W3_Project_NSG5002_-Erasmo Alonso

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Miami Dade College, Miami *

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Nursing

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Nov 24, 2024

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1 Personal Philosophy and Theoretical Concepts Erasmo Alonso South University NSG5002 Advanced Theoretical Perspective for Nursing Week 3 Project Professor Dalley Karla December 15, 2023

2 Personal Philosophy and Theoretical Concepts This article will provide a brief synopsis of Erasmo Feliu Alonso's personal background and biography in relation to her career as a nurse. We will give a general explanation of each of the four metaparadigms: patient, environment, nursing, and health. The explanation of Kolcaba's comfort theory will be followed by a connection to two of the four nursing paradigms. Autobiography My name is Erasmo Feliu Alonso. I originally hail from the vibrant island of Cuba, and currently, I call the beautiful city of Humble, Texas, my home. With nearly a decade of experience as a registered nurse, my professional journey has predominantly revolved around the challenging and dynamic environment of the Intensive Care Unit (ICU). Before migrating to the United States, I had the privilege of studying Medicine back in my home country, focusing particularly on emergency medicine for a significant period of three years. Presently, I am part of the dedicated healthcare team at the Cardiovascular Intermediate Care Unit (IMU) in the esteemed HCA Hospital. However, my passion for nursing and the desire to expand my role in patient care has led me to pursue further education. As a result, I have recently enrolled in the Family Nurse Practitioner program at South University. The choice to become a Family Nurse Practitioner stems from my inherent drive to provide holistic and comprehensive care to individuals and families. My experiences in emergency medicine and critical care have instilled in me a deep understanding of the complexities of healthcare and the crucial role that advanced practice nurses play in addressing the diverse needs of patients across their lifespan. I believe that by acquiring the specialized skills and knowledge of a

3 Family Nurse Practitioner, I can make a more significant impact on the well-being and health outcomes of the communities I serve. The Four Metaparadigms The four core principles of the metaparadigm are the environment, health, nurse, and patient. These concepts ensure that the patient is treated with a thorough plan. Patient The patient component is the person receiving treatment. It could also include the patient's relatives or other important people. The patient is an essential concept for theories since it requires the nurse to observe the patient in several aspects. Nurses need to consider their patients' spiritual and social needs in addition to their bodily ones. By doing this, the nurse empowers the patient to take charge of their own health (Clement, 2019) . Nursing The nurse notion in the metaparadigm examines the role and provision of nursing care. The nursing component makes use of understanding, talents, connections, competent judgment, and interaction to carry out activities and give patients the best possible health results (Domingo‐ Osle & Domingo, 2020) . Health The health concept states that all information relevant to a patient's health should be considered when seeing them holistically. This involves healing on a spiritual, emotional, mental, and physical level (Clement, 2019) . Environment

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4 Finally, the nursing metaparadigm includes the environment, or the conditions that affect the patient. A person's surroundings encompass both physical and social components, such as their family and friends' relationships, location, economic status, and race (Domingo‐Osle & Domingo, 2020) . Two Practice-Specific Concepts In Kolcaba's opinion, medical care should prioritize the comfort of the patient. Her concept teaches us that the most comfort comes from complete care. This is the most significant lesson. She distinguished between three categories of comfort: relief, ease, and transcendence. A patient experiencing comfort in the sense of relief is one who is taking prescription medicines after surgery. A patient experiencing satisfaction and contentment feels at ease in their own skin. Transcendence, or simply a patient being more conscious of their problems, is the last consoling technique discussed in this philosophy. Environment Kolcaba uses each of the four nursing metaparadigms to support her theory. We will discuss in depth Kolcaba's definitions of environment and nursing terms and how they relate to her theory of comfort. Now, as in this work, the environment will be specified in terms of Kolcaba's theory. In relation to this idea, there will also be a particular debate about nursing. A nurse's adjustments made to a patient's immediate surroundings to enhance comfort are seen as a component of the patient's environment. The concept explains four situations in a patient's environment where comfort might occur. This category may include conditions related to the physical, psychological, spiritual, environmental, and social spheres. Physical comfort is any comfort that has to do with one's physical senses. Higher powers or self-awareness are the sources of psych spiritual solace. The environmental component is the degree to which the

5 patients feel at ease in their surroundings. My own work is a notable example of this: some patients choose to pass away at the hospice home, while others would rather do it at home (Anny, 2022). The hospice nurse there, sees to it that her patient's needs for comfort are met. A cultural background can also lead to comfort. Sociocultural comfort is defined as the patient's support system, which includes their family. Nursing The nurse and the patient collaborate closely. Kolcaba offers a definition of nursing in the comfort theory as "the process of generating and carrying out suitable measures, as well as analyzing the patients comfort needs." Equally important is the nurse's evaluation of the patient's comfort following any procedures. These concepts can help Erasmo's current practice in a variety of ways. The main goal of all nursing interventions is to meet the requirements and ensure the comfort of patients and their families. In her line of work, I assesses a patient's eating, bowel, and urine habits as well as their pain management. It is not her intention to "heal" her patients. Kolcaba touched on all the aspects of being a hospice nurse when she talked about the situations in which patients find solace. I deliver comfort kits are delivered to patients' homes so they may use them for any physical needs down the road. Hospice patients have access to chaplains who provide psycho spiritual assistance, helping them find comfort in their spiritual beliefs (Anny, 2022). Conclusion All four of the metaparadigms were defined individually in this study. Two of the four were clarified further in the context of Kolcaba's concept of comfort. I can also give specific examples of how these concepts are used in my own work. The primary takeaway from this

6 article is the importance of ensuring a patient's comfort in order to achieve positive health outcomes (Krinsky et al., 2018) . References Anny, A. A. (2022). Comparison of two nursing theories Orem's theory of self-care deficit & kolcaba's comfort theory. I-manager’s Journal on Nursing , 12 (2), 34. https://doi.org/10.26634/jnur.12.2.18958 Clement, I. (2019). Metaparadigms of nursing. Textbook on Nursing Foundation for PB BSc Nursing , 208-208. https://doi.org/10.5005/jp/books/12616_16 Domingo‐Osle, M., & Domingo, R. (2020). Nursing and spirituality: A discussion paper on intertwining metaparadigms. Journal of Nursing Management . https://doi.org/10.1111/jonm.13076 Krinsky, R., Murillo, I., & Johnson, J. (2018). A practical application of Katharine Kolcaba's comfort theory to cardiac patients. Applied Nursing Research , 27 (2), 147- 150. https://doi.org/10.1016/j.apnr.2014.02.004

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