The Four Concepts Of The Metaparadigm In Nursing

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A metaparadigm in nursing is the most universal perspective of a discipline. A metaparadigm identifies interests that are common phenomena describing a relations ship between the abstract concepts that identify these phenomena (Masters, n.d.). Nursing has four basic concepts, called metaparadigms. These concepts are: Person, environment, health and nursing. A metaparadigm consists of a group of related concepts. A concept in nursing is usually one or two words that convey meaning, understanding or feelings between or among individuals (A companion to nursing theories and models, 2015). Concepts can be empirical (observed or experienced) or abstract (not observable) these can be common phenomena such as caring, autonomy or trust (Masters, n.d.). …show more content…
The act of caring and the characteristics of those caring shape the concept of nursing (Nursing, 2013). Defining the nurse role through science is an error in interpretation. Whereas medical physicians and assistants are task oriented, nurses are role oriented. Roles portrayed by the practitioner are the following for example; the role of caring, nurturing, teaching and maintaining. Nurses use concepts to define the abstract and theory to explain the “known”. In the act of nursing the nurse focuses on the prevention and holistic aspect while medicine is primarily focused on the interventions to a cure (Weiland, 2015). With a holistic approach nurse practitioners use the basic metaparadigm to shape and give direction to their own practice. The results of the metaparadigm in nursing relates to questions or propositions that lead to development of theory. Theories shape the art of nursing giving it direction (Nursing, …show more content…
Illustrative of autonomy in practice, are the defining attributes which serve as the propositions to further exemplify the concepts. These defining attributes are:
1. Relationships based on caring with the person. This is the patient, client or even the family (Nursing, 2013).
2. Responsible, critical sound judgement and decision making by the practitioner (Ballou, 2010).
3. Established interdependent professional collaboration (Maylone, Ranieri, Griffin, Nulty, & Fitzpatrick, 2011).
4. Accountability to self, patient and practice (Carryer, Gardner, Dunn, & Gardner 2015).
5. Empowerment of the practitioner to self- govern actions (Ballou, 2010).
In simplistic terms the definition for autonomy can be defined as the freedom of one to act on what they know. Within these concepts are the assumptions that autonomy is internal and free from external affirmations consequently freedom is a result of autonomy. Autonomy is defined by accountability while accountability is defined by trust and respect (Ballou, 2010). Furthermore, autonomy is self-governing, and self-directed and cannot be taken away (Weiland,

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