Nursing Metaparadigms and Practice-Specific Concepts
Since Florence Nightingale, there have been a number of so-called grand theories of nursing advanced, and these grand theories have been used by other nursing theorists to conceptualize metaparadigms of practice that continue to influence clinical practice today. In addition, the central concepts of nursing are person, nursing, environment and health have formed the basis for other nursing theorists such as Jean Watson's Philosophy and Science of Caring and Madeleine Leininger and her Cultural Diversity and Universality Theory. This paper provides a review of the relevant literature concerning these issues, followed by a summary of the research and important findings concerning nursing metaparadigms and practice-specific concepts in the conclusion.

eview and Discussion

Nursing Autobiography

My background in nursing is in long-term and home care. In these capacities, I have had a number of opportunities to apply the four metaparadigms of nursing as discussed further below.

The Four Metaparadigms

While authors differ….

Wit: Susie’s Nursing Metaparadigm One of the pivotal characters in the movie Wit (2001) is that of Susie Monahan. Susie a nurse who has little knowledge of the poetry of John Donne so dear to the protagonist Vivian Bearing. Yet Susie shows expert mastery of the role of a healthcare provider in relation to her patients. Regarding the nursing paradigm of patient, environment, health, and nursing, Susie again and again demonstrates that she regards the patient as central in the ethical responsibilities of the nurse (Nikfarid, et al., 2018). Other characters, particularly the physicians and researchers handling Vivian’s case, place their own research needs above the needs of the patient. Vivian, although highly educated, admits she knows little of cancer research and does not fully understand she is being used as a test subject for research from which she is unlikely to benefit. For Susie, the patient is always first and….

Personal Nursing Philosophy
My Nursing Autobiography

I have dreamt of being a nurse all my life. My mother and older cousins tell me stories of how I loved to line up my dolls and animals, place bandages over them to nurse their 'injuries' and stick branches in their armpits to have a feel of their temperature. Well, I believe these stories because to this day, these are the very things that keep my life going; I derive so much satisfaction from just being able to help people when they are in no position to help themselves. I took an elective nursing course in high school, where I was supposed to report at the local facility at least once every week to assist in the administration of basic care to patients. This marked the beginning of my career in nursing, and since then, I have logged almost 15 years of experience in….

autobiography of the author of this report. The remainder of the report will mostly focus on the four meta-paradigms of nursing. Of course, those meta-paradigms are patient, nurse, health and environment. The author will also offer two practice-specific concepts from the scholarly literature that can be applied to the career and environment of the author of this report. Next up will be a list of propositions that will number five in total. As suggested and required by the assignment, the paper will integrate these discrete elements and in a way that connects to the concepts described. While analysis of the nursing professional can get a little silly and/or delve too much into a bit of navel-gazing, the profession is indeed noble and deep and is thus worthy of the proper full analysis.
Biography

The author of this report started as an electrocardiogram (EKG) technician and nursing assistant while the author was….

Nursing is one of those professions that provides the opportunity not only to further oneself on a professional level, but also on a personal level. It provides the individual with the opportunity to connect with others by providing a platform of health care, while also providing a helping hand that promotes not only short-term healing, but also long-term well-being. This makes nursing one of the most caring professions, as it provides the nurse with the opportunity to use his or her skills, and also to lend a hand above the duties of simple physical health care. In this way, nursing extends to caring for the whole person rather than the physical being alone. This is one of the major factors that has attracted me to the profession throughout my life.
According to Limon (2001), there are four central concepts that are central to the metaparadigm of nursing, including the person or….

Nursing Philosophy
Concept Synthesis on Personal Nursing Philosophy

Nursing Autobiography

My interest in nursing peaked at an early age when I attended Clara Barton High School for health professions in Brooklyn NY and graduated in 1991. I first worked as a nurse's aide and home health aide for about two years and found this position to be quite rewarding. I subsequently moved to North Carolina where I took the CNA course in 1995 and began working as a CNA at various nursing homes and hospitals in the regional area. My experience as a CNA certainly helped me in my journey and provided the foundation for the later developments in my career.

Later I moved to Las Vegas in 1997 where I got married in 1998. After forming this union I went back to school for my BSN in 2002 while working as a CNA. I finished my BSN from Nevada State College in 2006….

A person's health is an ever-changing state of being resulting from the interaction with the environment. Optimum health is the actualization of both innate and obtained human potential gained through rewarding relationships with others, obtaining goals and maintaining expert personal care. Adaptations can be made as required to maintain stability and structural integrity. A person's state of health can vary from wellness to illness, disease, or dysfunction. Professional nursing is founded on the need to promote wellness practices, the attentive treatment of persons who are acutely or chronically ill or dying, and restorative care of patients during convalescence and rehabilitation. It also includes the education and measurement of those who perform or are learning to perform nursing responsibilities, the support and communication of research to enhance knowledge and practice, and the management of nursing in healthcare delivery systems. Nursing practice centers on the application of a body of knowledge in….

