NR 524 Week 4 Framework Concepts and Program Outcomes Assignment

Framework Concepts and Program Outcomes Paper

Understanding nursing meta-paradigms is important in nursing practice. meta-paradigms shape the nursing profession and facilitate nurses’ development. The meta-paradigms in nursing include nursing, person, health, and environment. Concepts that inform an organization’s operations are identified by analyzing its framework (McCormack & McCance, 2021). Therefore, this essay examines concepts included in the Hackensack Meridian Health (HMH) organizing framework, the relationship between concepts, program outcomes for the institution, and outcomes developed based on peer collaboration. The analysis provides insights into the significance of the identified concepts in informing HMH’s mission, vision, and values.

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Framework Concepts
The HMH’s organizational framework concepts include person, nursing, health, and environment. The concepts inform the organization’s initiatives to drive innovation, quality, safety, and patient-centeredness (Johnson & Carrington, 2023). The influence of these concepts can be seen in HMH’s values of boldness, creativity, compassion, connectivity, and collaboration. Therefore, each of these concepts is defined in the sections that follow.
Person
The person is the patient seeking or receiving care at HMH. The person has unique characteristics. They include needs, spirituality, preferences, values, culture, and socioeconomic status. HMH must provide care that aligns with these unique characteristics. Healthcare providers must seek information about patient preferences, values, needs, and culture to offer individualized, patient-centered care (McCormack & McCance, 2021).
Nursing
Nursing refers to nurses and their roles in HMH. Nurses are professionals trained to offer skilled nursing services to patients in HMH. They use their knowledge and skills to provide high-quality, safe, and efficient patient care. Nurses must possess specific attributes to provide appropriate patient care. They include being compassionate, honest, knowledgeable, skilled, respectful, empathetic, and a team member (McCormack & McCance, 2021). Nurses should also be able to apply meta-paradigms, including nursing, environment, person, and health into the nursing process when caring for patients in HMH.
Health
Health refers to the quality of a patient’s health and wellness. Health is not only a disease’s absence but also psychological, social, spiritual, and mental health. Factors, including healthcare access, affordability, availability, quality, efficiency, and safety influence health. HMH should ensure optimum health for its patients and healthcare providers. It should implement evidence-based and innovative interventions that optimize safety, quality, and efficiency outcomes. The organization should ensure a safety culture to minimize patient and provider harm (Johnson & Carrington, 2023). The culture should promote diversity and inclusivity to promote healthcare providers’ health.
Environment
Environment refers to the context where nursing and healthcare occur. It encompasses the social, cultural, and physical factors influencing a patient’s health. HMH must consider the environment’s influence on the patient’s well-being. It must create a caring environment that promotes recovery, rehabilitation, or peaceful death. Healthcare providers should ensure care environment promotes the patient’s well-being. The environment should minimize the risk of patient harm (McCormack & McCance, 2021). Healthcare providers should encourage patient involvement in their care and respect diversity.
Relationship Between the Concepts
The person, environment, nursing, and health are interrelated. The person and health concepts are interrelated. A patient’s health status reflects their overall health and well-being. A patient has a poor quality of health if their physical, social, emotional, and mental health are affected. Patients will not achieve their desired quality of health if nurses do not provide care that aligns with their needs, values, or preferences. A patient’s quality of health will be improved if they can access and afford high-quality, safe, and efficient healthcare that addresses their needs. The person and environment are also interrelated. Internal and external environmental factors influence a person’s health (Johnson & Carrington, 2023). For example, exposure to environmental allergens predisposes individuals to allergic reactions, hence, ill health. Nurses should collaborate with other healthcare providers to create environments that promote recovery, health, and the patient’s well-being.
Nursing is related to the person, environment, and health. Nurses strive to understand a patient’s needs and how to address them. They collaborate with patients to develop care plans that would promote their health. Nurses also explore the environmental impact on a patient’s health and well-being. As seen in theories, including Florence Nightingale’s theory, nurses create an environment that promotes healing and recovery. Nurses ensure the environment is clean, well-aerated, and not decongested to facilitate recovery. Nurses also do not treat the physical causes of an illness alone. Instead, they provide holistic care to optimize health outcomes (Fawcett, 2023). The care offered incorporates spiritual, social, emotional, psychological, and other health determinants influencing a patient’s experience with a disease or illness and health intervention uptake.
Program Outcomes

