NR 501 Discussion Significance of Nursing Concepts within the Profession

Nurse executives have skills sets that lead and manage clinical and work environments as well as facilitate collaboration across the health care system (Rick, 2014). The work of nurse executives is constantly changing and adapting to new innovations and insights (Rick, 2014). A nurse executive uses all aspect of the nursing metaparadigm when making decisions and interacting with patients and peers to facilitate a successful work environment.

The essence of nursing practice is through the nurse-patient relationship (Talbert, 2012). The concept of person in the nursing metaparadigm refers to the patient, or the person receiving the care. Nurse executives transform and influence health and the health care system by enhancing patient engagement and developing clinical systems to create value-based performance (Rick, 2014). A nurse executive can be a director of nursing. As a director of nursing there will be constant interaction with not only nurses, but patients and families. As a director of nursing there are responsibilities to maintain patient satisfaction and make sure that the best possible care is being given to patients through collaboration with nurses and health care providers.

The concept of environment in the nursing metaparadigm is what most would expect, a setting or place, but it can also be internal as well. Nurse executives have the responsibility of making sure the environment in which nurses are working are safe and properly managed. The same goes for patients. In the health care setting, patients and families are anxious and uncomfortable. It is the duty of the nurse executive to make sure that patients and their families are in a safe setting with quality nursing care. This occurs through interpersonal communication and collaboration. To ensure nurses and patients both feel respected and safe in the environment they are in, directors of nursing can form partnerships throughout the care setting that facilitate a safe environment for all involved.

Health is a dynamic process in the nursing metaparadigm. This refers to the well-being of the patient and includes physical, emotional, psychological, and spiritual wellness. As a nurse executive and director of nursing, clinical information systems can be developed to ensure that care across the health care setting can be coordinated and accessible to patients to create a place of wellness (Rick, 2014). As a director of nursing, creating and maintaining accessible healthcare will improve and encourage patients health and wellness.

The concept of nursing in the metaparadigm refers to the art and science of nursing. It includes the skills and education necessary to engage in the nursing process. As a nurse executive, it is important to provide nurses with strong clinical leadership to develop a vision for the future (Rick, 2014). As an advanced practice nurse, there will be clinical nurses that look up to nurse leaders for advice and guidance. It is the duty of the nurse executive to model appropriate behaviors and set goals and incentives for nurses to achieve a successful nursing environment for patients and peers (Rick, 2014).

Rick, C. (2014) Competence in executive nursing leadership for the 21^st century: The 5 eyes. Nurse Leader, 12(2), 64-6. https://doi.org.chamberlainuniversity.idm.oclc.org/10.1016/j.mnl.2014.01.005

Talbert, T. L., (2012). The role of the nurse executive in fostering and empowering the advanced practice registered nurse. Nursing Clinics of North America, 47(2), 261-267. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1016/j.cnur.2012.02.007

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS NR 501 Discussion Significance of Nursing Concepts within the Profession:

The nursing practice environment is considered advantageous when the nurses have autonomy, control over the work environment, and good relationships with the health care team (Dorigan & de Brito Guirardello, 2017). The same goes for nurse executives. Positive practice environments are associated with higher job satisfaction and lower burnout rates (Dorigan & de Brito Guirardello, 2017). As a nurse executive, the goal for myself is to be a director of nursing. As a director of nursing I will be in charge of the nurses in the hospital. If the environment in which these nurses are working in is unsatisfactory, the nurses will show it. As stated, positive work environments lead to happy nurses as well as better patient care, influencing the decisions made by a director of nursing. It is the duty of the director of nursing to ensure that nurses feel safe when taking care of patients. That means making sure units are adequately staffed and nurses are being treated with respect from patients and other health care professionals.

NR 501 Discussion Significance of Nursing Concepts within the Profession

The environment plays a huge part in the nurse executive role. The nurse executive must make decisions based on environmental factors that affect the entire team of nurses throughout the health care setting. If the environment in which nurses and other health care providers is safe and positive there will be better nurse retention which leads to increased satisfaction for nurses, patients, and providers. The health care system is all interconnected and has a domino effect. If one part is off, other parts are effected. As a nurse executive being aware of the environment that the nurses and patients are in will impact the care being given as well the retention and health care relationships among providers. If positive, this will lead to better outcomes across the health care setting.

Dorigan, G.H., de Brito Guirardello, E. (2017). Nursing practice environment, satisfaction and safety climate: the nurses’ perception. Acta Paulista de Enfermagem, 30(2), 129-135. http://dx.doi.org/10.1590/1982- 0194201700021

It’s interesting how I never really considered the nursing executive aspect of nursing theory and metaparadigm, as a bedside nurse my focus seemed to be on the patient and not all the coordinating of the nurse executive that makes it happen. Executive nurse leaders are required ensure patient satisfaction and safety as well as meeting the aims of valve-based purchasing which include reducing cost, improving quality and being responsive to consumer demands (Nickitas & Frederickson, 2015). Balancing all of these responsibilities can be challenging which is why the use of nursing knowledge and nursing theory are invaluable to executive nurse leader. Nickitas and Frederickson (2015) suggest that by linking knowledge and theory by practice to a healthcare system’s performance can help others recognize what is unique to nursing and their value to the organization.

