How does the nursing metaparadigm impact the implementation of culturally proficient nursing care?
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What Is the Nursing Metaparadigm?
A metaparadigm is defined as “a set of concepts and propositions that establishes the phenomena with which a discipline is concerned.” Simply put, it is all of the features that comprise a single framework — or everything that constitutes being a nurse.
The nursing metaparadigm provides a comprehensive approach to care. The metaparadigm considers everything that goes into caring for a patient, including the person, their environment, their health, and the practice of nursing itself. It lays the groundwork for nurses to apply the necessary skills. This comprehensive view of health and well-being enables Registered Nurses (RNs) to meet not only their patients’ physical needs, but also their social and emotional needs.
The term “metaparadigm” was appropriated by Jacqueline Fawcett from philosophers Margaret Masterman and Thomas Kuhn and repurposed for the field of nursing. She did this in an attempt to organize the field through a philosophical affirmation, allowing nursing practice to be deemed rigorously “scientific.”
Although scientists disagree with her assertion, there is something to be said for encouraging holistic care. Aspiring RNs should carefully study the nursing metaparadigm in order to provide the best possible care to their patients. The metaparadigm and its underlying theory may be a useful framework for nurses to use when answering common interview questions or articulating their goals and values in cover letters when applying for jobs.
Person
The patient, as well as the patient’s family and friends, comprise the metaparadigm’s person component. The person component considers the patient’s spiritual, emotional, and social needs in addition to his or her physical needs. This enables a nurse to see a patient as more than just their medical history.
The ultimate goal is to empower the patient to manage their own health and well-being, which necessitates attention to one’s social health. Nurses can Help patients in this by emphasizing the importance of maintaining personal connections. Allowing a patient to express what they’re going through and how they’re feeling can help to meet their emotional needs.
Visualizing patients as more than “just patients” may Help nurses in finding greater job satisfaction and avoiding burnout. As a result, the metaparadigm’s person component benefits both patients and nurses.
Environment
The metaparadigm’s environmental component focuses on the patient’s surroundings. This component includes a patient’s emotional and social surroundings in addition to their physical surroundings. In other words, a patient’s surroundings can include anything that could affect their health and well-being.
Interactions with family, friends, and even their community can all be classified as environmental factors, as can economic conditions or geographic locations. While a bad economy can increase a patient’s stress, interactions with loved ones can have the opposite effect. Culture, social connections, and technology are other aspects of the environmental component.
It is critical for nurses to understand their role in a patient’s environment. Creating a comfortable environment is one of many important nursing duties, whether the work is done in person or via telehealth.
Health
The health component is determined by where a person is on the health-illness spectrum at the time of their encounter with a nurse. The health-illness continuum as a whole, on the other hand, depicts changes in health and wellbeing over the course of a patient’s life. It’s critical to understand that anyone’s health is always in flux, and that whether you’ve been sick or healthy in the past, that can and will change for the rest of your life. Furthermore, it is critical to recognize that any individual’s specific health history may continue to affect them in unique ways for the rest of their lives; this is why it is referred to as a continuum!
All of this information influences how a nurse proceeds in providing the best possible treatment plan based on a patient’s medical history. This sense of relativity is critical because what is healthy for an 18-year-old boy is unlikely to be healthy for an 80-year-old man. As a result, treatment plans are tailored to the individual.
This includes, among other things, physical, mental, emotional, social, and spiritual well-being. Chronic illnesses, genetic makeup, mental health disorders, and other factors should all be considered.
Nursing
The metaparadigm’s nursing component takes into account everything you learned in school, on the job, and everywhere in between. The nursing component represents one’s nursing skills and the knowledge required to carry out the duties and responsibilities associated with providing patient care, from theory and practice to collaborations and communication.
When observing or practicing nursing, hard skills and knowledge do not always reign supreme; the ability to show empathy and compassion is just as important as performing a procedure or reading a chart.
Overall, the nursing component can be thought of as the practical side of the previous concepts. Everything a nurse does for a patient may be included. The actual practice of nursing completes the four basic concepts of Fawcett’s theory by integrating with other components of the metaparadigm.
