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…...

Nursing MetaparadigmThe four metaparadigms of nursingperson, environment, health, and nursemake up the backbone of nursing theory and practice. They explain the various aspects or dimensions of nursing that need to be considered to provide quality care. This essay examines the significance of these metaparadigms and reflects on their influence on nursing practice, and also discusses whether additional elements should be included.PersonThe \\\'person\\\' component of the nursing metaparadigm refers to the individuals, families, groups, or communities that may require nursing care. It focuses on the idea that each patient is a unique individual with his or her own set of needs, experiences, perspectives, values, and background. Smith (2020) emphasizes that understanding the physical, social, emotional, and cultural dimensions of the person is important for providing holistic care. In other words, a person-centered approach to treating illness is one in which the nurse should focus on caring for the person as a…...

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ReferencesAmerican Psychological Association. (2020). Publication Manual of the American Psychological Association. American Psychological Association.Pesut, B., & Johnson, J. (2008). Reinstating the ‘Queen’: understanding philosophical inquiry in nursing. Journal of Advanced Nursing, 61(1), 115-121.Smith, M. (2020). Nursing Theories and Nursing Practice. Davis FA.

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.

Nursing as Art and Science: History and Theoryelationship between Nursing History and Theory DevelopmentHistorical nursing figures, such as Florence Nightingale, laid foundational work for modern nursing practices and theories. Nightingales emphasis on sanitation, patient care, and observational documentation led to the development of nursing as a distinct health profession, which has continuously evolved with emerging theories and practices. Since her time, nursing practice has grown a great deal, thanks to the development of protocols and policies that are now as ubiquitous as healthcare facilities themselves (Smith, 2020).Contemporary nursing theories have been greatly influenced by these historical foundations. They integrate traditional care principles with modern medical knowledge and technology. The development of nursing theories, such as the Environmental Theory by Nightingale and the Self-Care Theory by Dorothea Orem, reflect the progression of nursing from a vocation primarily focused on patient care and comfort, to a comprehensive discipline that incorporates scientific knowledge,…...

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ReferencesPesut, B., & Johnson, J. (2008). Reinstating the ‘Queen’: understanding philosophical inquiry in nursing. Journal of Advanced Nursing, 61(1), 115-121.Rodgers, B. L. (2005). Developing nursing knowledge: Philosophical traditions and influences. Lippincott Williams & Wilkins.Smith, M. (2020). Nursing Theories and Nursing Practice. Davis FA.

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

Nursing: Art vs. ScienceFlorence Nightingale believed that nursing was both an art and a science, and her philosophy included the concepts of client, health, environment, and nursing (Alpers et al., 2013). Her view was that nursing should be grounded in science, with statistics providing the basis for logical decisions, while also promoting a practice where nurses could realize their full potential for care-giving. My opinion is similar: I see nursing as a field that includes aspects of art when it comes to providing holistic care, and aspects of science when it comes to interventions.In determining which aspect is more prominent, I would argue that both the art and science of nursing are needed in the profession. The scientific aspect is needed so that nurses have the appropriate knowledge, education, training and skills to provide effective and safe quality care. The artistic aspect, however, is needed so that nurses can relate…...

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ReferencesAlpers, R., Jarrell, K., & Wotring, R. (2013). Developing a philosophy of nursing: A first step to becoming a professional. Teaching and Learning in Nursing, 8(4), 162-163.Taylor, C., Lynn, P., & Bartlett, J. (2018). Fundamentals of nursing: The art and science of person-centered care. Lippincott Williams & Wilkins.

Grand Theory and Nursing PracticeIntroductionAdvanced nursing practice (ANP) and advanced practice registered nursing (APN) are both important in being able to deliver quality, patient-centered care in nursing. However, they are different in terms of what kind of (or rather the degree to which) care can be given, and this paper looks at these differences by applying Orems grand theory of nursing (self-care deficit theory), and discussing how this theory relates to the metaparadigm concepts of person/client, nurse, health, and environment. Also, this paper looks at how this theory applies in the different advanced nursing roles of practice, education, and research.Differences between ANP and APNANP refers to a higher level of nursing practice that involves applying advanced clinical skills, having professional autonomy, using leadership, making clinical judgments in patient care. Nurses in ANP roles work in clinical practice, policy-making, administration, and they apply evidence-based practice in their decision-making (York, 2023).APN refers…...

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ReferencesBoyle, D. K., & Baernholdt, M. (2021). Overview of the quality health outcomes model. In Nurses Contributions to Quality Health Outcomes (pp. 3-17). Springer, Cham.Cuccovia, B. A., Heelan-Fancher, L., & Aronowitz, T. (2022). A policy analysis of nurse practitioner scope of practice in Massachusetts. Journal of the American Association of Nurse Practitioners, 34(2), 410-417.Huffman, J. D. (2023). Improving New Nurses\\\\\\\\\\\\\\\' Well-Being Through Mindfulness. Xavier University.Mahmoudi, H., Jafari, R., Saffari, M., Koenig, H. G., Ameryoun, A., & Lin, C. Y. (2023). Factors Affecting Self-Care in Cardiovascular Patients: An Integrative Review Based on Orem’s Theory. Hospital Practices and Research, 8(1), 189-198.York, R. (2023). Perceptions and beliefs about the regulation of advanced nurse practitioners. Nursing Management, 30(3).

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.