Nursing Metaparadigm Analysis

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The Four Metaparadigms According to Butts and Rich (2015), a metaparadigm is the view that distinguishes the focus of a discipline. The nursing metaparadigm, identified by Jacqueline Fawcett, is a set of four concepts that includes patient, nurse, health, and environment (Butts & Rich, 2015). Together, these key concepts have become the foundation for which the nursing discipline follows.
Patient
The patient is defined as the receiver of nursing care and may include their family, friends, and community (Thompson, 2017). For myself, in the ICU setting, the patient is the most important aspect of the metaparadigm. Everything that I do is for the benefit of the patient. A patient’s family and support system are included in the patient concept, and play a large role in the healing and motivation of the patient. As a nurse, it is my job to support my patient and to encourage and assist them in any way that can accelerate the healing process. It is also important to incorporate the patient into the decision-making process and make them equal partners in their own care.
Nurse
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The nurse is the one who has to use knowledge, judgement, and critical thinking skills to make patient care decisions. When it comes to patient care, the nurse concept shows its importance through the improvement in patient outcomes based on nursing. Nurses are who directly interact and care for the patient. In the ICU setting, the nurse plays one of the largest roles in the patient outcome. Nurses are responsible for very in-depth patient care and recognizing potential problems before they arise. A patient outcome can vary based on the quality of care received and the knowledge and skill level of their

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