Nursing Metaparadigms and Practice-Specific Concepts
Since Florence Nightingale, there have been a number of so-called grand theories of nursing advanced, and these grand theories have been used by other nursing theorists to conceptualize metaparadigms of practice that continue to influence clinical practice today. In addition, the central concepts of nursing are person, nursing, environment and health have formed the basis for other nursing theorists such as Jean Watson's Philosophy and Science of Caring and Madeleine Leininger and her Cultural Diversity and Universality Theory. This paper provides a review of the relevant literature concerning these issues, followed by a summary of the research and important findings concerning nursing metaparadigms and practice-specific concepts in the conclusion.

eview and Discussion

Nursing Autobiography

My background in nursing is in long-term and home care. In these capacities, I have had a number of opportunities to apply the four metaparadigms of nursing as discussed further below.

The Four Metaparadigms

While authors differ…...

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References

Masters, K. (2011). Framework for professional nursing practice. In Butts, B.J. & Rich, K.L.

(eds). (2011). Philosophies and theories for advanced nursing practice. Sudbury, MA:

Jones and Bartlett Learning.

Ondrejka, D. & Barnard, D. (2011, July 1). Implementing a professional nursing practice philosophy and model: Using affective methods to address resistance. Creative Nursing,

Wit: Susie’s Nursing Metaparadigm One of the pivotal characters in the movie Wit (2001) is that of Susie Monahan. Susie a nurse who has little knowledge of the poetry of John Donne so dear to the protagonist Vivian Bearing. Yet Susie shows expert mastery of the role of a healthcare provider in relation to her patients. Regarding the nursing paradigm of patient, environment, health, and nursing, Susie again and again demonstrates that she regards the patient as central in the ethical responsibilities of the nurse (Nikfarid, et al., 2018). Other characters, particularly the physicians and researchers handling Vivian’s case, place their own research needs above the needs of the patient. Vivian, although highly educated, admits she knows little of cancer research and does not fully understand she is being used as a test subject for research from which she is unlikely to benefit. For Susie, the patient is always first and…...

Philosophy of NursingIntroductionThe 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 MetaparadigmThe 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…...

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ReferencesHelming, M. A. B., Shields, D. A., Avino, K. M., & Rosa, W. E. (2020). Dossey & Keegan\\\\\\\\\\\\\\\'s holistic nursing: A handbook for practice. Jones & Bartlett Learning.Kishore, S., & Gawande, K. (2021). Holistic health care for quality of life: Role of Heartfulness meditation 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 fatty liver 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 indoor environment: 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: working together to achieve optimal health outcomes. International Journal of Nursing Sciences, 9(1), 11-25.

Personal Nursing Philosophy
My Nursing Autobiography

I have dreamt of being a nurse all my life. My mother and older cousins tell me stories of how I loved to line up my dolls and animals, place bandages over them to nurse their 'injuries' and stick branches in their armpits to have a feel of their temperature. Well, I believe these stories because to this day, these are the very things that keep my life going; I derive so much satisfaction from just being able to help people when they are in no position to help themselves. I took an elective nursing course in high school, where I was supposed to report at the local facility at least once every week to assist in the administration of basic care to patients. This marked the beginning of my career in nursing, and since then, I have logged almost 15 years of experience in…...

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References

Reed, P. (2012). A Treatise on Nursing Knowledge Development for the 21st Century: Beyond Postmodernism. In P. Reed & N. Shearer (Eds.), Perspectives of Nursing Theory (6th ed.) (pp. 37-46). Burlington, MA: Jones & Bartlett.

