My Personal Philosophy of Nursing
Applying the four Metaparadigms
Danice Thorne

Transition to BSN
Kristine Hilton & Beth Pecora
October 24, 2015
Introduction
It is the nurse’s responsibility to provide optimal care for the patient. This doesn’t begin and end with only the patient who is ill, nor does it end when a patient goes home. To provide a patient quality care holistically the nurse may apply one or more theories. The nurse will decide whichever theory is applicable to the patient; these theories all share the basics concepts. The nurse will initiate a framework of evidenced based practice within these concepts. The metaparadigms consists of a belief and belief system composed of four concepts; human being, environment, health and nursing (Kearney-Nunnery, 2012 p 4).

Person The personal component encompasses the patient, their family or group and their social and spiritual needs. The outcome is related to the interactions with physical and social connections. These connections influence how the patient manages their health well-being and their self-preservation. People need care on different levels at different times of their lives. When the nurse is treating a patient the care doesn’t end with just the patient. There is network of relationships with different people in their life; they are affected by the illness as well. Incorporating this network of people into the plan is essential in the implementation of patient care and outcomes (Kaakinen et al 2015).
Environment
Next is environment; the nurse will assess the patients’ surroundings both external and internal. It is important to look at how the individual continuously interacts with these surroundings and what bearing it has on their health and wellness. These internal and external factors “physical and social” include economic, geographical, cultural and social.