what are the four concepts of nursing metaparadigm

The nursing Metaparadigm includes six guiding principles:

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What are the metaparadigm theories of Nursing?

• care is the essence of nursing and a distinct, dominant, central and unifying focus;
• care is essential for well-being, health, healing, growth, survival and for facing handicaps or death;
• culture care is the broadest holistic means to know, explain, interpret and predict nursing care phenomena and in the process guide nursing care practices;

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What are the basic concepts of Nursing?

What are the basic concepts of nursing? Nursing Concepts 1 introduces the following concepts of nursing : infection, safety, clinical decision making, elimination, oxygenation, mobility, tissue integrity, comfort, caring interventions, communication, stress and coping, professional behaviors, culture and diversity, spirituality, fluid and ...

What is nursing metaparadigm?

What Is the Metaparadigm of Nursing? A metaparadigm is “a set of concepts and propositions that sets forth the phenomena with which a discipline is concerned.”. In simple terms, it is all the features that go into a single framework — or everything that goes into being a nurse. The metaparadigm of nursing offers a holistic approach to care.

What is Watson theory in nursing?

Watson’s theory and the four major concepts

1. Human being. Human being refers to “….. ...
2. Health
3. Environment/society. According to Watson, caring (and nursing) has existed in every society. ...
4. Nursing. Nursing is concerned with promoting health, preventing illness, caring for the sick and restoring health”.

Which are the four Metaparadigms?

Accordingly, this study aims to analyze nursing students' perceptions of the four basic nursing metaparadigms (person, human factor, health/illness, and environment).

What does Metaparadigm of nursing mean?

What Is the Metaparadigm of Nursing? A metaparadigm is “a set of concepts and propositions that sets forth the phenomena with which a discipline is concerned.” In simple terms, it is all the features that go into a single framework — or everything that goes into being a nurse.

What does Metaparadigm mean?

[met″ah-par´ah-dīm] a set of concepts and propositions that sets forth the phenomena with which a discipline is concerned. A metaparadigm is the most general statement of a discipline and functions as a framework in which the more restricted structures of conceptual models develop.

Why is Metaparadigm for nursing Important?

Thus a metaparadigm can be thought of as an overarching principle or umbrella covering our outlook that defines our practice. As a nurse, it is important to take an inventory of ourselves by examining how we were brought up, what we assume to be true, what beliefs we hold dear, and what our values entail.

What are the 4 domains of nursing?

The domains are: professional practice, communication and collaboration, nursing knowledge and practice, and patient care. Each domain has its own set of standards and expectations. Professional practice includes standards for ethical and legal practice, as well as for professional development.

What are the basic concepts of nursing?

The four concepts of nursing are human being (the patient as a whole person), environment, health and nursing.

Which of the following is a component of a Metaparadigm in nursing?

The components of the nursing metaparadigm include: 1. Person, health, environment, and theory.

Should caring be part of the nursing Metaparadigm?

Caring should therefore be incorporated in the nursing metaparadigm since it will be a major boost to the profession. The nurses will feel good about their profession as they are trained, gained experience and able to develop a relationship with patients.

Which is Orem's view of nursing under the nursing Metaparadigm?

Orem's Nursing Metaparadigm: PERSON Reflect upon themselves and their environment. Symbolize what they experience. Use symbolic creations in thinking, communicating, and guiding efforts to make things that are beneficial for themselves and for others.

What are the Metaparadigms of Nightingale according to health?

The core concepts of metaparadigms of nursing are the person (patient), health, nursing, and environment (Zerwekh & Zerwekh Garneau, 2014). There are various nursing theories and philosophies, but the four metaparadigms are present in each of them.

What is your concept of nursing?

Definition of Nursing Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people.

How does the nursing Metaparadigm impact the implementation of culturally proficient nursing care?

The nursing meta paradigm influences the implementation of culturally proficient nursing care because it is associated with a set of theories and ideas, offering a structure to the functioning of the discipline. Culturally skilled nursing care goes hand-in-hand with the changing nature of society.

How does the nursing Metaparadigm impact the implementation of culturally proficient nursing care?

