Ever since I was a child, my desire has been to be a family nurse practitioner in order to offer healthcare services to individuals, groups, and communities in different settings. I grew up in Cuba and moved to the United States of America, where I have been living for 9 years. While in Cuba I was raised in an environment which was tailored in such a manner that the educational system involved medical education and advocated for the creation of community-based clinic with responsibilities ranging from the provision of healthcare services to families to prevention of infectious diseases and environmental monitoring. The rich nursing history in Cuba was coupled with my passion for caring for the needs of patients and encouraged me to pursue a career in nursing. I enrolled in the Associate of Science (AS) program in January 2012 and graduated in December 2013, after two years of classwork and clinical practice training. Upon graduating, I secured a job with a physician and a nurse practitioner at a primary care office where I have been working for two years. Practising nursing as a dream career I have always strived to serve my patients with compassion and empathy which gives me a lot of satisfaction to an extent that I wish to inspire my child to pursue the same profession.
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In order to enhance my knowledge and apply complex innovative theories in my daily practice, I decided to go back to college. I believe that education brings positive changes as it helps a nurse to acquire indispensable values that guide the nurse not only in his/her profession but in personal life as well. I strongly believe that for a person to have a successful career in nursing, a patient should be in a position of getting quality health services offered by the right person at the right time and in a manner tailored to meet the patient’s individual needs. My acknowledgement of nursing as a serving discipline has helped understand different psychological concepts and theories on patient care so as to offer specialised treatment to patients. My professional aspiration is to become a renowned family nurse practitioner and provide basic health care to individuals, groups and communities in different settings.
Nursing is a service profession. Nursing as a profession within healthcare sector entails offering healthcare services to individuals, families and communities so that optimal health level in the society is achieved (Butts & Rich, 2015). Unhealthy individuals need to be offered well-organized healthcare services in order to meet specialised needs of all patients. In order to achieve this as a family nurse practitioner, I have always strived to anchor my practice on the four fundamental paradigms that guide the profession. Nursing metaparadigm informs the profession and acts as the bedrock on which the nursing profession stands and which all nursing professionals should refer to prior to making a clinical judgment. The four metaparadigms are; person which is central in the nursing practice, patients’ health and the environment. The metaparadigms are necessary for the construction of a nursing theory (Peterson & Bredow, 2016). In order to have a successful career in nursing, an individual must strive to comply with the four metaparadigms of nursing. Different scholars have offered a varied perspective on how the four metaparadigms affect a patient’s health status and well-being. I will further discuss the metaparadigms separately.
Metaparadigm of Person
In case of a person as a nursing metaparadigm, the emphasis is placed on a person’s health care, as well as social and spiritual needs. A patient’s social need in relation to his or her family and another social grouping which are important for the patient must be taken into consideration while offering nursing services to the patient. The role of a nurse when dealing with the person’s needs is to take care of the unhealthy individuals and encourage them to manage their health status in the best way possible. Nurses should be concerned about the health status and well-being of the patient and should strive to make the patient feel that a nurse cares about the patient and values their well-being. In Butt & Rich’s nursing theory, caring in the metaparadigm of person is explained as an inbuilt spirit which encompasses body, the unity of mind and nature (Butts & Rich, 2015). On the other hand, Babuder (2015) in his nursing theory further described that a person as a recipient of nursing care incorporates biological, spiritual and social physiological components.
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For the previous two years, I have been practising nursing, which made me understand the role that the person plays in the treatment and recovery process. For instance, stress and low self-esteem in most instances hinder the process of recovery. If I find out that my patients are uncomfortable or take long to respond to drugs, I always take a personal initiative to make the patient open up their psychological issues and employ a holistic approach to meet their healthcare needs. By examining the patient’s health status and individual characteristics, I have been able to understand and respect salient characteristics of every patient and their perspectives in life. Research indicates that the health status of the person is related to the functioning of their body’s genetic composition, personal concerns, environment and temporality (Peterson & Bredow, 2016).
Nursing refers to a career within health sector which focuses on taking care of unhealthy individuals, families and communities so as to attain and maintain optimal health level (Butts & Rich, 2015). Hence, the nursing component entails the delivery of quality healthcare services to unhealthy individuals to reach optimal outcomes. It involves actions taken from the time a sick person arrives at the therapeutic nursing facility as well as personal attributes of the nurse that makes a clinical judgment. A nurse should strive to be an active participant in promoting, protecting and preserving the patient’s dignity. Moreover, for a person to have a successful career in nursing, he or she must possess technical skills, medical knowledge and practical nursing care experience.
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The fundamental role of a nurse is to promote the well-being of a patient through therapeutic management and interpersonal relations. Nursing is an academic discipline as well as practical profession. Nursing as a profession is guided by the principle of safety and value of human freedom (Risjord, 2014). As a family nurse practitioner, critical thinking is a central component in my career because it has helped me to make right clinical judgment and offer evidence-based healthcare solutions to patients for them to achieve an optimal health in the diverse settings I find myself in. As an individual, I am actively engaged in human care activities in all spheres of life in my neighbourhood of Miami, Florida where I have lived for nine years. Taking care of sick people allows getting satisfaction and a sense of fulfilment in life. Caring is a major source of inspiration from which I can empower sick children at primary care office and my daily life by sharing their stories and experience. In order to effectively perform my duties as a nurse, I have learned to incorporate the interpersonal communication, problem solving skills, decision-making, technical and intellectual skills as well as collaboration with other nurses (Peterson & Bredow, 2016). My desire to be a role model to my child, commitment to duty, control over the practice and mastery of the scope have enabled me to achieve to highest possible standards in my profession.
