Personal Philosophy and Nursing Metaparadigms


A declaration that explains the values, ethics, beliefs, and encouragement of a nurse to be a member of the profession is referred to as a nursing philosophy. It includes the perspective on the information, procedures, and ethical considerations involved in health care. A nursing philosophy enables you to understand the concepts and values that shape your daily choices. The nursing metaparadigm emphasizes taking a more holistic approach to patient care. The nursing metaparadigm is based on crucial domains, which consider human beings, health, the environment, and the nursing practice to meet the requirements of the person receiving the care provided (Alligood, 2017). These fundamental nursing concepts make up the dynamic relationship that exists between patients and nurses within the context of an interactive environment. The goal of this relationship is to generate new health trajectories and evidence-based knowledge, making it easier to develop nursing models and interventions. The nursing metaparadigm is used by registered nurses (RNs) to ensure their patients’ health and safety. This essay will develop a personal philosophy and synthesize the beliefs about the four nursing metaparadigms and their relationship with each other.

Human Beings Metaparadigm

The patient and the patient’s families, relatives, communities, and organizations are all included in the “person idea” of the nursing metaparadigm. According to Benner, a patient is both a holistic person and an adaptable system, and they receive nursing care (Alligood, 2017). The interaction between a nurse and a patient helps define what constitutes health and is essential to the healing process. To succeed in nursing, one must understand not just the patient but the patient’s family and the community from which the patient originates (Bender, 2018). According to Alligood (2017), for nurses to grasp that a person is a system that interacts with their social background on an interpersonal level, they need to use the theory developed by Imogene King.

The patient metaparadigm is considered in many different ways under Abdellah’s patient-centered approach models. Later, she describes nursing as an art and science that cultivates the mentality, intellectual capabilities, and technical knowledge of a nurse into the ambition and talent to aid individuals’ life (Jairath et al., 2017). This is whether they are unwell or healthy in coping with their individual health needs. The individuals who are getting treatment benefit from these social contacts and relationships, which help them find strength, purpose, and hope in their lives and improve their rehabilitation process.

Their patients’ mental, spiritual, and social requirements should be the primary emphasis of nursing care. According to Smith (2019), having a grasp of the nursing metaparadigm enables the nurse to redesign their strategy for the care of patients and better perceive the patient as human beings whose recovery is not predetermined by their medical history. Patients are given more agency; as a result, giving they the ability to take charge of their health and well-being.

Health Metaparadigm

The client’s experiences throughout their lifetime define their state of health, which is a multifaceted process that includes well-being and disease. This point of view considers the client as a whole, including their mental, physical, aesthetic, and moral attributes. Context and interpersonal dynamics both play a role in health. According to this point of view, wellness is a live sense of unity between an individual’s possibilities and realities founded on their love and care for themselves. Since health lays a foundation for competency, health is an essential facet of the metaparadigm of nursing practice that must be considered. Imogene King’s philosophy is that a person’s life events should serve as a reminder that they must make ongoing adjustments to the pressures and demands placed on them by their surroundings to realize their full potential in this life (Jairath et al., 2017). According to King’s theory, it is necessary to consider a patient’s optimal state of health to reach the full recovery goal.

A person must have structural and functional health, and a medical professional can give the most effective treatments and treatment programs to contribute to a person’s continuous well-being. Medical professionals provide care for their patients and build symbiotic connections with them, allowing patients to take control of their health and live a meaningful life while enjoying the best possible health (Sher & Akhtar, 2018). Individualized treatment plans are advantageous since receiving such care would improve the quality of one’s livelihood (Bender, 2018). Therefore, combining emotional, social, intellectual, and spiritual components into treatment gives health the most benefit, improving patients’ state and well-being.

Environment Metaparadigm

The third nursing metaparadigm concept that affects health and healthcare models is the environment. The environment focuses on the conditions and circumstances that affect the patient. It takes into account both internal and external forces. It asserts that a person’s well-being is influenced by their relationship with the environment in which they live (Spath & Kelly, 2017). This facet is reflected in the model developed by Abdellah, where the latter explains that society is considered when planning for the healthiest possible outcomes on both the local and international levels (Spath & Kelly, 2017). According to her, an individual’s origins can be traced back to either their home or the community in which they were raised. Nonetheless, Abdellah clarified her points, noting that the patient is the primary focus of nursing practice. In essence, this component has significantly impacted how modern healthcare is delivered.

A patient’s internal and exterior surroundings are the focus of the environmental components. According to Florence Nightingale’s environmental philosophy, patients should be placed in optimal settings to enable nature to work on them (Sher & Akhtar, 2018). The patient’s healing process is aided when an optimal and supportive care environment is created and developed using environmentally safe approaches. A nurse’s practice is guided by the environmental component when it comes to utilizing resources, treatments, and preventative measures that are safe for humans (Jairath et al., 2018). Creating a healing and trusting atmosphere is something that nurses should strive to do at all levels, according to Smith (2019). An essential role of a nurse is to ensure the patient is as comfortable as possible while they are ill, which helps keep them motivated and promotes self-healing.

