Discussion: Philosophy of Nursing Practice

NURS 8114 Discussion: Philosophy of Nursing Practice

Discussion: Philosophy of Nursing Practice

My philosophy of nursing practice is based on the notion of nurses providing quality, empathetic, compassionate, patient-centered care that is guided by best practice. I identify nursing as a humanistic science devoted to a compassionate course of maintaining and promoting health, preventing diseases, and rehabilitating the sick and disabled. I have a nursing practice experience of 13 years, nine years as an RN, and four years as a PMHNP. From my nursing experience as an RN and NP, I have learned that nurses have a unique contribution to patient care as they help individuals become independent (McEwen & Wills, 2019). I have vast experience in mental health nursing, where I have learned the importance of the nurse promoting patient independence in all health aspects so that the patient can continuously progress after being discharged from the hospital.

The philosophy of nursing practice is driven by my belief that nurses should strive to provide the best patient care possible based on integrity, fairness, and respect. I believe that the nursing practice is based on the value of caring, which involves making patients feel that they matter.  Furthermore, my philosophy is based on the belief in continuous improvement. Consequently, I strive to continuously improve my nursing knowledge and skills and this has greatly contributed to my enrolling in the DNP program. My goals for expanding my experience and practice as a DNP are based on leadership and healthcare policy. I believe that the DNP program will equip me with the knowledge and skills to provide multidisciplinary leadership (Edwards et al., 2018). I also seek to engage in the development of healthcare policies that will foster positive change at different system levels.

The DNP as a social change agent has a role of advocating for social justice. This can be achieved by engaging in advocacy and policy initiatives. As a Walden DNP, I will advocate for positive social change by critically analyzing existing health policies to identify gaps that should be bridged to improve healthcare access and delivery (Rivaz et al., 2021). I will also propose policy amendments or new policies to improve the quality of healthcare in the community I serve.



Edwards, N. E., Coddington, J., Erler, C., & Kirkpatrick, J. (2018). The Impact of the Role of Doctor of Nursing Practice Nurses on Healthcare and Leadership. Medical Research Archives6(4).

McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.

Rivaz, M., Shokrollahi, P., Setoodegan, E., & Sharif, F. (2021). Exploring the necessity of establishing a doctor of nursing practice program from experts’ views: a qualitative study. BMC medical education21(1), 328.


Nursing Philosophy

My philosophy of nursing practice has changed throughout my career, but the core components have remained the same.  Using a collaborative approach to provide high-quality care in a holistic and compassionate manner, advocating for the patient, and empathizing with patients, families, and colleagues.  Working as a flight nurse and paramedic for many years, I was often caring for patients in their most critical time of need.  These experiences further expanded my understanding of empathy and compassionate care.  Now, as a nurse practitioner working in critical care, collaborative and holistic management of the patient is the focus.  The environment of critical care is complex and there are ethical issues that arise, especially when it comes to end-of-life care.  As a strong advocate for patients, I use my voice to ensure that the patient receives the care that is needed.

Expanding into the role of DNP

As a doctoral-prepared nurse, my philosophy of nursing practice will continue to transform.  As a clinical expert and nurse leader, the focus will expand to system-wide and professional growth, while honoring the core values of holistic, compassionate, and high-quality care.  Collaborating with a multi-disciplinary team, including PhD-prepared nurse colleagues, is necessary to achieve successful widespread change in an organization.  This post-modernistic approach relies on collaboration with team members with varying views, scientific processes, and methodologies to create positive change across a healthcare system (McEwan & Wills, 2019).  While clinical and advanced practice nurses may focus on self-imposed goals directly related to patients, doctoral-prepared nurses must keep interprofessional collaboration a high priority in their practice (Walden University, 2021).

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DNP as Social Change Agent

The mission and vision of Walden University cite “advancing the greater global good” and educating students to “effect positive societal change” (Walden, 2020).  DNP-prepared nurses are trained to become nurse leaders and agents of change, which help to improve and transform the healthcare system (American Association of Colleges of Nursing [AACN], 2006).  All of these qualities are what have pushed me to continue my education.  As I grow as a clinical provider as well as a leader, I hope to use my knowledge to influence young providers and encourage open-minded practice.  The healthcare system has transformed and hospitals are busier than ever.  The underserved patient populations are relying on healthcare providers to manage them in a holistic manner, instead of as individual medical complaints.  As nurses, we are trained to assess patients holistically, and as more nursing leaders of change enter the workforce, perhaps there will be an improvement in overall patient care.