Health is the state of general well-being of a person. Health does not generally mean the absence of diseases. It encompasses complete physical, mental and social well-being (Butts & Rich, 2011). Health is a condition which enables a person to function properly. Therefore, health is directly related to the person’s ability to undertake social duties. Certain scholars define health as a condition which enables a person to adequately adapt to his or her surroundings. The genetic composition of an individual may predispose him or her to particular disease-causing pathogens but what finally determines whether the person gets sick or otherwise is the secondary interactions risk factors (Peterson & Bredow, 2016). It is a common practice for a sick person to have a disease at the asymptomatic phase and yet they fail to consider themselves ill.
All patients have different approaches to coping with sickness and stress. My understanding of the concept of health, wellness and illness is of great importance to my practice as a healthcare provider since it helps me to use appropriate placebos to attain wellness of a patient who is ill due to some psychological issues rather than infections. I have started to appreciate the fact that the health as a concept is relative rather than absolute. For instance, being healthy for one person may be an indicator of illness for another individual. Health entails constant struggle between the environment and self. The ultimate goal of this struggle is to reach a homeostatic balance by reducing threats from the surrounding environment or by improving the immunity of an individual. Therefore, health is an adaptive and purposeful response. It includes mental, social, physical and emotional well-being which allows maintaining comfort and stability. Furthermore, health enables an individual to attain the ambitions and goals in life.
This metaparadigm focuses on how the interactions with the surrounding world impact the health of a person. The environment is further classified into the internal and external environment. The internal environment is composed of personal characteristics, growth and development, regulatory mechanisms, human behaviour and body repair mechanisms. On the other hand, the external environment is comprised of physical, social, cultural and biological variables (Risjord, 2014). The cultural and social environments are more significant to an individual’s health than the biological and physical environment. This is because the cultural and social environment influences the individual’s access to material resources and the probability of being exposed to harm. Furthermore, the environment has both stressors and resources. An individual requires resources from the environment in order to survive, make progress and acquire an identity. On the other hand, stressors are any environmental forces that lead to a state of disequilibrium of the essential life-supporting variables in the body system (Butts & Rich, 2011).
According to Babuder’s nursing model, the environment encompasses earth resources that influence one’s health positively by motivating a patient to cope with unchangeable environmental aspects (Babuder, 2015). The coping process improves the quality of life and ensures optimum health. Babuder’s model argues that human beings have created their external environment. On the other hand, internal environment is the resilience and energy that helps patients cope with modifications in the external environment. The environment metaparadigm has altered my assessment of patient’s attitude to me as well as my attitude to the patient. Through effective communication, I started to appreciate and at the same time understand my patients’ environment and counsel them accordingly .In this way, my ultimate goal of ensuring patient’s recovery is realised.
Two Practice-Specific Concepts
A concept is an abstract mental formulation of the world from our perspective (Babuder, 2015). A concept assists us to formulate a mental impression about the situations. Moreover, concepts act as building units for theories.
- Evidence-informed Practice
Evidence-informed practice is a practice that incorporates patient’s values and clinical expertise with the empirical evidence available. I can say without fear of contradiction that there are several benefits associated with the use of empirically based practice in nursing profession since patients readily accept recommended care from a health care provider based on trust and the assumption that nurses know what is best for the patient. Empirically based care informs decisions made by the healthcare workers in clinical settings as well as supporting any legal issues that may arise (Butts & Rich, 2011). In terms of the health institutions, evidence-based practice is used to enhance the image of institutions that embrace the approach. As for the society, evidence-based care mitigates wastage of resources by eliminating unnecessary or ineffective interventions.
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- Health Promotion
Health promotion is related to my experience in dealing with people suffering from lifestyle diseases such as obesity, heart disease, cancer and diabetes at a primary care office. Lifestyle illnesses have leaked havoc in the recent years and had a negative impact on the US economy. Patients with these conditions may never attain recovery but as a health care provider, I must try to manage the condition in a way that would slow down the rate of progression and prolong life of patients. In the patient-nurse relationship, the health worker should empower the patient by explaining him/her why he or she should live and never give up (Risjord, 2014).
List of Propositions
A proposition is a fundamental concept that is related to nursing theories (Babuder, 2015). Based on the four metaparadigms elaborated in this paper, I wish to articulate the following propositions.
- If there is misunderstanding or conflict between the nurse and the patient, stress may hinder recovery.
- There is likelihood that each individual can take care of their own health status by projecting positive self-image and other practices that guarantee good health.
- Taking proper care of emotional, social, spiritual, intellectual and physical well-being must be taken into account since it influences the well-being of a patient.
- Changeable environmental factors can always be modified to boost individual’s health as well as well-being.
- Nursing is more than just care in a clinical setting, as it also entails an understanding of all potential factors that may affect the patient’s health.