The Nursing Metaparadigms in Faye G. Abdellah’s Patient-Centered Theory
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The Nursing Metaparadigms in Abdellah’s Patient-Centered Theory
Abdella’s Patient-Centered Approaches to Nursing focus on human requirements. She firmly believed that patients are ‘people’ who have unique individual needs that require personalized health care from nurses. The meta paradigms guide nurses into transforming their practical abilities and intellectual skills and changing their attitude in assisting patients in managing their health requirements by providing them with proper medical attention; hence, Abdellah’s nursing approach is patient-centred personalized. Additionally, her theory focuses on nurses’ training while offering care to patients; hence, the theory is extensively applicable in healthcare institutions and the community. The purpose of this paper is to elucidate how the four meta-paradigms concepts (the person, environment, health, and nursing practice) reflected by Faye Abdellah enhance the delivery of nursing care.
The Person Concept
Abdellah describes the person concept by discoursing that people have physical, psychological, and sociological needs. Although their physical needs might change, their interpersonal, sociological, and emotional needs get misconstrued. The primary beneficiaries of nursing practice are the person (patient) and their families. The health care provider’s role is to facilitate quality health care delivery to the person (Raingruber, 2017). In utilizing Patient-Centered Approaches to Nursing, healthcare providers must understand the importance of individualized care and its needs. She believes that if there were an omission of one of these components, it would inhibit therapy administration. Accordingly, it is essential to value and understand individual patient needs; more so, it is the right of patients to ensure that their dignity is protected and maintained at all times. The idea, manifested in the nursing meta-paradigm, involves the ten steps which focus on identifying the client’s needs. Abdellah states that the caregivers are responsible for always monitoring the patient’s status by observing the behavior and understanding the attitudes that affect their health. After that, the nurse can identify the actual problem and plan for a therapeutic course.
Environment Concept
Understanding the environment from the patient’s perspective incorporates both the physical environment and other external factors. External factors such as racism, poverty, and other social problems can impact healthcare workers and the patients. Therefore, the environment symbolizes the ideas of health, support, and safety in improving the patient’s clinical outcomes. The environment includes family and friends who, in return, dictates the kind of health care that the patient exemplifies (Bender, 2018). Abdellah further explains that the environment has a considerable influence on the patient through its therapeutic effects.
Health Concept
In Abdella’s view, health is a better state of being, which gives environmental protection and rehabilitation significance. Therefore, the nurses’ responsibility is to ensure that they have taken holistic approaches to assist the patient in achieving a positive state of health. However, nurses must ensure that they have accurately identified the deficits of health experienced by the patient. From the medical viewpoint, these discrepancies entail the patient’s health needs (James, 2020). Her theory focuses on identifying the problems that negatively impact clients (patients) and eliminate them. Furthermore, the theory assists in illustrating that through preparedness, cleanliness, caring, and other clinical requirements, health care providers can have the potential of improving patients’ health substantially.
Similarly, nurses can understand the significance of basic clinical requirements, such as food and clean water. Good health is vital for everybody’s life. Individuals who manage to take care of themselves can live longer happily, unlike those who disregard caring for themselves.
Nursing Concept
Nursing entails nurses’ services to individuals, families, and society in helping them cope with their health requirements. Comprehensive nursing services incorporates recognizing the patients’ nursing problems, selecting clinically proven action to take, and offering continuous health care to relieve discomfort and pain. Total nursing health care plans should require adjustment to assist nurses in meeting the patient’s clinical needs. Assisting a person to become self-reliant in achieving and maintaining a healthy lifestyle is founded on effective nursing practice. The same process should include providing instructions to families and nursing personnel to adjust to their emotional problems and limitations (Garcia, 2020). Collaborating with allied health professionals is equally imperative because it assists in planning for optimal health. Carrying out continuous research and evaluation focused on developing new methods of improving nursing techniques helps meet the health needs of the people, families, and society at large.
Conclusion
Abdella’s Patient-Centered Approaches to Nursing encompasses the four meta-paradigms (the person, environment, health, and nursing practice), interrelated in improving health care provision. In clinical and communal settings, the meta paradigms make it easy to anticipate the impact of change and the relationship between social problems and social enterprises. The same approach should integrate education, pollution, racism, poverty, and their health and delivery impact. Continuing to educate nurses, changing nursing education, and developing qualified nursing leaders ensures that these concepts are clearly understood. From the medical perspective, the nurses’ responsibility is to pinpoint nursing problems and collaborate with other health teams to ensure that patients have received desired outcomes.
References
Bender, M. (2018). Re‐conceptualizing the nursing meta-paradigm: Articulating the philosophical ontology of the nursing discipline that orients inquiry and practice. Nursing Inquiry, 25(3), e12243.
Garcia, A. D. (2020). Nurses’ Perceptions of the Impact of the Electronic Health Record on Clinical Decision-Making.
James, A F. (2020). Reading, Understanding, and Applying Nursing Research. F.A. Davis Press
Raingruber, B. (2017). Contemporary health promotion in nursing practice. Burlington, MA: Jones & Bartlett Learning.