NU 500 Describe the metaparadigm’s significance specific to your nursing practice.

Discussion Question

Please read the following introduction and complete the following steps for your initial discussion post:

This discussion question focuses on the four nursing paradigms, which are comprised of person, health, environment, and nursing. Each metaparadigm plays a key role in the nursing process and is essential when providing patient care.

• Select one metaparadigm (person, health, nursing, or environment).
• Describe the metaparadigm’s significance specific to your nursing practice.
• Compare and contrast two nursing theorists’ individual definitions/interpretations of the selected nursing metaparadigm (person, health, nursing, or environment).
• Be sure to supplement your discussion with your personal and professional experiences.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with citations and references in APA format.

This topic is valued at 40 points. Please review the rubric to ensure that your response meets the criteria.

The Four Metaparadigms of Nursing

Jacqueline Fawcet, in her 1984 seminal work, composed the four metaparadigms of nursing. The purpose of those metaparadigms entails guiding and offering direction concerning the existing theories and nursing framework. The nursing metaparadigm consists of four domains of nursing, environment, health and person. The four metaparadigms as presented by Fawcet have received heavy criticisms from scholars who argue that they do not have a place as logical nursing philosophies (Bender, 2018). Fawcet organized her ideas into a hierarchy of knowledge steeped in philosophy which supported her claim that nursing practice is rigorously scientific. However, despite rejecting the nursing metaparadigm philosophy as presented by Fawcet, scholars are yet to provide an alternative. The purpose of the present paper is therefore to discuss the author’s perspective concerning the four metaparadigms of nursing using literature support.

Person

 Fawcet argued that the most significant person in nursing is the person. The person metaparadigm offers a description of the nursing results, objectives, practices, and profession. Indeed, the principal definition of a person entails a patient, the family and sometimes the community that requires health (Bender, 2018). The author will perceive a person as a wise human being who has varied complex characteristics. However, even with such variations, human beings have a commonality in the sense that they can think (Deliktas, Korukcu, Aydin, & Kabukcuoglu, 2019). Moreover, human beings have special features as relates to their cognitive or social skills. During treatment, a nurse needs to leverage on these features of human beings in order to offer treatment.

Nursing

The metaparadigms of nursing regard the subject as the practice that is responsible for enhancing the health of an individual patient. Nursing has strong characteristics of humanism right from the nurse to the patient. Indeed, the author believes that self-love and patient-love are the foremost characteristics of nursing. Loving oneself will make nurses find it easy to love the patients. The humanistic love in nursing makes it possible for nurses to emphasize the correct attitude, action, as well as relationships so as to produce the desired positive outcome in care (Robinson & France, 2017). Moreover, the empathy aspect of humanism in nursing is necessary to ensure that nurses work with utmost love and care. By being empathetic, nurses ensure that they optimally care for patients with love.

Environment

The environment paradigm refers to the patient surroundings that influence their wellness and sickness. The environmental component transcends the surrounding into the communal and interior factors including culture and interpersonal relationships. In order for patient recuperation to occur steadfastly and efficiently, the environment needs to be optimal. The present author agrees with the above assessment of the environment paradigm from classical philosophers such as Fawcet. The physical, social and psychological environments are critical to care (Deliktas, Korukcu, Aydin, & Kabukcuoglu, 2019). The cleanliness, warmth, light and silence may play an integral role in healing patients. Moreover, psychological state of a patient also has an immense role to play in the healing process. To this end, nurses should ensure that patients are in the most optimum mental state during care and should transmit qualities such as kindness, sincerity and trustworthiness. In relation to the social environment, the author believes that nurses need to have proper conscience that will enable them to touch the lives of patients and their families in a positive manner.

Health

Health is also another important domain of nursing metaparadigm. Proponents of nursing metaparadigms posit that the health domain comprises the integrity, wholeness, and wellness. Moreover, the domain also considers disease as well as illness from a collective and individual perspectives. Indeed, the author believes that nursing as a science offers nurses with the knowledge concerning diseases as well as illnesses (Roy, 2019). Nursing will help a nurse to determine the appropriate nursing interventions so as to aid a patient in a loving, caring and conscious manner. Thus, the health metaparadigm is not alone but rather encompasses the other metaparadigms.

Conclusion

In summary, nursing metaparadigms exists. The fours domains of the metaparadigms help h=nurses to perform their functions optimally. The author contents that the metaparadigms are not standalones much as they individually help in the provision of patient care. Therefore, the nursing metaparadigms of person, health, environment, and nursing are significant facets of care.

References

Bender, M. (2018). Re‐conceptualizing the nursing metaparadigm: Articulating the philosophical ontology of the nursing discipline that orients inquiry and practice. Nursing inquiry, 25(3), e12243.

DELIKTAS, A., KORUKCU, O., AYDIN, R., & KABUKCUOGLU, K. (2019). Nursing students’ perceptions of nursing metaparadigms: A phenomenological study. The Journal of Nursing Research, 27(5), e45.

Robinson W. Z., & France, N. E. (2017). Caring in nursing theory. International Journal for Human Caring, 21(2).

Roy, C. (2019). Nursing knowledge in the 21st century: Domain-derived and basic science practice-shaped. Advances in Nursing Science, 42(1), 28-42.

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Important information for writing discussion questions and participation

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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

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Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource