PPN101_Week 4 PPT Metaparadigm 2024.pptx

Metaparadigm of Nursing PPN 101 PPN 101 Fall 2024 week 4 Week 4 Objectives 1. Describe and discuss paradigms, paradigm shifts and metaparadigms. 2. Discuss the meta-paradigm of nursing and its contribution to nursing knowledge and scholarship. 3...

Metaparadigm of Nursing PPN 101 PPN 101 Fall 2024 week 4 Week 4 Objectives 1. Describe and discuss paradigms, paradigm shifts and metaparadigms. 2. Discuss the meta-paradigm of nursing and its contribution to nursing knowledge and scholarship. 3. Discuss in detail the five concepts of the meta-paradigm in relation to practice. Discuss meta-paradigm concepts in relation to theories developed by Nightingale, Roy, Leininger, and Watson. 4. Discuss the relationship between social justice, nursing and health. Discuss the O’Mahoney-Paquin article in relation to social justice and the upstream approach. 5. Discuss the meaning of the art and science of nursing within a health care setting. PPN 101 2024 Fall week 4  What is a paradigm? PPN 101 2024 Fall week 4  What is a paradigm shift? PPN 101 2024 Fall week 4 What is a meta-paradigm? (Gregory et al., 2015, p. 197) PPN 101 Fall 2024 week 4  What do these questions have to do with nursing? How did we get to where we are today? ⚫ A paradigm: patterns of shared understandings; a world view theories are often based on paradigms paradigm shift (ex. Shift in healthcare delivery from disease-focused medical focus to a health promotion focus (Mallette & Yonge, 2022, p. 5) ⚫ A meta-paradigm: area of interest or concern to a discipline most global appreciation Potter & Perry, 2024; Gregory et al., 2015 PPN 101 Fall 2024 week 4  Meta-paradigm of nursing Key concepts ⚫ person ⚫ health ⚫ environment ⚫ nursing ⚫ Social Justice – the latest one Fawcett, 1984; Potter & Perry, 2024; Gregory et al., 2015 PPN 101 Fall 2024 week 4  But wait – what is a concept? Definition: “a general idea or mental notion that represents some aspect of our experiences and our world.” Gregory et al., 2015, p.193 Concepts allow us to organize and communicate ideas (e.g. quality of life, resilience, hope) Concepts are the “building blocks of theory” Concepts can change over time, and are influenced by individual perception and experience Gregory et al., 2015, Potter & Perry, 2024 PPN 101 2024 Fall week 4  And what is a theory? Definition: “Sets of ideas (concepts) used to describe, explain or predict the physical and social worlds.” Gregory et al., 2015, p.193 Theories present a systematic explanation of a phenomenon Theories designate specific relationships among concepts, providing a basis for us to propose hypotheses between variables (research) Theory is very much a part of nursing practice and theory and practice are linked and one informs the other Gregory et al., 2015, Potter & Perry, 2024 PPN 101 2024 Fall week 4  Meta-paradigm Concepts: Person ⚫ Subject to dynamic changes in understanding - over time ⚫ Includes individuals, groups of people, families and communities ⚫ Each person, family and community has distinct physical, psychological, social, spiritual, cultural and developmental characteristics Gregory et al., 2015, p. 196 PPN 101 2024 Fall week 4  Meta-paradigm Concepts: Health ⚫ A subjective term that is determined by each person or community ⚫ More than the absence of disease or injury ⚫ An ideal state of well being in which all persons strive for Potter & Perry, 2024, p. 76 (e-version and paper version) PPN 101 2024 Fall week 4  Meta-paradigm Concepts: Environment ⚫ The totality of all things (external and internal) that impact a person, families and communities ⚫ e.g. physical, cultural, social, political and economic circumstances ⚫ Can impact a person’s health circumstances and their recovery Gregory et al., 2015, p. 196 PPN 101 2024 Fall week 4  Meta-paradigm Concepts: Nursing ⚫ Includes attributes, characteristics, and actions of a nurse in relationship with a client and the nature of care provided ⚫ A partnership with clients and families where therapeutic and comfort caring can occur Gregory et al., 2015, p. 196- 197 PPN 101 2024 Fall week 4  Meta-paradigm Concepts: Social Justice “Social justice is a matter of life and death. It affects the way people live, their consequent chance of illness, and their risk of premature death. We watch in wonder as life expectancy and good health continue to increase in parts of the world and in alarm as they fail to improve in others.” Commission on the Social Determinants of Health, 2011 (Gregory et al., 2015, p. 197) PPN 101 2024 Fall week 4  Social Justice Advocacy Siobhan O’Mahony-Paquin (2011) raises some important points about social justice advocacy. Drawing on this article, answer the following questions: ⚫ What are the three core attributes of nursing advocacy? ⚫ Explain social justice and an “upstream” approach to health. Create an example to illustrate your answer. ⚫ Identify strategies that should be used by nursing leaders, researchers and educators to help incorporate social justice advocacy into nursing practice. PPN 101 2024 Fall week 4  Meta-paradigm concepts and key nursing theorists ⚫ Nightingale: promoted environments that were conducive to healing ⚫ Roy: viewed the person as a biopsychosocial being in constant interaction with a changing environment ⚫ Watson: viewed nursing as caring enacted between a nurse and another, transcending the boundaries of time, space and physicality ⚫ Leininger: believed that the the person deserves culturally sensitive nursing care; understood health to be universal and diverse, and that environment includes “learned and shared values and norms” created within specific, lived-in geographic and cultural settings George, 2011; Gregory et al., 2015; Potter & Perry, 2024 PPN 101 2024 Fall week 4 Nightingale’s Model of Nursing Practice (Selanders, 2010, p. 86) PPN 101 2024 Fall week 4  Upstream Thinking! Check this out!! www.youtube.com/watch?v=qarQXqKbmLg PPN 101 2024 Fall week 4 Why is nursing both art and science? ⚫ The science of nursing (theory and evidence-informed knowledge, research, clinical guidelines) provides an essential focus and knowledge basis for professional nursing. The person is at the centre of the model, as its core concept. ⚫ The art of nursing - nurse’s ability to adapt to the person’s individual needs through processes of understanding the nature of health from the person’s perspective through caring, compassion, and therapeutic communication (grounded in human interactions and relationships) ⚫ Why are both important in health care settings? Mallette & Yonge, 2022, p.6 Looking ahead to Week 5 Quiz #1 next week! (15% of the final grade) Week 5: Theoretical foundations & evidence informed practice PPN 101 2024 Fall week 4