The nursing meta paradigm influences the implementation of culturally proficient nursing care because it is associated with a set of theories and ideas, offering a structure to the functioning of the discipline. Culturally skilled nursing care goes hand-in-hand with the changing nature of society.

Should caring be part of the nursing Metaparadigm?

Caring should therefore be incorporated in the nursing metaparadigm since it will be a major boost to the profession. The nurses will feel good about their profession as they are trained, gained experience and able to develop a relationship with patients.

What is nursing Short answer?

Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. It includes the promotion of health, the prevention of illness, and the care of ill, disabled and dying people.

How are the major domains of nursing connected?

The primary domains in nursing include patient, environment, health, and nursing. Thus, each aspect is usually described based on the understanding of their meaning to the nursing theorist.

What is the metapardigm of environment?

The metapardigm of environment relates to the conditions in which this or that patient lives since this aspect also plays an essential role in the treatment and care process. According to certain information regarding the life of a person, his or her habits and norms of behavior, nurses can make a rather detailed plan of care and identify the primary activities (Marchuk, 2014). Moreover, the concept of environment encompasses not only health indicators but also other aspects of life, for example, the degree of socialization, occupation, etc. Having such a picture, specialists can quickly identify the problem and eliminate it due to the data obtained.

What is the metapardigma of health?

The metapardigma of health is a notion that requires involving both nurses and patients. Marchuk (2014) remarks that this concept requires considering patients’ individual experiences, as well as nurses’ ability to provide appropriate care according to specific health indicators.

What are the roles of RN and NA?

Therefore, • RN one roles effectively communicating to enhance the patient care to be effective • RN two offering care to the patient as specified by the case manager • The LPN collects data that was utilized in the assessment of the patient • NA role helping in answering calls Advantages and disadvantages of the models All the four models of nursing care delivery presented have advantages and disadvantages. Thus, they may vary appropriately in delivering health care to a patient, but at the same time, they are limited in some aspects. Thus, their significances to the patient, nursing staff, family and nurse manager are outlined.

What is the relationship between a nurse and a patient?

This leads to a process of actions and reaction resulting in an interaction. An interaction is the goal directed portion of relationship built upon perception and communication. This leads to a transition, which is when mutually valued, as goals are achieved. Building a nurse-patient relationship with good communication is the key to mutually work towards an attainable goal to improve the patient 's’ health and quality of life. According to King “If nurses with special knowledge and skills communicate appropriate information to clients, mutual goal setting and goal attainment with occur” (as cited in McEwen & Wills, 2014, p. 176).

What are the four metaparadigm concepts of nursing?

The four metaparadigm concepts of nursing are person, environment, health, and nursing.

What is Watson's theory of nursing?

Watson’s nursing theories express that the mind, body and spirit of the patient should be taken into consideration. I agree with Watsons that while providing care the nurse should consider care base on the patient as a whole and not just focus on the disorder. I was taught to use Maslow’s hierarchy of need while planning and providing care for my patients. Maslow’s hierarchy is use to prioritize a patient need from life treating issues to love and belong.

What is the role of a rehabilitation nurse?

According to the association of rehabilitation nurses, “the role of the nurse is to assist clients in adapting to an altered lifestyle while providing a therapeutic environment for client’s and their family’s development”. Rehabilitation nurses identify client and caregiver health and wellness needs, including facilitators and barriers to health improvement, and integrate community care services that manage chronic disease and support healthier time (Smeltzer, 2010)”. Health promotion through primary prevention, as well as preventing complications for those with existing disabilities is essential to the role of the rehabilitation nurse (ARN, 2014a,b). The rehabilitation staff nurse designs and implement treatment strategies that are based on scientific nursing theory related to self-care and promote physical, psychosocial, and spiritual health (ARN, 2014).

What is the theory of nursing?

1. The theory of nursing system: The theory of nursing system describe nursing as actions performed by human (nurses). These actions are planned and discharged following the task of the nursing agency for individuals or group of people with health-related issues or limitations. Care provided can be self-care or dependent care and these include diagnosis, prescription and management. 2.

