Introduction
Conceptual frameworks are essential for directing the practice of advanced caregivers. They offer a viewpoint on healthcare meta paradigms and are connected to particular ideas. Finding a theoretical foundation for advanced nursing activity is essential since it keeps the care’s main focus intact. Conceptual frameworks specify the objectives and skills necessary for advanced practice nursing regarding the duties of care providers, their specialized capacities, health education, evaluation, and treatment (McEwen & Wills, 2022). Four nursing metaparadigm notions are related to the established conceptual framework. These ideas define the primary areas of patient management: the client or patient, their health, their surroundings, and nursing (McEwen & Wills, 2022). This assessment locates a conceptual framework focused on advanced nursing roles and analyses its relation to every metaparadigm concept.
Metaparadigm Concepts of Nurse Theorists
Florence Nightingale
Florence Nightingale, the creator of modern care and a forerunner of environmental theory, described nursing as harnessing the patient’s surroundings to aid in their rehabilitation. According to Nightingale, nursing should entail the proper use of clean air, light, warmth, and calm, as well as the appropriate choice and administration of food (Smith, 2019). All of them at the lowest possible cost to the patient’s life force. Nightingale does not describe people mainly because she views them about their surroundings and how it affects them. As she mirrors a community health paradigm in which everything that surrounds people is considered regarding their health condition, Nightingale emphasizes the natural environment in her theory (Smith, 2019). She advocated for nurses to participate in health awareness as a professional activity because she believes nursing should treat the sick and the healthy.
Hildegard Peplau
The nursing theorist who developed the Concept of Interpersonal Relations is Hildegard Peplau. According to Peplau’s idea, nursing is an interpersonal procedure of therapeutic encounters between a client who is ill or in demand of medical attention and a nurse who has been exceptionally trained to identify and provide assistance when needed (Smith, 2019). In this theory, persons are characterized as organisms that depend on a nurse to maintain balance while existing in unstable conditions. According to this concept, a patient deserves care, liberty, confidentiality, and ethical considerations. Peplau views health as the signal that suggests stable and robust personality growth (Smith, 2019). The environment is where therapy takes place and consists of structured elements, like the wards and unstructured elements.
Ida Jean Orlando
The Deliberative Nursing Process Theory, established by Ida Jean Orlando, enables nurses to create an efficient nursing care schedule that can be easily modified when the patient’s complexity increases. Orlando utilizes the word human to underline the uniqueness of each person and the fluidity of the nurse-patient connection (Smith, 2019). She views her work as being centered on helping those in need. As the cause of a nursing need, health is substituted by a feeling of powerlessness. Additionally, Orlando claimed that nursing works with those who need assistance (Smith, 2019). Orlando views nursing as distinct and autonomous in that it immediately cares about a person’s need for help. Orlando’s idea completely ignored the environmental circumstances, concentrating only on the patient’s present needs, particularly the interactions and behaviors between the patient and the nurse.
Jean Watson
The founder of the theory of transpersonal caring is Dr. Jean Watson, a nurse. Watson’s concept focuses on how nurses show care to their patients. The idea emphasizes how nursing’s humanitarian components interact with scientific understanding and medical practice. The individual, health, and nursing are three of the four nurse metaparadigm notions that Watson defined. She described people as valuable individuals who should be cared for, appreciated, fostered, comprehended, and helped (Smith, 2019). Watson views health as the absence of illness and a high degree of general physical, mental, and social functioning. According to Watson, nursing is a science about people and how health and disease are experienced via interactions between professionals, scientists, and ethical caregivers (Smith, 2019). Watson develops some caring needs rather than defining the metaparadigm notion of the environment.
Value of Conceptual Framework/Grand Nursing Theory
The conceptual model and significant nursing theories are at the core of professional nursing. They provide a comprehensive foundation for tackling complex nursing-related thoughts and concepts. Through promoting well-being, caregivers can employ these theories to help patients heal (Smith, 2019). The conceptual frameworks not only outline the significant achievements made by the field but also give nurses a way to organize their work, advance their careers, and enhance the patient care they offer. The grand nursing theories provide nurses with excellent knowledge to draw on as they deal with new and recurring problems (McEwen & Wills, 2022). Additionally, as nurses develop in their jobs, they frequently encounter situations requiring new tactics. Nurses can use Grand nursing theories to find solutions to issues.
Conclusion
In conclusion, the realm of the nursing profession is defined broadly by structured, knowledge-based notions known as nursing theories. Nightingale’s philosophy can be modified to meet the demands of specific patients because it emphasizes changing the patient’s surroundings to improve their well-being (Smith, 2019). The more advanced and therapeutic nursing techniques offered by Peplau’s theory demonstrate the changing character functions typical of the nursing field (Smith, 2019). Orlando’s philosophy emphasizes the partnership between the nurse and the patient, enabling caregivers to provide better patient care. Watson’s theory still provides a helpful and significant metaphysical direction for delivering nursing care (Smith, 2019). These nursing philosophies touch on the care metaparadigm, and the nurse theorist’s experiences inspire them.
References
McEwen, M., & Wills, E. M. (2022). Theoretical basis for nursing (6th ed.). Wolters Kluwer Health.
Smith, M. C. (2019). Nursing theories and nursing practice (5th ed.). Susan Rhyner.