NSG 5002 Week 1 Discussion And Project Assignment

Week 1 Discussion

Theories are derived from conceptual models and are composed of concepts and propositions. The only concepts that are common to all nursing theories, in some shape or form, are patient, nurse, health, and environment. These are sometimes referred to as the basic metaparadigms of the nursing domain.

  • Describe the four metaparadigms: patient, nurse, health and environment. Cite the sources you use.
  • Choose a theory that finds practical application to your current area of clinical nursing practice, briefly describe the theory, and explain why you find this theory appropriate for your area of clinical practice.

Submission Details

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; and demonstrates a clear connection to the readings.

  • Post your response to the Discussion area by the assigned due date.
  • Be sure to correct any spelling, grammar, or punctuation errors before you post.
  • By the end of day four (4), respond to at least 2 of your peers’ submissions. In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.

Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, and Late Policy available by clicking on the South University Policy and Guidelines navigation tab here. The late policy applies to late discussion question responses.

In your group discussion board, place a post to your group member with your contact information. During this week your group should choose a leader and choose a theory for your group project.

The group leader should email your instructor with your first and second choices. The earlier you are with this email, the greater the chance you will receive one of your choices. The group may not choose the same theory that any of the group members is using for their discussion board entry from this week.

Week 1 Discussion Part One Example Paper

The four meta paradigms of nursing are patient, health, nursing and environment. The metaparadigm of a patient focuses on the recipient of care. It looks at the patient’s culture, spirituality, friends, family, and socioeconomic status. The premise of this metaparadigm is a patient is empowered to manage their health through positive connections (Branch et al., 2016).

The second metaparadigm of health relates to the quality and patient wellness. Also, it includes patient’s access to health care. The third metaparadigm of environment refers to the internal and external factors relating with a patient. This includes a patient’s surroundings and interactions with visitors.

The last metaparadigm of nursing component which relates to how nurses use their knowledge to provide care (Branch et al., 2016). It is important for nurses to apply these meta paradigms in their nursing practice to address patient care.

Part two

The theory applicable to my practice is the Theory of Human Caring disseminated by Jean Watson, a theorist in nursing. Watson advocates for developing specific theories to patient care (Nikfarid et al., 2018). Further, she interprets the nursing metaparadigm patient by promoting practice that satisfies human needs through human care. Watson believes it is important to honor the needs of a patient regardless of their beliefs or customs.

Watson supports that individual patient needs should be valued and understood. Also, Watson interprets health as much more than curing an illness (Nikfarid et al., 2018). Watson believes that curing is a physiological response and nurses should use a holistic approach with patients.

This theory is appropriate in my area of clinical practice because I believe in satisfying human needs of every patient. I believe in addressing each individual’s needs and spending quality time with patients to provide a caring environment. Further, healing is a process that involves a lot of factors that the Watson theory discusses. Even though the theory has faced some criticism, I find it appropriate in my areas of clinical practice.


Branch, C., Deak, H., Hiner, C., & Holzwart, T. (2016). Four Nursing Metaparadigms. IU South Bend Undergraduate Research Journal, 16, 123-132.

  • Nik Farid, L., Hekmat, N., Vedad, A., & Rajabi, A. (2018). The main nursing metaparadigm concepts in human caring theory and Persian mysticism: a comparative study. Journal of medical ethics and history of medicine, 11.

Sample Paper 2

Nursing science is developed from a need to address not just the task nurses preform but to place an emphasis on their knowledge (Butt, 2017). Nurses go beyond just physical assessments to include counseling education, ultimately providing a “holistic approach to health concerns and health promotion” (Butts, 2017, p 19). Including more than just a science knowledge base because it contains a human element (Butts, 2017) this evolution of nursing science has led to a metaparadigm that provides structure on how the discipline should work.

A nursing metaparadigm includes four concepts: the patient, nurse, health, and environment (Butt, 2017). Nursing theories build off the nursing discipline. There are many different nursing theories and concepts that are based on nursing science that a nurse utilizes while desiring to improve patient outcome and care.

