Analysis Of Nursing Metaparadigm

and systematic development and testing of nursing knowledge. Several recent reviews of the status of nursing

The question asked pertains to a “comprehensive stroke unit (CSU)” model of care. It stems from 2 Cochrane database reviews (02, 07) by the Stroke Unit Trialists’ Collaboration (SUTC) that showed survival and dependency benefits of “organized inpatient (stroke unit) care”.2, 3 These reviews however did not differentiate between models of care: 1) acute, 2) rehabilitation-based, or 3) CSU, i.e., both acute care and rehabilitation in the one ward. The effectiveness of organized stroke unit care has been further corroborated in the literature4-9, and re-affirmed by the SUTC in the updated 2013 Cochrane database review.10

Care and culture are the key constructs that make up the Culture Care Theory. This theory differed from other nurses’ work or mindset because nurse leaders relied heavily up on the four metaparadigm concepts of person, environment, health, and nursing to explain nursing (McFarland and Wehbe-Alamah, 2015). Leininger realized that those four metaparadigm concepts were to limited in its scope regarding nursing and culture and care ideologies. Interestingly, care and culture were excluded from the metaparadigm. “It is not logical to use nursing to explain nursing” (McFarland and Wehbe-Alamah, 2015). That is definitely a contradiction in terms and represents scholarly research

Mrs. Alice Palmer is a 54-year old married woman who has been admitted and is being treated with an ischemic stroke which she had 18 hours ago. This paper explores the nursing care of Mrs. Alice Palmer based on the clinical reasoning cycle by considering her situation first, collecting cues and information about her, processing the information gathered, then identifying problems or issues she is experiencing, and finally carrying out a detailed assessment. Also, the paper focuses on setting goals and establishing a nursing care plan in the community, and target ethnically safe practice. Ischemic stroke occurs when the brain tissue does not receive sufficient oxygenated blood due to an obstruction of the carotid artery (Brunner, Suddarth, & Smeltzer, 2008). When the brain does not receive enough oxygenated blood, some or all of its tissues may get damaged

J. (2015). Addressing the burden of stroke caregivers: a literature review. Journal of Clinical Nursing, 24(17-18), 2376-2382. doi:10.1111/jocn.12884

Florence Nightingale’s nursing theory is probably the most well known in the nursing profession. “Patients are to be put in the best condition for Nature to act on them. It is the responsibility of nurses to reduce noise, to relieve patients’ anxiety, and to help them sleep” (Theories of Florence Nightingale, 2012). This theory emphasizes that environmental factors and adaptation is the basis of holistic nursing care. This theory is important in my opinion because it ensures that the center of focus is on the patient. When patients are hospitalized making them comfortable in a new and strange environment is important to me. Eliminating noise at the nursing station and turning down the lighting in the hallways at night are just a few ways that nurses can improve the environmental factors surrounding patients. During hospitalizations I strive to eliminate any anxiety that my patient may be experiencing. Upcoming procedures and treatments can cause tremendous stress. Simply by providing sufficient information regarding treatments or procedures can be beneficial in reducing anxiety or

The purpose of this paper is to discuss my personal beliefs pertaining to the profession of nursing. As well I will discuss the (4) metaparadigms in nursing which are known as; human beings, environment, health, and nursing, and my personal beliefs on these concepts and how they have similarities to the nursing philosophy of a nursing theorist.

A metaparadigms in nursing carefully act like a solid spine that support as a base rock the nursing field. The four essentials components of metaparadigms in nursing are the person, the environment, the patient’s health status and the nursing practice. A nurse practitioner will use all this concepts to assist in advance critical thinking skills by assessing the needs of individual and families while developing a quality cost-effective health promotion and illness prevention care plans.

Presence Health has developed an important policy for the use of Alteplase IV Procedure for Management of Acute Stroke. The purpose of this policy is too specific the requirements of Presence Health that a holistic, patient-centered approach to care be provided throughout the continuum of clinical services for all patients who receive Alteplase (Presence Healthcare, 2015).

Each professional discipline has a responsibility to identify concepts that provide a general description of the discipline. It is these concepts that comprise the profession’s metaparadigm (Fawcett, 1984). Much of the philosophy and theory of nursing stems from the work of Florence Nightingale. The diaries, letters, and books that she left behind containing her statements and beliefs have been fundamental to the development of the concepts comprising the nursing metaparadigm (Selanders, 2010). Fawcett’s (1984) stated there was a general consensus among scholars that the concepts of nursing were person, environment, health, and nursing.

Stroke is seen as a major health concern and this is due to the fact that every year, as many as 110,000 individuals suffers from strokes making it a key issue. (NHS 2014)

Throughout the history of nursing, there have been many nursing theorists who have each made significant contributions towards the shaping of nursing knowledge. Each of these theorists have differing perspectives and interpretations of how each domain of the nursing metaparadigm fit into their respective theories. The four domains of the nursing metaparadigm are: person, environment, health and illness, and nursing. The purpose of this reflection is to provide an overview of the domains related to the metaparadigm of nursing as well as to introduce this author’s perspective on their developing personal philosophy of nursing. In this paper, the author will take a closer look at each of these areas, how they are individually defined, and how they each fit into the nursing metaparadigm as a whole. At the conclusion of this overview, readers will be introduced to how these theorists and their perspectives have enabled this author to begin to create their own philosophy of nursing.

According to Polit and Hungler (1997) paradigm is a "way of looking at natural phenomena that encompasses a set of philosophical assumptions and that guides one's approach to inquiry" (pg. 463). Metaparadigm, on the other hand, "is a statement or group of statements identifying its relevant phenomena" (Fawcett, 1984, pg. 84).

The purpose of this reflective paper is to explain what the five metaparadigm concepts mean, to write down my own definition of each metaparadigm and further to explain them by providing clinical examples of each definition from my nursing clinical practice.

Critiquing research is a very important concept in the nursing practice. It is aimed at determining the validity and usability of the study in the field of nursing. This concept is very vital for the evaluation of generally all the factors that arise in the practice. For this critique, a study titled Action Plan to Prevent Heart Disease and Stroke by the United States Department of Health and Human Services. This is a quantitative study and will be reviewed through the examination of the human rights protection, methods of data collection, management, analysis, findings as well as the interpretations of the study. In further studies that are related to the nursing preparedness in dealing with stroke