What is the purpose of communication in nursing?

Communication is a vital tool in nursing care. The purpose of nurse-patient communication is to create a nurse-patient therapeutic relationship,

What are the two fields of metaparadigms?

In this section, the metaparadigms of nursing will be compared in the two fields of Human Caring Theory and Persian mysticism . The aim is to present a brief explanation for each metaparadigm in the two fields, and then proceed to provide a comparison.

What are the four main concepts of nursing?

Metaparadigm concepts comprise the central issues in a discipline. Fawcett has named person, health, environment and nursing as the four main concepts of nursing that need to be comprehensively defined. The Human Caring Theory is significant because of its focus on the spiritual dimension of human beings. The aim of this study was to comparatively explain three of the main metaparadigm concepts of nursing in the Human Caring Theory and Persian mysticism, and find the similarities and differences that can help develop the theory and its application in societies with a theistic point of view. This comparative documentary study was done in two phases. First, a concept analysis was performed to find the attributes, antecedents and consequences of the concepts of human being, environment and health in the two fields of Persian mysticism and Jean Watson’s Human Caring Theory. Then they were apparently and deductively compared with each other. In spite of some similarities between the two perspectives, Persian mysticism was found to provide more comprehensive conceptualizations of the three main concepts of nursing.

What is the ultimate perfection of a human being?

The ultimate perfection of a human being is to actualize the potentials of his or her grade (21). Humans can choose to ascend through their existential gradation toward being perfect human beings and gain more divine attributes, or stay in the lower grades and show attributes of those who are not evolved, for instance violence against others (an extreme manifestation of wrath, which belongs in the animal grade of humanity) (19). Intrinsic divine attributes such as mercy and grace inspire a kind of love for perfection in a human being, and are nurtured through everyday life practices such as caring, which can lead to self-actualization and self-healing (21).

What is Watson's theory of caring?

In Watson’s Theory, there is great emphasis on a caring and healing environment, which can be provided by a nurse according to the existing literature. The internal and external factors that can help a person actualize his or her inner power of self-healing are called the environment. A nurse is considered an external factor that can offer assistance and care to a person through the Ten Caritas Processes including love, empathy, trust and teaching/learning experiences. Thus, a unity of the nurse and that person and self-transcendence of both will happen in such enchanted moments. It is notable that Watson only describes a caring environment and how it is provided by a nurse, and does not elaborate on the surroundings of a person in general in her theory.

What is the spiritual dimension of a person?

According to Watson, a person has three dimensions of mind, body and soul, and is in fact an embodied soul on its way to becoming (17). Therefore, the spiritual dimension of a person has a higher value in the Human Caring Theory. A person is a being whose wholeness is valuable and deserves respect, assistance and care (4). From this perspective, soul is the higher sense of self and is similar to the psychological concept of self-actualization. Here, Watson’s existentialistic/humanistic ontological point of view shifts to a mystical one as she points out that a person can expand his or her inner healing power and reach an intuited mystic and even miracle-like experience through caring moments (4, 18).

Who wrote the steps of concept analysis?

Walker and Avant’s (2005) steps of concept analysis

What is a metaparadigm in nursing?

Introduction. A metaparadigm is a system of theories and concepts by means of which discipline can properly and effectively function. A nursing metaparadigm allows nurses to deliver high-quality services, paying attention to all necessary aspects of the patient’s conditions. Although there are various nursing theories, ...

What are the four concepts of the nursing metaparadigm?

Concepts of the Nursing Metaparadigms. There are four concepts that determine nursing practice: environment, health, person, and nursing. The nursing metaparadigms are made up of these concepts. Environment, health, and person phenomena are focused on a patient (Dupree, 2017). On the other hand, the nursing concept relates to a nurse.

What is nursing theory?

Nursing theory is a system that consists of different ideas that describe a provisional and systematic perception of a phenomenon. This theory is based on the experiences of various clinicians related to health care. There are several nursing theories that were developed at different times. One of the most compatible with my personal nursing philosophy theories is called Need Theory. It was designed by Virginia Henderson (“Virginia A. Henderson,” n.d.). She underlined the importance of a patient’s independence as it improved healing processes. She defined nursing, demonstrating differences between nursing and medicine. According to her theory, the main function of a nurse is to help a patient regardless of the severity of their conditions in activities that are necessary for their health and of which they approve. Therefore, the patient should gain their independence as soon as possible. It requires such characteristics as compassion and confidence.

What is the health concept?

The health concept is also related to a patient and involves a subjective perception of their perspectives. Some conditions might be perceived to be healthy by one person and unhealthy by another. The same principle is applied when evaluating the quality of life. Therefore, the health concept depends on such factors as physical, intellectual, and emotional. Finally, the environment meta paradigm encompasses not only external but also internal conditions. Hence, this concept is made up of various factors that include the immune system, socio-economic status, experience, genetics, ecology, and some others.

Why is nursing important?

Nurses are important members of the healthcare system as they deliver medical care to patients concerning ethical aspects. Therefore, professional nurses have to know ethical principles that might affect their performance. The quality of medical services directly depends on such principles. The philosophy of nursing sets the performance standards that are considered to be acceptable in healthcare settings. The philosophy guides nurses when it comes to interaction with patients and medical specialists. It determines ethical behavior and attitude, which influence decision-making processes. Personal beliefs and values that form the philosophy of nursing develop over time and are influenced by family, community, and cultural specificities. As the development of such a philosophy is a slow and gradual process, it changes throughout a person’s life. Individual beliefs have a significant impact on professional values. People analyze every situation through their own experience, thus it also influences the philosophy of nursing.

What is the main function of a nurse?

According to her theory, the main function of a nurse is to help a patient regardless of the severity of their conditions in activities that are necessary for their health and of which they approve. Therefore, the patient should gain their independence as soon as possible.

What is the philosophy of nursing?

The philosophy of nursing sets the performance standards that are considered to be acceptable in healthcare settings. The philosophy guides nurses when it comes to interaction with patients and medical specialists. It determines ethical behavior and attitude, which influence decision-making processes.

What is the environment in nursing?

The environment is an energy field in mutual process with the human energy field and is conceptualized as the arena in which the nursing client encounters aesthetic beauty, caring relationships, threats to wellness and the lived experiences of health.

Why is clinical judgment important in nursing?

Nurses use critical thinking and clinical judgment to provide evidence-based care to individuals, families, aggregates, and communities to achieve an optimal level of client wellness in diverse nursing settings/contexts. Clinical judgment skills are therefore essential for professional nursing practice.

What is human caring in nursing?

Human caring as the moral ideal of nursing is the central focus of professional practice. It involves concern and empathy, and a commitment to the client’s lived experience of human health and the relationships among wellness, illness, and disease.

What is the purpose of a nursing graduate program?

The purpose of the graduate program in nursing is to prepare nurses for advanced practice. To that end, the program provides opportunities for the student to develop further competency in the areas of critical thinking, clinical decision-making, scientific inquiry and leadership as they pertain to the health of individuals and families.

What is critical thinking in nursing?

The nursing process, a form of critical thinking is a methodology for nursing practice, deliberate, systematic, and goal-oriented. Deliberative behaviors for the process are observation, intuition, reflection, caring, empowering, communication, assessment, and choice of alternative actions. Nursing practice incorporates intellectual, interpersonal, communication and psychomotor skills in the care of individuals, families, aggregates and communities, regardless of setting, and emphasizes a collaborative relationship with all health care providers.

What is nursing practice?

Nursing practice incorporates intellectual, interpersonal, communication and psychomotor skills in the care of individuals, families, aggregates and communities, regardless of setting, and emphasizes a collaborative relationship with all health care providers.

What is the goal of nursing?

The goal of nursing is humanistic enhancement of health potential in human beings as well as caring for the well, ill and the dying. Excellence in nursing requires commitment, caring and critical thinking in terms of mastery, status and control over practice.

What is the metaparadigm of nursing?

