Introduction
At the Mount Sinai Comprehensive Cancer Center in Miami, the staff adheres to the basic principles of the nursing theory, which contributes to accomplishing the set tasks successfully. This concept provides an opportunity to improve professional skills, deal with challenges, stimulate the research process, and promote health. Those metaparadigms of nursing, which I combine in my personal philosophy, affect the key aspects of practical activities. Assessing outstanding theorists and their models makes it possible to consider a range of potential approaches to care.
Enhancing Professional Nursing Practice
Nursing theory is a valuable mechanism that helps junior medical staff sharpen their skills and enhance professional roles. For instance, as advocates, nurses contribute to regaining patients’ autonomy in terms of care. The role of providers implies direct interaction with the needy and the giving them all the conditions and necessary services for recovery. Teaching mission is expressed in the ability to help patients learn important information about the methods of diseases prevention and self-treatment.
An opportunity to increase managerial skills by controlling all interventions is one of the advantages that nursing theory provides. Also, medical staff involved in research work is engaged in the practical assessment of specific approaches, which enables them to better navigate the existing principles of care. Finally, leadership qualities are trained due to the need to distribute roles among colleagues, which, in turn, is a tool for increasing professionalism and authority.
Promoting Health and Healing
Since the nursing theory is a fundamental concept not only in the healthcare institution in question but also in the general practice of junior medical personnel, its combination with other approaches is permissible. Promoting this principle of interaction with patients provides many advantages. Employees have an opportunity to evaluate a specific problem from different perspectives and make the best solution regarding further work. Also, the patient-oriented principle of care maintained in accordance with this methodology has positive implications for all stakeholders, improving the quality of care and stimulating nurses’ professional growth.
Challenging, Exploring, and Guiding
The nursing theory is the concept that allows making assumptions and building hypotheses but does not involve the implementation of organizational or professional goals to the detriment of patients. Performing immediate duties is the mandatory and key component of junior medical personnel’s practice, although the theory itself is flexible enough to implement different strategies. Therefore, challenging professional and organizational assumptions is permissible if they conflict with the basic principles of care and do not allow nurses to play their roles as health providers.
One of the opportunities that the nursing theory provides is exploring alternatives aimed at improving care. The availability of various resources and the variability of concepts allow the most optimal approaches to be applied and the interventions to be coordinated. In parallel, guiding nurses’ actions is carried out due to ready-made principles promoted through the theory under consideration. Fair and justified decisions are the integral attributes of interventions, which is an advantage.
Nursing Metaparadigms
The four metaparadigms of nursing relate to key domains that this area affects. These concepts serve as basic phenomena that have significance not only in the context of a single healthcare institution but the entire medical field. If the staff is well-versed in all these domains, patient outcomes are positive, and the credibility of a particular clinic increases. In addition, taking into account these paradigms enhances the professionalism of employees and allows them to be aware of their area of ​​responsibility.
In Mount Sinai Comprehensive Cancer Center in Miami, the staff is aware of the metaparadigms and their role in nursing. The management of the institution is also ready to promote the knowledge of the four domains among subordinates. However, in priority, leaders see compliance with the organizational nursing theory based on a hierarchical approach to solving tasks and strict adherence to job descriptions. This method leads to changes in the role of nurses and has more practically oriented background.
Theorists
The philosophical background of the nursing theory is the subject of the study of various figures who have developed special approaches. In particular, Dorothy Johnson assesses a specific environment as a factor determining the nature of interventions and the methods of care. Her colleague Dorothea Orem is also an eminent representative of the nursing area. The theorist argues that any patient in need of help is entitled to receive it regardless of related factors. This is the key role of nursing as the practice aimed at interacting with people.
Callista Roy presents philosophical assumptions about working in a nursing environment. Her basic concept involves the promotion of the internal and external balance of those people who experience certain health problems. The search for causes and their elimination are the main tasks of the staff. Betty Neuman is another representative of the school of nursing theorists. In accordance with her ideas, the harmony of body and mind are the key success factors, and medical specialists should strive to achieve this outcome.
Nursing Theories
The two theories under consideration represent different approaches to patient care in general nursing practice. Johnson’s model implies a systemic principle of work organization and the assessment of the environment as a significant factor that largely determines the way of the patient-nurse interaction. Orem’s theory is based on the notion of self-care as the phenomenon that stimulates the healing process. At the same time, the role of nurses is to strictly adhere to the rules of care for those who cannot cope with health problems on their own.
In both proposed theories, harmony with the world is an important element of nursing interventions. However, Roy’ model is characterized by the ability of patients to become susceptible to environmental conditions and adapt to them. Newman’s theory, in turn, is aimed at developing personality and those qualities that can contribute to improving well-being and obtaining positive emotions. Therefore, one can observe differences in the approaches to the assessment of factors stimulating the healing process and the patient-nurse relationship.
Personal Nursing Philosophy
My personal nursing philosophy is based on combining the metaparadigms to achieve the greatest effect. All the four components are affected, and patient health is the key objective. An opportunity to create a positive environment will allow adjusting the mode of operation, in which both the patient and the medical provider could feel comfortable. Finally, personal experience is also a significant component that needs to be constantly replenished, for instance, by interacting with colleagues. In general, honing theoretical skills through regular practice is a successful method of professional and career development.
Conclusion
At the Miami clinic in question, the staff adheres to the basic principles of the nursing theory, which contributes to accomplishing the set tasks successfully. This concept provides an opportunity to improve professional skills, deal with challenges, stimulate the research process, and promote health. Those metaparadigms of nursing, which I combine in my personal philosophy, affect the key aspects of practical activities. Assessing outstanding theorists and their models makes it possible to consider a range of potential approaches to care.
References
Bender, M. (2018). Re-conceptualizing the nursing metaparadigm: Articulating the philosophical ontology of the nursing discipline that orients inquiry and practice. Nursing Inquiry, 25(3), e12243. Web.
De Chesnay, M., & Anderson, B. A. (2019). Caring for the vulnerable: Perspectives in nursing theory, practice, and research (5th ed.). Burlington, MA: Jones & Bartlett Publishers.
Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice (4th ed.). Philadelphia, PA: FA Davis.