...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” (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...
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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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...NURSING PHILOSOPHY, 1 NURSING PHILOSOPHY NURSING PHILOSOPHY, 2 Nursing philosophy Definitions Philosophy Philosophies encompass a multitude of value statements and beliefs. Philosophies are based on knowledge derived from reality, personal values, existence, reasoning, and relevant presentation of concepts. According to Alligood (2014), they address concepts such as person, environment, health, and nursing. Philosophies are derived from different theoretical works which affirm general ideas pertaining to those works. Philosophies are all based on individual ideas which conceptualize different views of nursing. Alligood (2014) suggests that philosophies broaden everyday views of nursing. Nursing Philosophy Nursing philosophy is a representation of philosophy as it 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...
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...Essay There are many nursing theorist that have influenced the development of nursing research. Nursing Theorist have provided the interrelated frameworks of ideas which focus on nursing practice. Through clinical application and information, nursing science adds relevance to the care of patients in health and disease. Nursing theories provide guidance to researchers and educate nurses (Keefe, 2011) to look at different approaches in caring for their patients. This paper will show how one theorist most influenced the development of nursing research. The 1990's was the decade for research and expanded nursing theory. This period elevated the use of evidence-based and best practices in nursing (George, 2011). Transcultural Nursing was introduced in 1992 by Madeline Leininger. Leininger’s theory says that the goal of nursing care is to” provide care congruent with cultural values, beliefs, and practices’ (Alligood & Tomey, 2010). The cultural and sociocultural factors of each person affects how they take on factors, meanings, and expressions of health and caring systems. This theory has wide applicability in different settings. The interest is focused on nurses becoming culturally competent so they can provide appropriate nursing care to a growing culturally/ethnically diverse patient population. Nursing paradigms show a clear relationship among the existing theoretical works in nursing. Leininger is the proponent of Transcultural Nursing and Human Care Theory. According to Cohen...
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...Introduction Traditionally the nursing metaparadigm involves four core concepts: nursing, health, person and environment. However, as the discipline is constantly evolving, a more adaptable viewpoint may better encompass the various aspects of the metaparadigm. This essay will be comparing and contrasting the core concepts of nursing that are seen in two different articles; one that conforms to the more traditional metaparadigm concepts and a second which has a more open point of view. After careful examination and comparison of the key concepts in both articles, I will be discussing how they fit into my own nursing practice. Fawcett’s article, which analysed a research study on the implementation of evidence-based nursing practice (EBNP), encompasses all four concepts of the nursing metaparadigm. This approach to the examination of the nursing metaparadigm has a specific focus on nursing and the environment. The study aims to change the environment of nursing care by encouraging nursing directors and executives to disseminate information and training revolving around evidence-based nursing practice to nurses. The underlying goal is to streamline nursing care, improve patient outcomes, and lessen redundancies and workplace frustration. In comparison, Newman’s article has a broader scope of focus using the unitary-transformative paradigm. The aim of this article is to examine the progress made in the development and growth of the field of nursing, using the seven core concepts:...
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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...
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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, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. A metaparadigm is a concept that is extremely general, one that serves to define an entire world of thought. "Meta" means "that which is behind," in Greek, and refers to that which under-girds something else, serving as a conceptual basis. In her seminal (1984, cited in Slevin) work, "Analysis and Evaluation of Conceptual Models of Nursing," Jacqueline Fawcett developed the basic four metaparadigms of nursing. More recently, these have been revised by Basford and Slevin (2003) and serve to underpin the entire conceptual universe of the nursing profession. 1. Person * This paradigm refers to the sick individual not as a "patient," but as a "subject," a person in the full sense of the word. This includes families and social groups that have come to define the person as such. This person is unique and autonomous, and should be treated as such. A real person is not a mere object of professional care and surveillance. 2. Health * Like all meta-concepts, health is immensely general. It does not deal with health in a strictly clinical...
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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 Theorist Select Months Select Categories * Adventist Health System (3) * Adventist University (2) * All Bahasa Indonesia (12) * All Downloads (1) * Best Nurses Profile (1) * Best Online Learning (7) * Campus News (1) * Continuing Education (5) * Current Issues in Nursing (10) * Employment and Career (19) * Graduate School Library (1) * Healthcare Technology (3) * Inspirational (72) * Nursing-Advanced Sub (66) * Community Nursing (12) * Family Nursing (6) * Geriatric Nursing (1) * Maternity Nursing (2) * Med-Sur Nursing (46) * Cardio, GI & Respi (18) * Communicable (3) * Critical Care (2) * Emergency (2) * Metabolic & Endocrine (8) * Renal, Genito, Repro (5) * Sensory & Neuro (7) * Pediatric Nursing (2) * Psychiatric (1) * Nursing-Biomedic Subjets (30) * Anatomy and Physiology (4) * Biochemsitry (15) * Biology (7) * General Chemistry (3) * Micro and Parasitology (1) * Nutrition and Diet (4) * Patophysiology (1) * Pharmacology and Drugs (1) * Nursing-Core Subjects (46) * Basic Nursing Skills (16) * Ethics and Law (2) ...
