Nursing Metaparadigm: Health as expanding Consciousness, Newman as a theoretical work

Instructions for writing paper

One purpose of writing this paper is for you to solidify your understanding of the nursing metaparadigm and to revisit/update your personal philosophy in light of what you have written in your first paper.
Another purpose is for you to consider how your current philosophy fits and/or does not fit with a body of selected theoretical work: theories developed by Newman, Boykin and Schoenhofer, or Benner only. Note that you cannot choose a theoretical body of work that was/is the subject of your presentation, e.g., if you present on theory of nursing as caring (Boykin and Schoenhofer) then you must use only health as expanding consciousness (Newman) or novice to expert (Benner) in this paper.

I have chosen Newman as a theoretical work for this paper

I want to emphasize that you are not choosing a specific theoretical approach for your whole career when you choose a body of theoretical work to explore in this paper. You are only starting to try out a theoretical approach and it will take time to understand what is comfortable for you and how you want to be a nurse. In the second stage of this course in your next term you will further develop your understanding of nursing theories and their application to practice.

The next purpose is to allow you to demonstrate how you might use the selected theoretical work in practice as part of meeting professional standards and requirements. Therefore, you will need to demonstrate links between practice using the selected theoretical work and the CNO ethics (CNO, 2019g) and entry-to practice (CNO, 2019b) documents from the required course reading materials.

Please use headings/subheadings appropriately, and before moving into a subheading make sure you provide a brief statement about what you will do in the overall section.

Writing the Content

Introduction ½ page with clear indication of what is to bee done in the paper
Nursing metaparadigm (Not more than _1/2 page, No Subheadings)

First, similar to what you were to do in the first paper, you will identify and very briefly discuss the four concepts within the nursing metaparadigm (NM): Nursing, Person/Human Beings, Health, and Environment. You will need to obtain a scholarly article to support your discussion of the NM and its concepts, use this article that was used in the first paper and one appropriate chapter, use chapter 4 (p.41) from the textbook.

I want you to use this this link to obtain the article I used for my first paper.

Please find the article and the link to the e-book of textbook below

Bender, M., & Feldman, M. S. (2015). A practice theory approach to understanding the interdependency of nursing practice and the environment: Implications for nurse-led care delivery models. Advances in Nursing Science, 38(2), 96. doi:10.1097/ANS.0000000000000068.

Please find below the link to the e-book of Nursing Theorists and their work 9^th edition https://play.google.com/books/reader?id=l7stDwAAQBAJ&hl=en&pg=GBS.PP1

Personal philosophy (Not more than 3 pages; ½ to ¾ page for each of the 4 concepts in the NM; Use subheadings; No references.

You will then reflect on if and in what way(s) your own values, beliefs, and assumptions for each of the four concepts within the NM (Nursing, Person/Human Beings, Health, and Environment) – so your personal philosophy– have shifted in light of what you have learned so far within the course.

If you believe that for one or more concepts your values, beliefs, etc. have not changed, then under each concept you need to specifically discuss the ways in which your original values etc. for that concept are a fit with what you have been learning in this course.

You will need to describe what you valued, believed, etc. in the first paper so you can be clear when you claim that something has not changed. If something has changed, then you need to clearly state what is different from the first paper to this second paper. In all compare/contrasts, you need to articulate a rationale for your claim of change/no change.

You will need a subheading for each of the four NM concepts.

You will not use any references to support your own values, beliefs, and assumptions. For the first paper I identified my values as compassion, empathy, showing respect for the patient’s wish in care, good communication and listening skills. I also value trust, honesty and integrity in my relationships.

Fit between own current values and selected theoretical work (less than 3^1/2 pages; ½ to ¾ page for each compare /contrast)

You will then demonstrate your understanding of a theoretical body of work, as well as show how your own values etc. fit/do not fit with that body of work.

You will first identify which of the selected theoretical bodies of work you are using in the paper and you will clearly identify the main concepts within the theory. Only the theoretical work first developed by Newman, Boykin and Schoenhofer, or Benner can be used in this paper. I have chosen Newman as the theoretical work you will find this in (chapter 23)

Be careful to use the current theoretical work, so including the 2018 textbook used in this course, as all have been further developed in the past few years. Also, you must provide sufficient detail to demonstrate your understanding of the theoretical work.

