421. The nursing metaparadigm offers insights concerning the nature in which the nursing profession should be set up and properly functioning. From the nursing perspective, the concept of the metaparadigms consists of four attributes including the patient as an entity, the patients environment, the well-being and health of the patient, and the responsibilities of the nurse (Alimohammadi et al., 2014). These four metaparadigms have a direct impact on the implementation of culturally proficient nursing care. With the advancement in technology and ease of patient access to quality care, there is an increased number of nurse-patient relations. The nurse has to ensure the provision of patient-centered care while focusing on the nursing metaparadigms. The aspect of culturally proficient nursing care makes use of the attitudes, knowledge, and skills that are in support of the caring of patients that originate from various cultures and ethnic backgrounds. In this accord, culture is able to directly influence the nature of the health care practice and the manner in which the healthcare provider, as well as the patient, perceives the diseases or illness (Lee, & Fawcett, 2013). Based on the theoretical frameworks that the nursing metaparadigm offers together with the assumptions, conceptual models, and propositions, the nurses can be in a position to comprehend the cultural aspect of patient care and act accordingly. The Person Component The patient, as the receiver of the care, makes up the person component aspect of the nursing metaparadigm. Other connections with the person component include close friends, family, and other social groups that are important to the patients and their overall well-being (Bahramnezhad et al., 2015). In this metaparadigm, nurses are able to comprehend the patient as and individuals and how they relate with others in society. The nurses are also able to understand the cultural aspects of the patient through an inquiry from the patient and close relatives in the event of patients who are not in a position to speak for themselves or make sound decisions. The Environment Component This concept of the nursing metaparadigm is focused on the natural and physical surrounding that impacts the day to day life of the patient. in order to offer culturally proficient care, it is important for the nurses to have a deep understanding of the patients environment, climatic condition, cultures, and other societal elements (Bahramnezhad et al., 2015). Be that as it may, the environment constitutes both internal and external influences that depict the nature in which the patient directly interacts with the surrounding which may or may not affect their health and wellness. Health Component While there is easy access to quality health care with the Affordable Care Act, the health component still focuses on the aspect of health care wellness and ease of access. The health component also focuses on the genetic makeup of the patient, social or spiritual standpoints, lifespan, and the various ways in which the emotional, social and intellectual can all be integrated into the patients care. Nursing Component This component of the nursing paradigm is involved with the provision of optimal health outcomes of the patient by creating a safe and caring environment. The nurse components make use of knowledge, skill, and technology to offer quality services and interprofessional collaboration towards the attainment of positive patient outcomes (Bahramnezhad et al., 2015). In this regard, nurses have the capacity to make use of professional judgment and efficient communication strategies to understand the various patient attributes required to conduct their duties and responsibilities. References Alimohammadi, N., Taleghani, F., Mohammadi, E., & Akbarian, R. (2014). The nursing metaparadigm concept of human being in Islamic thought. Nursing Inquiry, 21(2), 121- 129. Bahramnezhad, F., Shiri, M., Asgari, P., & Afshar, P. F. (2015). A review of the nursing paradigm. Open Journal of Nursing, 5(01), 17. Lee, R. C., & Fawcett, J. (2013). The influence of the metaparadigm of nursing on professional identity development among RN-BSN students. Nursing Science Quarterly, 26(1), 96-98. REPLY 2 Nursing Metaparadigm Impact on Nursing Care Metaparadigm is the patient’s quality and wellness, which includes the access which the patient has to the health care. Additionally, through metaparadigms, nurses can exercise their skills when caring for patients to address patient care at large (Nikfarid, et al., 2018). Besides, four concepts of metaparadigm usually make up the overall metaparadigm of nursing. Those concepts of metaparadigm include the following, nursing, person, environment, and health. Starting with the first concept, nursing has a lot to impact nursing care. Under the nursing concept, some domains go hand in hand to ensure that quality care is provided to the patients deserving of the care. Such domains include professional values like patience (Nikfarid, et al., 2018). If a nurse goes all-around angry with a frowning face, it cannot be an example of a good nurse. Patience helps nurses to confront their daily stress. Moreover, responsiveness also qualifies to be the value of a profession that defines nurses. Responsiveness helps nurses attend to most patients in emergency states and are worried about their lives (Nikfarid, et al., 2018). By providing them with a sense of comfort. Besides, good communication and interpersonal skills also stand to be an important domain in nursing since it helps nurses communicate with their colleagues and patients. Furthermore, other domains include nursing leadership, which has a crucial role in impacting nursing care since it ensures the entire team’s success, where qualities such as encouraging, inspirational, and supportive are considered. Additionally, there is a concept of the person in the metaparadigm. A person is the one who usually receives nursing care. Nurses ensure that the person’s health is cared for by giving all the necessary support to enhance the well-being of the person (Nikfarid, et al., 2018). Through the person concept, it determines the care nurses are to give to the recipients. Health concept also plays a crucial role in the metaparadigm in nursing care and its relative to the person since it depends on the patient perspective. On the other hand, health can be defined as the wellness of the person (Nikfarid, et al., 2018). If the person gets unhealthy, its the nurses responsibility to ensure proper care is given to them. Florence Nightingale, one of the pioneers of nursing, described the nursing job to be all about putting patients in their best conditions of nature as possible (de Florence Nightingale & Crítica, 2015). Furthermore, for one to be in a healthy state, some aspects are associated with health and are biological, psychological, social, and spiritual aspects. Through professional values of nursing, nurses can offer teaching to the patients and offer psychomotor teachings, which helps keep the patients moving by getting empowered with hope by the nurses. The fourth concept that makes up the nursing metaparadigm, an environment, also impacts nursing care as follows. Florence Nightingale described different environments to give back healthy or unhealthy conditions (de Florence Nightingale & Crítica, 2015). In her implications, she concluded that low environments give chances of poor health and the rise of diseases where friendly environments sum up to good health, which comes with little or no diseases. Both environments dictate the kind and type of care offered by the nurse and at what specific period. Through all discussed points of view contributes to the culturally skilled nursing care. References de Florence Nightingale, T. A., & Crítica, U. A. (2015). The Florence Nightingales environmental theory: a critical analysis. Escola Anna Nery Revista de Enfermagem, 19, 3. Nikfarid, L., Hekmat, N., Vedad, A., & Rajabi, A. (2018). The main nursing metaparadigm concepts in human caring theory and Persian mysticism: a comparative study. Journal of medical ethics and history of medicine, 11. Edited by Perez, Gilberto O on Sep 8 at 8:51pm All replies must be constructive and use literature where possible. Your assignment will be graded according to the grading rubric.