NR 501 Week 2: Significance of Nursing Concepts within the Profession
NR 501 Week 2: Significance of Nursing Concepts within the Profession
Nurse executives have skills sets that lead and manage clinical and work environments as well as facilitate collaboration across the health care system (Rick, 2014). The work of nurse executives is constantly changing and adapting to new innovations and insights (Rick, 2014). A nurse executive uses all aspect of the nursing metaparadigm when making decisions and interacting with patients and peers to facilitate a successful work environment.
The essence of nursing practice is through the nurse-patient relationship (Talbert, 2012). The concept of person in the nursing metaparadigm refers to the patient, or the person receiving the care. Nurse executives transform and influence health and the health care system by enhancing patient engagement and developing clinical systems to create value-based performance (Rick, 2014). A nurse executive can be a director of nursing. As a director of nursing there will be constant interaction with not only nurses, but patients and families. As a director of nursing there are responsibilities to maintain patient satisfaction and make sure that the best possible care is being given to patients through collaboration with nurses and health care providers.
The concept of environment in the nursing metaparadigm is what most would expect, a setting or place, but it can also be internal as well. Nurse executives have the responsibility of making sure the environment in which nurses are working are safe and properly managed. The same goes for patients. In the health care setting, patients and families are anxious and uncomfortable. It is the duty of the nurse executive to make sure that patients and their families are in a safe setting with quality nursing care. This occurs through interpersonal communication and collaboration. To ensure nurses and patients both feel respected and safe in the environment they are in, directors of nursing can form partnerships throughout the care setting that facilitate a safe environment for all involved.
Health is a dynamic process in the nursing metaparadigm. This refers to the well-being of the patient and includes physical, emotional, psychological, and spiritual wellness. As a nurse executive and director of nursing, clinical information systems can be developed to ensure that care across the health care setting can be coordinated and accessible to patients to create a place of wellness (Rick, 2014). As a director of nursing, creating and maintaining accessible healthcare will improve and encourage patients health and wellness.
The concept of nursing in the metaparadigm refers to the art and science of nursing. It includes the skills and education necessary to engage in the nursing process. As a nurse executive, it is important to provide nurses with strong clinical leadership to develop a vision for the future (Rick, 2014). As an advanced practice nurse, there will be clinical nurses that look up to nurse leaders for advice and guidance. It is the duty of the nurse executive to model appropriate behaviors and set goals and incentives for nurses to achieve a successful nursing environment for patients and peers (Rick, 2014).
Rick, C. (2014) Competence in executive nursing leadership for the 21st century: The 5 eyes. Nurse Leader, 12(2), 64-6. https://doi.org.chamberlainuniversity.idm.oclc.org/10.1016/j.mnl.2014.01.005
Talbert, T. L., (2012). The role of the nurse executive in fostering and empowering the advanced practice registered nurse. Nursing Clinics of North America, 47(2), 261-267. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1016/j.cnur.2012.02.007
For the nursing profession, the concepts that make up the metaparadigm of the profession are nursing, person, environment, and health (Parker & Smith, 2010). Each of these concepts relates to the nurse and the patient. When it comes to healthcare policy, these concepts can be used to implement change in the nursing practice. “As innovators, all registered nurses act as agents of change to drive processes and policy and leverage technology to prove better, more affordable care for individuals and the community” (Thomas, Seifert, & Joyner, 2016, p. 1). Firstly, the concept of nursing involves critical thinking, use of evidence based practice, autonomy, and the nursing process to improve the health of their patients (Parker & Smith, 2010). It is important for nurses to be involved in healthcare policy because they have a strong basis of science and assessment. They are able to use these skills to identify and assess the needs and disparities in the healthcare system and influence policy to improve outcomes for the patient (Thomas et al., 2016). Secondly, The concept of person revolves around the patient. Nurses implement holistic, caring interventions with the patient at the center. This is applied to healthcare policy by allowing nurses to form policies and practice that look at the needs of the patient population as a whole. Thirdly, the concept of environment relates to the external factors that affect the patient’s health (Parker & Smith, 2010). Nurses have the ability to bring about innovative change that can affect the help with environmental factors that could be affecting a patient’s health. Finally, the concept of health has to do the the patient’s wellness as a whole (Parker & Smith, 2010). The hope for the changes made by nurses to healthcare policy is that it will affect the overall health of the patient for the better. An example of the use of all four concepts in policy and protocol development would be something like the nurse-driven community education program for older adults that was implemented in New York in 2012 (Vukov, Davis, & Quinlan, 2017). The program used the nursing concept to identify the need for medication education among older adults in the community. It addressed the concept of person by offering educational programs to the population. The concept of environment was taken into account by offering training sessions at local senior living centers in the community (Vukov et al., 2017). Finally, the program resulted in a medication knowledge increase among seniors from 61% to 90% as well as 93% of seniors reportedly adhering to their medication regimens (Vukov et al., 2017).
References
Parker, M. E., & Smith, M. C. (2010). Nursing theories and nursing practice (3rd ed.). Philadelphia, PA: F. A. Davis Company.
Thomas, T. W., Seifert, P. C., & Joyner, J. C. (2016). Registered nurses leading innovative changes. Online Journal of Issues in Nursing, 21(3), 1-18. http://dx.doi.org/10.3912/OJIN.Vol21No03Man03 (Links to an external site.)
Vukov, K., Davis, J., & Quinlan, P. (2017). A nurse-driven community education program for older adults. American Nurse Today, 12(1), 48-50. Retrieved from http://web.b.ebscohost.com.chamberlainuniversity.idm.oclc.org/ehost/detail/detail?vid=33&sid=d396501e-caee-4f0d-bc75-d563ff163e29%40sessionmgr102&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=120778753&db=ccm
