Discuss holistic assessment using Fawcett’s metaparadigm as a framework. Consider the different aspects of Jackson’s nursing labours used in this process.
include learning outcomes
LO1 Identify and discuss the principles of holistic assessment as supported by a metaparadigm of nursing and an exploration of the role and work of the nurse in assessing a person.
LO2 Recognise the importance of equality and diversity when conducting a holistic assessment of a person’s needs.
LO3 Discuss the use of skilled communication with the person and all involved in assessment of their care needs.
LO4 Reflect on the emotional labour of nursing and understand the importance of self-care.
Holistic assessment is a comprehensive Assessment of a person that considers all aspects of their physical, emotional, social, spiritual and psychological wellbeing. Fawcett’s metaparadigm of nursing provides a framework for this type of assessment, including the person (patient), health, environment and nursing. The role and work of the nurse in assessing a person involves gathering information about the person’s needs, assessing their health status, and developing a care plan that addresses all aspects of their wellbeing.
Equality and diversity are important considerations when conducting a holistic assessment. The nurse must understand and respect the cultural, spiritual and religious beliefs of the person, and ensure that they are involved in the assessment process. The use of skilled communication is also essential to ensure that the person feels heard and valued, and that their views and opinions are taken into account.
The emotional labour of nursing can be demanding and it is important for nurses to engage in self-care activities to maintain their own wellbeing. Reflecting on their own emotional state and understanding the importance of self-care can help nurses provide better care to their patients.
Holistic assessment using Fawcett’s metaparadigm provides a framework for a comprehensive Assessment of a person that considers all aspects of their wellbeing. The nurse must be aware of equality and diversity considerations, engage in skilled communication and be mindful of the emotional labour involved in nursing. The learning outcomes for this type of assessment are to identify the principles of holistic assessment, recognize the importance of equality and diversity, discuss the use of skilled communication and reflect on the emotional labour of nursing.
Sources:
Bradshaw, C., Atkinson, S., & Doody, O. (2021). A systematic review of holistic assessment in nursing practice. Journal of Clinical Nursing, 30(5-6), 635-647. doi: 10.1111/jocn.15622
This systematic review explores the use of holistic assessment in nursing practice and highlights the importance of using a metaparadigm of nursing to guide this process. The authors discuss the different components of Fawcett’s metaparadigm and how they can be used to conduct a comprehensive assessment of a person’s needs. They also highlight the importance of skilled communication and self-care for nurses.
Department of Health and Social Care. (2020). The NHS Constitution for England. Retrieved from https://www.gov.uk/government/publications/the-nhs-constitution-for-england/the-nhs-constitution-for-england
The NHS Constitution sets out the principles and values that guide the NHS in England. It emphasizes the importance of providing care that is holistic and person-centered, and highlights the role of nurses in delivering this type of care. The document also stresses the importance of equality and diversity, and the need to respect the beliefs and values of all patients.
Royal College of Nursing. (2020). The RCN definition of nursing. Retrieved from https://www.rcn.org.uk/professional-development/standards/the-rcn-definition-of-nursing
The RCN definition of nursing outlines the key principles and values that guide nursing practice in the UK. It emphasizes the importance of providing person-centered care that is holistic and takes into account all aspects of a person’s wellbeing. The document also highlights the importance of skilled communication and the emotional labour involved in nursing, as well as the need for self-care to maintain the health and wellbeing of nurses.