Reed, P. & Lawrence, L. (2008). A Paradigm for the Production of Practice-Based Knowledge. Journal of Nursing Management, 16(4), 422-432

Volker, D.L. & Limerick, M. (2007). What Constitutes a Dignified Death? The Voice of Oncology Advanced Practice Nurses. Clin Nurse Spec., 21(5), 241-247

autobiography of the author of this report. The remainder of the report will mostly focus on the four meta-paradigms of nursing. Of course, those meta-paradigms are patient, nurse, health and environment. The author will also offer two practice-specific concepts from the scholarly literature that can be applied to the career and environment of the author of this report. Next up will be a list of propositions that will number five in total. As suggested and required by the assignment, the paper will integrate these discrete elements and in a way that connects to the concepts described. While analysis of the nursing professional can get a little silly and/or delve too much into a bit of navel-gazing, the profession is indeed noble and deep and is thus worthy of the proper full analysis.
Biography

The author of this report started as an electrocardiogram (EKG) technician and nursing assistant while the author was…...

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References

Lee, R.C., & Fawcett, J. (2013). The Influence of the Metaparadigm of Nursing on Professional Identity Development Among RN-BSN Students. Nursing Science

Quarterly, 26(1), 96-98. doi:10.1177/0894318412466734

Schim, S.M., Benkert, R., Bell, S.E., Walker, D.S., & Danford, C.A. (2007). Social

Justice: Added Metaparadigm Concept for Urban Health Nursing. Public Health

Nursing is one of those professions that provides the opportunity not only to further oneself on a professional level, but also on a personal level. It provides the individual with the opportunity to connect with others by providing a platform of health care, while also providing a helping hand that promotes not only short-term healing, but also long-term well-being. This makes nursing one of the most caring professions, as it provides the nurse with the opportunity to use his or her skills, and also to lend a hand above the duties of simple physical health care. In this way, nursing extends to caring for the whole person rather than the physical being alone. This is one of the major factors that has attracted me to the profession throughout my life.
According to Limon (2001), there are four central concepts that are central to the metaparadigm of nursing, including the person or…...

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References

Kocisko, D. (2010, Jan 23). Counselor, patient advocate, researcher, teacher -- and nurse: A Nurse's Journal. Retrieved from:  http://www.cleveland.com/healthfit/index.ssf/2010/01/counselor_patient_advocate_res.html 

Limon, C. (2007). The Components of the Metaparadigm for Nursing. Nutrition and Health Hub. Retrieved from:  http://smalldogs2.com/NutritionHealthHub/The_Components_of_the_Metaparadigm_for_Nursing.html

Nursing Philosophy
Concept Synthesis on Personal Nursing Philosophy

Nursing Autobiography

My interest in nursing peaked at an early age when I attended Clara Barton High School for health professions in Brooklyn NY and graduated in 1991. I first worked as a nurse's aide and home health aide for about two years and found this position to be quite rewarding. I subsequently moved to North Carolina where I took the CNA course in 1995 and began working as a CNA at various nursing homes and hospitals in the regional area. My experience as a CNA certainly helped me in my journey and provided the foundation for the later developments in my career.

Later I moved to Las Vegas in 1997 where I got married in 1998. After forming this union I went back to school for my BSN in 2002 while working as a CNA. I finished my BSN from Nevada State College in 2006…...

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Works Cited

Andrews, H., & Roy, C. (1991). The Adaptive Model. Norwalk: Appleton and Lange.

Denler, H., Wolters, C., & Benzon, M. (2013). Social Cognitive Theory. Retrieved from Education:  http://www.education.com/reference/article/social-cognitive-theory/ 

Farlex. (2011). The Medical Dictionary. Retrieved from Farlex:  http://medical-dictionary.thefreedictionary.com/adaptation+model 

Nursing Theory. (2011). Sister Callista Roy. Retrieved from Nursing Theory:  http://nursing-theory.org/nursing-theorists/Sister-Callista-Roy.php

A person's health is an ever-changing state of being resulting from the interaction with the environment. Optimum health is the actualization of both innate and obtained human potential gained through rewarding relationships with others, obtaining goals and maintaining expert personal care. Adaptations can be made as required to maintain stability and structural integrity. A person's state of health can vary from wellness to illness, disease, or dysfunction. Professional nursing is founded on the need to promote wellness practices, the attentive treatment of persons who are acutely or chronically ill or dying, and restorative care of patients during convalescence and rehabilitation. It also includes the education and measurement of those who perform or are learning to perform nursing responsibilities, the support and communication of research to enhance knowledge and practice, and the management of nursing in healthcare delivery systems. Nursing practice centers on the application of a body of knowledge in…...

