The Nursing Metaparadigm, Environment of Care, Philosophy, and Theorists – Flashcards
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Professional Practice Model - Pt Care Delivery Model
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Nurse controls delivery of nursing care and environment/location of delivery
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Professional Practice Model - 5 Subsystems
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Values, professional relationships, pt care delivery model, management approach, compensation & rewards
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Magnet Model Components
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Transformational leadership, Structural empowerment, Exemplary professional practice, New knowledge, innovation, and improvements. These create empirical outcomes
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Nurse
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Latin = nutrix; meaning to nourish
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QSEN (Quality and Safety Education for Nurses) 6
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Pt centered care, teamwork and collaboration, evidenced-based practice, quality improvement, safety, and informatics
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Frameworks/Paradigms
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Provide a broad framework of reference for systematic approaches or different views/perspectives with concern a specific discipline (nursing)
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International Council of Nurses
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To assist individuals, sick or well, in performance of these activities contributing to health or its recovery, peaceful death, or preventing disease
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America Nurses Association
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Diagnoses and treatment of human responses to actual or potential health problems
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Carper's Pattern of Knowing
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Tool for generating clearer, more complete thinking and learning about experiences; contains empirical, personal, ethical, and aesthetic info
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Paradigm
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Model explaining linkages of science, philosophy, and theory accepted and applied by discipline
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Nursing Paradigm/4 Central Concepts of Nursing
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Person, health, environment, and nursing
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Environments of Care: JMU's Undergrad Nsg Curricular Model
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Microsystem (individual), mesosystem (family), exosystem (community), macrosystem (global)
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Mesosystem
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culture, religion, ethics, law, and safety (family; social environment of care)
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Microsystem
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health history; spirituality, behavioral, psychosocial, socioeconomic; home environment (individual environment of care)
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Exosystem
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systems of care, epidemiology (disease in a large population), economics, policy, evidenced based practice (community; external environment of care)
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Macrosystem
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synthesis nursing knowledge, leadership, capstone, informatics, transition to practice, global aspects of human experience (global environment of care)
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Von Bertalanffy: General Systems Theory
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all systems are: goal directed, ever changing, more than the sum of the parts, any change to one part affects the whole, human systems are open and dynamic; NOT specific to nursing
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Maslow's Hierarchy of Needs
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Humans are born with instinctive needs, ranked in order of importance: physiological, safety, belonging, esteem, self-actualization; NOT specific to nursing
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Kurt Lewin: Change Theory steps
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recognize where change is needed, analyze forces against change and with change, ID different ways/methods change could occur/alternatives, recognize group mores/custom on change, ID methods that the group uses to change, process of changing; NOT specific to nursing
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Florence Nightingale: Notes on Nursing: What is, and What is Not
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Help people who care for the sick "think how to nurse," addresses fundamental needs of the sick (uses Maslow's hierarchy)
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Hildegard E. Peplau: Interpersonal Relations in Nursing
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To develop an interpersonal interaction between patient and nurse
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Virginia Henderson: The Nature of Nursing
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To assist the patient in gaining independence as rapidly as possible
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Martha E. Rogers: Theoretical Basis of Nursing
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To assist the patient in achieving that maximum level of wellness
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Dorothea E. Orem: Nursing: Concepts of Practice
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To provide care and to assist the patient to attain self-care; soundness/wholeness of developed human structures - bodily and mental functioning
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Betty Neuman: The Neuman Systems Model: Application to Nursing Education and Practice
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To address the effects of stress and reactions to it on the development and maintenance of health
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Sister Callista Roy
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To identify the types of demands placed on a patient and the patient's adaptation to the demands
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Jean Watson: Nursing: The Philosophy and Science of Caring
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To focus on curative factors derived from a humanistic perspective and from scientific knowledge
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Clinical Nursing
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Fundamental to meet basic needs and specialty care based on nursing science and specialty theories, knowledge, and skills
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Community-Based Health Care
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Directed towards a specific group or population within communitty
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Nursing Education
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Based on science and education theories, controlled by state education and healthcare guidelines
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Nursing Systematic Management
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Nursing professional staff, technologies, equipment, information, professional practice model, day-to-day operations, and finances and budget
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Nursing Research
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Based on evidenced-based literature and research studies, with development of evidenced-based best practices
