Nursing involves more than just medical skills, it involves compassion, caring, empathy, and sometimes providing hope. The Foundation does not engage in political campaign activities or communications. Through an integral lens, the meta-paradigm of nursing is caring that is situated in space, place, and time and influenced by the interior and exterior environments of the nurse and the patient. Integral theory, like unitary science, maintains that the basic unit of analysis is not the atom, or the molecule, or the mathematical unit, or the interpretive perspective, or the cognitive pattern, or the historical event, or the spiritual revelation. A metaparadigm is commonly described as a set of concepts and propositions that set forth a general statement of a discipline. This is divided into four but cannot stand alone.
Miller-Keane encyclopedia and dictionary of medicine, nursing, and allied health 7 th ed. Journal of Holistic Nursing, 28 1 , 81-88. The concepts that identify the phenomena of central interest to a discipline; the propositions that describe those concepts and their relationships to each other. The metaparadigm of nursing was first developed by Florence Nightingale and has since been adopted by all nursing professionals. Much of the philosophy and theory of nursing stems from the work of Florence Nightingale.
Nurses must also work with patients in an interdependent manner to accomplish positive goals and account for the environmental factors that influence human life. Beyond the time-honored reputation for compassion and dedication lies a highly specialized profession, which is constantly evolving to address the needs of society. Many people consider health to being healthy, strong, well, and undiseased. When viewed through the lens of the Right-Hand quadrants, nursing is technical actions and physical behavior. While mid-range theories are considered more accessible to researchers and clinicians, they still require a nursing perspective that considers phenomena holistically, dynamically, and within context. 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.
This model guided the researchers in their development of a community-based framework, into which they infused the nursing metaparadigms of person, nursing, patient and environment. I appreciate your review of my credentials, and hope that I might be able to serve in any appropriate capacity. As follows, nurses must always take a holistic approach towards the care of their clients and in order to maintain the same approach among all clients; the metaparadigm of nursing was developed. In fact, a review of the literature revealed no contradictory statements. The concept of humans as patients is critical to nursing as the entire practice revolves around caring for people.
The structure for the knowledge of nursing was developed from the four concepts of this metaparadigm. Each nursing theorist defines the metaparadigm concepts according to their worldview. Nursing informaticians are uniquely positioned to develop models and frameworks for the ethical and effective integration of technology and caring science. What types of nurses are there? Alternately, an integrally informed conceptualization of health can be used to study the impact of caring and uncaring relationships as described by Halldorsdottir, ranging from biocidic or life destroying to biogenic or life-giving relationships. In this paper each concept will be further considered on how these influence the discipline of nursing and nursing practice.
Without proper communication, taking into consideration the wishes of the family and of the client, and not involving the client or family in any decisions results in the nurse taking complete control of the situation and leaving the client feeling passive or as an individual who has no ownership over his or her life. In practice, the concept of health establishes a criteria to measure and improve the quality of nursing care Kozier et al. For example, individual or collective paranoia can impact how a government response to a health problem such as a disease outbreak is perceived. This can be achieved by providing medical practices such as assessing, diagnosing, implementing and evaluating. A perfectly healthy person may not agree. A person can be categorized as the client, patient, wounded, or the vulnerable person laying in a hospital bed in need of help.
These four phenomena or concepts make up the overall metaparadigm of nursing. Interactions with family, friends and other people are part of the environment, as are physical and social factors such as economic conditions, geographic locations, culture, social connections and technology. For example, some have cited caring or social justice as core concepts Fawcett, 1996; Johnstone, 2011. A metaparadigm is the broadest perspective of the discipline, a way to describe the concepts that concern the profession or domain. It is based on understanding the client as a whole, with various social and environmental factors affecting their health.
She has a Bachelor of Science in chemical engineering from the University of Tennessee. Would you rather watch than read? 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. Helping our patients feel safe in their environment during and post care can truly make a positive difference. The metaparadigm of nursing: Present status and future refinements. Dependent, independent and mediating variables were conceptually defined, and empirical indicators were developed and operationally defined. What I aim to present here is an updated synthesis of the very basic definitions and relationship between the central concepts of nursing that should resonate with all nurses. Nursing: care and study of the lived experience and relationship of 3 elements: health, illness, and disease.
Namely, these foundational concepts are: person, environment, health, and nursing. Deb Dupree has been an active writer throughout her career in the corporate world and in public service since 1982. Therefore, principles were created to comprehend how nurses could categorize their nursing knowledge, expand awareness of the individual clients circumstance and to help formulate which direction to take when applying best practices for health promotion and illness prevention Potter et al. A theory must work within a specific setting… Every situation is different, therefore, a theory may not be useful in every situation. What one person considers an acceptable quality of life, may be considered an unacceptable quality of life to another person.