The meta-paradigm of nursing is comprised of four parts: person, health, environment, and nursing. This concept is important to nursing theory because those four parts are the key areas of focus when it comes to patient care. The use of a conceptual model facilitates communication between nurses and providers a universal approach used for practice, management, education, and nursing research. The worldview in nursing provided the cultural lenses that shape how we see the world, and they give meaning to live, both personally and for humanity as a whole. According to logical positivistic or logical empiricism, it is possible to gain true knowledge of reality what actually exist through the process of theory development and testing. “Values are fundamental constituents of the human lifeworld” (Cody, 2013, p.6). As Watson propound moving forward a unitary-transformative viewpoint “ This model has eliminated the subject-object and mind-body duality. It acknowledges unity and integrality between humans and the environment; thus conceptualized, human beings and their worlds are not separate” (Kleffel, 2013, p. 153). “Disciplines structure their praxis from science through testing theories and events experienced in the field. Their practice, then, should link back to the worldview from which their science evolve” (N. France, personal communication, January 26, 2016). Table 1 contemplates closer at each worldview in the four domains of nursing meta-paradigm. The four domains of
In order to explore my philosophy it is important that I be aware of how I would define nursing. “Definitions of nursing, like nursing itself, are dynamic; nursing is constantly evolving to meet new needs and take account of new knowledge.”(Clark, 2003, add p. # for direct quote)
I define my philosophy of nursing within the three nursing domains of person, health, and environment. My goal is to communicate the importance of nursing as a knowledge-based career, depending not only on the nurse fulfilling her role but also on the patient’s compliance. A patient must learn to provide self-care at home in the same capacity as the nurse would provide care in the clinical setting. I discuss various subjects within nursing. I explain why I want to be a nurse, what I believe a nurse’s role is, the different domains of nursing, and where I believe nursing will be in the future. My philosophy demonstrates the interdependence of the nursing domains. You cannot fully evaluate a person without evaluating their health,
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).
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
Nursing theories have been a fundamental tool used to explain, guide and improve the practice of nursing. Theorists have contributed enormously to the growth of nursing as a profession. The four grand theorists I chose are Virginia Henderson, Peplau, Myra Levine and Jean Watson. These theorists have contributed tremendously in the field of nursing through their theories, and research. One thing the theorists have in common is that they are patient centered. They are all concerned on ways we can improve our responsibility to the patients, their families and the environment. They have different ideas but they are all aiming towards achieving the same goal, which is patient satisfaction and safety. Their differences are in their areas of
How I view and interact with the world shapes my world view, and this worldview is the culmination of my culture, values, and life experience. Given my background, the Reciprocal Interaction Worldview is the worldview which is closest in line to my personal beliefs and philosophies. The Reciprocal Interaction Worldview is an amalgam of characteristics and elements from several nursing paradigms and worldviews, and its paradigms frame most contemporary scientific nursing knowledge (Fawcett, 1993). As such, it serves as a reliable foundation for my personal nursing practice as I strive to provide evidence based care.
This theory recognizes how the meta-paradigm of nurse, individual, health/wellbeing, surrounding environment (also known as society) have to be acknowledged (Dossey & Keegan, 2013). The nurse plays a strong
“Philosophies of nursing are statements of beliefs about nursing and expressions of values in nursing that are used as bases for thinking and acting. Most philosophies are built on a foundation of beliefs about people, environment, health, and nursing” (Chitty & Black, p. 298). By using person, environment, health, and nursing as a guideline to achieve the ultimate goals of nursing; I will discuss my personal philosophy and how these factors are used in nursing.
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
Shearer (2011) utilizes a Mandala to assist in the discovery of personal nursing worldviews, underscoring that philosophy permeates practice and research. Understanding that all beginnings start with a thought, Shearer (2011) asked advanced practice and doctoral prepared nursing students to reflect on their underlying worldview and beliefs that influence their philosophical views regarding the practice of nursing. In effect, the Mandala being circular in design provides a visual focal point to guide and articulate the world and philosophical views of the nurse. Keeping with all journeys start with a beginning, Shearer (2011) while retracing the steps of the previous nursing scholars’ worldviews, reflects on the relationship between the abstract
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.
There are five integral components to nursing practice that reinforce the framework of the nursing profession. The conceptual framework pillars are the following: Caring, Communication, Critical Thinking, Professionalism and Holism. Further, Caring is an essential pillar in the nursing profession and is defined as embracing empathy for the patient and being able to interpret the principles of altruism, integrity, human dignity, autonomy and reflect sensitive, compassionate, safe and outstanding quality care. Communication is s process in which information is shared formally or informally between individuals. Critical Thinking is extraordinarily acquired thought that indicates inquiry, evidenced based research, reasoning, analysis and
Some researchers have suggested that other concepts should be added to the nursing metaparadigm. For
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.
Meta-Paradigm of Nursing theory of combined nursing encompasses the meta-paradigm of nursing, including people, the environment, health and nursing. The meta-paradigm also captures the essence of the previously described reality quadrant, including both the fullness of the human experience and the fullness of the nursing experience. The meta-paradigm of nursing-human, environment, health and nursing encompasses the core concept of integrated healing in nursing. Nursing to show the continuing nature of interactions that arise between healing and the meta-paradigm aspects of the theory. Within the theory, an integrated nurse is engaged in nursing-related activities that nurture a customer's health, while at the same time trying to make a deeper