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How would you explain to your nursing colleagues the importance of having definitions of nursing, person, health, and environment?
The four domains or meta-paradigms of nursing are:
1. Person
2. Environment
3. Health
4. Nursing http://jan.ucc.nau.edu/~erw/nur301/theory/philosophy/lesson.html
In other words, domains are fields or spheres of activity and influence, which demand definitions. What are the domains of nursing? Nurses work with people; this is our primary area of activity and influence. Therefore, people or person is a nursing domain. Understanding and working with a person’s environment to enhance the person’s well-being is a nursing activity, so environment is a nursing domain. The purpose of nursing is to assist people in ways that enhance their level of health, so health is a nursing domain. The activities nurses conduct all fall under the one heading of nursing. Nursing then, is the fourth domain. These four domains are also referred to as the meta-paradigms of nursing. These are paradigms explaining the larger paradigm known as the profession of nursing. Each domain influences nursing practice, and the definitions (beliefs about these domains) influence nursing practice as well (see http://jan.ucc.nau.edu/~erw/nur301/theory/philosophy/lesson.html).
Philosophy of Nursing
Now that we have a definition of nursing, the next step is to develop a philosophy of nursing. We know what nursing is and what its practitioners do, now let’s look at how these activities are done, at the elements that guide the practice of nursing. Long before you decided to become a nurse, you already had a preconceived idea of what activities you would be doing as a nurse. You had at least a rudimentary philosophy of nursing in your head. Maybe you had known a nurse, someone in your family was a nurse, you had seen movies or read stories about nurses. Your ideas about nursing were formulated from these contacts and from your interpretations of these experiences. Then you went to school, either a diploma program or an associate degree program, and your ideas changed a little, or maybe a lot. At this time you …
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