Program outcomes are the institutional objectives learners should achieve by the end of the program. The objectives should promote student development of the desired competencies and safeguard quality and safety outcomes in health organizations. HMH’s program objectives align with the Joint Commission’s National Patient Safety Goals. Accordingly, HMH should improve its accuracy of patient identification, communication effectiveness among caregivers, safety in medication use, healthcare equity, and maintain and communicate accurate patient information, and reduce healthcare-associated infections (jointcommission.org, n.d.). The specific guidelines that align with each of the objectives are as follows:
At the end of the graduate nursing program, the learner will:
Provide high-quality and safe care that reduces the risk of healthcare-associated infections (NPSG.07.01.01) (jointcommission.org, n.d.)
Promote medication safety in medication use (NPSG.03.04.01) (jointcommission.org, n.d.)
Promote effective communication among caregivers for safety, quality, and efficiency outcomes (NPSG.02.03.01) (jointcommission.org, n.d.)
Support and improve accurate patient identification using at least two identifiers when providing care, treatment, and services (NPSG.01.01.01) (jointcommission.org, n.d.)
Maintain and communicate accurate patient medication information (NPSG.03.06.01)
Improve healthcare equity (NPSG.16.01.01) (jointcommission.org, n.d.)
Peer Collaboration
Peer collaboration influenced the final organizing framework, concepts, and program outcomes development. We collaborated in analyzing the organization’s mission, vision, and values. The analysis led to concept identification that informs HMH’s service delivery. The collaboration also guided the identification of the appropriate Joint Commission Outcomes that graduates should achieve for competency development. The engagement with my peers also helped me understand the interrelationship between nursing meta-paradigms and an organization’s mission, vision, and value statements. For example, I understood the need for values and vision alignment for organizations to achieve their missions. Program outcomes must be specific, measurable, realistic, and achievable for health organizations and providers to track improvements in service delivery (Fawcett, 2023). Feedback from my peers encouraged me to review several scholarly resources. They included the Joint Commission’s National Patient Safety Goals for the Hospital Program, articles on nursing meta-paradigms, and those on organizational structure, policies, leadership, and management.
Conclusion
In summary, HMH’s organizational framework has nursing concepts of person, nursing, environment, and health. Person, nursing, environment, and health concepts are interrelated. Nurses should be competent in incorporating these concepts into their practice. HMH’s program objectives align with the Joint Commission’s National Patient Safety Goals. Peer collaboration enhanced my understanding of organizing frameworks, concepts, and program outcomes development.
References
Fawcett, J. (2023). Thoughts About the Metaparadigm of Nursing: Contemporary Status and Recommendations for Evolution. Nursing Science Quarterly, 36(3), 303–305. https://doi.org/10.1177/08943184231169770
Johnson, E., & Carrington, J. M. (2023). Revisiting the nursing metaparadigm: Acknowledging technology as foundational to progressing nursing knowledge. Nursing Inquiry, 30(1), e12502. https://doi.org/10.1111/nin.12502
jointcommission.org. (n.d.). Hospital: 2024 National Patient Safety Goals. Retrieved August 1, 2024, from https://www.jointcommission.orghttps://www.jointcommission.org/standards/national-patient-safety-goals/hospital-national-patient-safety-goals/
McCormack, B., & McCance, T. (2021). The Person-Centred Nursing Framework. In J. Dewing, B. McCormack, & T. McCance (Eds.), Person-centred Nursing Research: Methodology, Methods and Outcomes (pp. 13–27). Springer International Publishing. https://doi.org/10.1007/978-3-030-27868-7_2

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Identification of framework concepts

Definition of each concept

Relationship between the concepts

Program outcomes developed based on current Joint Commission Hospital National Patient Safety Goals

Influence of peer collaboration on the final product

Grammar, spelling, punctuation, references, and citations are consistent with formal academic writing and APA format as expressed in the current edition

Hackensack Meridian Health’s mission is to “Transform health care and be recognized as the leader of positive change” (HMH, n.d.). This purpose underlines the organization’s potential to go beyond the boundaries of innovation in health care while maintaining an industry leader role. HMH places a premium on transformation and constructive change to improve healthcare delivery and patient outcomes. The mission is to provide the foundation for all strategic initiatives within the

organization and ensure that every undertaken initiative aligns with the objective of the healthcare revolution and the achievement of pleasant outcomes.

Vision and Beliefs

As outlined in HMH’s vision, the organization envisions a world where quality treatment is centered on human needs and is readily available and affordable. The vision also supports the 3 purpose by stressing the importance of authenticity and making excellence the new standard

(HMH, n.d.). The values of creativity, boldness, compassion, collaboration, and connectivity align with the purpose and vision because they foster the behaviors and mindsets required for bringing innovative healthcare to the world. For instance, modeling bravery and choosing the

right decisions pertains to leading positive change while showing compassion and promoting teamwork, ensuring patient-centered and collaborative patient care.

The four nursing concepts are- person, nursing, health, and environment