The nurse is often expected to act and react only with empirical information, however personal knowledge is considered equally as important by many nurse educators and researchers (Chinn & Kramer 2004). This also helps to explain why "health" and "environment" are considered distinct major components in the metastudy of nursing; both can be understood on highly subjective terms, with the concept of "good health" changing from patient to patient, or "person" to "person." Environment, too, has a major effect on the practice of nursing and the growth of the nursing body of knowledge.
3)

My personal philosophy of nursing centers on the belief that each individual person under my care deserves full attention and the unique application of my knowledge in addressing their immediate and long-term needs and concerns. That is, each person should benefit as much as possible from the full extent of my nursing knowledge, while still being treated….

Nursing Concept
Theoretical Background

One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a three-part template for nursing: respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine. In many ways, too, modern technology has advanced further than societal wisdom, especially when confronting the issue of death. The modern nurse's role is to create a nurse-patient culture that encourages the individual to take responsibility for their healthcare and, in partnership with the nurse, to be involved in their recovery. The modern complexities of healthcare, then,….

Practice-Specific Concepts
The nursing practice is a profession that is based on conceptual and theoretical models that help in guiding patient safety and quality initiatives. The use of conceptual and theoretical models is an important part in nursing practice that is applied across the various disciplines in this profession. As a clinical nurse specialist, nursing conceptual and theoretical models play a crucial role in achieving the specific goal of identifying, recognizing, treating, and monitoring illnesses or diseases. The process of using nursing conceptual and theoretical models involves developing practice-specific concepts relating to the specific professional practice and creating a personal philosophy and practice guideline. The practice-specific concepts should incorporate the four basic metaparadigms of nursing theory and be supported by research and concepts.

Overview of My Professional Practice and Four Metaparadigms

A clinical nurse specialist is a nurse professional or practitioner who provides a crucial link with regards to detecting, identifying, treating,….

One of the major theoretical models for healthcare delivery is the Parse theory of human becoming, created by Rosemarie Rizzo Parse—originally titled the man-living-health theory (2011). This theory focuses on healthcare and the human through the lens of quality of life. This theoretical premise for delivering and receiving healthcare was able to gain steam as a result of its alternative to the more standard bio-medical method and the biological-psychological-social and spiritual method contained in the bulk of other theories of nursing. This theory has enjoyed much attention and use when delivering healthcare as a result of the fact that it views quality of life as all relative to a person’s viewpoint. Assumptions
Main assumptions of Human Becoming Theory
Meaning
Human becoming allows one to select specific meaning in situations within the realm of human experience. Reality is the culmination of lived experiences. A sometimes nebulous process of co-creation occurs via lived experiences and the….

Nursing History, Theories and Conceptual Model The three trends in nursing practice that become evident to me from viewing the Nuring Timeline of Historical Events are: first, the rise of formal education and training for nurses—especially in the latter half of the 20th century when more and more doctors were leaving primary care for special practice and APRNs were being trained to fill the gap in primary care (O’Brien, 2003). Second, there is the rise of advocacy in terms of improving the quality of care provided to patients. This resulted in a push for the application of more evidence-based practice (EBP). In my own perspective on Nursing Practice, I view this focus on EBP as one of the most important developments in the history of nursing, as it ensures that patients are receiving care that is based on scientific and empirical proof rather than just on whatever one feels might work….

Nursing Theory -- oy Adaptation Model
The oy Adaptation Model is one of the most commonly cited and used options when it comes to nursing theories. It has been in existence since 1976, and has had a number of years to be adjusted and changed to work with the adjustments that have occurred in the field of nursing over time (Alligood, 2011). Being able to adapt and change is a very important part of nursing, because all patients are different. Additionally, treatments and medications change rapidly, and that can be difficult to keep up with if a nurse is not focused on adapting his or her style and beliefs to the changing nature of medicine. Here, the importance of nursing theory will be explored, along with the key points that are used in the oy Adaptation Model. The views and ideas that the model provides when it comes to nursing leadership….

Theoretical Foundations of Nursing:
Nursing can be described as a science and practice that enlarges adaptive capabilities and improves the transformation of an individual and the environment. This profession focuses on promoting health, improving the quality of life, and facilitating dying with dignity. The nursing profession has certain theoretical foundations that govern the nurses in promoting adaptation for individuals and groups. These theoretical foundations include theories, theory integration, reflection, research and practice, and assimilation.

Grand Nursing Theory:

There are several grand nursing theories that were developed by various theorists including the Science of Unitary Human Beings by Martha ogers, Sister Callista oy's Adaptation Model, and Systems Model by Betty Neuman. Sister Callista oy's Adaptation Model is based on the consideration of the human being as an open system. She argues that the system reacts to environmental stimuli via cognator and regulator coping techniques for individuals. On the other hand, the stabilizer and innovator….

diverse population nurses must attend to, the concept of 'transcultural' nursing is important to understand. Instead of viewing health as a universal concept, transcultural nursing attempts to understand the conceptual building blocks of the nursing profession as cultural products that are socially-constructed. It strives to understand the similarities and differences between different health attitudes and practices (Leininger 1991). First developed by Madeline Leininger, transcultural nursing is founded upon the idea that the "health care providers need to be flexible in the design of programs, policies, and services to meet the needs and concerns of the culturally diverse population, groups that are likely to be encountered" (Transcultural nursing, 2012, Current Nursing).
Nurses must be culturally astute and adapt their practices to patient's cultural needs as well as to physical needs. This concept has been somewhat controversial within the nursing profession given that Western medicine's emphasis on preserving life and optimizing treatment….