Some of the participants stated that a fundamental building block of the nursing profession is conscience, whereas others stated that nursing is a way to touch people's lives and is now regarded as a professional practice. It has been reported that students have difficulties identifying metaparadigms in nursing and that they believe that human beings have the potential to widen their horizons with wisdom and social skills. According to the participants, the health metaparadigm refers to the harmony between human beings and their environment and to the autonomy of the individual. Moreover, the participants emphasized the well-being of individuals.

Why is conceptual framework important in nursing?

In recent years, the conceptual framework of nursing has been used to design nursing curricula. Conceptual frameworks are also regarded as models to construct nursing values and concepts (Alligood, 2014). It is utterly important for the professional development of nursing students that they integrate their clinical experiences into theoretical knowledge. An insight into nursing metaparadigms will certainly enable nursing students to cope with the challenges that face them in developing their professional identity (Lee & Fawcett, 2013).

Where is Akdeniz University?

The purpose of this study was to explore the perception of nursing students regarding metaparadigms in nursing at Akdeniz University in Antalya, Turkey.

What is the ethical approval of Akdeniz University?

Ethical approval was obtained from the ethical committee of the Akdeniz University Clinical Studies Board of Ethics, confirm ing that this study follows international standards and the principles adopted in the World Medical Association Declara tion of Helsinki (approval No. 15, August, 2017). The Declaration of Helsinki was signed by all researchers. Before commencing the study, the researchers obtained permission from the dean of the Faculty of Nursing. The contact information for the students who met the inclusion criteria was obtained. Oral and written consent was obtained after the students who were targeted for participation were informed about the study. Before each interview session, the participants were informed that interviews would be recorded by camera and voice recorder. Furthermore, they were notified that their voice recordings would not be used for any purpose other than the study. Then, the permission of the participants was obtained. The participants were informed that they were free to leave the room and quit the interview anytime they wished and that their decision to participate or not carried no risk to them.

What is a metaparadigm?

Metaparadigms, or dominant paradigms, map out general parameters of a scientific discipline and focus on scientific efforts. Metaparadigms may include several concrete and specific paradigms for researchers (Meleis, 2011). Clarifying metaparadigms and their fundamental thesis statements facilitates a deeper understanding of the attitudes of professionals and provides a better appreciation of the scope of scientific studies (Kim, 2000).

What are the characteristics of humans in a nursing study?

The participants in this study characterized humans with well-being, transcendence, adaptation and interaction skills with their environment, and harmony beyond physiological mechanisms , which was considered to be promising for the perception of future nurses. It is recommended for nursing educators to enable their students to raise their professional awareness and to internalize professional values.

What are the subthemes of the metaparadigm?

The thoughts of participants about the person metaparadigm were investigated under five sub-themes, including: person as a wise being, person as a potentially self-transcendent being, person in interaction with his/her environment, person as a socially adaptable being, and person with management skills.

Metaparadigm of Nursing

The metaparadigm of nursing includes; the person, health, environment, and the nurse. The person focuses on the patient receiving the care and encompasses everything the patient considers important such as: their faith, family, friend, and/or their status in the community. The environment can mean different things to everyone.

Theory of Human Caring

The Theory of Human Caring centers around “holistic care and the authentic relationship between caregiver and patient” (Lukose, 2011). Watson’s theory consists of ten carative factors, the transpersonal relationship, caring moment/caring occasion along with caring-healing modalities.

The Theory of Modeling and Role Modeling

The Modeling and Role Modeling (MRM) theory was developed by Erikson, Tomlin and Swain and published in 1983. MRM is best described as a grand theory comprised of several mid-range theories.

Conclusion

My personal philosophy of nursing focuses on caring for the patient in a holistic and respectful manner. Jean Watson asserts that caring restores life and potentiates our abilities. The benefits are enormous while encouraging self-actualization on both a personal and professional level.

What are the four metaparadigms of nursing?

The core concepts of metaparadigms of nursing are the person (patient), health, nursing, and environment (Zerwekh & Zerwekh Garneau, 2014). There are various nursing theories and philosophies, but the four metaparadigms are present in each of them. Every theorist outlines particular concepts and propositions in his/her own way. However, any nursing model incorporates the four major metaparadigms.

What is the concept of person in nursing?

