Nursing metaparadigm video transcript PDF

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what is metaparadigm? and the different metaparadigm from different theorist...

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Understanding the Nursing Metaparadigm Transcript for the video: Understanding the Nursing Metaparadigm

Cathy J. Thompson, PhD, RN, CCNS, CNE https://nursingeducationexpert.com

(c) Original blog post What is the Nursing Metaparadigm?published on October 3, 2017 by Cath Cathy y J. Thompson Video published on Y YouT ouT ouTube ube on Jul 18, 2018 and published on my website on September 4, 2018. This video will explain what a metaparadigmis, which phenomena dene the four nursing metaparadigms, and provide examples of the metaparadigm concepts from selected nursing theorists. The video presentation contains images that were used under a Creative Commons License. Click here to see the full list of images and attributions: https://app.contentsamurai.com/cc/159752 The original blog post, including the nursing metaparadigm concept graphic can be found at: What is the Nursing Metaparadigm? The content and images are copyrighted, so do not copy my work and if you download my images please make sure you credit me appropriately.  (Be fair and demonstrate your integrity. You can’t just copy images from the Internet; you must credit the authors/image creators appropriately.) The blog post on How to Identify Assumptions, Beliefs, and Values in Nursing Theory (BAVs) is found at: https://nursingeducationexpert.com/assumptions-beliefs-values-nursing-theory/ To get a copy of my eBook on Writing Outstanding Nursing Assignments, go to: https://neecjtconsult.samcart.com/products/nursingtheoryassignments1 Thank you for watching. I hope you found some value in this presentation. Please visit my website to subscribe for a free account so that you can access the resources that will help you in school and in practice. Note that when you register for a free account, along with access to free content you are consenting to be automatically subscribed to my free monthly newsletter – the Nursing Education Expert Insider. No worries though, you can unsubscribe – and re-subscribe -- at any time!

Don 't miss out on Expert Advice! Don't Register for a F Free ree or Paid Membership toda today! y! Transcript APA How to Cite this T ranscript in AP A (6th ed.)  Thompson, C. J. (2019). Understanding the nursing metaparadigm [Video transcript]. Retrieved from https://youtu.be/00kKpq20QBc OR Thompson, C. J. (2019). Understanding the nursing metaparadigm [Video transcript]. Retrieved from https://nursingeducationexpert.com/nursing-metaparadigm-video/

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Time Stamps of Key Topics 02:41: Metaparadigm dened  03:34: Nursing Knowledge Continuum  04:17: Denition of metaparadigm again  04:44: Elements of a nursing theory 05:32: 4 nursing metaparadigm concepts; Key foci of patient care are identied as Nursing, Person, Health, and Environment. All of Nursing Practice is distilled to these four central phenomena.  07:55: Phenomenon of Nursing explained: what nurses DO  08:43: The Phenomenon of Person explained.  09:46: The Phenomenon of Health explained  11:00: Phenomenon of Environment explained  12:21: Each theorist is a unique human being. They each have a different perception of what it means to be a nurse  12:53: Important for you to notice the different language used by these nurse theorists  14:00: Examples of the Person metaparadigm concept from selected nursing theorists  20:54: Different worldviews = different ways to practice nursing  21:26: Examples of the Health metaparadigm concept from selected nursing theorists  24:42: Examples of the Environment metaparadigm concept from selected nursing theorists  29:48: Examples of the Nursing metaparadigm concept from selected nursing theorists  36:26: So I hope you can see from these examples that the denitions from each of these nursing theorists, they each have a different picture of the world and a different picture of the central work of nursing.  38:50: References

