Identify, discuss, and documentation of four concepts on nursing. Patient, environment, health, and nurse.

documentation of four concepts on nursing

Identify, discuss, and documentation of four concepts on nursing. Patient, environment, health, and nurse
Details:
Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.
Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.

Model answer

Basic Concepts in Nursing
In Orem’s theory, four nursing metaparadigm concepts are described; person, environment, health, and nursing. After a keen analysis of the theory, the perspective of the 4 concepts is bound to change. The image of the ‘person’ is confined to one who receives nursing care after self-care administration fails. The ‘environemnt’ view includes the developmental environment and ‘health’ encompasses health maintenance and health promotion. In addition, ‘nursing’ encompasses a comprehension of the significance of the nursing theory as well as its application on the practice settings and nursing profession’s development (Wold, 2012).
Person
According to Orem, the person is the patient; an individual that functions symbolically, socially, and biologically. The person has a capacity to develop and learn, for self-knowledge, and making deliberate actions so as to satisfy the self-care requirements for maintaining health. If a person is not in a position to care for himself, a family member or care provider can do so. On the same note, individuals cannot escape the natural forces (Wold, 2012). People benefit from nursing since they experience health-related limitations which inhibit continuous self-care. When an individual is sick, the nurse should be committed towards doing all she can to treat the patient even if in collaboration with other professionals.
Patients should be treated as intelligent persons who have an intense capacity of learning regarding how to cope with their condition. They should also be treated as so since in many healthcare setups, many professionals ignore this. There is a great need for patient education and communication in relation to self-care administration and provision of healthcare should only be secondary. In the past, patients were treated as the passive recipients but Orem’s theory promotes a shift to self-empowerment and the ‘person’ to enhance self-care (Kelly, 2012).
Nursing
People usually seek nursing services because of diseases that interfere with the ability of continuous self-care. Caring for oneself is not inherent but learned through integrity and development. The nurse has a critical role of assisting individuals to meet self-care and therapeutic needs. Orem’s theory can be applied in rehabilitation centers that evaluate patient outcomes and discharge plans (Wold, 2012). The theory can also be applied in developing and guiding practice, and both quantitative and qualitative methodologies in nursing research.
Health
Healthcare is presently a great concern regarding the increasing costs. This calls for alternative care methods. There is a need to ignore the traditional approach where the patient was passive and engage a more proactive recipient who is ware and in a capacity to make decisions that impact his health positively. Self-responsibility is a key aspect of health promotion. To Orem, this is not a novel concept since she states that people can develop their psychomotor and cognitive skills, in addition to the motivation related to actions needed to maintain their health. If patients are keen on self-care, then illnesses can be prevented (Ellis & Hartley, 2012). There is a trend of increased disease prevention and health promotion as opposed to caring for patients predominantly. Nurses are increasingly engaged in approaches that can help people return to well-being and health.
While I had not incorporated the concepts of health maintenance and promotion previously, Orem emphasizes that self-care activities should never be taken for granted. Her health description is very applicable to nursing paradigm in relation to health maintenance. Health status is not a stagnant but an active growth process. There is an emphasis on prevention that promotes self-care (Ellis & Hartley, 2012). During the aging and reproduction processes, there is need for more self-care requirements. Promoting health should be a vital component of every person’s life. This should include eating healthy, being physically active, and a supportive network.

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The purpose of this Assignment is to explore how a theorist explicates his or her philosophy and thoughts behind a theoretical field. As in other fields of study, nursing has a plethora of theorists and theories. These theorists have developed their paradigm over time enriching it with research and dialogue with other theorists. Directions You are going to explore how a theorist of your choice created his or her theory. Did it develop as an acorn becoming a mighty oak over the decades? Did it arrive as a burst of light like the big bang as some believe created our universe? Was it developed from a blueprint like a spaceship where thousands of scholars worked together to create a rocket to the moon? In point of fact, how is a theory developed? This is what we are exploring. You will pick a theorist who interests you, it does not have to be a nurse theorist. You may also choose from other disciplines such as: behavioral, leadership, business, education, technology. You will become the theorist immersing yourself in the writings from the earliest mentioned to the most current. As you read, look at how you (taking on the persona of the theorist) developed the theory. In the first stage, theorizing occurs. This is where you, as the theorist, identify the concepts of what nursing is and is not. Perhaps you questioned what concepts were guiding those in nursing practice and then started to question your role. You started asking yourself, “Where am I in nursing, and where the profession is going? Is there some overarching concept that guides the professional in his or her practice?” This is where you recognize that a theory is needed. In the second stage, syntax is developed. This is where you will define the terms. Look for changing definitions of terms. Consider, for example, Jean Watson. She starts by defining the word “caring.” Within the last ten years she has refined her terminology changing the term caring to caritas. This demonstrates a growth and maturation from decades of research she and other scholars did to produce the theory of caring. The third stage is theory testing. Defined as the phenomena behind the theory that are exposed through research. The definitions of terms are refined. The theorists and other researchers consider whether this theory helps answer questions that arise in practice. This is where your theory is used in by a widening group of researchers. For example, graduate nursing students request the tool you developed while testing your theory. The fourth and last stage is evaluation. This is where philosophical debate occurs as the concepts are applied through evidenced based practice in the act of providing nursing care. Assignment Details For this Assignment, you are going to write an article for a nursing journal explaining how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages. To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources. Assignment Requirements Before finalizing your work, you should: Minimum requirement of at least 5 sources of support be sure to read the Assignment description carefully (as displayed above); consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and utilize spelling and grammar check to minimize errors. Your writing Assignment should: follow the conventions of Standard English (correct grammar, punctuation, etc.); be well ordered, logical, and unified, as well as original and insightful; display superior content, organization, style, and mechanics; and use APA 6th Edition
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