Philosophy of Nursing
Introduction
The nursing metaparadigm is of major importance in nursing, and its concepts should intersect with the philosophy, mission, vision, and values of a healthcare organization. In this paper, I examine that metaparadigm and compare it to the mission, vision and values of Hackensack Meridian Health where I work. First, the concepts of the nursing metaparadigm are examined. Then, they are compared and contrasted with the guiding principles of Hackensack Meridian Health, highlighting the synergies and differences between academic nursing theory and practical healthcare delivery. Following this, a personal interpretation and elaboration of these metaparadigm concepts is given, culminating with my own personal nursing philosophy. This philosophy focuses on applying my personal definitions and aligning them with the values of compassionate care and evidence-based practice.
Nursing Metaparadigm
The four common concepts associated with the nursing metaparadigm are nursing, person, environment, and health. Let's explore definitions of these concepts from peer-reviewed nursing literature:
Nursing
Nursing is often defined as a science and an art that focuses on promoting quality of life as defined by individuals and communities, throughout their life experiences from birth to care at the end of life (Helming et al., 2020). It is viewed as something holistic, a practice that caters to the care of the whole individual. It is the practice of promoting health for the individual in accordance with that persons needs and goals.
Person
The concept of the person in nursing is based on the individual but also includes consideration of families and communities. It emphasizes taking a holistic view of the person, taking into account both their physical and psychosocial needs (Kuven & Giske, 2023). The person is not just an individual presenting with a sickness. The person is much more than that and requires empathy and compassion.
Environment
In nursing, the environment is not only the physical space but also includes the sociocultural and psychological aspects that impact a person's health and wellbeing (Rohde et al., 2020). It is seen as a major factor in the promotion and maintenance of health. To the understand and help the person, one must understand the environment and how to improve it if necessary for the promotion of health.
Health
Health in nursing is often viewed as the sum of physical, mental, and social well-being and not exclusively as the absence of disease or infirmity. It includes a person's ability to maintain and manage their life despite the presence of illness (Kishore & Gawande, 2021).
These concepts are important to nursing as both an art and a science. The art of nursing is reflected in the nurses ability to show empathy and compassion. The science is represented in the nurses ability to apply evidence-based practices and theoretical knowledge throughout the caregiving.
Compare and Contrast
This section compares and contrasts the previous concepts with the philosophy, mission, vision, and values of Hackensack Meridian Health.
Philosophy Comparison
The philosophy of nursing is based in the concept of holistic care, which promotes a comprehensive approach to patient well-being. This philosophy aligns closely with Hackensack Meridian Health's vision of providing human-centered, high-quality care. Both the nursing metaparadigm and Hackensack Meridian Health prioritize the overall well-being of individuals. They both recognize that health has many dimensions: physical, mental, emotional, and social dimensions.
Mission Comparison
Hackensack Meridian Health's mission to transform health care resonates strongly with the nursing metaparadigm's focus on dynamic health. This concept focuses on the need for healthcare to be adaptable and responsive to the evolving needs of individuals and communities. The nursing metaparadigm thus calls for a healthcare system that is continuously adapting to new challenges, technologies, and patient needs. The idea of shared mission reiterates a commitment to progress and innovation in healthcare, in...
…It recognizes that health outcomes are not determined solely by biological factors but are also significantly influenced by the environment in which individuals live and interact. This perspective encourages a broader approach to health promotion and disease prevention, considering environmental and social determinants of health.Cultural Competence and Continuous Learning
My philosophy embraces the diversity of patients and the need for nurses to be culturally competent, ensuring that care is respectful, appropriate, and sensitive to cultural differences. Alongside this, continuous learning is emphasized as a vital aspect of nursing. The healthcare landscape is ever-changing, and staying informed and educated is essential for providing high-quality care.
Overall, my personal philosophy of nursing is one that intertwines compassionate, patient-centered care with a strong foundation in evidence-based practice. It acknowledges the complexity and dynamism of health and the human experience, emphasizing the need for cultural competence and ongoing learning to navigate the evolving landscape of healthcare effectively.
In conclusion, this exploration of the nursing metaparadigm and its application to both theoretical and practical healthcare contexts gives a good view of nursing's concepts and nature. It shows that nursing is a discipline that blends art with science and that promotes the importance of holistic, patient-centered care. The comparison with Hackensack Meridian Health's philosophy, mission, vision, and values further shows how nursing theories are reflected and operationalized within healthcare organizations. My personal interpretations and definitions of the nursing metaparadigm concepts emphasize the dynamic, complex, and adaptive nature of nursing, underscoring the importance of empathy, evidence-based practice, and cultural competence. Overall, my personal nursing philosophy brings together these elements, advocating for a nursing practice that is compassionate, evidence-based, and responsive to the changes in the field. It shows why we need understanding these changing and diverse needs of individuals and communities, why the influence of the environment on health matters, and…
References
Helming, M. A. B., Shields, D. A., Avino, K. M., & Rosa, W. E. (2020). Dossey & Keegan'sholistic nursing: A handbook for practice. Jones & Bartlett Learning.
Kishore, S., & Gawande, K. (2021). Holistic health care for quality of life: Role of Heartfulnessmeditation for stress management. Fit India: Holistic Health Care for Quality Life, 47.
Kuven, B. M., & Giske, T. (2023). Hope that provides strength in illness–patients’ perspectives:Nursing students’ narratives after conversation with patients. Scandinavian Journal of Caring Sciences, 37(4), 909-916.
Juanola, O., Martínez-López, S., Francés, R., & Gómez-Hurtado, I. (2021). Non-alcoholic fattyliver disease: metabolic, genetic, epigenetic and environmental risk factors. International journal of environmental research and public health, 18(10), 5227.
Rohde, L., Larsen, T. S., Jensen, R. L., & Larsen, O. K. (2020). Framing holistic indoorenvironment: Definitions of comfort, health and well-being. Indoor and Built Environment, 29(8), 1118-1136.
Wei, H. (2022). The development of an evidence-informed convergent care theory: workingtogether to achieve optimal health outcomes. International Journal of Nursing Sciences, 9(1), 11-25.
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