One of the most exciting things about nursing is that it is always changing. One of the frustrating things about nursing is that it is always changing. Nursing theory is no different. Theories are continually being updated and revised as worldviews and healthcare itself changes (McEwen & Wills, 2014). Dorothea Orem’s self-care deficit nursing theory is one such nursing theory that has been reworked to take into account the changes in our world, while still maintaining the initial framework (Taylor & Renpenning, 2011).
In the 19th and 20th century transcendentalism was a new and exciting topic that caused tremendous controversy. In the novel Into the Wild by Jon Krakauer, Chris McCandless was a man with a very unique character. In more detailed words Chris McCandless was a transcendentalist. His actions and moods played a big part in his life, from beginning to end. He was a transcendentalist because of his self-reliance, confidence and non-conformity. Even some people thought that McCandless was mentally unstable that was not the case.
In order to posit one’s personal philosophy he or she must have a clear understanding regarding self and the specific area (Nursing). The Cambridge Online Dictionary (2016) defined personal as “ relating or belonging to a single or particular person rather than to a group or an organization”. Doheny et al. (1997) defined philosophy as “beliefs of a person or group of persons and reveals underlying values and attitude regarding an area (as cited in Masters, 2017). Maville and Huerta (2013) state that Fawcett’s metaparadigm is often used to define and delineate the scope of nursing. Masters stated the purpose of one’s personal philosophy is to define how he or she finds truth. As a result each individual philosophy purported will be unique. This paper will seek to define, describe and explain my thoughts, feelings and belief regarding the four concepts of nursing metaparadigm and their interrelationship as well as their influence on my current nursing practice.
In Emerson's views, people should “not go where the path may lead, go instead where there is no path and leave a trail”(citation). Based on Emerson’s thoughts, people should not follow the crowd, but instead live their lives and leave their mark on the Earth. Emerson thoughts come from a philosophical movement of the nineteenth century called transcendentalism. Transcendentalism focuses on religious renewal, literary innovation, and social transformation (encyclopedia.com). Because of their belief that God exists in everyone and nature, and that knowledge comes from individual intuition, led to the highlight of individualism, self-reliance, and breaking free from traditions(citation). In the movie the Dead Poets Society, Mr. Keating “[stands] upon his desk to remind [himself] that we must look at life
Nursing theory affords the dialogue, models, and global aspect to take note of the nursing interest (Leddy, 2006). Nursing theories and models can be ascertained to direct nursing performance. Using Leddy’s theory (2006), the individual is seen as an open energy power that interacts with the atmosphere on a persistent basis. Individuals can take charge of their own health by making choices. The environment is ever changing and impacts change. Health is viewed as a part of the whole, is variable and teeters between synchronization and disagreement. Nurses depend on theories and models to promote healing, well-being, and mindfulness when providing care for individuals and interacting with
Humanistic psychologist Abraham Maslow put forward his theory of the hierarchy of needs through the shape of a pyramid. He suggested that each step in this pyramid became of importance when the needs of an individual are not met. To progress upwards in Maslow’s hierarchy of needs one has to meet each level to a satisfactory standard and when this is happens he claims that a person has reached a point of self-actualisation. All the necessities he mentioned had to be met before this could be realised however. He believed that everyone was capable of attaining self-actualisation but unfortunate life experiences do disrupt a person’s progress and they can go up and down the pyramid when these unlucky moments present themselves in life (ClassNotes, 2014).
Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own.
From these realizations I have concluded that the professional nursing theories which most align with my own philosophy is a combination of Jean Watson’s theory of human caring and Rosemarie Parse’s theory of human becoming.
Grandparents: Much younger than before. Text states that three fourths are grandparents prior to the age of 65. Half of the grandmothers are younger than 54. Grandparents are healthier and their lives are busier as they have multiple roles. The last two generations of middle aged adults will not have the same grandparent experience as their predecessors. We received these statistics: “80 % see their grandchild at least once a month, 70% bought a gift and ate with their grandchild. 44% see a grandchild at least every week. 12% have no contact or very little with their grandchildren.”
