Phenomenon of Interest and Theoretical Framework Paper

 The phenomenon of interest (POI) for this paper are effects of a modifiable factor, such
as nutrition, on an adult's fertility. Over the past few decades, infertility rates have increased inmen and women (González-Rodríguez et al., 2018). Using theoretical frameworks such as meta-paradigm, grand and middle-range nursing theories, and complexity science can enable a nursepractitioner to apply their knowledge in a specific style relating to the patients needs. This caninclude incorporating the patient, the environment, their experiences, and more into theirtreatment plan.Nursing Meta-paradigmThe meta-paradigm is a view constructed in 1984 by Dr. Jacqueline Fawcett. She arguedthat nursing practice is focused on specific concepts and themes that give nursing practice aspecific direction (Bender, 2018). These concepts are person, environment, health, and nursing.In relation to the POI, the person would be an individual who has infertility. This is a women orcouple who fail to become pregnant "within 12 months of unprotected intercourse or therapeuticdonor insemination in women younger than 35 years or within 6 months in women older than 35years." (ACOG, 2019) The environment is the patients internal and external factors. Oneexample of this is the recommended treatment for polycystic ovary syndrome. Externalenvironmental factors include the medication metformin, exercise, and diet (Grieger, 2020).Health is also involved in this nursing theory. Health includes the overall wellness of the patient.This could include nutrition, exercise, and access to health care. If a fertility patient is unable toget access to the resources they need, their chance of pregnancy would decrease. The last of thefour meta-paradigms is nursing. This refers to how the nurse will apply their knowledge with thepatient. The meta-paradigm is the most abstract viewpoint. However, the four concepts within ithelp guide nursing practice, as well as relate to other theories within nursing practice.Nursing Theory