Fawcett 4 metaparadigm concepts - WCS - Home



Fawcett 4 Metaparadigm ConceptsA metaparadigm seeks to explain global concepts that are of interest to a specific discipline and the relationships that exist among these concepts (Chaffee & McNeil, 2007). The purpose of nursing having a metaparadigm is to develop a framework that defines nursing’s specific body of knowledge and to establish nursing as a stand-alone discipline (Lee & Fawcett, 2013). In 1978 Fawcett originally developed a set of four metaparadigm concepts central to nursing that included human beings, environment, health and nursing (Lee & Fawcett, 2013). Human beings are those that are those that are receiving treatment, are ill or are under the care of nurses and their families and friends. Environment can be thought of as narrow (immediate environment or circumstances) or broad (Chaffee & McNeil, 2007). Health is referred to as the human processes of living and dying (Chaffee & McNeil, 2007, p. 239). Nursing is the study of health and illness processes (Chaffee & McNeil, 2007).The four metaparadigm elements should be defined in all nursing theories. These concepts are very broad and are relevant and necessary to any nursing theory development. The concepts are all interrelated and work together to form the “person.” The pictorial depiction below illustrates that the person, or client and family should remain at the center of any nursing theory. NursingHealthEnvironmentPersonGabriel, your post resounded with me for several reasons. I agree that caring does not need to be included in the four metaparadigms. Caring should be an inherent part of a nurse. I liked Thorne’s “uniform” definition and agreed that it is a definition that most in the profession can understand and agree to. I believe that nurses should work to have their profession be recognized as such and to claim a knowledge set as their own. By furthering our degrees and knowledge we are preparing ourselves to lead future nurses. Fawcett stated that she believes that DNP preparation should be the entry into professional practice (Butts & Fawcett, 2012, p. 153). What are your thoughts on this? To think that every single bedside nurse should be required to have a DNP is unrealistic to me. This would take an estimated 7-8 years of schooling to complete. If this was the entry level I think it would actually do our profession a disservice by excluding many potential nurses. Many people would struggle to commit to this level of education due to families, cost and support. If all nurses would be required to be DNP prepared what educational level would nursing leaders be expected to obtain? I agree that BSN entry level is necessary to protect our profession but in times where there are a shortage of nurses we should not be adding more educational requirements to get to the bedside. ReferencesButts, J. B., & Fawcett, J. (2012). The future of nursing: how important is discipline-specific knowledge? A conversation with Jacqueline Fawcett. Nursing Science Quarterly, 25(2), 151-154. 10.1177/0894318412437955Carper, B. A. (1978). Fundamental patterns of knowing in nursing. American Nurses Society, 1(1), 13-24.Chaffee, M. W., & McNeil, M. M. (2007). A model of nursing as a complex adaptive system. Nursing Outlook, 55, 232-241. doi: 10.1016/j.outlook.2007.04.003Lee, R. C., & Fawcett, J. (2013). Advancing nursing knowledge: A response to Burns’ letter to the editor. Nursing Science Quarterly, 27(1), 88-90. , R. C., & Fawcett, J. (2013). The influence of the metaparadigm of nursing on professional identity development among RN-BSN students. Nursing Science Quarterly, 26(1), 96-98. doi: 10.1177/0894318412466734 ................
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