The nursing metaparadigm offers insights concerning the nature in which the nursing profession should be set up and properly functioning. From the nursing perspective, the concept of the metaparadigms consists of four attributes including the patient as an entity, the patient’s environment, the well-being and health of the patient, and the responsibilities of the nurse (Alimohammadi et al., 2014). These four metaparadigms have a direct impact on the implementation of culturally proficient nursing care. With the advancement in technology and ease of patient access to quality care, there is an increased number of nurse-patient relations. The nurse has to ensure the provision of patient-centered care while focusing on the nursing metaparadigms. The aspect of culturally proficient nursing care makes use of the attitudes, knowledge, and skills that are in support of the caring of patients that originate from various cultures and ethnic backgrounds. In this accord, culture is able to directly influence the nature of the health care practice and the manner in which the healthcare provider, as well as the patient, perceives the diseases or illness (Lee, & Fawcett, 2013). Based on the theoretical frameworks that the nursing metaparadigm offers together with the assumptions, conceptual models, and propositions, the nurses can be in a position to comprehend the cultural aspect of patient care and act accordingly. The Person Component The patient, as the receiver of the care, makes up the person component aspect of the nursing metaparadigm. Other connections with the person component include close friends, family, and other social groups that are important to the patients and their overall well-being (Bahramnezhad et al., 2015). In this metaparadigm, nurses are able to comprehend the patient as and individuals and how they relate with others in society. The nurses are also able to understand the cultural aspects of the patient through an inquiry from the patient and close relatives in the event of patients who are not in a position to speak for themselves or make sound decisions. The Environment Component This concept of the nursing metaparadigm is focused on the natural and physical surrounding that impacts the day to day life of the patient. in order to offer culturally proficient care, it is important for the nurses to have a deep understanding of the patient’s environment, climatic condition, cultures, and other societal elements (Bahramnezhad et al., 2015). Be that as it may, the environment constitutes both internal and external influences that depict the nature in which the patient directly interacts with the surrounding which may or may not affect their health and wellness. Health Component While there is easy access to quality health care with the Affordable Care Act, the health component still focuses on the aspect of health care wellness and ease of access. The health component also focuses on the genetic makeup of the patient, social o.

1. The nursing metaparadigm offers insights concerning the nature
in which the nursing profession should be set up and properly
functioning. From the nursing perspective, the concept of the
metaparadigms consists of four attributes including the patient
as an entity, the patient’s environment, the well-being and
health of the patient, and the responsibilities of the nurse
(Alimohammadi et al., 2014). These four metaparadigms have a
direct impact on the implementation of culturally proficient
nursing care. With the advancement in technology and ease of
patient access to quality care, there is an increased number of
nurse-patient relations. The nurse has to ensure the provision of
patient-centered care while focusing on the nursing
metaparadigms.
The aspect of culturally proficient nursing care makes use of the
attitudes, knowledge, and skills that are in support of the caring
of patients that originate from various cultures and ethnic
backgrounds. In this accord, culture is able to directly influence
the nature of the health care practice and the manner in which
the healthcare provider, as well as the patient, perceives the
diseases or illness (Lee, & Fawcett, 2013). Based on the
theoretical frameworks that the nursing metaparadigm offers
together with the assumptions, conceptual models, and
propositions, the nurses can be in a position to comprehend the
cultural aspect of patient care and act accordingly.
The Person Component
The patient, as the receiver of the care, makes up the person
component aspect of the nursing metaparadigm. Other
connections with the person component include close friends,
family, and other social groups that are important to the patients
and their overall well-being (Bahramnezhad et al., 2015). In this
metaparadigm, nurses are able to comprehend the patient as and
individuals and how they relate with others in society. The

2. nurses are also able to understand the cultural aspects of the
patient through an inquiry from the patient and close relatives
in the event of patients who are not in a position to speak for
themselves or make sound decisions.
The Environment Component
This concept of the nursing metaparadigm is focused on the
natural and physical surrounding that impacts the day to day life
of the patient. in order to offer culturally proficient care, it is
important for the nurses to have a deep understanding of the
patient’s environment, climatic condition, cultures, and other
societal elements (Bahramnezhad et al., 2015). Be that as it
may, the environment constitutes both internal and external
influences that depict the nature in which the patient directly
interacts with the surrounding which may or may not affect
their health and wellness.
Health Component
While there is easy access to quality health care with the
Affordable Care Act, the health component still focuses on the
aspect of health care wellness and ease of access. The health
component also focuses on the genetic makeup of the patient,
social or spiritual standpoints, lifespan, and the various ways in
which the emotional, social and intellectual can all be
integrated into the patient’s care.
Nursing Component
This component of the nursing paradigm is involved with the
provision of optimal health outcomes of the patient by creating
a safe and caring environment. The nurse components make use
of knowledge, skill, and technology to offer quality services and
interprofessional collaboration towards the attainment of
positive patient outcomes (Bahramnezhad et al., 2015). In this

