Master’s Nursing Paper


This lesson presents the four paradigms of the nursing profession—person, environment, health and nursing profession. Select an area of the nursing profession (i.e. education, executive, and informatics, healthcare policy, advanced clinical practice) and apply EACH of the paradigms to the selected area. Be sure to apply EACH of the paradigms and include an example that demonstrates the application to the practice area. Don’t forget to support your initial posting with scholarly references.

Selected area: Advanced clinical practice- nurse practitioner
Suggested references: Fawcett, J., & DeSanto-Madeya, S. (2012). Structure and Use of Nursing Knowledge. In Contemporary Nursing Knowledge: Analysis and Evaluation of Nursing Models and Theories (3rd ed., p. 28). Philadelphia, PA: F.A. Davis.

McEwen, M., & Wills, E. (2014). The theoretical basis for nursing (4th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins


Significance of Nursing Paradigms within the Profession: Advanced Clinical Practice-Nurse Practitioner

The paradigms of nursing represent the beliefs, patterns and philosophical guidelines that regulate the nursing profession. In advanced clinical practice, nurse practitioners follow the basic paradigms: personal, environment, health and nursing profession in daily practice. This paper outlines the application and role of the paradigms to areas of nursing. In this case, specific reference is made to advanced clinical practice.


Personal and environmental factors apply to clinical nursing in both practice and theory. Personal factors entail family and community contexts while environmental ones encompass the interaction between factors that are specific to an individual professional and those that are determined by external considerations. These paradigms focus on the belief that complete truth cannot be proved and that contextual factors play a role in the practice. As a result, there is a need for qualitative and quantitative research that tries to factor in the personal and environmental aspects in order to establish accurate results and promote healthcare (DeSanto-Madeya & Fawcett, 2012). An example would be a patent in the Intensive Care Unit who requires complete physical and emotional assistance to be able to undertake basic activities. In such a situation, the nurse has a responsibility to take care of the patient, both as a person and a professional.

In addition, the health cycle tends to be profoundly affected by both environmental and genetic factors throughout human life. Nursing provides support in by facilitating certain health choices for patients. These decisions apply to the preservation and restoration of the patient’s health status (Willis & McEwen, 2014). This process manifests a combination of physical, social, religious and cultural factors that contribute to the functions that nurses undertake in advanced clinical practice.

The nursing profession entails the application of a system that allows for data analysis, diagnosis and treatment of all patients despite differentiating factors. Nursing education and training concentrate on ethics, effective communication, and skills that enable the practitioners to adopt a holistic approach in fulfilling their healthcare roles. Training is meant to enhance creativity and flexibility in the profession (Willis & McEwen, 2014). Adaptability becomes an essential factor for the nurses the healthcare environment in which they operate particularly as they continue to go through professional growth with the focus shifting towards specialization into community-based service,

Overall, it is important for advance clinical practice nurse practitioners apply the four aforementioned paradigms in their work in order to improve outcomes. This application process should be based on health promotion, communication, analytical thinking, ethics, and health management. With the objective of research excellence in mind, nursing practitioners must remain true to the goal of sustainable health care in all their service encounters. This calls for a sense of professional responsibility on the part of the nurse practitioners.


DeSanto-Madeya, S. & Fawcett, J. (2012). Structure and Use of Nursing Knowledge in Contemporary Nursing Knowledge: Analysis and Evaluation of Nursing Models and Theories (3rd ed.). Philadelphia, PA: F.A. Davis.

Willis, E. & McEwen, M. (2014). The theoretical basis for nursing (4th ed.). Philadelphia, PA: Williams and Wilkins.

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