PPN 101 Week 4 2026 – Nursing Frameworks & Metaparadigm Study Guide

PPN,./101,./-,./Week,./4:,./Nursing,./Frameworks,./&,./Meta-
Paradigm
1. Paradigms:,./most,./simple,,./basic,./worldview,./(patterns,./of,./shared,./understandings)
2. paradigm,./shifts:,./-,./shifting,./your,./worldview
- departing,./from,./traditional,.//,./entirely,./ditterent,./worldview
- When,./there,./is,./a,./change,./that,./happens,,./there,./is,./a,./shift,./in,./the,./way,./that,./we,./think,./about,./something,.//,./do,./somethi
ng
- E.g.,,./Shift,./in,./healthcare,./delivery,./from,./medical-disease-focus,./to,./a,./health,./promotion,./focus
- E.g.,,./historical,./profession,./of,./nursing:,./Florence,./Nightingale,./and,./the,./"angel",./shifted,./the,./nursing,./profession,./worldvi
ew,./to,./the,./careerist,./nurse,./(What,./used,./to,./be,./an,./art,,./is,./now,./an,./art,./(theory,,./communication),,./&,./and,./a,./science
3. theory:,./-,./theories,./are,./often,./based,./on,./paradigms
- theory,./=,./Sets,./of,./ideas,./(concepts),./used,./to,./describe,,./explain,./or,./predict,./the,./physical,./and,./social,./worlds
- theories,./present,./a,./systematic,./explanation,./of,./a,./phenomenon,./(e.g.,,./pain)
- theories,./suggest,./a,./relationships,./between,,./ within,,./or,./among,./concepts
4. nursing,./theory:,./-,./nursing,./theory,./informs,./practice,./(what,./we,./do,./and,./how,./we,./do,./it)
- nursing,./theory,./informs,,./challenges,,./or,./confirms,./theory,./(our,./nursing,./realities,./compared,./to,./and,./contr
- provides,./a,./basis,./for,./us,./to,./propose,./hypotheses,./between,./variables,./(research)
- theory,./and,./practice,./are,./linked,./and,./one,./informs,./the,./other
5. meta-paradigm:, . / -,./a,./set,./of,./concepts,./or,./ideas,./that,./is,./important,./to,./the,./discipline,./of,./nursing
- global,./framework,./or,./the,./way,./a,./professional,./discipline,./looks,./at,./the,./world
- each,./specific,./discipline,./might,./have,./its,./own,./interest,./and,./concerns,./which,./forms,./the,./metaparadigm
6. concept:,./-,./an,./idea,./that,./we,./conceive,./in,./our,./minds,./to,./represent,./the,./world,./around,./us
- a,./general,./idea,./or,./mental,./notion,./that,./represents,./some,./aspects,./of,./our,./experiences,./and,./our,./world
- Either,./we,./can,./sense,./concrete,./things,./with,./our,./5,./senses,./(e.g.,,./obesity),./OR,./cannot,./experience,./with,./our,./5,./
senses,./(e.g.,,./notion,./of,./spirit)
- Concepts,./allow,./us,./to,./organize,./and,./communicate,./ideas,./(e.g.,,./quality,./of,./life,,./environment,,./empowerment,,./
resilience,,./hope,,./empathy,,./denial,,./family-centered,./care)
7. The,./Meta-paradigm,./Framework,./of,./Nursing,./(P.H.E.N;,./newly,./social,./justice):,./4
key,./concepts,./central,./to,./the,./nursing,./disciplin
e:, . / P,./=,./Person
H,./=,./Health
E,./=,./Environment,
./N,./=,./Nursing,./


Social,./Justice
,./
,./

, PPN,./101,./-,./Week,./4:,./Nursing,./Frameworks,./&,./Meta-
Paradigm
8. Person:, . / -,./subject,./to,./dynamic,./changes,./in,./understanding,./over,./time
- individuals,./(patients),./and,./ groups,./of,./people,./(families,,./communities)
- nurse-
patient,./relationships,./is,./where,./nurses,./interact,./with,./persons,./for,./nursing,./care,./(healing,./partnerships,./take,./place)
- persons,./are,./considered,./holistically,./by,./nurses,,./and,./nurses,./provide,./holistic,./care,./to,./their,./families,./and,./communit
ies
- Each,./person,,./family,./and,./community,./has,./distinct,./physical,,./psychological,,./social,,./spiritual,,./cultural,./and,./devel
opmental,./characteristics
- Persons,./live,./their,./lives,./within,./systems,./(e.g.,,./family,,./partners/spouses,,./friends,,./and,./social,./systems)
- E.g.,,./a,./nurse,./who,./provides,./care,./to,./a,./person,./who,./identifies,./with,./a,./particular,./religion,./should,./establish,./
how,./such,./religious,./beliefs,./might,./influence,./his,./or,./her,./health,./choices,./and,./healing,./practices,./within,./the,./c
ontext,./of,./nursing,./care
9. health:,./-,./health,./is,./subjective,./&,./determined,./by,./each,./person,./or,./community
- More,./than,./the,./absence,./of,./disease,./or,./injury,./(wellness-illness,./continuum)
- Ideal,./state,./of,./well,./being,./in,./which,./all,./persons,./strive,./for,./(wholeness,,./being,./sound,,./well)
- Attected,./by,./cultural,,./social,,./spiritual,,./religious,,./health,./practices
- Nursing,./care,./is,./relevant,./to,./both,./the,./individual,./&,./society,,./and,./applies,./to,./all,./persons,,./sick,./or,./well
- E.g.,,./persons,./with,./chronic,./disease,./could,./strive,./for,./better,./health,./and,./that,./overall,./health,./could,./be,./com
promised,./by,./psycho-social,./or,./spiritual,./challenges,,./even,./among,./the,./most,./physically,./fit,./individuals
- Across,./lifespan,,./an,./individual's,./expectations,./and,./definition,./of,./health,./changes
- E.g.,,./in,./westernized,./countries,,./if,./you,./are,./in,./poverty,./you,./look,./skinny,,./but,./also,./if,./you,./are,./healthy,./you,./are,./skinny
- E.g.,,./Being,./overweight,./or,./bigger,./is,./a,./sign,./of,./good,./health,./in,./other,./countries,./and,./cultures
10. environment:,./-
,./environment,./=,./totality,./of,./all,./things,./(external,./and,./internal),./that,./impacts,./a,./person,,./families,,./and,./commu

nities
- interaction,./with,./complex,./internal,./and,./external,./environment
- E.g.,,./physical,,./cultural,,./social,,./political,,./&,./economic,./circumstances;,./person's,./family,,./social,./ties,,./community,,./heal
th, . / care,./system,,./geopolitical,./issues,./that,./attect,./health,,./home,./life,,./mental,./state,,./religious,./beliefs,,./attitude,./towar
d,./death,./and,./suttering
- E.g.,,./are,./they,./in,./poverty?,./do,./they,./have,./access,./to,./education?,./are,./they,./well,./ott?,./&,./How,./does,./this,./attect,./their,./health?
- Can,./impact,./a,./person's,./health,./circumstances,./and,./their,./recovery
- Nurses,./must,./provide,./proper,./nursing,./care,./to,./the,./patient
,./
,./