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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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...I. What is a concept? a. A building block of a theory, can be a few of them, b. abstract ideas that cannot be visualized. Such as pain or coping or social support. You can have an idea in your mind of what these are but you cant actually touch any of these. Can you touch social support? You can probably touch a part of your body that may feel some sense of pain but the actual concept itself cannot be touched. c. Tend to be universal which means they apply equally to everything related. d. Concepts tend to be the basic elements of propositions (or statements that result from reason). If you remember geometry they had the proposition they had the “if A equaled B and B equaled C.Does A equal C.” That is the idea of what propositions are and they take concepts and build on them to create these statements to help define whatever we are discussing such as theory, research study. e. Help to integrate unrelated phenomena into a hypothesis which creates research. Critical to have very defined concepts and the concepts needed to be created into hypothesis so that you had something to study. That is critical when we discuss concepts and research i. Phenomenon is any even that can be experiences via senses, it is observable and can be seen. ii. Proposition: closed sentence or statement 1. Like geometry: If A=B and B=C, then A=C 2. Tend to be true or false 3. Content of beliefs and or assertions...
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...The Nursing Metaparadigm Concepts Presented to Dr. Peck GNRS 5373 By Fatema Bandookwala, Irene Cotten, Amanda Garcia, Elizabeth Mbutu-Lomeli, Hawa Samson-Metzger, Alexandria Thomas On September 25, 2013 The University of Texas Medical Branch School Of Nursing THE NURSING METAPARADIGM CONCEPTS The nursing metaparadigm concepts described by Fawcett (as cited in McEwen & Willis, 2011), are a primary phenomena of interest to a discipline, which identifies globally by ways in which, nursing can deal with those phenomena in a distinctive and applicable manner. The functional aspects of the meta-paradigm according to Kim (as cited in McEwen & Willis, 2011), involve a combination of intellectual and social missions of nursing as a discipline in which boundaries are placed on the subject matter. The concepts of person, health, environment, and nursing as the meta-paradigm are formalized by Fawcett (as cited in McEwen & Willis, 2011) to be the dominant phenomena within the science of nursing. The dominant phenomena person is the individual personality of a human being (McQuiston &Webb, 1995). It is a dynamic pattern of energy and an open system to interaction with the environment (McEwen & Wills, 2011). It is critical to have an interpersonal relationship between nurses, patients, family members, and other hospital personnel. Hildegard Paplau originally taught the importance of relationships between nurses and patients (Tourville...
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...As stated in the American 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...
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...during orientation. The article addresses the importance of nurses being culturally competent. Madeleine Leininger’s Transcultural Nursing Theory is applied in many settings; including the critical care units. Critical care nurses work in high stress areas and must be culturally competent. According to the Critical Care Nursing (CCN) Journal, it is important for critical care nurses to establish a strong rapport with patients and their family members. Nurses need to have an understanding of patient’s cultural values, beliefs, and practices in order to follow the nursing process and provide a plan of care to meet the patient’s needs. According to the CCN journal “cultural competence is defined as developing an awareness of one’s own existence, sensations, thoughts, and environment without letting it have an undue influence on those from other backgrounds; demonstrating knowledge and understanding of the client’s culture; accepting and respecting cultural differences; adapting care to be congruent with the client’s culture” (Flowers, 2004, para 6). Metaparadigm “The nursing metaparadigm embodies the knowledge base, theory, philosophy, research, practice, and educational experience and literature identified with the profession” (Nursing Theories, 2013, para 2). Critical care nurses follow Leininger’s metaparadigm; person, health, nursing, and environment. * Person: people sincerely care about the wellbeing of others * Health: understanding the patient’s culture...
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...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...
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...Metaparadigm in Nursing Demonstrate the ability to incorporate the dimensions of a person, nursing and enviorment to promote the health in a various nursing situations. The different metaparadigm in nursing: Nursing Paradigms are patterns or models used to show a clear relationship among the existing theoretical works in nursing. At present, many nursing theories are focused on relationships among four major concepts (metaparadigms: Greek “meta“-with and “paradeigma“-pattern): The 4 metaparadigm in nursing according to Florence Nightigale 1.Nursing Florence Nightingale had always considered that nursing is very essential for everybody’s well being. One of her masterwork, Notes on Nursing, provided essential principles for rendering and implementing an efficient and effective nursing care. Moreover, she instilled an ideal attitude of thinking and acting like a real nurse. Person Nightingale viewed the essence of a person as a patient. She believed that nurses should perform tasks to and for the patient as well as control the patient’s environment to facilitate easy recovery. Predominantly, she explained a passive patient in this relationship. However, when there are definite references to the patient performing self-care when possible, the nurse is particularly instructed to ask the patient about his or her preference. However, Florence Nightingale gives emphasis to the nurse who is in control of the patient’s environment. Health Florence Nightingale’s statement...
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