Metaparadigm

Many things influence one’s personal perceptions of the great profession called nursing. According to the American Nurses Association, nursing is defined as “protection, promotion, and abilities, prevention of illness and injury,

I personally define nursing as aiding in the recovery and survival of another person using the specialized knowledge, ability, and critical thinking skills attained through study and experience. The word nurse translates in Latin to nourish. This Latin translation reveals that nurses nourish when a person is in need. Angelo Gonzalo (2011) states, “Nursing is an art through which the practitioner of nursing gives specialized assistance to persons with disabilities which makes more than ordinary assistance necessary to meet needs for self-care” (Major Concepts section, para. 1). Nursing requires a diligent and hardy person to be able to assess the situation, access the appropriate knowledge and skills, and accordingly provide the care a person needs.

The fourth meta-paradigm is nursing. The root of nursing is caring which has been defined as the essence of nursing (Clarke, 2009, p. 233).

I already knew that Nursing is a health care profession that involves taking care of another person in which a person needs the formal education and training in the art of science of nursing. Nurses help individuals, families, and groups to achieve health and prevent diseases, and they care for the sick and injured using procedures based on

“Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles” (ICN 2010)

The nursing metaparadigm concepts described by Fawcett (as cited in McEwen & Willis, 2011), are a primary phenomena of interest to a discipline, which identifies globally by ways in which, nursing can deal with those phenomena in a distinctive and applicable manner. The functional aspects of the meta-paradigm according to Kim (as cited in McEwen & Willis, 2011), involve a combination of intellectual and

Nursing is based on caring in nursing. Compassion and concern for protecting and enhancing the

According to the American Nursing Association, “ Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (Association, Scope and Standards of Practice, 2010).

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.

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.

Developing my personal metaparadigm began with me asking myself questions, such as, “what does nursing mean to me?” In researching theory more and more, I have found my personal philosophy has many similarities to Kolcaba’s metapardigm. Person, to me, would be defined as the patient and family I am caring for. The person requires unique assistance in their illness, while keeping in mind their different needs based upon their own culture, religion, and goals. Each person is distinct in that one person’s level of comfort is different from the next family I will be taking care of.

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.

Fawcett, J, (1984) The Metaparadigm of Nursing: Present Status and Future Refinements. Images: The journal of Nursing Scholarship, Vol. XVI, No. 3, pg. 84 - 7.

Core concepts are the basis for a theory or model; concepts help in the development of theories. Theorists have developed different models or theories but have common core concepts. This paper will identify the core concept of ‘the role of nursing,’ which two theorists, Dorothea Orem and Virginia Henderson both utilized. We will compare and analyze the concept definitions among both theorists, and discuss the practical use of Orem’s self care theory.

Nursing refers to the profession within the healthcare sector that focuses on the provision of care to individuals, families and communities so that such groups may maintain or recover