate the risk to health (Stanhope and Lancaster, 2014). This paper will explore the nurse’s role in environmental nursing through the review of environmental principles, explaining differences between an environmental exposure history and an environmental health exam and the four phases of a chemical exposure. Finally, author will discuss the differences between community-based and community-oriented nursing and explain the how population-based approaches are applicable to the hospital setting. Environmental Principles According to Stanhope and Lancaster (2014), nurses must know how to assess for environmental health risks in order to help the individuals, families and communities they care for. In 1995, The National Academy of Science’s Institute of Medicine (IOM) published a report calling for all nurses to have a basic understanding of environmental health principles including...
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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? The ANA defines 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” The above ANA definition of Nursing focuses on the holistic health care of individual, families , communities and population which is achieved through many therapies and techniques, that protects, promotes and optimizes health and abilities. With the wide availability of health care services, through proper diagnosis and treatment we can make a person fully perfect, functional or effective as possible. Health advocacy encompasses direct service to the individual or family as well as activities that promote health and access to health care in communities and the larger public. Advocates support and promote the rights of the patient in the health care arena, help build capacity to improve community health and enhance health policy initiatives focused on available, safe and quality care. Health Advocates are suited best to address challenge of patient-centered care in our complex healthcare system. This definition of nursing includes the four components of the other metaparadigm theories. A metaparadigm is a concept that is extremely general...
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...Nursing is a dynamic profession and life long learning is essential for nurses to stay current with the increased complexity of the healthcare needs of today and into the future.In other words, the needs of our patients are changing, as we must change in order to be prepared to better serve that need. Nursing has a long history of formal education which moved out of hospitals and into colleges and universities early last century. The associate degree level of nursing was developed out of a need to produce nurses in response to a shortage during and following World War II. It was a proposed as a temporary solution to a shortage to a shortage but was not intended to replace the professional level of nursing education. The ADN program require about 2 yrs for the student to complete. The Adn nurses are associate degree in nursing, ADN nurses have clinical skills and hands on basic skills but they lack both management and leadership skills with in the nursing field. Additionally they lack research skills used in nursing as well as knowledge on informatics the use of technological advances in enhancing quality medical delivery. ADN gives you the fundamentals of nursing practices. They basic theory, skills, competencies knowledge of scope of practice and legalities for licensure and the essential general education core that is necessary as a foundation [English, psychology, biology chemistry, anatomy and physiology , etc].it gives you the bare minimum knowledge required...
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...The Purpose of Health Promotion in Nursing Practice and the Nurses roles The World Health Organization, (WHO, 1986), defines health promotion as the process of enabling people to increase control over and to improve their health. As the concept of medicine and health evolved, so has the concept of health promotion. Health care providers including nurses, require an understanding of how economics, environment, culture, education, politics and psychosocial problems influence health, illness, lifestyle and behavior change. Nurses promote health in diverse setting such as hospitals, community, nursing homes, schools, and worksites. Health promotion activities may include raising awareness of health issues, providing information, motivating and persuading people to make changes in their lifestyle or equipping individual with the skills and confidence to make those changes (Naidoo, J. & Wills, ., 2000). The nurse, being on the frontline of patient care, has the ability based on education and experience, to be the driving force of health promotion activities. Nursing education traditionally directed towards the disease-oriented model, where the focus was on diagnosis, physical health and the relief of physical symptoms. It has now evolved to a more patient-centered model, creating a more holistic approach where individuals and families are empowered to make health decisions and are supported in their engagement of health promotion activities. No longer are patient told what...