Reference

Nickitas, D., M., Frederickson, K. (2015). Nursing Knowledge and Theory: Where is the economic value? Nursing Economic$ Vol 33(4). pp. 190-239. http://www (Links to an external site.).ajj.com/services/pblishing/nej/default.htm

According to Marchuk (2014), nursing philosophy and information are grounded on the foundation of nursing’s metaparadigm concepts. These essential concepts of the discipline interact and interconnect with each other and ought to be taking into account as a composite whole or consecutively. The metaparadigm of nursing is acknowledged as paramount concepts in nursing covering such areas as person, health, environment and nursing. It leaves an extraordinary impression for one to think and reflect on how metaparadigm and the four concepts of the nursing profession are utilized on a daily basis within our career.

When referring to the concept, person, one must address the patient in a proper manner, recognizing their status, their values and dignity. I currently work with women’s health; these patients have certain rights which are considered sacrosanct. An example of maintaining patient dignity in my working arena is when a patient is having their annual gynecological exam; there is a need for the patient to take her clothes off, however we must ensure minimal exposure to the examiner while examination is taking place, and ensure that the rest of the body is kept covered, avoiding unnecessary exposure to other healthcare personnel and even to the examiner. Protecting the patient, an honoring the patients right to privacy and preserving their dignity is of paramount importance.

The concept environment refers to the actual facilities, surroundings and accommodation provided to service the patient. As a complement of the example I cited above, the gynecological examination room ought to be private, comfortable and welcoming, with things such as the room and bed where the patient is to lay down must be clean, have appropriate lighting and maintained at the right temperature while the examination is being performed. The room should be securely closed, and away from public thoroughfare to ensure the patients privacy is maintained.

According to World Health Organization health, Health. (n.d), Health which is the next concept, is characterized by “the state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity”. The concept of health focuses on the physical, mental, social and spiritual status of the patient. Within the women’s health services when we are carrying out activities to prevent diseases such as a cancer screening test, this does not only promote health, and maintain a good health status for the patient, but we are also collecting information on the entire family which will redound to the benefit of the family in the long run. Patients and families understand that all action we are put in place are guided towards the promotion of a stable health status. Here, it is very important to listen keenly in nursing care, as listening plays a crucial role in the delivery of care. Listening to all inquiries coming from patient and the family, and responding appropriately is very important to set the tone and establish the relationship between nurse, patient and family. Once the proper comfort-level has been established, information flow will become more frequent and easier. Psychological preparation of patients and family before, during and after each procedure is also of paramount importance, so the information provided will be in accordance with patient and family expectation. Health is further understood through the aid of nursing science, which provides information regarding health and disease processes, Marchuk (2014).

The last concept, nursing, includes the utilization of the nursing process, observation, intuition, assessment, communication, reassessment and evaluation. Nursing has as a necessary part, aspects such as autonomy, physiology and scientifically demonstrated or measured theories and outcomes which forms the knowledge base of the nurse, and helps the nurse to have a full understanding of the patient and thereby provide an effective individualized care. This type of information helps the nurse to be sympathetic with the patient, and thus assist in the delivery of a personalized care. Marchuk (2014).

Returning to my working settings as an example, it is of paramount importance for nursing personnel to offer and provide the best personalized care possible to the patient and their family.

The four concepts within the nursing paradigm, person, environment, health and nursing profession make up the basis of nursing, and these forms the structural base required for nursing theories and knowledge.

Reference

Health. (n.d.). Retrieved January 07,2018 from http://www.who.int/healthsystems/hss_glossary/en/index5.html (Links to an external site.)

Marchuk, A. (2014). A personal nursing philosophy in practice. Journal of Neonatal Nursing (Links to an external site.), 20 (6), 266-273. https://doi.org/10.1016/j.jnn.2014.06.004 (Links to an external site.)

Returning to my working settings as an example, it is of paramount importance for nursing personnel to offer and provide the best personalized care possible to the patient and their family.

Reference

Health. (n.d.). Retrieved January 07,2018 from http://www.who.int/healthsystems/hss_glossary/en/index5.html (Links to an external site.)

Nursing is my passion as far as I can remember in my life, and therefore every nursing intervention I carry out with my patients on a daily basis, I make use of my professional experiences to deliver a higher quality care than the one delivered before.