Do not use another edition of the text. You will get to read the e-book of the textbook used in this course here online. Please find below the link to the e-book of Nursing Theorists and their work 9^th edition https://play.google.com/books/reader?id=l7stDwAAQBAJ&hl=en&pg=GBS.PP1

In this section, you also will discuss how your current values fit/do not fit with your selected theoretical work – so comparing and contrasting your own values etc. with the main assumptions under each of the four NM concepts. In all compare/contrasts, you need to articulate a rationale for your claim of similarity/no similarity.

You will need a subheading for each of the four NM concepts and within each subheading you will need appropriate references related to the theoretical work but no references for your own values, beliefs, etc.

You must reference the appropriate chapter in the textbook (be very specific about the page # when identifying the theoretical assumptions within each concept) and be careful to provide the correct authors.

You also must use one appropriate, scholarly nursing article that is about the theoretical work – note that a reference may be written by the theorist herself or by other people. Make sure you do not write something like “Newman believes” unless you are specifically referencing an article written by Newman herself. None of the relevant chapters in the course were written by the theorists themselves. Please use this article here

Stec, M. W. (2016). Health as expanding consciousness: Clinical reasoning in baccalaureate nursing students. Nursing Science Quarterly, 29(1), pp. 54 –61.

How chosen theoretical work in practice meet CNO competencies/behavioural directives (less than 2 pages)

You will demonstrate how you as a student nurse might use the selected theoretical work in practice as part of meeting professional standards and requirements.

You will identify two competencies from the CNO (2019b) entry-to-practice document and two behavioural directives from the CNO (2019g) ethics document and describe how you could use the theoretical work to meet those competencies and behavioural directives.

For example, I might discuss an aspect of the theory of health as expanding consciousness that is about the nurse-patient relationship and show how using the approach in this theoretical work would help me meet the fifth ethical behavioural directive of “maintaining the therapeutic nurse-client relationship” (CNO, 2019g, p. 6) within the CNO ethical value of client well-being.

AND

Use this practice-related article link below, to support your discussions in this section.

https://www.researchgate.net/publication/317583941_A_Patient_with_Cancer_and_Her_Family_in_Caring_Partnership_Based_on_Margaret_Newman%27s_Theory_of_Health_as_Expanding_

You need to use one subheading for the competencies’ discussion and a second subheading for the behavioural directives’ discussion. Use these CNO documents

College of Nurses of Ontario. (2019g). Practice standard: Ethics. Toronto, ON: Author. Retrieved from cno.org/globalassets/docs/prac/41034_ethics.pdf

College of Nurses of Ontario. (2019b). Entry-to-practice competencies for registered nurses. Toronto, ON: Author. Retrieved from cno.org/globalassets/docs/reg/41037-entry-to-practice-competencies-2020.pdf

You must use one new (not yet used in your paper) scholarly nursing article that is about the theoretical work in practice, so the content is related to practice and not just theory. You are not to describe or analyze the article within your paper. Rather, you are to use the reference to support your statements about how you could use the theoretical work in practice – so for each of the competencies and for each of the behavioural directives. Remember, the article for this section must be a different article from the one used in the section about the fit between your values/beliefs and the chosen theoretical work.

Note: In overall in this paper you are to use three articles which I have provided.

Conclusion (less than ½ a page)

Other Specific Requirements

Please check the detailed information for the first paper with regard to format/style requirements. All are the same for this second paper except for length.
This paper should be 9 typed pages (excluding cover sheet and references), so you will have a maximum of 9 pages in the body of your paper.

It is expected that you search for and use references that are not in the course reference list.
The new references that must be articles (so not a book, professional, organization, website, etc.), must be relevant and current (preferably not older than a 2014 publication date, must be within the past 10 years).
These scholarly articles must also include a nurse as an author (not necessarily the first author) and be at least three pages of text in length (so not including references, even on the third page).
Note that each chapter in the textbook has a reference list with multiple references – these lists may be a good addition to your toolbox in finding appropriate articles.
You must use your course textbook and only relevant chapters as appropriate when references are required from the course textbook.
You need one chapter about the nursing metaparadigm and another chapter about your chosen theoretical work.
Do not use another textbook (or even another edition of the Alligood [2018] edited book) otherwise some of your paper would automatically be incorrect (e.g., references) and you risk not earning a passing grade.
Be very careful to provide the correct author names for a chapter. If you do not use the correct version of the course textbook then the authors’ names will most likely be incorrect.
You need a minimum of seven references: three articles, two chapters from the textbook chapters 4 (p.41) and 23 (one of which will depend on the chosen theoretical work), and two from the CNO.

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