Applying Nursing Metaparadigm Theories in Emergency Room Practice
Introduction
At the core of nursing science, it is accepted that there are four essential tenets, which describe interactions between nurses and others involved in care' (Dixon et al., 2021, para 1). These four ideas serve as general guidelines for holistic patient care: person, environment, health, and nursing. Nurses and theorists have historically used the components of nursing metaparadigm. Nevertheless, certain barriers restrict their consistent implementation. Due to the demands placed on nursing during the forced shift to the consolidated frameworks and across-the-board usage of technology during the coronavirus illness 2019 (COVID-19) outbreak, burnout and a call for the reconstruction of goods and services increased. Let us explore the four corners of nursing metaparadigm in greater depth, how they are applied in the emergency room (ER), and the arguments put forth by Emma Watson with the fifth dimension of nursing metaparadigm.
Overview of the Nursing Metaparadigm
The person metaparadigm, which encompasses the recipient of care supplied by the nurse, defines those who demand the unique coverage and services offered. One would consider the clinical and non-clinical measures that influence well-being within the environment; in other words, those measures one can employ to mitigate the impact of the causes of ill-health or amplify positive outcomes aligned with the health metaparadigm. However, rather than being confined solely to the physical site where care is complicated, the nursing environment is expanded within the metaparadigm to incorporate all components that impact the intersectionality of person and health. This enables nurses to grasp that the environment is multifactorial, and care can be facilitated everywhere, including in homes, traditional healthcare settings, hospitals, geriatric homes, schools, and even online platforms. The nursing metaparadigm facilitates learning nursing as a challenging science and provides important details and assumptions that offer useful strategies, competencies, and organizational structures needed to address an identified environmental issue or challenge. In addition, it offers that challenges will be addressed via empathy, concern, intuition, a caring presence, and personal action in conjunction with one's senses rather than via evidence-based interventions. According to Watson (2018), the fifth dimension of the nursing metaparadigm is moral, thus leading to the differentiation of the nursing ship from the rest of the healthcare workforce. This metaparadigm can be anchored on caring morality and ethics, which emphasize the call for compassionate consciousness, solidarity with suffering, the demand and duty to protect human dignity, and moral justice for all, thus offering the guideline to apply care ethically and to whom.
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In ER nursing, centered on patients facing high-stress circumstances or illness, nurses constantly apply person-oriented practice each moment. ER nurses identify the crucial, shared family resources needed to assist the person, as mentioned above. Sheeran and Flaherty (2022) described that ER nurses are constantly focused on the family demands of numerous patients in psychological, social, economic, spiritual, and physical dimensions, considering that they have already built solid relationships with the patient and individual in the realms of these needs. Technology, social space, and resources constitute critical external factors in the ER that affect behavioral characteristics and influence patients' experiences. By framing the environment from a patient-practice standpoint, ER nurses articulate unique, multidimensional person and practice outcomes that regularly affect patient health during or after an encounter within the ER context. Health-focused writers argue that illness constitutes the normal circumstances for an individual, given that other health domains emerge and may be critically compromised inEr patients.
Importance of Empathy and Calmness in ER Nursing
Empathy and calmness correlate closely with the ER context, where the mental and emotional attributes of the ER nurse and the individuals they work with may shape the overall patient experience. The ER might be defined as a high-stress area with consistently working considerations of productivity requiring triaging and seeing patients promptly. Patients visited the ER during the assessment period to address the demands of immediate clinical care from the trauma, device, or illness. Thus, patients who experience extreme discomfort, trauma, or complications and their family encounters an ER workplace that combines unfamiliar associates with computers humming, disconnect calls, terminology shouting,
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