Metaparadigm of nursing – Flashcards
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Concept
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an idea we conceive (in our minds) to represent the world around us. "building blocks of theory"
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Critical social theories
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suggest social reality historically produces power imbalances that can be critically examined. knowledge, applied critically analyze and challenge these realities, can serve to free people from the social forces of domination, oppression, or marginalization by others in power. It's intent is to bring about positive changes in conditions that affect people's lives
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Hypotheses
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specific statements used by researchers to predict a relationship between or among variables. Serve as a link or bridge between theory and research and are used to test theory
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Metaparadigm
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set of concepts or ideas that is important to the discipline of nursing. Includes concepts that are central or core to nursing: person, health, nursing, environment, and social justice
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Nursing concept of Metaparadigm
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attributes, characteristics, and actions of the nurse in relationship with the patient and nature of care provided recognize patients and families are "experts" regarding their own lives
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Health concept of Metaparadigm
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Subjective term determined by each person or community includes physical, psychosocial, relational, and spiritual aspects of individual across a lifespan, an individual's expectations and definitions of health changed
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Environment concept of Metaparadigm
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explains full context of health care and of nursing specifically totality of all things that impact a person & includes both internal & external environments
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Person concept of Metaparadigm
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subject to dynamic changes in understanding over time persons can be individuals, groups, families, and communities considered holistically by nurses relevant aspects of a person should be considered when nursing care is provided
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Fifth concept of the metaparadigm
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Social justice ensuring the allocation of life resources in a way that benefits the marginalized or vulnerable, and constraints the self-interest of the privileged Nursed have taken an advocate role
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Upstream approach
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thinking ahead and preventing things before they occur rather than letting the happen and focus on treatment and solution (people throwing people in the river)
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Nursing practice theories
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focus on nursing & care of people. address elements of metaparadigm. can exist at different levels of understanding or abstraction
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Paradigm
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patterns of shared understanding; worldview theories are often based on paradigms - they shift
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Social justice
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concept that concerns fairness in society & states that all people have equal chances to succeed in life. Both a goal and a process
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Variables
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change observable in characteristic, number, or quantity; can also be measured or counted by a researcher
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Theory
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set of idea (concepts, variables) used to describe, explain or predict the physical and social worlds. takes concepts & suggests relationships within, between, or among them. in nursing, theory informs practice (what we do and how we do it) and, at the same time, practice informs, challenged, and confirms theory
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Grand nursing theories
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offer a general orientation of philosophical stance about nursing. can be applied in most nursing situations
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Midrange nursing theories
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informed by practice and research & offer general direction for everyday nursing practice, more limited in scope - less abstract than grand nursing theory)
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Meta-theory
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broad issued related to theory, theory about theory - ex: analyze purpose & type of theory needed in nursing and propose criteria for evaluating theory in nursing
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Practice theory
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very specific, limited to specific situations. Identifies desired goals & actions to achieve goals. Often become protocols for nursing practice - ex: prevention of decubitus ulcers by shifting body weight theory and practice are inextricably linked nurses engage in practice, education, administration, and research using theory
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History and purpose of theory development in nursing
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England in the 1800s - poor, uneducated women tended to the needs of people in their homes, called nurses or governess. job was viewed as undesirable and formal training & education was unnecessary urbanization * industrialization in 19th century resulted in women seeking paid employment, nursing became more acceptable. formal education in nursing allowed women to gain knowledge in anatomy, elimination and reproduction
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Florence Nightingale
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considered the foundress of nursing, discovered that unsanitary conditions lead to infections & spread of disease & contributed to high death rates among soldiers
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four theoretical assumptions about nursing & health care as made by Nightingale
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1. nurse-patient relationship is important 2. environment has a direct effect on patient's well-being 3. environmental factors such as fresh air, drinking, water, cleanliness, and light contribute to good health and recovery. the absence of these can lead to illness and poor health 4. a nurse can act to modify the environment and influence patient outcome