Nursing Metaparadigm Analysis

Exploration into Nursing: A Personal Framework

The University of Texas at Arlington School of Nursing

In Partial Fulfillment of the Requirements of
N5327 Analysis of Theories in Nursing
Ronda Mintz-Binder, DNP, RN,CNE

Exploration into Nursing: A Personal Framework
Upon graduation from nursing school, I started working on a telemetry/oncology unit at Memorial Herman Hospital in Houston, Texas. Because the unit was also oncology we had to take care of patients who were enrolled in hospice. As a brand new nurse, it was so much I had to learn. Five years later, I have the privilege of working in the Palliative Care Clinic at MD Anderson Cancer Center. I am an outpatient palliative nurse, pain
These are person, health, environment, and nursing. In the following section, Ruland and Moore nursing metaparadigm will be discussed as I evaluate, explore, and define my own domain concepts. McEwen & Willis, 2007 defines a person as the center and a holistic existence. They also say life is connecting the needs of the physical, intellectual, biochemical, and psychosocial. Ruland & Moore (1998) studied the person as the patient experiencing an illness that should be free of symptoms and experience the optimal comfort. A person should not be in pain, person should experience comfort, dignity and respect. The person should be at peace with themselves having a close relationship with others. Every day we see many patients come to the clinic with so many bothersome symptoms, my aim is to make them feel better so they have good quality of life and continue with the treatment or prepare for the end of life. McEwen & Willis (2007) defines health as being independent and operational. They also say working with and managing daily stressors which living to full potential. In Ruland & Moore (1998) theory health is seen as a preventing to manage their symptoms. An example, providing patients with pain medication, they are functioning better. When dealing with terminal ill patients, we should always be aware of and educate on being proactive. Health can be determined individually as to
(2007). Nursing theory: The basis for professional nursing Professional Nursing: Concepts and challenges. (pp.328-347). St Louis, Mo: Saunders. Retrieved July 2014, from CINAHL database.
Hui D, Kim S.,H, Roquemore J,R., Dev R, Chisholm G, Bruera E. (2014). Impact of timing and setting of palliative care referral on quality of end-of-life care in cancer patients. Cancer, 120, 1743-1749.doi:10.1002/cncr.28628
McEwen, M., & Willis, E.M. (2011). Theoretical basis for nursing (4th ed.) Philadelphia: Lippincott Williams & Wilkins.
Merriam-Webster dictionary. Palliative. (n.d.). Retrieved July 27, 2014, from http://www.merriam-webster.com/dictionary/palliative
Pugh, D.M. (2014). Ethics at the End of Life. Clinical Nurse Specialist, 28, 201-204. doi:10.1097/NUR.0000000000000058
Ruland C, M., Moore S, M. (1998). Theory construction based on standards of care: a proposed theory of the peaceful end of life. Nurse Outlook. (46):169-175 doi: 10.1016/S0029-6554(98)90069-0
Taylor, R.M. (2013). Ethical Principles and concepts in medicine. Ethical and legal issues in neurology, 118:1-9. doi: 10.1016/B978-0-444-53501-6.00001-9
Walker, A., & Breitsameter, C. (2014) Ethical decision-making in hospice care. Nursing Ethics. Jun 29. pii: 0969733014534873. [Epub ahead of print]