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...Values of Nursing in Mental Health Professionalism refers to professional character, spirit, or methods. It is a set of attributes, a way of life that implies responsibility and commitment. Nursing, as a profession is differentiated from a job or other occupations by distinct characteristics. These characteristics include specialized training, service orientation of members, ongoing research, code of ethics, autonomy and professional organization (Berman, Synder, Kozier & Erb, 2008). According to Fahrenwald et al (2005), the five core values of professional nursing are human dignity, integrity, autonomy, altruism and social justice. These core values are essential in the training of nurses and integration in practice by the caring professional nurse enhances patients’ care. Townsend (2011), states that caring for individuals with mental illness is challenging as nurses are frequently faced with complex situations, in which difficult decisions has to be made. This situation is further compounded by the stigma associated with mental illness, denial of illness, costs, limitation of access to services, lack of parity, changing needs of the population, which make majority of patients with mental illness not to seek treatment (Mohr, 2009), thereby posing a danger to themselves and the community. The practice of nursing has set standards aimed at improving the health and well-being of all individuals, communities and populations through the...
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...Stone NUR 542 March 11, 2013 University of Phoenix Family Value Paper This family value paper individual assignment will discuss the concept of family nursing that has developed into a fundamental aspect of nursing. Research of nursing has shown that individual poor health affects the entire family and not only an individual, plus, the effectiveness of health care is improved when emphasis is placed on family (Harmon & Hansen, 2001). There was no conceptual theoretical framework that was found in family nursing. Friedman, Bowden and Jones (2003), discussed the lack of a complete family nursing theory with their proposal “nurses must draw upon multiple theories to work effectively with families” (p. 62). This particular subject matter will discuss the family system and theories related to the up-and-coming to unite with family nursing. This will also portray stratagem to integrate nursing theories in the practice of family nursing. This includes family work as a system, concept of area of nursing practice, most helpful area in my nursing of practice, chosen concept of family and why is it helpful, theories conducive in the area of my practice and last, the conclusion. Family work as a system Family must first define themselves to have a better understanding on how to work as a family nursing system. In real life family is composed primarily mother, father, single, and married children. Family must have unity to function well. Each member of the...
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...Public Health Comparison Paper Michele Zager, RN Nur/408 November 4th, 2013 Felita J. Patterson 2 Public Health Comparison Paper Public health is defined as “an organized activity of society to promote, protect, improve, and when necessary, restore the health of inficiduals, specified groups, or the enite population” (Scutchfield & Keck, 2009, p. 3). Public health has helped millions of people in the United States achieve the higest level of health possible. Through the efforts of county, state and national public health systems, community nursing and public health nursing have been able to effectively utilize resourses available to ensure the health of communities and the individuals living in those communities. In the United States, Public Health sprouted out of the needs of society to reduce poverty linked diseased, immigrats and industraial linked health problems (Buhler-Wilkerson, 1985). At the beginning of the 20th century, visiting nurses were already engaged in a campaign of teaching healthy habits to individuals. Soon, the realization “that individual helth depended to some extent on the health of the population generally, the hazareds of infectious diseases become an increasingly tangible concern” (Buhler-Wilderson, 1985, p.1155). The population began to view public health as a concern for everyone. One of the early pioneres in public health nursing was Florence Nightengale. She saw the difference between sick nursing and health nursing. She...
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...Family values paper Health begins at home, if family adapts healthy life styles, eat healthy meals, and involve exercise regime, then it benefits every member of the family. Applying this principle of family health to nursing practice, gives us a concept of family nursing. In this set up nurse develops care plan which revolves around client and his family. Involving family in care helps patient and family members bond better during the critical times and it also results in improved patient outcomes. Nurses can use multi-disciplinary team approach to educate family members and introduce them to different aspects of patient needs post discharge. Family members can be educated regarding dietary needs, swallowing and aspiration precautions, mobility issues and patient transfers, assistive devices and lastly and most importantly medication regimen. This education can be further classified into categories such as wound care, tubes and drain care. Community resources and community services need to be included in plan. Resources such as community health services and public health clinic are added value to family nursing. As these services work for not just the client but the welfare of the whole family and they help prevent hospital visits and ER visits. Family nursing is relatively new concept in patient care but it is showing growth in the patient care area. Since we have new healthcare restructuring in process, this has introduced rapid growth of managed care systems. Part of...
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