Sherpath Ch 9 Nursing Theories and Philosophies Flashcards
Metaparadigm
Most abstract aspect of the structure of nursing knowledge
Consists of four major concepts:
Person
Environment
Health
Nursing
Philosophy
It is a set of beliefs about the nature of how the world works.
A nursing philosophy begins to put together some or all concepts of the metaparadigm.
Conceptual model or framework
A more specific organization of nursing phenomena than philosophies
Provides an organizational structure that makes clearer connections between concepts
Proposition
Describe linkages between concepts and are more prescriptive
Propose an outcome that is testable in practice and research
Florence Nightingale
What needs to be adjusted in this environment to protect the patient?
Virginia Henderson
What can I help this patient do that they would do for themselves if they could?
Jean Watson
How can I create an environment of trust, understanding, and openness so that the patient and I can work together in meeting their needs?
What is Virginia Henderson’s philosophy of nursing?
According to Virginia Henderson’s philosophical approach, the “unique function of the nurse … is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or a peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge”
In Notes on Nursing: What It Is and What It Is Not (1969), Florence Nightingale explained her philosophy of health, illness, and the nurse’s role in caring for patients. She made a distinction between
The work of nursing and the work of physicians by identifying health rather than illness as the major concern of nursing
The work of nursing and the work of household servants who often cared for the sick
This reflected the sociohistorical context.
What is Jean Watson’s philosophy on the science of caring?
In the Philosophy and Science of Caring, Jean Watson called for a return to the earlier values of nursing and emphasized the caring aspects of nursing.
How are Watson’s Caritas processes put into practice?
Watson’s Caritas processes guide nurses who use transpersonal caring in practice. Caritas processes specify the meaning of the relationship between nurse and patient as human beings.
Nurses develop and encourage openness to the understanding of self and others.
This leads to the development of trusting, accepting relationships in which feelings are shared freely and confidence is inspired.
Patient teaching also can be carried out in an interpersonal manner true to the philosophy and nature of the caring relationship.