The discipline of nursing is defined by the nursing metaparadigm’s four concepts which have both non relational and relational components. The first concept, the patient, refers to the individual or communities and other family members who are involved in the patient care causing the process of optimal living to be obtained (Butt, 2017). As the nurse, he or she focuses on the profession of nursing and the interaction of the nurse with one or more patients.

The third concept, health, addresses a patient’s wellbeing in regards to illness or wellness at the time of patient care, as well as the process in which improvement on health is attained. Finally, the environment of a patient includes the physical, psychological, cultural, and socio economic needs that might impact a patients’ health in normal life or in times of stress, resulting in a holistic approach to nursing.

While nursing discipline is clearly exact, nursing theory can be common sense assumptions or based on science. Specifically, nursing theories at the basic level are scientific assumptions that provide explanations and/or provide order to circumstances with healthcare professionals (Butts, 2017). These theories include the four components of the discipline of nursing (Butts, 2017).

Although there are many types of nursing theories and various ways to categorize them, there are four types of classifications based on the level of complexity theories: metatheory, grand theory, midrange theory, and practice theory (Butts, 2017). In general, nursing theories include processes such as research, education, nursing practice, management and administration (Butts, 2017).

One nursing theory is the deliberative nursing process. It is a theory that is classified as a middle range theory because it includes both comprehensive and generalizable concepts. The use of the “deliberative nursing process helps nurses maintain a patient-centered approach when providing nursing care amidst additional and varied expectations of the nurse” (Peterson, 2016,p 239).

The basics of the theory is to never assume what the patients’ needs are and it is the nurse’s responsibility to check the validity while addressing both directly and indirectly those needs.

Deliberative nursing process is a comprehensive theory that is applicable for patient centered care. Some of the examples of this theory in practice is the SHARP, risk prevention, and pain perception. In this theory, finding out there is a problem such as pain or fall prevention and addressing it is automatic.

Because of the set-up of an emergency room, there are many types of issues facing people and many times they might go overlooked. Suicidal ideations screening in the ED is a critical component in patient care. “Effective and accurate suicidality assessment occurs not by asking a single question but also with the assessment of patient behaviors and presentation” (Clark, et al, 2018, para. 1). Using the suicidal questions during triage based off this deliberative nursing process is a good way to never assume a patient’s mental status.

Also, Stanebell Tran’s dissertation details evidence-based research in the use of a deliberative nursing process theory to question post stroke patients. Such screenings improved identifying at-risk populations (2019). The framework of this theory is discovery and the resolution of problems. The nurse’s and the patient’s relationship of interacting with one another in the ER setting is one way this theory can be applied to many underserved areas such as mental health.

In conclusion, there are many theories of nursing. The deliberative nursing process theory can be applied to numerous problems and is relevant for any time or environment, especially in the ER setting. The theory is based on finding out the patient’s needs and meeting those needs (Butts, 2017). Nursing provides holistic attention to provide and improve patient outcome and care.


  • Alligood, M. (2017). Nursing theory – ebook: Utilization & application (Vol. 5). Elsevier Health Sciences.
  • Butts, J. (2017). Philosophies and Theories for Advanced Nursing Practice. (https://digitalbookshelf.southuniversity.edu/#/books/9781284143010/, Ed.) 
  • Clark, P., Delao, A., Moon, M., Perhats, C., Wolf, L., & Zavotsky, K. (2018). Assessing for occult suicidality at triage: Experiences of emergency nurses. Journal of Emergency Nursing, 44(5), 491-498.
  • Peterson, S. (2016). Middle range theories: Application to nursing research and practice.
  • Stanebell Tran, D. (2019). Nursing Initiated Two-Tier Depression Screening for Post-Acute Stroke Patients. Grand Canyon University. ProQuest Dissertations Publishing.