As such, "nursing is caring for people and their environment in ordered to maintain well-being in individual, family, and/or community using therapeutic techniques" (Long, 2012). Caring is at the very center of the nursing paradigm, and helps set a foundation for the other elements. Next comes the concept of health. This "concerns nurses as medical professionals (rather than mere adjuncts to doctors)" (Johnson, 2013). Nurses care because they want to promote health and ease suffering. Yet, "health is not an absolute concept, but exists in the context of the health problems of the individual" (Johnson, 2013). Once again, it must be fluid and flexible enough to be able to adapt to a wide plethora of different types of situations. Both of these first two elements must maintain a certain level of flexibility in order to cater to the third element, the unique individual person that is in need of medical care. Overall, "every person is unique and autonomous" (Long, 2012). Therefore, the strategy of care must be unique to their own individual needs. One individual might need one strategy, while another would react negatively to that same pattern. In such, it is clear that the person is the center of the nature of care and how it is delivered within nursing, where "nursing focuses on the human experiences and responses to birth, health, illness, and death in the context of individuals, families, groups, and communities" (Long, 2012). Yet the environment is the last factor that must be placed in a position of significance as well. The notion of the environment "serves to explain the full context of health care and nursing specifically" (Johnson,...
It revolves around the uniqueness of the "home life, mental state, addictions, physical pain, chances of relapse, rewarding work and a host of other variables come to define the context of recovery" (Johnson 2013). The environment is the last influential factor in the nursing paradigm and helps serve as a way to facilitate the most appropriate strategies for care. It can be used to the advantage of the modern nurse who must find a way to work well within it.
There are clear philosophical connections between the core ideas of hermeneutics and those of historicism, because each posits a potentially radical degree of relativism. Rodgers & Knafl (2005) explore this, arguing not for a return to any radical empiricism but rather to acknowledge that while knowledge and certainly medical praxis is socially constructed (and constructed along lines of socially sanctioned power hierarchies), there are fundamental empirical elements to nursing that
Nursing Philosophy The author of this report is asked to offer three main points of discussion within this report. These three sections all related to nursing theory and they will be compared and contrasted to the personal philosophy of the author of this paper. The three points of discussion are the four meta-paradigms of nursing theory, two practice-specific concepts and a list of propositions that the author of this paper would
2) The four identified metaparadigms of nursing -- nurse, person, environment, and health -- reflect the current understanding of nursing practice as an integrated part of medical treatment and health enhancement. Though each concept is highly related to the others, each represents a different way of approaching and understanding issues in nursing. The nurse is understood as a medical practitioner, using verified empirical data in providing treatment options to the patient.
Nursing Philosophy We all have a philosophy -- whether related to our professional engagements or otherwise. Indeed, it is on the basis of our individual philosophies that we form the conduct of life. A nursing philosophy in the words of Reed (as cited in Masters 2014, p. 100) is essentially "a statement of foundational and universal assumptions, beliefs, and principles about the nature of truth and knowledge (epistemology) and about
Stressors in the environment encompass the health condition necessitating the dialysis but also the stressors of the procedure itself, which can be profoundly disruptive to the patient's sense of dignity and control (Hagopian, 2009, Slide 51). Responding to and adapting to the environment might encompass improving the comfort level of the patient, distracting the patient with positive talk, providing emotional counsel, and noting alternations in the patient's overall state
Caring nurses must also be non-judgmental. They cannot allow their personal beliefs or biases influence the quality of care that they give to their patients. They should not treat a mob boss any differently than they would treat a nun. Everyone should be seen as an individual that has needs that the nurse has to meet. People of different religions, cultural backgrounds or lifestyles all deserve to be given the
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