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Dr. Thompson: Welcome. Welcome to the Nursing Education Expert video series. My name is Dr. Cathy Thompson and I'm the creator of Nursing Education Expert, a website designed with nursing students and practicing nurses in mind. The Nursing Education Expert motto is "In pursuit of nursing excellence" because I believe nurses are lifelong learners. With so much new information and research being generated every day, I'm trying to provide you with tips and resources to help you navigate the nursing and healthcare world. I also try to clarify concepts and processes that you may be struggling with either in nursing school or in nursing practice. You can nd the website at https://nursingeducationexpert.com. I have multiple free resources for you on topics of nursing theory, nursing research, evidenced-based practice, productivity strategies, writing, and many others. Sign up for any Membership Level (Free or Paid) and you'll receive my free newsletter and information to help you pursue personal and professional nursing excellence. I promise not to spam you and you can unsubscribe at any time, though I hope you don't! My site has been HonCode certied since 2015 for trustworthy health information and ethical business practices. This video is based on the blog post. "What is the Nursing Metaparadigm? You can get the full text at https://nursing education expert.com/metaparadigm. I have added some additional comments to this video that are not found on that blog post, FYI. So let's get started.

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Metaparadigms, theoretical frameworks, conceptual models, assumptions, propositions, concepts.These are all terms that every nursing student needs to understand and apply for nursing theory class. This video will explain what a metaparadigm is, which phenomenon dened the four nursing metaparadigm concepts, andI'll provide examples of the metaparadigm concepts from selected nursing theorists. And if you haven't already, download my free eight- page resource guide of nursing theory and philosophy terms and concepts. I have a link in the notes on the blogpost at nursingeducationexpert.com/metaparadigm and in the description window for this video. [Note: You have to register on my website for a free or paid account to access blog content and free resources.] Metaparadigm is dened as a set of concepts and propositions that sets forth the phenomena with which a discipline is concerned. A metaparadigm is the MOST general statement of a discipline. And as such, it functions as a framework in which the more restricted structures of conceptual models develop. Another denition of metaparadigm is the concepts that identify the phenomena of central interest to a discipline; the propositions that describe those concepts and their relationships to each other. A metaparadigm therefore is the MOST abstract, the MOST global perspective of the discipline. The continuum of nursing knowledge starts, therefore, with metaparadigms as the most abstract, all the way to practice or situation-specic theory as the most practical and most concrete forms of nursing knowledge. (To remind you of the nursing knowledge continuum, I'll repost the diagram I designed for my post on theoretical frameworks and conceptual models. I'm not sure if it's going to completely show up in this particular slide, but if it doesn't, I'll give you a link to it in the notes.)

I'm going to repeat myself here because, again, this is a very abstract concept, but when we talk about the metaparadigm of nursing, we're talking about the areas that are the most general basis of nursing practice, the ELEMENTS of nursing. So hopefully I've described in it in a bunch of different terms, one of which hopefully resonates with you, so that you can understand what a metaparadigm really is. Now for a theory to be considered a NURSING theory, the four nursing metaparadigm concepts must be addressed in the theory. The extent to which they're addressed may be different with the different theorists.

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One of the areas you'll critique when critiquing a nursing theory is how well the theorist dened the four nursing metaparadigm concepts. When you're reading different theories, you'll notice that some theorists will have all of the metaparadigm concepts very well dened. While others may have only a couple of concepts well-dened and maybe one or two of the others that are mentioned but not very well eshed out. So let's look at the four metaparadigm concepts.

The four phenomena that are of central interest to nursing practice or the ones that are the key foci of patient care are identied as Nursing, Person, Health, and Environment. So all of nursing practice is distilled to these four central phenomena. These, then, are the basic elements of nursing. What nursing is generally concerned with: Nursing, Person Health, and Environment. These four phenomena, or these four metaparadigm concepts, make up the OVERALL metaparadigm of nursing. Now, something important to note is that the phenomena of Person, Health, and Environment all relate to the Recipients of nursing care or the Recipient of nursing actions. While,the phenomenon of Nursing is ONLY focused on the nurse.

