**** RESPOND TO THIS POST WITH THESE QUESTIONS IN MIND AS LEVEL ONE HEADINGS, MY OWN POST IS AT THE BOTTOM FOR REFERENCE : ****
Table of Contents
***** THESE ARE THE QUESTIONS/PROMPTS TO ANSWER AS A PEER RESPONSE, USE THEM AS LEVEL ONE HEADERS PLEASE ****
Please respond to at least 2 of your peers posts. To ensure that your responses are substantive, use at least three of these prompts:
- Compare your selected metaparadigm with your peers selections in terms of its relevance and significance
- Contrast the significance of the metaparadigms to your practice with that presented by your peers.
- Share any additional thoughts about the four metaparadigms.
- Present new references that support your opinions.
Please be sure to validate your opinions and ideas with citations and references in APA format.
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Select one metaparadigm (person, health, nursing, or environment)/ Describe the metaparadigms significance specific to your nursing practice.
The nursing metaparadigms are categorized into four different groups including environment, person, nursing, and health, the person metaparadigm denotes the individual and incorporates the family, society, and culture (Deliktas, Korukcu, Aydin, and Kabukcuoglu, 2019). Branch, Deak, Hiner, and Holzwartz, described the metaparadigm of a person as the individual who is receiving te care from the nurse or other healthcare personnel, which may include culture, family, friends, social and economic status, and spirituality. All of the metaparadigm have an important role in nursing and are crucial to providing quality care to the patient (Branch, Deak, Hiner, and Holzwart, 2016 p.123 to 124). According McEwen and Willis (2019) person is defined as a holistic being, a whole person, adaptive system, and is configured of physical, knowledgeable, biological and chemical, and psychological and social needs. Theories of nursing are different in how they describe a person of the person who is receiving nursing care (McEwen and Willis,2019). The metaparadigm person is significant in my nursing practice because I am involved with direct patient care in the emergency department where I work. In the department where I work, it is important for a nurse to have a good understanding of the metaparadigm person and how the nurse should incorporate family, friends, beliefs, values, and socioeconomic status into the patient’s care. We put the patient first taking into consideration the family and friends of the patient and that they are able to see the patient and be with the patient when making medical decisions. As a nurse, I work to provide good quality care to the patient and incorporate their beliefs, values, family, and friends into their care to ensure positive outcomes for the patient.
Compare and contrast two nursing theorists’ individual definitions/interpretations of the selected nursing metaparadigm (person, health, nursing, or environment)
Two theorists that defined the person or patient was J. Watson and D. Orem, Watson believed that the metaparadigm person is defined by satisfying the needs of the person through care and Orem believed that the person is the main focus of healthcare; both believed that each and every patient is unique and that they should receive individualized care (Branch et al, 2016). According to McEwen et al (2019), Orem feels that the person is distinguishable from other living things in that they are able to have reflected upon their environment and themselves, they are able to define what they experience, and they are able to use words and ideas in the way they think and communicate to make things beneficial for others and themselves. Another theorist who defined person or patient was B. Neuman, which was described as a interrelationship between psychological, socio-cultural, growth, spiritual, physiological, and basic structure variables, that can consist of groups, individuals, groups, communities, and other social systems (Mc Ewen et al, 2019 p. 42). Neuman defines a being as a total person that is defined by the five different variables which refer to the body function and makeup, mental process and how it interacts with the environment, the effects and influences of cultural and social conditions, spiritual influences and beliefs, and age-related to activities and different processes; she feels that nursing should involve the whole person and feels that variable described above affect the response of the person (Ahmadi, 2017). All three theorists believed that the person was a very important aspect of nursing and providing care to the patient is crucial. Orems believed that the person is able to be independent whereas Neuman feels the person’s ability to be independent is affected by other variables in their lives. Watson believed that the needs of the person should be satisfied through nursing care.
References:
Ahmadi, Z., & Sadeghi, T. (2017). Application of the betty neuman systems model in the nursing care of patients/clients with multiple sclerosis. Multiple Sclerosis Journal – Experimental, Translational and Clinical, 3(3), 205521731772679. https://doi.org/10.1177/2055217317726798
Branch, C., Deak, H., Hiner, C., & Holzwart, T. (2016). Four Nursing Metaparadigms. . IU South Bend Undergraduate Research Journal, 16, 123132.
Deliktas, A., Korukcu, O., Aydin, R., & Kabuckcuoglu, K. (2019). Nursing students’ perceptions of nursing metaparadigms: A phenomenological study. Journal of Nursing Research, 27(5). https://doi.org/10.1097/jnr.0000000000000311
MY OWN POST:
We have four concepts that every nurse should be well versed in before they earn the chance to be allowed to be caregivers; human beings, health, environment, and nursing (Eustace & Boesch, 2018). My interest lies in the environment with how it affects the patient’s health build-up or conditions. It is right to note that an individual’s environment, which involves ones socio-economic status and places where their time is mostly spent, also the people within that given environment determines a patients viability to medical care (Gregory, 2020). One key role of the environment is exposing someone to a given set of care. For instance, an individual with quality access to quality healthcare is better lined to catch serious conditions like cancer in its earliest stages, which grants them a chance for a speedy recovery as compared to someone who does not have frequent access to quality healthcare, this individual might have the same conditions, but late discovery decreases their optimistic prognosis (Kitson, 2018).
Florence Nightingale’s patient care theory focuses on the possibility of altering a patient’s environment to modify their health; this means that the relationship between nurse and patient determines the caring prospect while Myra Levin theory (conservation model) suggests that nursing intervention is maintenance activity, which focuses on conservation of energy as a central concern (Mintz-Binder, 2019). This guides nurses to pay more attention to responses at an individual level (Roy, 2018). Months ago, I met a patient in the hospital setting who came in for frequent severe, headaches; initially, without a history of such headaches, they thought it was due to dehydration, but was later discovered to be secondary to high blood pressure. The hospital environment and nursing care subject one to tests that determine one’s chances. Their relatively early diagnosis led them to early treatment.
References
Eustace, R. W., & Boesch, M. C. (2018). A Teaching strategy to facilitate nursing students
translation of global health learning from classroom to the community. Journal of
community health nursing, 35(2), 57-64.
Gregory, D. (2020). A Dream becomes a Reality. HERD: Health Environments Research &
Design Journal, 13(1), 8-10.
Kitson, A. L. (2018). The fundamentals of care framework as a point-of-care nursing theory.
Nursing Research, 67(2), 99-107.
Mintz-Binder, R. (2019). The connection between nursing theory and practice. Nursing made
Incredibly Easy, 17(1), 6-9.
Roy, C. (2018). Key issues in nursing theory: Developments, challenges, and future directions.
Nursing Research, 67(2), 81-92.
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