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Johnston, N., Rogers, M., Cross, N. And Sochan, a.(2007) Global and planetary health:

teaching as if the future matters. Nursing Education Perspectives 26(3), 152

Nyatanga, L. (2005) Nursing and the philosophy of science. Nurse Education Today 25(8), 670-675

The nurse is often expected to act and react only with empirical information, however personal knowledge is considered equally as important by many nurse educators and researchers (Chinn & Kramer 2004). This also helps to explain why "health" and "environment" are considered distinct major components in the metastudy of nursing; both can be understood on highly subjective terms, with the concept of "good health" changing from patient to patient, or "person" to "person." Environment, too, has a major effect on the practice of nursing and the growth of the nursing body of knowledge.
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My personal philosophy of nursing centers on the belief that each individual person under my care deserves full attention and the unique application of my knowledge in addressing their immediate and long-term needs and concerns. That is, each person should benefit as much as possible from the full extent of my nursing knowledge, while still being treated…...

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References

Chinn, P. & Kramer, M. (2004). Integrated knowledge development in nursing. St. Louis: Mosby.

Fawcett, J. (2006). "Commentary: Finding patterns of knowing in the work of Florence Nightingale." Nursing outlook 54(5), pp. 275-7.

Nursing Concept
Theoretical Background

One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a three-part template for nursing: respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine. In many ways, too, modern technology has advanced further than societal wisdom, especially when confronting the issue of death. The modern nurse's role is to create a nurse-patient culture that encourages the individual to take responsibility for their healthcare and, in partnership with the nurse, to be involved in their recovery. The modern complexities of healthcare, then,…...

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REFERENCES

Basford, L. And O. Slevin. (2003). Theory and Practice of Nursing: An Integrated Approach to Caring Practice. New York: Nelson Thomas.

Beckstead, J. And Beckstead, L. (2004). A multidimensional analysis of the epistemic origins of nursing theories, models and frameworks. International Journal of Nursing Studies. 43

(1): 113-22.

Cohen, J. (1991). Two portraits of caring: a comparison of the artists - Leininger

Developing a Personal Philosophy of NursingIntroductionThis paper focuses on the fundamental concepts within the field of nursing, particularly through the lens of the nursing metaparadigm which includes nursing, person, environment, and health. It begins by examining and elaborating on these key concepts, drawing upon definitions from renowned nursing theorists and literature. It then goes into how these concepts are mirrored in the philosophy, mission, and vision of a specific healthcare organization, Hackensack Meridian Health, highlighting the alignment between organizational values and nursing principles. The paper then transitions into a more personal interpretation of these concepts, with my own individualized definitions for nursing, person, environment, and health. Building upon this foundation, the paper culminates with my articulation of a personal philosophy of nursing. This philosophy integrates the previously defined concepts and is guided by values such as patient-centered care, ethical practice, and a commitment to continuous learning. It is informed and…...

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ReferencesAlligood, M. R. (2018). Nursing Theorists and Their Work (9th ed.). Elsevier Health Sciences.Rogers, M. E. (1992). Nursing: Science of Unitary, Irreducible, Human Beings: Updated Edition. Springer Publishing Company.Marchuk, A. (2014). A personal nursing philosophy in practice. Journal of neonatal nursing, 20(6), 266-273.Nightingale, F. (1860). Notes on Nursing: What It Is, and What It Is Not. Harrison.World Health Organization. (1948). Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946.

Theorist Critique: Betty Neuman Nursing Theory1. Discussion on Betty Neuman nursing theoryAs the research that follows shows, Betty Neuman believed the nursing process should address the whole person and all facets impacting health. In sum, Neumans theory promotes patient-centered care, looking beyond singular issues to identify potential underlying causes that adversely affect wellbeing across the interconnected aspects of life. The Neuman Systems Model developed by this theorist continues to guide nursing practice and research globally by offering an expansive perspective for assessment, intervention planning, implementation, and evaluation, an outcome that directly relates to the purpose and importance of nursing theories in general as discussed further below.2. Explore the purpose and importance of nursing theory, to discuss a nursing theory of their choice, and to discuss the application of the theory to practice.Generally speaking, nursing theory provides an essential framework to guide nursing practice, education, and research. The primary purpose of…...