Nursing Practice Metaparadigm

Care model interventions are part of the nursing metaparadigm idea, which aims to care for those who are ill, handicapped, or suffer from physical impairments. The nurse’s role is critical to maintaining a patient’s health during treatment (Jairath et al., 2018). Medics, for example, may benefit from using assistive technology in their care. Nursing can provide a pleasant and supportive atmosphere for patients recuperating from illness or injury, particularly in the decision-making and knowledge necessary for a successful recovery (Smith, 2019). The patient’s requirements are assessed and determined, including determining the optimal environment to restore health, facilitating growth, encouraging individual adaptability, and developing and maintaining a relationship with the client in which they jointly define and fulfill health goals.

The nursing metaparadigm allows registered nurses to understand the interrelationships of a person’s health and environment, as well as the implementation and enactment of nursing practices, determine performance and outcomes. The nursing metaparadigm idea encourages patient care and positive, mutually beneficial connections between nurses and their patients. A strong relationship between a nurse and patient helps patients recover more quickly owing to improved emotional well-being. It allows nurses to create a more positive attitude toward nursing.

Nursing Metaparadigms Interactions with Each Other

Nursing practice, the person, the environment, and health are the four key metaparadigms, and the theories and models used in nursing care need to integrate the links between these concepts. Consolidating all aspects of the nursing metaparadigm is necessary to generate individualized care plans and provide patients with high-quality care to the most significant degree possible (Smith, 2019). The goal is to provide excellent treatment centered on the patient, improve patient consistency, raise the quality of outcomes, and make patients healthier overall.

There is an interrelation between the person and the environment concepts of the nursing metaparadigm. For instance, the environments directly influence the patient’s well-being, which is influenced by a person’s connection to their surroundings and considers both internal and exterior factors (Spath & Kelly, 2017). In Abdellah’s concept, society is taken into account while planning for the best health outcomes on both a local and global scale (Spath & Kelly, 2017). According to her, a person’s home or community is defined by their immediate surroundings. However, Abdellah went on to say that the patient is the most important thing for a nurse to remember. When it comes to modern healthcare practices, this component has had a significant impact.

Interacting personally with patients suffering from interminable diseases like cancer and diabetes is integral to advancing medical knowledge. Constant ailments have negatively impacted the country’s economy throughout the last several decades. The direct expenses associated with searching for medical treatment and indirect costs, such as those associated with transportation and the amount of time wasted while searching for medical care, are of tremendous relevance (Smith, 2019). Patients who suffer from these chronic diseases may not be able to make a full recovery, but as nurses, we try to monitor cases in a manner that slows down the pace at which the condition worsens and extends the patient’s life. In the context of the relationship between a nurse and a patient, the attendant expert has the responsibility of working to enable the patients by reestablishing their will to live and encouraging them not to give up on life despite the adverse effects of illnesses for which they are aware there is no cure.


This study looked at Abdellah’s patient-centered approach as well as the four nursing metaparadigm notions. Nursing practice, the person, the environment, and health are four metaparadigms that guide the work of nurses. Four metaparadigms are linked to one another and employed in theory development. It is essential that nursing students have a firm grasp on such concepts as evidence-based practice, competency, and knowledge of nursing practice. Propositions can be used to better describe a theory. Nursing challenges are a great way to develop an approach to enhancing healthcare outcomes that is based on the health philosophy of the latter. Nurses use the theories of nursing theorists as a foundation for developing and improving medical practices. It is because of this that Abdellah’s thoughts on nursing will continue to influence future research and important publications.


Alligood, M. R. (2017). Nursing theorists and their work-e-book. Elsevier Health Sciences.

Bender, M. (2018). Re-conceptualizing the nursing metaparadigm: Articulating the philosophical ontology of the nursing discipline that orients inquiry and practice. Nursing Inquiry, 25(3), 1-9. Web.

Jairath, N. N., Peden-Mcalpine, C. J., Sullivan, M. C., Vessey, J. A., & Henly, S. J. (2018). Theory and theorizing in nursing science: Commentary from the nursing research special issue editorial team. Nursing Research, 67(2), 188–195. Web.

Sher, A. N. A., & Akhtar, A. (2018). Clinical application of nightingale’s theory. Journal of Clinical Research and Bioethics, 9(329), 2-9. Web.

Smith, M. C. (2019). Nursing theories and nursing practice. FA Davis.

Spath, P., & Kelly, D. L. (2017). Applying quality management in healthcare: A systems approach. Health Administration Press Chicago.

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