The four metaparadigms in nursing are patient, nurse, health, and environment. The patient metaparadigm refers to the person receiving care, who is not only a recipient of care but also an active participant in the care process. The nurse metaparadigm encompasses the role and responsibilities of the nurse in caring for the patient. Health metaparadigm refers to the patient’s state of well-being, which encompasses physical, emotional, social, and spiritual aspects. Finally, the environment metaparadigm refers to the physical, social, and cultural aspects of the patient’s surroundings, including the impact of these surroundings on the patient’s health and well-being (Fawcett, 2017).
One theory that has practical application in clinical nursing practice is the Orem’s Self-Care Deficit Theory. This theory is appropriate for clinical practice as it emphasizes the importance of patients’ active participation in their own care. According to Orem’s theory, patients have a natural ability for self-care, but under certain circumstances, they require assistance to carry out their self-care activities. The theory suggests that nurses can help patients meet their self-care needs by identifying patients’ deficits and providing the necessary support and guidance. In clinical practice, the theory can be applied to patients with chronic conditions or disabilities, who require ongoing care and support to manage their health and maintain their well-being (Alligood & Tomey, 2018).
Alligood, M. R., & Tomey, A. M. (2018). Nursing theorists and their work. Elsevier Health Sciences.
Fawcett, J. (2017). Analysis and evaluation of contemporary nursing knowledge: Nursing models and theories. FA Davis.