Personal William Osler was quoted in his

Personal thoughts and beliefsThe four concepts of the nursing metaparadigm play a major role in the nursing process and is imperative when caring for patients. William Osler was quoted in his belief that, “a good physician treats the disease; the great physician treats the patient who has the disease.”  This quote illuminates my personal philosophy and the foundation of my future practice.  Patients are not just a number or diagnoses; they are each individuals who require and deserve quality care.  Quality care is compromised of a comprehensive assessment, which requiresevaluating the patient as a whole.  It is important to not only focus on the physiological aspects but the psychological and spiritual as well.NursingI believe the metaparadigm nursing ties all of the concepts together. The nursing profession is more complex than most people understand. Nurses have the responsibility of someone’s life in their hands while balancing several tasks, passing medications, thinking critically about the next step, communicating with many people involved in each patient’s care, and remaining compassionate and empathetic. I strongly agree with the idea that every relationship between each patient and myself is different but the care given remains the same providing as much dedication and love as if they were my own family members. Some patients and parents are exceptionally involved in their plan of care, while others are just in the hospital to be treated and proceed home. The attitude of each individual strongly determines the plan of care for that particular patient, which leads into the metaparadigm person. PersonEach patient is cared for in the same manner by the healthcare team I work with daily and everyone is treated based on a holistic standard. I believe each individual should be assessed, diagnosed, and treated for after reviewing all aspects of a patient’s life. Many new parents come to the hospital terrified to ask questions about the actions they are taking at home, but this is the best time for nurses and medical professional to educate on the benefits and risks of all healthcare aspects. For example, I have cared for several infants that are diagnosed with failure to thrive. If I were to just simply come to work, treat the patient, give medications, and go home then not only would I despise my profession but also my patient would not benefit from anything I have provided. It is crucial for the healthcare team and myself to consider all factors related to this patient. My concerns and questions would vary from how long has he/she not been taking the bottle, what formula is being fed, how often and how much is in each bottle, has the formula ever been changed, was he/she full term or premature, is the baby well-groomed, are the parents involved in the infant’s care, etc. There are many factors that could be vital in treating this patient along with labs and procedures needing to be completed. In this situation a parent may ponder why the healthcare team is asking all of these questions but the resolution to this failure to thrive infant could be a simple change in formula with added calories per ounce or a formula without soy. These questions give the healthcare team a better outlook on the person, health, and environment. EnvironmentEnvironment is a vital aspect in the care of individuals. I have no doubt a person’s surroundings and care that is received can alter their healing process. For instance, consider how many people go in and out of a patient’s hospital room within a 24-hour period. If every person knocked loudly, flipped the blinding light on, were rude and inconsiderate of the sick patient, then left by shutting the door too hard, the patient would have no rest or calm environment for his or her body to heal, resulting in a longer visit and complications.  This is an effortless yet imperative effort to provide optimal care for a patient. The environment should be a place where patient feels safe and the healthcare team should promote comfort, such as opening a window or using aromatherapy. Equally important, a person’s home environment could alter their overall health as well. People can perform everyday healthy lifestyle changes to better themselves and others around them. For example, taking their medications daily, drinking more water, going for a walk, keeping their house clean of dust, eating more fruits and vegetables, etc. These are all environmental factors that can drastically change a person’s health. HealthThe metaparadigm health in my opinion is focusing on preventing and maintaining excellent health in the hospital and at home. I believe care focused on preventing disease rather than treating illnesses, by working, as a team and taking necessary measures to promote healthy behaviors, would result in patients having better health outcomes. In addition, early detection is a dynamic aspect of health promotion that is vital to preventing the chronic disease burden. In the first example above, the education given to a parent about the change in formula or even a change in the bottle’s nipple could have prevented this infant with the diagnoses of failure to thrive and the later complications that could be associated. In my opinion, nurses need to focus on educating patients and family members more than simply administering a medication or performing a procedure. In the second example, education about basic everyday lifestyles could change someone’s health and prevent them from being hospitalized in the future. Even providing education about health to family members could go be beneficial and passed on to several people in the community.  ?Nursing actions are based on the interrelationships between these four concepts. A person can refer to more than just the patient but also the support system and healthcare team involved in one’s care. An individual’s health will be influenced by his or her environment and everyday lifestyles. Nurses should consider a person’s culture, spirituality, beliefs, and wishes, as well as their home environment and overall health and possible lifestyle changes when providing nursing care. It does not go without difficulty to define one metaparadigm without correlating with another. In my practice, I believe each of these metapardigms isessential in caring for patients.