Thank you for your post Katherine.  It is interesting to read how our philosophies are similar even though you are an Nurse Practitioner and I am in Nursing Administration.  Treating the patient holistically is something I strive to do throughout my time as a nurse.  When I was a bedside nurse, I remember repeating to myself “treat the patient, not the machine.”  Looking over the DNP glossary from this week’s reading, one of the flash cards is Interprofessional Collaboration and is described as utilizing both the individual and collective skills and experience of team members, allowing them to function more effectively and deliver a higher level of care (Walden University 2021).  Your social change goal is to create a more holistic manner of care rather than treating a single condition.  Tagging on to the Interprofessional Collaboration description, does the widespread use of EHRs assist with the holistic approach to patient care?  I am sure it depends on what EHRs system you are using, however as a bedside nurse with an EPIC EHR, I was able to view past hospital visits along with office visits.  I felt this enabled me to see a broader view of the patient’s history which enable me to have a better view of what the patient was in the hospital for.  McEwan & Wills (2019) also notes that nursing education is moving away from a large focus on skills and tasks to an increased focus on the integration of content and problem-solving strategies. Which will assist you with the goal of moving towards a holistic approach to patient care.

McEwen, M., PhD, RN, CNE, ANEF, & Wills, E. M., PhD, RN. (2019). Theoretical basis for nursing (5th ed.). LWW

Walden University. (2021). DNP glossary [Interactive media]. Walden University Blackboard.

Read on:

Nurses perceive the health practice and routine responsibilities differently depending on their understanding of patient care, experience, and specialties, among other factors. As nurses execute their everyday functions, health outcomes and relationship with patients are highly influenced by a nurse’s philosophy. Cheraghi et al. (2019) described nursing philosophy as the values, ethics, beliefs, and motivations that inspire nurses to be health care professionals. I look forward to using my experience and skills to promote healthy living founded on kindness, empathy, compassion, and patient-centeredness. As an experienced mental health professional, I use these values in everyday care as a psychiatric nurse to influence patient-centered mental health care with the belief that nursing must be guided by caring, integrity, and sacrifice. It is a profession dedicated to improving other people’s lives.

As a nurse committed to deliver the best care and transform society, my general belief is that nurses should empathize with patients at all times. Patients also need to be understood and treated compassionately and given the confidence and assurance that they will be healed. As I examine how the world changes and the health problems that people experience, I believe that nursing should be lifelong learning where we must remain committed to addressing global health issues. In agreement with Roberts (2018), mental illness is a global problem that requires a global response. As a result, I am inspired to expand my experience and practice as a DNP to address global health issues such as mental health disorders as culturally and linguistically appropriate.

As a DNP, I have a social and moral obligation to advance positive social change. My role as a social change agent is to use my skills and experience to improve human and social conditions. My view aligns with Walden University’s definition of social change that involves applying strategies and ideas to develop individuals, communities, and societies (Walden University, 2021). As a Walden DNP, I will advocate for positive social change by using my skills and position to advocate for improved mental health services. I will also participate in policymaking to improve critical aspects of care, such as quality, access, and equity. Mentally ill people are not understood and are victims of stigmatization that worsens their conditions (da Silva et al., 2020). I will advocate for better treatment of vulnerable individuals to create an equal society for all.

Generally, I am a dedicated nurse who wants to see human beings enjoying life. Therefore, I will continue perceiving nursing as a personal responsibility to help people impartially. I will continue acquiring the skills necessary to deliver the best care as I integrate ideas, skills, and processes necessary into my practice to transform the world by reducing the illness burden.




Cheraghi, F., Yousefzadeh, M. R., & Goodarzi, A. (2019). The role and status of philosophy in nursing knowledge, insight and competence. Journal of Clinical Research in Paramedical Sciences8(2). doi:

da Silva, A. G., Baldaçara, L., Cavalcante, D. A., Fasanella, N. A., & Palha, A. P. (2020). The impact of mental illness stigma on psychiatric emergencies. Frontiers in Psychiatry11, 573.

Roberts, S. (2018, Jul 10). Mental illness is a global problem: We need a global response. Health Poverty Action.

Walden University. (2021). Vision, mission, and goals.