One ethical obligation nurses are required to fulfil during their shift is to ensure no harm is done to their patient. Due to nursing shortages and too many patient’s, nurses are finding this hard to do. Ethics help nurses make the right decisions with the guidance of their morals, but due to shortages and overworked nurses they tend to feel dissatisfied with their jobs. This results from unsafe work environments, lack of time for communication and quality care of patients. “Understaffing and overtime hours have been associated with increases in patient mortality, hospital-acquired infections, shock, and bloodstream infections” (Kane et al., 2007b). Ethical conflicts are work can lead to physical and mental burnout for nurses. According to the Nurse Code of Ethics nurses are morally obligated to
The book, Into The Wild, provides the most popular and detailed outline of Chris McCandless’ adventures. Through the examination of this book, it can be seen that Chris McCandless is a transcendentalist. A transcendentalist is a person who seeks to find their relation to the universe through a direct relationship with God and nature and believes in the tenets of transcendentalism. The validity of McCandless being a transcendentalist can be seen in his time in the Detrital Valley. In addition to examining whether McCandless is a transcendentalist, it is helpful to self-reflect and determine if I am a transcendentalist. It is difficult for me to self-reflect, but through the examination of my time in the woods hunting and my current ideology,
The Community Care Act 2014 sections 1, 2 and 4 highlights the general responsibilities of the act and it could be said the ones that most affect social workers in making decisions for action. We will look at these sections to see how they fit alongside the BASW Code of Ethics for Social Workers (2012).
In context of World Health Organization, self-care is often defined as activities individuals, families and communities undergoes with the motive of increasing health, overcoming disease, limiting illness and restoring health ("What is", n.d.). The knowledge and skills are gained from both professional and lay experiences for such activities. According to Klebanoff & Hess (2013), holistic nursing is defined as all nursing practice that has only motive of healing the whole person as its prime goal. A holistic nurse is like a licensed nurse who often incorporates a “mind-body-spirit-emotion-environment” approach to the practice of traditional nursing. Holistic nursing practices often require the combination of self-care and personal development activities into one 's life. Holistic nurses involves in self assessment, self-care and personal development, aware of being the sole instruments of healing. Holistic nursing emphasizing on integration of spirituality, self-responsibility, self-care and reflection in their lives. Smith (2006) discussed her life as a holistic nurse. White & Clegg (2009) highlighted approach in context of providing support to patients suffering from long-term conditions. The idea of healing the person as a whole being dates back to period of Florence Nightingale who held the view that nurses duty was to keep optimal conditions for healing. Rourke (1991) tried to find out
Dorothea Orem was an extravagant nursing theorist whose theories were first published in 1971 (Dorothea Orem 's Self-Care Theory, 2014). Orem established several fascinating theories of nursing which are still are current in today’s nursing. Orem proposed three nursing theories that are identified as: self-care theory, theory of Self-care deficit and theory of nursing system (Dorothea Orem 's Self-Care Theory, 2014). Orem’s nursing theories are defined as a grand theory (Nursing Theories: An Overview, 2014). Grand theory is defined as an abstract outline under which the key conceptions and values of the discipline can be acknowledged (Nursing Theories: An Overview, 2014). Orem’s theories mainly proposed that
Virginia Henderson said in an interview “Nurses always think about how can they help this person to become independent of the nurse at the earliest possible time which can’t be standardized but individualized. The patient should never feel like they are forced to do something against their will or better judgement. One of the serious flaws in healthcare that the patient involvement is not optimized. When there is no hope of the patient living constructively or they don’t want to live any longer, when death is inevitable it is terribly important for the nurse to make sure that the patient has a good death.” She defined the patient as someone who needs nursing care, but did not limit nursing to illness care. Her theory presented the patient as a sum of parts with biopsychosocial needs and the mind and body are inseparable and interrelated. Henderson considers the biological, psychological, sociological, and spiritual