In Nightingale’s environmental theory, the concept of person is defined as the “recipient of nursing care” (Zerwekh & Zerwekh Garneau, 2014, p. 51). Nightingale considered the person “the center of the model” and suggested an integrated approach to the person as someone combining “psychological, intellectual, and spiritual components” (Masters, 2017, p. 163). Virginia Henderson also views the person as the receiver of nursing care but extends the definition of the person by sociological and biological features (Zerwekh & Zerwekh Garneau, 2014). Jean Watson’s theory defines the person as a “unity of mind – body – spirit/nature” (as cited in Zerwekh & Zerwekh Garneau, 2014, p. 54). Patricia Benner views the concept of person as an “embodies person” who is “self-interpreting” (as cited in Zerwekh & Zerwekh Garneau, 2014, p. 57). According to Benner, every person obtains a definite mission during his/her life and not at birth. Martha Rogers understands the person as an “energy field” (as cited in Zerwekh & Zerwekh Garneau, 2014, p. 58).

What is the fourth concept of nursing metaparadigm?

The fourth concept of nursing metaparadigm is that of the environment in which the person lives and receives nursing care. Nightingale differentiates between internal and external environments. To the internal environment, she relates such factors as medications and food consumed.

What is the concept of health?

The concept of health is understood in Nightingale’s theory as being well and employing all means of attaining wellness (Zerwekh & Zerwekh Garneau, 2014). Henderson’s theory puts emphasis on the patient’s capability of operating autonomously and being self-reliant (Zerwekh & Zerwekh Garneau, 2014). Watson regards health as “harmony, wholeness, and comfort” (Zerwekh & Zerwekh Garneau, 2014, p. 54). Watson assigns a crucial role to the nurse in achieving this comfort and harmony. According to the theorist, nurses need to involve the patients in a teaching-learning process at the end of which the patients should realize how to attain the best health outcomes. Benner also views health as wholeness (Zerwekh & Zerwekh Garneau, 2014). Rogers considers the concept of health as inseparable from illness in a “continuum” (Zerwekh & Zerwekh Garneau, 2014, p. 58).

Why is nursing important in healthcare?

According to Neuman, nursing occupies a crucial role in the healthcare system as it promotes people’s wellbeing, helps to stabilize their condition, and decreases the impact of stressors on the patients (“Betty Neuman’s systems model,” 2012).

What are the three types of prevention in Betty Neuman's system model?

Neuman considers intervention the best preventative method. She distinguishes three kinds of prevention: primary, secondary, and tertiary (“Betty Neuman’s systems model,” 2012). At the first prevention stage, the nurse helps the person to fight the stressors effectively. At the second phase, the patient is taught to confront the stressors and eliminate them. Tertiary prevention is aimed at providing support to the person by encouraging him/her to be energetic and focus on positive things (“Betty Neuman’s systems model,” 2012). Neuman pays special attention to the environment and divides in into internal, external, and created. The latter is established unconsciously and represents the integrity of the system (“Betty Neuman’s systems model,” 2012). According to Neuman, nursing occupies a crucial role in the healthcare system as it promotes people’s wellbeing, helps to stabilize their condition, and decreases the impact of stressors on the patients (“Betty Neuman’s systems model,” 2012). I align with Neuman’s concepts as I find them significant for any nursing practitioner who strives to do his/her job at the highest level.

What are Watson and Neuman's nursing models?

Watson’s and Neuman’s nursing health models emphasize the role of external stress determinants in restricting the healing process. Both authors believe that the nurse is capable of helping the patients to overcome these adverse circumstances.

Introduction: What Is The Nursing Metaparadigm?

Factors Influencing A Personal Nursing Philosophy

Metaparadigm Concepts of Nursing

• There are four concepts that determine nursing practice: environment, health, person, and nursing. The nursing metaparadigms are made up of these concepts. Environment, health, and person phenomena are focused on a patient, while the nursing concept relates to a nurse’s work (Dupree, 2017). As I believe, the nursing metaparadigm mostly revolves aro...

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Nursing Theories

Compatibility

Conclusion

References