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ReferencesIduye, S. (2022, December). Application of Fawcett’s Criteria in Theory Evaluation. Nursing Science Quarterly, 36(1), 58-63.Keles, M. N., & Ero?lu, K. (2024). The use of theory or model in studies on postpartum care: A narrative review. International Journal of Nursing Knowledge, 35(1), 21–31.Kongsuwan, W. (2020, July 13). Development of the Emergent Theory of Aesthetic Nursing Practice (AesNURP). Health, 12(7), 37-41.Montano, A.-R. (2021). Neuman Systems Model with Nurse-Led Interprofessional Collaborative Practice. Nursing Science Quarterly, 34(1), 45–53.Ortiz, M. R. (2021). Best Practices in Patient-Centered Care: Nursing Theory Reflections. Nursing Science Quarterly, 34(3), 322–327.Reed, P. G. (2022). Midrange Theory Evaluation to Advance Nursing Knowledge. Nursing Science Quarterly, 35(3), 315–320.Smith M. C., Parker M. E. (2015). Nursing theories and nursing practices (4th ed.). Philadelphia, PA: FA Davis.Verberk, F., & Fawcett, J. (2017). Thoughts About Created Environment: A Neuman Systems Model Concept. Nursing Science Quarterly, 30(2), 179–181.

Practice-Specific Concepts
The nursing practice is a profession that is based on conceptual and theoretical models that help in guiding patient safety and quality initiatives. The use of conceptual and theoretical models is an important part in nursing practice that is applied across the various disciplines in this profession. As a clinical nurse specialist, nursing conceptual and theoretical models play a crucial role in achieving the specific goal of identifying, recognizing, treating, and monitoring illnesses or diseases. The process of using nursing conceptual and theoretical models involves developing practice-specific concepts relating to the specific professional practice and creating a personal philosophy and practice guideline. The practice-specific concepts should incorporate the four basic metaparadigms of nursing theory and be supported by research and concepts.

Overview of My Professional Practice and Four Metaparadigms

A clinical nurse specialist is a nurse professional or practitioner who provides a crucial link with regards to detecting, identifying, treating,…...

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References

"Cultural Diversity in Nursing Practice." (n.d.). American Nurses Association. Retrieved April

18, 2015, from  

One of the major theoretical models for healthcare delivery is the Parse theory of human becoming, created by Rosemarie Rizzo Parse—originally titled the man-living-health theory (2011). This theory focuses on healthcare and the human through the lens of quality of life. This theoretical premise for delivering and receiving healthcare was able to gain steam as a result of its alternative to the more standard bio-medical method and the biological-psychological-social and spiritual method contained in the bulk of other theories of nursing. This theory has enjoyed much attention and use when delivering healthcare as a result of the fact that it views quality of life as all relative to a person’s viewpoint. Assumptions
Main assumptions of Human Becoming Theory
Meaning
Human becoming allows one to select specific meaning in situations within the realm of human experience. Reality is the culmination of lived experiences. A sometimes nebulous process of co-creation occurs via lived experiences and the…...

Nursing History, Theories and Conceptual Model The three trends in nursing practice that become evident to me from viewing the Nuring Timeline of Historical Events are: first, the rise of formal education and training for nurses—especially in the latter half of the 20th century when more and more doctors were leaving primary care for special practice and APRNs were being trained to fill the gap in primary care (O’Brien, 2003). Second, there is the rise of advocacy in terms of improving the quality of care provided to patients. This resulted in a push for the application of more evidence-based practice (EBP). In my own perspective on Nursing Practice, I view this focus on EBP as one of the most important developments in the history of nursing, as it ensures that patients are receiving care that is based on scientific and empirical proof rather than just on whatever one feels might work…...