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The denitions of each of the four metaparadigm concepts are important to understand because they correlate with the BAVs or the beliefs, assumptions, and values of the theorist. These BAV s are different for each theorists. That just makes sense, right? If you understand how the theorist is dening the concepts, you could identify and therefore understand where the theorist is coming from in terms of their worldview or their perspective of nursing or, that is, their nursing theory. You can check out my blog post on how to identify your BAVs to write your personal philosophy to get a little bit more information on how BAVs come together. I'll link to this in the notes and in the description box for this video. I'll also give you examples a little bit later in this presentation. So, let's generally dene the four nursing metaparadigm concepts rst. Let's start with the phenomenon of Nursing. This metaparadigm concept is related to the art and science of nursing. It consists of nursing actions or nursing interventions. Think of this metaparadigm concept as WHAT NURSES DO and keep that in mind so you don't confuse it with the phenomenon of Person. A nurse is a person [but not a Person - except in a few theories!], but the Nursing metaparadigm is different than the phenomenon of Person. [It's about ACTION, not personhood.] The Nursing metaparadigm concept consists of the nurse applying professional knowledge, procedural and technical skills, and indirect and direct (or hands- on) patient care. The phenomenon of Person: nurses provide nursing care to Persons. The Person is the one receiving the nursing care. The level and the type of care will vary, of course, with the acuity of the patient or the needs of the client. What's important about this phenomenon, though, is that Person is dened according to the recipient of nursing care (the patient or client) and it may include the patient's family and friends and the community. So the nurse needs to consider how the patient is dening family when planning care because this will impact the type of support the patient might be getting or might not be getting and the resources needed as a result, visiting hours, etc. For the phenomenon of Health, the concept of Health again is relative to the Person and just like with the phenomenon of Person: the phenomenon of Health is dened according to the patient's perspective, the patient's values, beliefs, and culture. What one Person considers healthy, may be considered unhealthy to another person; what one Person considers an acceptable quality of lifemay be considered an unacceptable quality of life to another person.

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So again, the person's perspective about what Health is to them is really vitally important. The phenomenon of Health refers then to the patient's level of wellness. That is the what we call the health orthe wellness-illness continuum. And it's in all its many aspects: physical, psychological and mental, intellectual, emotional, and spiritual. And the ability to ACCESS health care and ACCESS resources to support health and wellness is included in this phenomenon. And nally, let's talk about the phenomenon of Environment. While we typically think of the environment as something external to us, like a setting or a place, a person's Environment as also internal: stress, genetics, adaptation .... These are all internal factors that inuence how we deal with both the external and the internal world. The Environment consists of internal, external, and social factors that impact a patient's health, including genetics, immune function,culture, interpersonal relationships, economics, mental state, geographical location, educationlevel, politics, ecology, social status, job or career level, etc. Hopefully the explanations of metaparadigm and the four metaparadigm concepts are making sense to you.

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So now I'm going to talk about and I'm going to give you examples of each of the four metaparadigms according to different nursing theorists. Each nursing theorist denes the Nursing Metaparadigm concepts according to their own perspective, their own worldview. Because each theorist is a unique human being. They each have a different perception of the role of Nursingand the denitions of Person, Health, and Environment within their own world view. Therefore, their denitions of the metaparadigm concepts are going to be different. Orem's denition of Person is going to be different from Martha Rogers' denition of person, for example. It's also going to be important for you to notice the different language used by these nurse theorists to describe the meta paradigm concepts. And it's going to seem like apples and oranges, but realize they are dening the SAME four concepts. Their own worldviews or own perspective of what nursing is and how it provides for people, etc., is going to color their denitions. Now, I've chosen nurse theorists from different perspectives to emphasize how these perspectives altered the way each theorists saw the world of nursing. They're not in any particular order, but you can look in your theory texts to see which perspective they're aligned with, be it environmental, systems, health behavior, interpersonal relationships, energy, goals, etc. Different nursing theory authors (what I mean is the Authors of nursing theory textbooks) ascribe different foci to the different theories and the different models. So we're going to start with the Person metaparadigm concept. Do note that you're going to see page numbers with these denitions. I've taken these denitions from the Masters' textbook on nursing theory (2015) and the page numbers are just where I got the denitions from [reference citation at the end]. Let's start with Florence Nightingale. Florence Nightingale dened Person as the recipient of nursing care. Now notice there's nothing more specic there. There are no details. So she really could have meant anything. She could have meant a bio-psycho-social-spiritual being, but she did not dene Person that specically. And you might ask, how do we know how some of these theorists dened the metaparadigm concepts if they weren't that specic in their denition? And the bottom line is going to be that you really just have to discern their denitions from what they wrote about, from the bulk of their writings. So that would hold true for any of the theorists for whom a denition or for which a denition is not completely eshed out.

