The concept of health is a dynamic process that works toward eliminating disease and maintaining wellness. Ultimately, learning is the application of information into the lived experience, translating cognitive acquisition to praxis, with the goal of benefiting the larger society. It is based on understanding the client as a whole, with various social and environmental factors affecting their health. For a theory to be considered a nursing theory, the four metaparadigm concepts must be addressed. For example, individual or collective paranoia can impact how a government response to a health problem such as a disease outbreak is perceived. Through advanced study in a specialized role, emphasis is placed upon the synthesis of theory and praxis, which is utilized, in professional nursing.
This allowed the researchers to quantify behaviors, and isolate factors affecting specific behaviors and their impact on outcomes. In this paper, I will discuss these five accepted metaparadigms of nursing and illustrate each using examples from my own nursing practice. Environment also includes societal beliefs, values, mores, customs, and expectations. These are all terms that every nursing student needs to understand and apply for nursing theory class. Examples illustrate the direction provided by the metaparadigm for theory development. The key concepts of a given theory are its constructs.
Dependent, independent and mediating variables were conceptually defined, and empirical indicators were developed and operationally defined. In any given setting, effective utilization of technology by nurses benefits from nursing informatics interventions. Some researchers have suggested that other concepts should be added to the nursing metaparadigm. By calling for the utilization of a patient-centered model, they alter our conception of technology as a tool to monitor and achieve compliance, to the view where technology is an empowering agent to be used in concordance with the patient. One is represented by an inner sphere with a unidirectional, circular flow of the elements phases : plan, analyze, design, implement and maintain.
The structure for the knowledge of nursing was developed from the four concepts of this metaparadigm. Environment- All external and internal aspects of the life that influences a person. A patient-focused framework integrating self-management and informatics. Nightingale, Peplau, Quinn, and Halldorsdottir all wrote about the idea that the nurse creates, through her presence, intention, and actions, the environment that places the patient under his or her care in the best conditions for healing. Several recent reviews of the status of nursing theory development indicate that nursing has n o established tradition of scholarship. Journal of Nursing Scholarship 46 2 , 91-97.
The metaparadigm has four central concepts to the discipline of nursing and they are interrelated although they have different meanings. Com represents the ultimate source for nursing students struggling to do research for their term papers! The first paradigm may refer to a person, families or a social group who are involved in the nursing. The Four Nursing Metaparadigm Concepts Metaparadigms. Nursing is providing medicine to one that is in need, or to just provide a simple act of kindness, support, or even a hug when needed. Luckily, commonality of instruction ensures the next generation of nurses acquires the tools required for greatness.
It is important to recognize that nurses are also human beings, with basic needs that need to be met before therapeutic levels of care can be provided for an extended period of time. Nursing is providing care to all individuals: families, communities, everyone. The diaries, letters, and books that she left behind containing her statements and beliefs have been fundamental to the development of the concepts comprising the nursing metaparadigm Selanders, 2010. Leininger Developing a personal philosophy of nursing and patient care is essential to the development of every nurse. Technology was differentiated into three sub-concepts; technology as a process, a service, and a device or product. Theoretical Basis for Nursing Philadelphia.
Because each theorist has a different perception of the role of nursing and the definitions of person, health, and environment, their definitions of the metaparadigm concepts are also different. From their theories, observations and ideas we have derived many of our philosophical explanations and definitions. I am passionate about health policy, politics, and health equity. Initially, as a student I believed health was merely an absence of disease and that one could only enjoy good health if there was a complete absence of medical, diagnosable problems. A person can be categorized as the client, patient, wounded, or the vulnerable person laying in a hospital bed in need of help. Caring is contextual, specific and individual and involves organized, specific practice that is related to caring for and about others.
Within this framework, power is defined as the capacity to participate knowingly in the nature of change and is characterized by awareness, advocacy, choice, freedom to act intentionally, healing and involvement in creating changes. By definition, the relevant knowledge and information for any situation are context dependent and what is considered objective in one situation or context may be considered a personal or cultural belief in another context. As an example, I recently cared for a Mennonite lady who was admitted with febrile neutropenia. An integral view of nursing contextualizes the multiple pathways through which nurses receive their education or training. Julia , Nursing Theories- The base for professional Nursing Practice, 3rd ed. The different metaparadigm in nursing: Nursing Paradigms are patterns or models used to show a clear relationship among the existing theoretical works in 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.
We, as nurses, would like for our patients to be healthy or at least back to their baseline. We are in the vanguard of health care progress, shaping health policy around the world through our expertise, the strength of our numbers, the alignment of our efforts, and our… 1146 Words 5 Pages Nursing Meta-Paradigms Nursing Meta-paradigm Tenets of the Meta-paradigms as defined by different theorists Nightingale describes nursing from an ecological perspective, saying that a nurse will put a patient in a way that nature acts best upon them. Computers, Informatics Nursing 21 6 , 316-323. The concept of Client and Person The nursing approach taught in most nursing schools today, the client centered approach to nursing, focuses on the needs, desires and wants of the client and their families. It adds a new dimension with the inclusion of self-management interventional goals as a measureable outcome of interest. In this paper each concept will be further considered on how these influence the discipline of nursing and nursing practice. Exposure to new beliefs, cultural differences, and researching the views of a variety of nursing theorists assist nurses in developing an expanding their own philosophy with the culture of care.
It suggests not so much what is true about the world but how people can work together to discover what is most true, just, and useful in a particular context ie, it includes an epistemology as well as an ontology. Later, I viewed the fragmentation as different perspectives that must be transcended and included to create a coherent foundation for the future of the nursing profession. Notice the different language used by these selected nursing theorists to describe the metaparadigm concepts. These four basic concepts are as follows; the Person, Environment, Health and Nursing. These four basic concepts are as follows; the Person, Environment, Health and Nursing.