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Holistic Approach To Nursing And Cultural Approach To Nursing

1980 words - 8 pages

This paper will focus on the viewpoints of two influential nursing theorists, whom have helped to provide nurses and the public with insight on their understandings of each of the four concepts that make up the nursing metaparadigm. Through the exploration of both Roy's holistic approach to nursing and Leininger's cultural approach to nursing, I will be able to conclude my findings and produce a philosophy of nursing that is unique to my own ideas, values, and beliefs of what the metaparadigm of nursing represents to me.
The first concept of nursing that will be focused on is, person. Roy has provided a general framework that allows for a baseline understanding of the metaparadigm. Roy's view of person, as stated in the Roy Adaptation Model (2009), is as follows, “An adaptive system with cognator and regulator subsystems acting to maintain adaption in four adaptive modes: physiologic – physical, self – concept – group identity, role function, and interdependence” (p. 12). Leininger has also been a notable contributor but more so for her incorporation of the importance of culture in making a person unique; this is especially true in regards to her involvement in the theory of Culture Care Diversity and Universality. This theory states the following:
The term, culturally congruent care, was coined by the theorist in the early 1960s. The purpose of the theory is to discover culturally based emic and etic care phenomena that are congruent or meaningful to cultures, and which influence the lifeways of the people. The theory focuses on identifying the care values, beliefs, lifeways, and symbolic referents related to culture care phenomena that bear upon congruent care factors. The goal of the theory is to discover culturally based care that promotes and/or maintains the health and well-being of individuals, families, or groups (Leininger, 2007, p. 9).
By comparison, I can conclude that I like Roy's idea of the four adaptive modes. Each of the modes listed has an importance in an individuals life. Roy (2009) states that being human is the way in which you adapt to your surroundings, I find this to be a relevant characteristics that makes an individual unique. However, I can appreciate the way in which Leininger goes into more detail about the things that drive people to act or react to situations in a manner that is distinct to their own personal experiences. That being said, I feel as though Roy and Leininger's definition of person compliment one another nicely and each have influenced my viewpoint on person.
The second concept of the nursing metaparadigm is, health. Roy's definition, as stated in the Roy Adaptation Model (2009) is “a state and process of being and becoming integrated and whole that reflects person and environment mutually” (P. 12). I find that Roy's definition is extremely broad and it is difficult to grasp a full understanding of what health means. It seems as though this can be agreed upon in other sources, including...

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