The a week and incorporating a well-balanced diet.

The nursing metaparadigm serves as
a foundation to provide quality patient care. The four key elements of the
nursing metaparadigm include person, health, environment, and nursing. This
metaparadigm provides nursing theorists a conceptual approach to understanding
the skills and knowledge needed to provide well-rounded, quality care for
patients. Nursing theories provide insight on the correlation of clinical
experiences, observations, and the outcome for clinicians to have a better
understanding on how to implement their care (Smith & Parker, 2015). By
integrating the concepts of the nursing metaparadigm and nursing theories towards
patients, such as Dorothea Orem’s Self- Care Theory, nurses will be able to
effectively treat and holistically improve patients’ condition, provide quality
education, and encourage healthy lifestyles to prevent future health

Factors in the
development of personal nursing philosophy

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            My personal nursing philosophy revolved
around my pattern of living, my family, and the knowledge obtained from educators.

Growing up, my parents always taught me to be independent in taking care of
myself. There is only one of us, and we are responsible and in control of our
own lives. I was introduced to eating healthy and being active at a young age,
so I continued this habit to where I am right now by exercising at least four
times a week and incorporating a well-balanced diet. After witnessing some of
my older relatives’ being diagnosed with medical conditions, that have caused
them to be dependent on countless medications, I learned that some of those
medical conditions could have been prevented or improved with lifestyle
changes. One of my biggest priorities is gaining knowledge of living a healthy lifestyle
to prevent future illnesses. Now, my duty as a nurse is to promote health and
wellness to the patients and community. Whether it is smoking cessation or
including exercise in their everyday lives, I always try to educate and encourage
my patients make some changes in their lifestyle to improve their overall well-being.

Nursing metaparadigm

            The metaparadigm of person refers to
the patient who is receiving the nursing care (Smith & Parker, 2015). This
element is essential in the metaparadigm because it acknowledges the person as
a unique human with unique factors that would impact their ability to maintain
their healing process. Because of the way I grew up, I have always felt stronger
and more self-empowered when I am able to provide care for myself,
independently. For me to feel like I have been holistically healed, I would I
need return back to my baseline of performing my everyday life activities by
myself. In this process, I would need proper guidance and education on the
treatment plan. It is easy see the superficial version of a person. However, it
takes a strong and skillful nurse to holistically assess the unique and
specific care needed for the patient.

            The health element refers to a
person’s health throughout their entire lifespan (Smith & Parker, 2015). As
clients seek medical assistance, it is important for nurses to assess the
quality of their patient’s health and their access to healthcare. As nurses, we
should be able to determine if the clients are in need of a change of a plan of
care or if they even have access to getting help so that they can be properly
treated and educated to improve their states of well-being.

            Environment focuses on the
surroundings that can affect an individual’s well-being (Smith & Park, 2015).

The environmental factors in a person’s life can include their social,
financial, economic, and atmospheric interactions. My family and friends
contribute in the environment aspect in my well-being. They play a huge role as
my support group as they continue to motivate me to maintain a healthy
lifestyle and assist in my physical or mental health. As clinicians, we should
be able to assess for stressors in our patients’ lives to educate on ways to
eliminate barriers and enhance positive factors for individual health growth
and improvement.

            The last element of this
metaparadigm is nursing. Nursing care involves the nurse and how the care that
is being performed affects the patient (Bender, 2015). There are nurses who
just want to get the job done, but it takes a strong and compassionate nurse to
be able to connect with and discover patients’ specific needs to provide
quality care for optimal outcomes. With the roles of a clinician, educator, and
counselor, nurses should practice therapeutic communication, evidence-based
knowledge and skills, and clinical and ethical judgement to deliver the best
care for patients.

Orem’s Self-Care Deficit
Theory Summary

            My personal nursing philosophy is
most compatible with Dorothea Orem’s Self-Care Deficit Theory because she emphasizes
managing our own healthcare by understanding the requirements to maintain it. This
theory encourages nurses to assess their patient’s ability to perform
self-care, independently, by acknowledging the required self-care actions needed
to achieve that self-care. (Masters, 2015). Nursing guidance or action takes
place when the patient is unable to perform a self-care need that would impede
their healing process and quality of life. Orem’s ultimate goal is to provide
patients with proper assessment and education to be able to manage their own health
and wellness as well as being proactive to prevent potential health

Applying Orem’s
Self-Care Deficit Theory

            Orem’s Self-Care Deficit Theory is
most compatible with my own personal nursing philosophy because I believe in
self-empowerment to better improve our overall well-being. I believe in taking
control in our own healthcare choices with the proper guidance of healthcare professionals.

Orem’s Self-Care Deficit Theory addresses person as she emphasizes that a self-care
agent has the ability to understand and perform the requirements to improve
their own self-development and has power in their own course of action (Masters,
2015). It is important for the client to understand their own needs to advance
further in their healing process. As explained earlier, it is my own therapeutic
process of regaining the ability to provide care for myself is when I feel as
though I have been holistically healed. It is my priority that I do not require
medications or the care of others to sustain my health when lifestyle
adjustments are proven by evidence-based practice research to improve certain health
conditions, such as hypertension or diabetes.

            The health component of the metaparadigm
is addressed in the health-deviation self-care requisites. Clients are aware of
illness or conditions and are actively seeking medical assistance to maintain
their own life and well-being (Smith & Parker, 2015). Orem emphasizes that
clients should be responsible for their own healthcare, and that seeking
medical attention is important to gain new insight and education, that is
backed by evidence-based practice, on proper lifestyle adjustments or
treatments to improve the quality of life.  An example would be of a simple ear infection
that I had, which developed discharge to the ear canal. If I had left my ear
infection untreated, it could have led to chronic hearing loss or even

            The environmental aspect of the theory
is referred to as the universal self-care requisites. These environmental
requirements include air, water, food, and the balance of social interaction
that promotes human functioning, which can influence a person’s overall health
(Masters, 2015). Not getting enough water, breathing in polluted air, or even
eating unhealthy food everyday can lead to health complications. My personal
nursing philosophy was influenced from my own social interaction with the
people in my environment. I surrounded myself with people who enjoy living healthy
lifestyles and promote healthy, inexpensive meals that would provide essential
nutrients for wellness. As my external factors have a positive influence on my
internal factors, I believe that, with Orem’s theory, it is important to assess
the environment of ourselves or of our clients to determine the need to improve
their quality of life.

            Orem’s theory includes the nurse in
the nursing system of the metaparadigm. As the patient’s well-being begins to
decline, the nursing system of wholly compensatory, partially compensatory, or
supportive-education is used to determine the degree of care that must be performed
by the nurse to meet the requirements of the patient to maintain their health (Smith
& Parker, 2015). As explained previously, failing to seek medical
assistance when needed could result in decreased quality of life. Using my ear
infection as an example, after seeking medical attention, my case would be
categorized by the level of care the clinician must provide, which would be the
supportive-education concept in this theory. The clinician would have indicated
myself as the self-care agent and only needed to educate me in proper treatment
to regain normalcy (Masters, 2015). Orem also includes wholly and partially
compensatory, as the degree of care would differ from the patient relying
solely on the nurse to perform their activities of daily living for them to both,
the patient and nurse are providing the self-care activities, respectively
(Masters, 2015).


            Nursing theories have a positive influence
on nursing practice as it provides insight and better understanding to deliver
care. It is important to learn the patient’s each specific need to provide
holistic, quality care. Integrating the elements of the nursing metaparadigm with
Orem’s Self-Care Deficit Theory will enhance nursing practice as they will be
able to improve patients’ well-being by encouraging the idea of managing their

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