3. regard, nurses have the capacity to make use of professional
judgment and efficient communication strategies to understand
the various patient attributes required to conduct their duties
and responsibilities.
References
Alimohammadi, N., Taleghani, F., Mohammadi, E., & Akbarian,
R. (2014). The nursing metaparadigm concept of human being
in Islamic thought.
Nursing Inquiry
,
21
(2), 121- 129.
Bahramnezhad, F., Shiri, M., Asgari, P., & Afshar, P. F. (2015).
A review of the nursing paradigm.
Open Journal of Nursing
,
5
(01), 17.
Lee, R. C., & Fawcett, J. (2013). The influence of the
metaparadigm of nursing on professional identity development
among RN-BSN students.
Nursing Science Quarterly
,
26
(1), 96-98.
REPLY 2
Nursing Metaparadigm Impact on Nursing Care

4. Metaparadigm is the patient's quality and wellness, which
includes the access which the patient has to the health care.
Additionally, through metaparadigms, nurses can exercise their
skills when caring for patients to address patient care at large
(Nikfarid, et al., 2018). Besides, four concepts of metaparadigm
usually make up the overall metaparadigm of nursing. Those
concepts of metaparadigm include the following, nursing,
person, environment, and health.
Starting with the first concept, nursing has a lot to impact
nursing care. Under the nursing concept, some domains go hand
in hand to ensure that quality care is provided to the patients
deserving of the care. Such domains include professional values
like patience (Nikfarid, et al., 2018). If a nurse goes all-around
angry with a frowning face, it cannot be an example of a good
nurse. Patience helps nurses to confront their daily stress.
Moreover, responsiveness also qualifies to be the value of a
profession that defines nurses. Responsiveness helps nurses
attend to most patients in emergency states and are worried
about their lives (Nikfarid, et al., 2018). By providing them
with a sense of comfort. Besides, good communication and
interpersonal skills also stand to be an important domain in
nursing since it helps nurses communicate with their colleagues
and patients. Furthermore, other domains include nursing
leadership, which has a crucial role in impacting nursing care
since it ensures the entire team's success, where qualities such
as encouraging, inspirational, and supportive are considered.
Additionally, there is a concept of the person in the
metaparadigm. A person is the one who usually receives nursing
care. Nurses ensure that the person's health is cared for by
giving all the necessary support to enhance the well-being of
the person (Nikfarid, et al., 2018). Through the person concept,
it determines the care nurses are to give to the recipients.
Health concept also plays a crucial role in the metaparadigm in

5. nursing care and its relative to the person since it depends on
the patient perspective.
On the other hand, health can be defined as the wellness of the
person (Nikfarid, et al., 2018). If the person gets unhealthy, it’s
the nurses’ responsibility to ensure proper care is given to them.
Florence Nightingale, one of the pioneers of nursing, described
the nursing job to be all about putting patients in their best
conditions of nature as possible (de Florence Nightingale &
Crítica, 2015). Furthermore, for one to be in a healthy state,
some aspects are associated with health and are biological,
psychological, social, and spiritual aspects. Through
professional values of nursing, nurses can offer teaching to the
patients and offer psychomotor teachings, which helps keep the
patients moving by getting empowered with hope by the nurses.
The fourth concept that makes up the nursing metaparadigm, an
environment, also impacts nursing care as follows. Florence
Nightingale described different environments to give back
healthy or unhealthy conditions (de Florence Nightingale &
Crítica, 2015). In her implications, she concluded that low
environments give chances of poor health and the rise of
diseases where friendly environments sum up to good health,
which comes with little or no diseases. Both environments
dictate the kind and type of care offered by the nurse and at
what specific period. Through all discussed points of view
contributes to the culturally skilled nursing care.
References
de Florence Nightingale, T. A., & Crítica, U. A. (2015). The
Florence Nightingale’s environmental
theory: a critical analysis.
Escola Anna Nery Revista de Enfermagem
,

6. 19
, 3.
Nikfarid, 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
.
Edited by
Perez, Gilberto O
on Sep 8 at 8:51pm
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