Nursing Metaparadigms

Nursing Metaparadigms

Part One

Artist: Sir Nathaniel Dance-Holland (1735-1811)

Title: Physician, patient, and nurse 1996

Location: Tate Museum London

The work of art by Claude Rogers represents a patient in a hospital bed and two attendants. The nurse and the doctor in the picture are working together to provide optimum care to the patient. This art reminds me of the nursing component of patient care in the Nursing profession. The nursing metaparadigms involves the delivery of optimum care for optimal outcomes for the patients through mutual relationship and understanding in a safe environment (Branch et al 2016).
Nursing Metaparadigms
Mutual understanding and care cannot be achieved by the nurse practitioner only, but through coordination with the doctors and other healthcare providers. When analyzing the nursing component, it is clear that the nurse applies principles of knowledge, technology, professional judgment and collaboration to carry out duties for the achievement of best health outcomes.

From the work of art, we can acknowledge that the care provided is optimum. Presence of the doctor and the nurse portrays a good picture in patient care. The patient in the picture is old, probably in the late 80s and precaution has been taken to promote safety. The patient’s bed has side rails to prevent falling. Also, the patient is positioned in a semi-fowlers position for easy breathing. The two aspects show how the nursing component is portrayed in the work of art.


Retrieved from:

Branch, C., Deak, H., Hiner, C., & Holzwart, T. (2016). Four Nursing Metaparadigms. IU South Bend Undergraduate Research Journal16, 123-132. Retrieved from

Part Two

Name: Welfare work in a service Hospital 1945

Artist: Doris Zinkeisen (1898-1991)

Location: Imperial War Museum London

The second picture represents a work of art done by Doris Zinkeisen showing us a male patient and woman sewing some cloth. The woman is one of the community volunteers who help patients to perform some tasks. This work of art entirely describes the person component of nursing. The person component emphasizes the receiver of care and the nature of the care providers. For a long time, patient care has been attributed to the care provided in the hospital by nurses and physicians only. It is assumed that patients get well due to the medication and care provided in the hospital. Jean Watson disagrees with the hypothesis when he describes the caring theory of nursing. According to Watson, every individual has their own needs that are unique. She adds that for patients to heal, a holistic approach focusing on the mind, body, and soul is imperative (Francis, 2016). Care provided should address the spiritual and social needs of the patient. Family members and other groups form part of the team that promotes healing of patients.

The charity work provided by the woman in the picture indicates that a social approach is necessary for healing of patients. The patient in the picture feels the connection with others. The results of hospitalization depend on the interaction of the patient with the physical and social connections. Community service is an important aspect in the care of sick people, and the nurse should give room for the family and significant others to provide care (Francis, 2016). Healing is a process that incorporates several other aspects apart from medication.

Retrieved from:

Francis, I. (2016). Nursing Informatics and the Metaparadigms of Nursing. Online Journal of Nursing Informatics. Retrieved from

Part Three

Name: Patient in hospital bed 2010

Artist: San Tighty

Location: Deviant Art Los Angeles

The environment plays a huge role to the nursing process and promotes healing of patients in the hospital. The picture above is a drawing of a patient in a hospital bed, and it shows the immediate surroundings of the patient. The environment component of nursing focuses on the surroundings that affect the healing of the patient (McKenna et al 2016). Environmental paradigm is divided into the internal and external components or influences, and it contends that how a person continuously interacts with their surroundings affect health and wellness. The environment perspective is traced back to the beginning of nursing using Florence Nightingale’s environmental model. Nightingale established that medication alone does not offer the cure to the patient’s illness, but how people interact with the environment during illness promotes healing.

The environmental components by nightingale involve aspects like lighting, noise, ventilation, drainage, and cleanliness among others. The environment also involves the people who are providing care to the patient. According to Watson, the environment does affect not only the well being of the patient but also the care delivery by the nurses (McKenna et al 2014). A clean safe and quite environment promotes quality care by health providers. The work of art shows a happy, calm and motivated patient because of the surroundings. The room is spacious and clean with beautiful curtains that promote psychological well-being. The environment is, therefore, an important aspect in patient healing.

From the works of art presented, it is evident that three metaparadigms of nursing are represented. The first piece represents the nursing component where delivery of optimum care through collaboration promotes healing. The second piece portrays the person component of nursing. The focus is put on the receiver of care and involvement of the family, and other social groups promote healing. The last picture is a true presentation of how the environment promotes healing of patients.

Retrieved from:

McKenna, H. P., Murphy, F. A., & Pajnkihar, M. (2014). Fundamentals of Nursing Models, Theories and Practice. Hoboken: Wiley.

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