Metaparadigm Concepts

According
to Miller-Keane Encyclopedia and Dictionary of Medicine, metaparadigm is “a set
of concepts and propositions that sets forth the phenomena with which a
discipline is concerned. A metaparadigm is the most general statement of a
discipline and functions as a framework in which the more restricted structures
of conceptual models develop” (Metaparadigm, n.d). It can be referred to as the
big picture viewpoint of the nursing discipline. Concepts and nursing theories
are interrelated concepts beginning with metaparadigms as the most broad based
and continuing on to definable concepts and theories that may focus on detailed
nursing practices. Overall, there are four major concepts of significance that
comprise a nursing metaparadigm. These four concepts are “person, health,
nursing and environment” (Thompson, 2017).

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Major Concepts

All
people have varying viewpoints and therefore a nursing theorist’s personal
world viewpoint influences their nursing theory. Dr. Watson’s nursing theory speaks
to each major concept (Thompson, 2017).  This transpersonal caring philosophy (person
concept) recognizes the unifying lifeforce connections that moves among us all,
from the world to our local communities to interpersonal and our own individual
lives. That nursing science is a caring science (Watson, 2017). For the health
concept, Dr. Watson’s viewpoint is that when the mind, body and soul are in
harmony and unity – a state of health is attained. The science of nursing (nursing
concept) relates to all persons and their disease processes and health examined
and mediated by nursing care. Society provides a framework for the communities
we live in. Caring and therefore nursing has always inhabited each community
(environment concept). Giving and caring are not genetic traits, it is conveyed
through the nursing profession to grapple with society and our environments
(Wayne, 2017).

Major Propositions

Clinical
nurses are drawn to Watson’s theory of human caring. Her model of caring
science for nurses is very pragmatic (The Caritas Processes as a Guide Toward
Caring Intentions, 2016). Dr. Watson feels nurses caring for each human
individual has ten specific caring needs that should address in our roles as
caregivers. As Dr. Watson continued her focus on nursing and continued
education she advanced her theory to form the 10 carative factors or the
Caritas Processes (Wayne, 2017).

The
Caritas Processes

The
ten parts of this process are: Cultivation of sensitivity to yourself and others
through calmness, compassion and kindness. Being fully present in each moment
to cultivate faith and hope; honoring authenticity and individuality in self
and others. Being perceptive and receptive to oneself and those around us by
honoring and encouraging self-realization and spirituality. Focusing on the
establishment of trusting and caring sustainable relationships. Being present
and open to hearing another person’s feelings – negative and positive. Being
open to exploring solutions through non-judgmental caring and honoring the
healing arts. Inviting mutual learning, teaching and caring while honoring
individuality through coaching towards wellness. Creating and fostering an
environment of healing in every way and aspect. Reverently cultivating human
dignity while assisting with basic sacred acts of caring through touch and
spirit. Being open to unknown miracles and the mysteries of the human body,
mind and spirit (Watson, J., 2017).

Dr. Watson recognized the non-technical and fluid models of
human caring, love and carative factors elemental to nursing. Interestingly,
the simple yet profound concepts can be difficult methods to implement. Yet
working through and experiencing the Caritas Processes will add value and
understanding in the nurse/patient relationship (Wayne, 2017).