Nursing Metaparadigm Essay

Regrettably, the existence of nursing depends on the medical inadequacy of others. Unfortunately, nursing exists because people get hurt, cannot care for themselves, or need assistance with daily activities. Carol Taylor (2011), author of Fundamentals of Nursing: The Art and Science of Nursing Care, writes, “Nursing care involves any number of activities, from carrying out complicated technical procedures to something as seemingly as holding a hand” (p. 5). Taylor explains it is the duty of a nurse not only to learn the pertinent skills but also to bond with and comfort others. Nurses have to do and become many things: They must be stern when necessary, compassionate when needed, open minded

Theory is an arrangement of thoughts meant to describe something. These thoughts and ideas usually have basic principles that validate the purpose of the proposed theory. Nursing theory is a well thought out scholarly structure of concepts. These concepts are created to help guide nursing practice. They explain the fundamentals of nursing care. Multiple clinical decisions are based upon nursing theories. There are many different types of nursing theories developed primarily by nurses. Nursing theorist’s main goal is to examine nursing practice and explain the working or non-working parts

designed to guide the practice of nursing” (Medical Dictionary for the Health Professions and Nursing, 2012). Nursing theories can help patients, managers and other healthcare professionals to recognize what and how much that nurses do contribute to the healthcare field. I never did realize how important theories in nursing practice could be until I became a nursing student myself. Nurses use theories in their everyday practice, but never think about them as being

70). This definition begins a departure from the Logical Positivistic Received View, in that it does not emphasize the structure of the theory. According to Meleis (1985) this definition of theory exemplifies the multiple usageof theory, an important issue in dealing with nursing practice, research, education and administration. The definition for use here is one adapted from Meleis (1985) and states that a nursing theory is a conceptualization of phenomena and relationships in or pertaining to nursing for the purpose of describing, explaining, predicting and/or prescribing nursing care. Many of the definitions of nursing theory proposed in the 1960s and ’70s derived their definitions from psychology and the social sciences.Nursing theories, according to Meleis (1985) “evolve from extant nursing reality as seenthrough the mind of a theorist who is influenced by certain historical and philosophical processesor events” (p. 29). Theory is not only a tool for the development of research propositions but is also a goal, in which findings becomemore meaningful (Meleis, 1985). One problem in nursing has been the lack of agreement on the definition of theory. Many authors have used the term theory as interchangeable with such terms as conceptual framework, conceptual model, model, and paradigm. Fawcett (1989) clearly states that “conceptual models and theories are clearly distinguished by their

Metaparadigm identifies the phenomena of central interest to a nursing discipline. It is made up of concepts and propositions that define discipline that are extremely abstract. It fails to provide a definite direction for activities like nursing practice and research. Its main function is to identify the basic subject matter of the discipline which are defined by Fawcett (2005) as human beings, environment,

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

Theory is an attempt to explain the world around us. It is defined as a set of concepts, definitions, and propositions that projects a view of phenomena by designating specific interrelationships among concepts for purposes of describing, explaining and predicting phenomena. In the world of healthcare the nurse through the understanding of theories attempt to explain why nurses do what they do. Nursing theories are the creative products of nurses who seek to thoughtfully describe relationships and interactions that exist within nursing practice (Ingram, 2009).

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.

Masters (2012) described that philosophies “set forth the general meaning of nursing and nursing phenomena through reasoning and the logical presentation of ideas” (p. 49). The mind-map provided presents the personal philosophy of this author’s nursing practice in relation to the four concepts of the metaparadigm of nursing. The compatibility of this author’s personal philosophy with existing

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.

Each professional discipline has a responsibility to identify concepts that provide a general description of this discipline. These concepts are named as the profession’s or concept’s metaparadigm (Fawcett, 1994). The Metaparadigm for nursing is the framework for the discipline that sets the phenomena of interest, propositions and the method of discipline. Metapardigm is very general and is intended to reflect the agreement of discipline member about the field of nursing (Marilyne Parker,2001).

Moore, (Moore, 2008) reported a nursing metaparadigm of four basic concepts: "person, health, environment, and nursing." Another author suggested the core

The discipline of nursing is characterized into four metaparadigm concepts. The first concept is person. I believe that nursing requires me to think of each person as an individual and take time to be with that person using human-to-human interaction. Working in the emergency room I try my best to listen to each patient with proper eye contact to provide the visual cues of compassion. The second is environment. My nursing philosophy also incorporates all of the patient’s surroundings and their situation that may be causing an illness or a nursing need. It could be the people