Belief is characterized as firmly held opinion and value is described as standards or behaviors, a belief regarding the worth of something, Soanes (2005). The value is a belief of what is important, the definition that is held as measuring guidelines to lead one’s manners. A nurse’s and a nurse practitioner’s values and beliefs will determine how that nurse feels, thinks and will react towards patient’s human needs, health maintenance and treatment and care of disease affection process. For example, devoted and passionate nurses and nurse practitioners, carry out interventions in a proficient manner to influence patient’s health recovery. Nurses and nurse practitioners with the application of nursing theories as guidance, during the daily work with patient’s health issues keep trying to comprehend their suffering, commiserating with their condition, helping them out to recuperate beyond what is professionally mandated.

The transpersonal caring in Watson’s theory elucidates how the nurse goes beyond the main objective assessment, exhibiting concerns toward the person’s personal and deeper meaning concerning their own health care situation (Alligood, 2016). Our caring consciousness as nurses and as a future nurse practitioner becomes of paramount significance for the connection and understanding of the patient’s personal perspective.

According to Sepasi, Borhani, & Abbaszadeh, (2017). nurses in present times ought to be a keen strategic organizer putting plans in place and forecasting, a human resource proficient, and a risk manager with developed skills to appreciate and comprehend the difficulties of the clinical practice. Respecting human values and beliefs in the working environment and professional communication, is of crucial importance in obtaining nurse’s professional and individual control.

Reference

Alligood, M. R. (2014). Nursing theorists and their work. Elsevier Health Sciences.

Sepasi, R. R., Borhani, F., & Abbaszadeh, A. (2017). Nurses’ perception of the strategies to gaining professional power: A qualitative study. Electron Physician, 9(7), 4853–4861. doi: 10.19082/4853 (Links to an external site.) . retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5587004/ (Links to an external site.)

Soanes, S., Hawker, S., Elliott, J. (Eds). (2005). Pocket Oxford English Dictionary. Oxford, New York: Oxford University Press.

This is an interesting discussion that can continue for a lifetime. As the world of nursing evolves, I believe the metaparadigm will change and is changing now. The concept of caring as well as integrality will be considered as other metaparadigms in the future. This involves all concepts as they are now, and it integrates and combines each metaparadigm as it relates to the nursing profession. As the profession evolves integrality reflects the oneness and unity of wholeness of humans and their environment (Jarrin, 2012). Each concept is an integral part of the standards of practice. So, by including caring and integrality this will combine an intertwine all concepts to make a better impact in the standard of nursing practice and care of patients.

A nurse’s way of being with patients is the pattern of the nurse’s care which includes clinical judgment. How this is displayed is a direct reflection of the nurse’s own internal and external environments. Each nursing concept is defined and implies nursing research, practice and also education. With this knowledge comes self-awareness which involves the understanding and recognition of self and how one’s emotions can impact others. The benefits of self-awareness direct the nurses’ knowledge of their strengths and weaknesses. This in turn causes the nurse to develop stronger active and critical skills when an issue arises. This, to me, is based on nursing concepts that are taught and learned as nurses are educated and experiences they have as nurses while caring for patients. By utilizing my knowledge, skills and abilities as a Family Nurse Practitioner, I will make an impact on patients I care for.

There are several nursing theories that have made and continue to make an impact in my advanced practice career. One that comes to mind is none other than Peplau’s Interpersonal Relations theory where nurses must know themselves as well as their morals which will influence patients’ health outcomes. The main goal of this theory is for the nurse to initiate and develop a relationship with the patient so that their needs can be understood and met, acknowledge one’s own behavior and involve human relations principle in the equation (Peplau, 1992). Knowing the psyche of oneself assists in relating to what the patient perceives as an identified need. This information not only directs the nurse’s thinking, but it also directs the nurse as to what method is appropriate for the patient’s needs to be met; thus, bringing the patient to a state of normal health. This involves interaction, a planned and professional relationship, between the nurse and patient that focuses on the patient’s needs, feelings, problems and ideas. Having a foundation with patients presents a positive outcome that improves the quality of care along with the creation of an environment of empowerment and teamwork.

For the metaparadigms to evolve as the nursing profession changes, the phenomena seen in nurses’ practice should be investigated further so that their attributes can be identified. Another concept that could be added is the concept of interest. A nurse must have a concept of interest to deeply examine a phenomenon. Such action will enable the development of theories directly related to clinical practice. Concepts can be utilized to enhance practice. For example, a concept of dignity can hep nurses’ awareness of the importance of this concept and encourage then to appreciate the vulnerable position of patients who receive care. All concepts that are considered currently and those to come will impact nursing profession in a positive way and further increase patient health. Interrelation among theory, research and clinical practice is necessary for continuous development of nursing as a profession and a science.

References

Jarrin, O. F. (2012). The Integrality of Situated Caring in Nursing and the Environment. Advances in Nursing Science, 35(1), 14-24. http://doi.org/10.1097/ANS.0b013e3182433b89 (Links to an external site.)

Peplau, H. (1992). Interpersonal relations: A theoretical framework for application in nursing practice. Nursing Science Quarterly, 5(1), 13-18.

NR 501 Discussion Significance of Nursing Concepts within the Profession