Assignment: Meta-paradigm of Nursing

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Assignment: Meta-paradigm of Nursing

Assignment: Meta-paradigm of Nursing

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The meta-paradigm

of nursing—person, environment, health,

and nursing—surround the theory of

integral nursing’s core concept of healing

in overlapping circles to demonstrate the

continuous nature of interactions that occur

between healing and the meta-paradigmatic

aspects of the theory of integral nursing.

Within the theory, the integral nurse

engages in care-related actions that foster

client wellness while also striving to create

a deeper, more meaningful connection

with the Divine, however interpreted

or recognized.

The concept of integral person captures

how the client interrelates with

the nurse in ways that value and respect

the life experiences of each member of the

relationship, be that of an individual, family,

colleague, or group. The idea of integral

health is viewed as a process that helps

convey ways of restructuring basic

assumptions and beliefs about well-being,

to include perceiving death as a natural part

of life. One metaphor for integral health

may be the notion of a helix, which can

be transformed into more or less complex

forms depending on the situation and one’s

personal growth. Symbolically, a more

complex helix would represent greater

growth toward higher levels of

consciousness and an increasing awareness

of the essence of the human experience of

“being.” From this view, the unique pattern

of one’s energy fields and one’s expression

of wholeness is manifested through a higher

personal and collective understanding of

the physical, emotional, mental, social,

and spiritual dimensions of health, a

homeodynamic view similar to that

espoused by Rogers (1983, 1992) in her

theory of unitary human beings. Important

to understanding integral health is the

understanding that various types of health,

such as mental health, physical health,

emotional health, and spiritual health, are

not to be viewed as separate and equal, but

as unique structural strands that create and

frame the wholeness and stability of the

metaphorical helix of health. The integral

environment consists of both internal and

external aspects. The internal aspects of

environment relate to clients’ feelings

and emotions, the meaning of events, and

the way in which the client enacts their

understanding of spirituality and caring.

Through flashes of memory, sounds,

dreams, images, and/or smells the internal

environment acknowledges and is

influenced by current and past relationships

with living and non-living people and

things, such as family members, pets, or

precious possessions. The external

environment consists of things that can be

objectively measured in the physical and

social realms of reality, such as one’s pulse,

the level of adrenaline present in one’s body


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