NUR 700 Discussion 1.1: Metaparadigms and Impact of Theoretical Statements

Sample Answer for NUR 700 Discussion 1.1: Metaparadigms and Impact of Theoretical Statements Included After Question

Discussion Guidelines

Reflecting on the information presented in your text, answer the following questions:

  1. Describe one concept of the nursing metaparadigm and apply it to your practice.
  2. Identify three major tenets (beliefs) of your personal philosophy of nursing.
  3. Explain how you came to believe in these ideals.

This discussion will be graded using the Discussion Initial Post and Replies Rubric found in your syllabus.

Response Post(s)

Using the RISE Model for Meaningful Feedback (PDF) (Links to an external site.) reply to the initial posts of at least two of your classmates.

Submission

Post your initial and follow-up responses and review full grading criteria on the Discussion 1.1: Metaparadigms and Impact of Theoretical Statements page.

A Sample Answer For the Assignment: NUR 700 Discussion 1.1: Metaparadigms and Impact of Theoretical Statements

Title: NUR 700 Discussion 1.1: Metaparadigms and Impact of Theoretical Statements 

One of the four concepts of the nursing metaparadigm is the person. The person is further defined as a human being. Human beings are embodied by wholeness, sophistication, and cognizance (Smith, 2020). They differ from other species based on their complex intellectual development and ability to speak (Littzen et al., 2019). The human being of the nursing metaparadigm would be the client, or the patient receiving the care. These can also be broken up further into individuals, families, groups, and communities (Smith, 2020). Human beings have physiological, psychological, sociocultural, developmental, and spiritual aspects that must be taken into consideration when interacting or caring for them (Littzen et al., 2019). As a result, if all of this is not taken into consideration, one fails to adequately treat the person as a whole, and instead only treats one very minor aspect of what makes up a person (Alligood, 2014).

The ultimate goal is that the person is empowered to oversee their own health and well-being with dignity and self-preservation (Bender & Feldman, 2015). I currently work in a rehabilitation hospital that focuses on rehabbing patients who have been affected by stroke, open heart surgeries, bone fractures, systemic infections, and other various ailments. On a daily basis, I look at my patients in a holistic manner. Meaning, I am treating not only the physical effects of the illness, but the mental and emotional toll it takes on them as well. For example, a stroke patient with expressive aphasia might feel far more frustrated and mentally drained trying to express their wants and needs than that of a patient who is only suffering from hemiparesis. Therefore, one way to ease the mental strain might be to provide them with picture boards to point at what they need. By giving them another means to communicate, the anxiety or fear associated with this particular aspect of stroke is greatly reduced.

Three major tenets of my personal nursing philosophy are that I must be empathetic, well-informed, and display integrity at all times. In doing so, I will be a competent and effective nurse. I must focus on patient needs, healing, empowerment, and safety. I must do this, all while hypothetically placing myself in the patient’s situation in order to understand their feelings and perspective. I must also apply these beliefs to my daily life outside of nursing as well because the characteristics that comprise a good nursing theoretical foundation cannot be switched off at the end of shift. Rather, they are innate, and part of the nurse as a person. Smith (2020) mentions that classifying nursing as the physical tasks or actions that a nurse executes is a hindrance to the nursing profession. Instead, there must be a deeper set of ideas and beliefs behind those actions and mannerisms that ultimately focus on healing and health promotion rather than just fixing the affliction (Alligood, 2014).

After seeing a nurse take care of my mother in an unprofessional, unkind, and unempathetic manner, I came to believe in these ideals. After witnessing this, I thought to myself, if this is how this nurse cares for patients going through a very difficult time in their life, I wonder how they treat people during a regular encounter. This happened before I was a nurse, but after I had decided I wanted to become a nurse. I told myself, that if I do ever become a nurse, I will never treat my patients in this manner, and instead would do my best to make them feel comfortable, help heal them, and understand what they and their families are going through. I further developed my holistic approach during my Bachelor’s of Science in Nursing program that focused heavily on nursing theory and practice application. This plays a huge part in why I started working in rehabilitative nursing. I wanted to do my best to get patients back to their prior level of function not just physically, but mentally, emotionally, and spiritually as well.

References

Alligood, M. R. (2014). Nursing theorists and their work (8th ed.). Elsevier.

Bender, M., & Feldman, M. S. (2015). A practice theory approach to understanding the interdependency of nursing practice and

          the environment. Advances in Nursing Science, 38(2), 96–109. https://doi.org/10.1097/ans.0000000000000068

Littzen, C. R., Langley, C. A., & Grant, C. A. (2019). The prismatic midparadigm of nursing. Nursing Science Quarterly, 33(1),

          41–45. https://doi.org/10.1177/0894318419881806

Smith, M. C. (2020). Nursing theories and nursing practice (5th ed.). F.A. Davis.

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A Sample Answer 2 For the Assignment: NUR 700 Discussion 1.1: Metaparadigms and Impact of Theoretical Statements

Title: NUR 700 Discussion 1.1: Metaparadigms and Impact of Theoretical Statements

Nursing metaparadigm

The environment is a critical nursing metaparadigm that defines how a person’s surrounding affect their perception of care. Fundamentally, a patient’s experience is determined by the impact of environmental factors and their capacity to overcome adverse influences. Internal influences such as beliefs, perspectives, and customs have an immense impact on a person’s perception of care. External issues, including ecological problems such as warfare, terrorism, racism, and family dysfunction, also markedly affect a person’s attitude towards healthcare services (Nikfarid et al., 2018). An individual’s social circle has a direct bearing on the outcomes of medical treatment as they have the capacity to influence the experiences of the person.

A supportive environment significantly aids the realization of improved recovery prospects due to the sustained assistance in adherence to the treatment program. The elderly is especially in need of support from those around them due to declining cognitive capabilities. Care providers in majorly minority communities must endeavor to be culturally competent improve the receptiveness of the members to healthcare.

2.Tenets

 The three major tenets that define my nursing practice are advocacy, commitment, and compassion. Compassion is central to the provision of care as it improves the rapport between the practitioner and patient. Nurses are advised to be empathetic to the needs of the subjects and empathize with their situation to realize improved adherence and recovery outcomes. Advocacy is also an integral part of medical practice that involves community engagement to increase awareness of common public health challenges and adequately equip members to address them. Minority groups such as the elderly are at an increased risk of being affected by prevalent health problems due to limited exposure to information; thus, nurses should be committed to reaching the demographics to secure positive outcomes.

 I grew up around my grandparents, who were integral in instilling foundational social values that have defined my existence to date. However, as they got older, I noted that they experienced immense communication challenges due to age-related impairment. They cannot clearly voice their concerns or raise sound arguments. My grandparents also required frequent medical attention. Papa was hypertensive, with his wife suffering from diabetes. I would frequently interact with the nurses who provided care to them. I noted that while a majority of them were empathetic and kind, others were inhospitable and appeared not to be sympathetic to the fact that the patients were septuagenarians and needed to be treated with compassion, gentleness, and tenderness. The experience inspired me to pursue nursing as a career to offer more compassionate care, especially to traditionally disenfranchised groups, including minorities and the elderly.

References

Nikfarid, L., Hekmat, N., Vedad, A., & Rajabi, A. (2018). The main nursing metaparadigm concepts in human caring theory and Persian mysticism: a comparative study. Journal of medical ethics and history of medicine11. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150916/