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Now notice that Virginia Henderson dened Person a little bit more in detail. She said a Person was the recipient of nursing care who is composed of biological, psychological, sociological, and spiritual components. Now that's important to note because if you use Henderson's theory, then when you assess the Person (patient/client/community) you are going to be assessing biological components, psychological components, sociological, and spiritual components. That's part of her denition -- and so the assessment tool [you'd use] would want to cover those areas. Jean Watson dened Person as a unity of mind- body- spirit/nature or an embodied spirit. So it makes sense, doesn't it, that if you follow Jean Watson's theory, you're going to be assessing the person's mind - so everything that goes with that - body and spirit, that is how she dened Person. Dorothy Johnson dened Person as a biopsychosocial being who is a behavioral system with seven subsystems of behavior. So you have a little bit different twist here. You have a biopsychosocial being who is a behavioral system and she dened the seven subsystems of behavior that the nurse should assess, to assess this Person as a whole. Now notice Imogene King's denition of Person. [A Person] is a personal system that interacts with interpersonal and social systems. Imogene King used a Systems Theory approach to her nursing theories. She described the Person as a personal system who then interacts with other systems - interpersonally and through social systems. Martha Rogers had a completely different take on Person. She believed that a Person was an energy eld and described Person, the denition of Person, as an irreducible, irreversible pan dimensional negentropic energy eld identied by pattern. And she called that the Unitary Human Being. And her theory is called the Theory of Unitary Humans. Martha Rogers believed that a Person was a being and an energy eld in constant interaction with the environment. So, her theory has a physics dimension to it talks about energy elds, talks about patterns. So again, a different perspective on nursing. Dorothea Orem's theory, the Theory of Self-Care. She dened Person as a Person under the care of a nurse, a total being with universal, developmental, and health deviation needs who is capable of self-care. Let's look at Hildegard Peplau. Peplau dened Person as encompasses the Patient, the one who has problems for which expert nursing services are needed or sought, AND the Nurse, a professional with particular expertise. So you can see that Person to her was this INTERACTION of the patient and the nurse together and that's important to her theory. [One of the few nursing theories that includes the Nurse as Person - though the role of the Nurse is still dened in the metaparadigm of Nursing.]

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Now on the other hand, this is a very different denition: Madeline Leininger dened Person as a human being or a family, a group, a community, or an institution. So you can see a very wide scope of denition for Person here. Now that will make sense if you, once you learn about her theory, but the fact that an institution could could be the Person, then you'll see how she puts what does the nurse do for that person if the person is considered an institution. So something to think about when you get there. Pender described Person as an individual who, in this case, is the primary focus of her Health Promotion Model that she's referring to. So in this case, we're looking at a one- on- one relationship, right? She's looking at Person as an individual.Pender described Person as an individual who, in this case, is the primary focus of her Health Promotion Model that she's referring to. So in this case, we're looking at a one- on- one relationship, right? She's looking at Person as an individual. And the last nursing theorist that we're going to look at is Rosemary Parse and she dened Person as an open being, more than and different from the sum of the parts, in mutual simultaneous interchange with the Environment who chooses from options and bears responsibility for choices. So again, you're going to see this denition is very detailed and it's going to t in, obviously, with the rest of her model. So to reiterate, different world views from the different theorists, based on their life experience, their own values, their own beliefs, their own attitudes, will lead to different denitions of the metaparadigm concepts or the ...