Concept Synthesis Paper

In nursing, the environment of operations requires that a professional adheres to the four metaparadigms. These metaparadigms focuses on the discipline and they entail person, health, nursing, and environment. These four concepts are critical in defining the philosophy of a nurse profession, especially the organ transplant nurse.


A person is the first paradigm concept which refers to an individual patient who; who as organ transplant nurse, must care for. Without a doubt, the nursing client represents an open system which is dynamic in terms of the mutual process with the dynamic environment (Thompson, 2017). The person concept goes beyond the patient by encompassing the family members and friends of patients. It is assumed that nurses have the ability to empower and nurture the patient; hence allowing the patient to manage his/her own life to his/her ability (Krinsky, 2012).  Importantly, I have realized that the person is an important concept in this profession because, without it, the nursing profession is insignificant.


Health is an important aspect of nursing profession because it focuses on the outer and inner state of wholeness, integrity, and wellness. According to Monforte-Royo and Roque (2012), health as a concept considers illness and disease from either a collective and individual perspective. An organ transplant nurse understands the nursing science which guarantees the knowledge regarding the illness and health process. Since the organ transplant nurse is an emergency room nurse, the application of the nursing science is inevitable because it has helped me in determining the best nursing interventions which ensure patients gain optimal patient care. The health experience reflects the whole person who is supposed to connect the four metaparadigm concepts with the person (Thompson, 2017). To me, I consider the overall wellness conditions of an individual based on the emotional, spiritual, physical, and mental conditions.


The environment concept of metaparadigm focuses on the surroundings; which comprises of the external and internal components. Without a doubt, the internal components and external components interact; thus affecting a patient’s health conditions. In most cases, the health status of a person depends on the environment. According to Dupree (2017), theorists assumed that nurses have the ability to place their patients in the best conditions to allow nature to act effectively. As an organ transplant nurse, I handle patients and donors from unsanitary environments. These stakeholders’ health is in jeopardy while in their homes, but upon arriving in our facilities, they experience improved health conditions because of the clean hospital environments. The treatment and clean environment are assumed to be the cause of their health improvements (Dupree, 2017). To this effect, educating the patients and their families about the significance of sanitary environment would ensure they understand how illness and environment are related.

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The environment affects an individual’s overall patient health.  Nursing is a profession focusing on improving the patient’s health outcomes (Thompson, 2017). The human illness and health processes are viewed as a science whose study is considered as nursing. To this effect, nursing should be defined by the right actions, attitudes, and relationships to achieve positive effects on the patient’s wellbeing. Through the nursing comfort theory, it is possible to understand nursing education, nursing leadership, and nursing practice (Collins-Perrica, 2016). Although many people have the potential of comforting others; there are many individuals who need guidance on how to assess the situation. Kolcaba’s theory provides the best guidelines for nurses to assess the patient’s level of comfort or discomfort and provides them with the opportunity to create appropriate interventions (Krinsky, 2012). In my experience as an organ transplant nurse, I have had the opportunity to assess the level of comfort and offered care meant to relieve pain and discomfort. I have thus integrated this theory into my professional practice. The healthcare has also offered the proper plan of care which limits interruptions; therefore, allowing patients to trust the care and feel comfortable.