The Four Metaparadigms in Nursing Practice

Nursing practice involves four fundamental perceptions, which are also recognized as metaparadigms. The four metaparadigms of nursing are an individual or customer, surroundings, wellbeing, and nursing (Kozier, 2008). An individual or customer is the receiver of nursing care. Surroundings are the interior or exterior environs that have an impact on the receiver. Wellbeing is the gradation of wellness or welfare that the customer possesses. Nursing is the qualities, features, and engagements of the nurse that delivers care in the best interests of, or in aggregation with, the customer.

For the reason that these concepts are so non-concrete at the metaparadigm stage, a lot of theoretical representations have emerged from the general metaparadigm of nursing (Cowden & Cummings, 2012). Consequently, numerous concepts have been resulting from every theoretical standard in an exertion to define, clarify, and forecast the occurrences within the given standard. In order to relate these concepts to my practice in the emergency nursing, I have to possess some understanding of the theoretic mechanisms of the nursing occupation. Theoretical mechanisms in emergency nursing are commonly characterized either as viewpoints, abstract representations theories, or middle-range concepts contingent to the stage of concept.

In order to employ the metaparadigms in the nursing practice, an emergency nurse has to possess decent valuation abilities, both in finding a health account along with the skills in bodily impost. In count to distinguishing irregular discoveries, emergency nurses have to comprehend the implication of those nonconformities from the standard in order to regulate perseverance stages. Emergency nurses are required to have a solid information base in all areas of nursing, “from pathophysiology to psychology, pharmacology, policies, and procedures, and everything in between” (Duff, 2011, p. 5). Moreover, it is also imperative to distinguish the boundaries, and how and when to use assets suitably. Precarious discerning and strident verdict delivery are an indispensable concept in emergency nursing, as well as in other nursing specialists. The alteration in them is that the disease or damage state of a customer commonly remains undiagnosed. This statement offers a supplementary encounter to the emergency care.

Worthy statement abilities are domineering. Emergency patients and their relatives frequently appear to be in a disaster circumstances, and the emergency nurse has to possess the aptitude to settle down, instruct, and pay attention to them in a kind, indulgent way. Other significant concepts for accomplishment in the emergency nursing character are sympathy, comicalness, good administrative talents, as well as being a team participant.

The concept outline of nursing science is founded on a dynamic progression that rises from training and is replicated by the means of the exploration, mostly by examination and advance of concepts and theories. Discipline contains the shift from common knowledge to precarious assessment that is frequently unwell defined or incompetently accomplished. The clearness of a specific concept could donate to the building of a frame of awareness in an emergency room nursing, and absence of simplicity outcomes in less reliable science than is preferred. The exploration for accepting and the apprehension about establishing terms for training evidence to simplify replication and exploit towards training are the driving powers for the concept progress in emergency nursing.

Concepts are like blocks in a fence, and they provide discipline with its construction. For this intention, methodical investigation discovers or examines conceivable enunciations among these blocks with the determination of creating indication to authorize, reject, or adjust theories. All theories signify a range of concepts that forecast a complete interpretation of an occurrence.


Cowden, T., & Cummings, G. (2012). Nursing theory and concept development: A theoretical model of clinical nurses’ intentions to stay in their current positions. Journal of Advanced Nursing, 68(7), 1646-1657.

Duff, E. (2011). Relating the nursing paradigm to practice: A teaching strategy. International Journal of Nursing Education Scholarship, 8(1), p. 2-11.

Kozier, B. (2008). Fundamentals of nursing: Concepts, process, and practice. Upper Saddle River, New Jersey: Pearson Education.