**** RESPOND TO THIS POST WITH THESE QUESTIONS IN MIND AS LEVEL ONE HEADINGS, MY OWN POST IS AT THE BOTTOM FOR REFERENCE : ****


I chose the nursing metaparadigm health for my topic.  I feel that this metaparadigm most closely relates to my job as a NICU bedside nurse, as the ability to apply knowledge and skills is crucial, especially when communicating with my patients is not possible.  I do, however, communicate with their families and/or caregivers, so for those interactions, I would utilize the metaparadigms of person and environment, as well. 

In keeping with the metaparadigm of health, I chose to compare and contrast Jean Watson and Dorothea Orem.  Whereas both nurses played vital roles in teaching, providing holistic care and building relationships with patients, their techniques differed in that Watson believed that the act of caring was truly part of the treatment process.  She felt it was essential to establish relationships with her patients.  She believed that although science was important, it was not always the most dominant factor in patient care.  She states that in order for healing to be effective, that there needs to be a complete balance of person’s physical, cognitive, and spiritual-self. It is essential for each of these components to be unified and functioning at their highest capacities to achieve health (Branch et al., 2016).  Orem, on the other hand, believed that, when it comes to diseases and therapies, nurses are essential to healing, however, our priority as nurses should be education of the patient on everything they need to know about self-care.  They realize that individuals are all different and require different types of care in order to teach them what they need to learn (Branch et al., 2016).  Orem was a believer in teaching patients to be independent, whereas Watson believed that direct care by the nurse was the most important part of the healing process.

As a NICU nurse, my patients are completely reliant on the nurse for their care.  For this reason, I would lean toward Watsons ways of thinking on the nursing metaparadigm.  However, prior to being a NICU nurse, I worked in many areas of adult critical care, and I strongly believed during that time that patients should learn to be as self sufficient as possible.  I relied on thorough education and gently reminded my patients that we would not be able to go home with them to help with certain tasks, and encouraged them to learn while we were there to help so that he or she would feel comfortable performing those tasks upon discharge.  For this reason, I can relate to both Watson and Orems ways of thinking. 

References:

Branch, C., Deak, H., Hiner, C., & Holtzwart, T. (2016). Four nursing metaparadigms. Nursing, 123128. https://scholarworks.iu.edu/journals/index.php/iusburj/article/download/22199/28143/50307

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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