NURS 8114 Develop your written philosophy of nursing practice in a paper of 3–5 pages

NURS 8114 Discussion: Philosophy of Nursing Practice

By composing a personal philosophy statement, nurses can demonstrate that their practice is in line with their value system. The philosophy statement can be general, such as a philosophy relating to one’s life values (McEwen & Wills, 2017). It may also be a philosophy statement that reflects one’s beliefs about the nursing profession, or it may be a nursing school-specific philosophy. Writing a philosophy statement encourages nurses to articulate their values and demonstrate how their philosophy relates to their professional practice (McEwen & Wills, 2017). This paper will present my nursing practice philosophy and discuss how it accommodates practice issues and supports social change advocacy. I will also discuss how the middle range and interdisciplinary theories support and shape my philosophy.
Recommendations Regarding a Philosophy Statement

I view nursing as a humanistic science committed to maintaining and promoting health, preventing illness, and caring for and rehabilitating the ill and disabled with compassion. My nursing definition is based on Virginia Henderson’s nursing definition. I view professional nursing as a complex service that assists individuals in performing health-promoting activities that they would perform independently if they possessed the necessary strength, will, or knowledge. It is the unique contribution of the nursing profession to assist individuals in regaining their independence as soon as they require assistance. My nursing practice philosophy is based on providing quality, compassionate, empathetic, patient-centered care in accordance with best practices. In addition, it is guided by the ethical principles of beneficence, nonmaleficence, and justice, which help me make the best decision possible.

Caring, self-worth, honesty, fairness, empathy, and compassion are the personal values that guide my nursing practice. I believe that the nursing profession is founded on the value of caring, which necessitates connection and the belief that people and things are significant. Therefore, by displaying a caring nature, a nurse increases the likelihood of coping with risk and vulnerability. My nursing practice is also driven by my professional values, which include a strong commitment to service, autonomy, belief in the dignity and worth of each individual, and dedication to education. I believe that a nurse should be committed to education and innovation by continuously seeking to improve their knowledge and skills in order to provide quality care in accordance with the current standards.

How My Philosophy Can Adapt to Your Increased Awareness of Practice Concerns as a DNP

The nursing profession faces numerous challenges, including workplace safety, workplace violence, insufficient staffing, and nurse self-care. My philosophy emphasizes providing individualized, high-quality patient-centered care. As a DNP, I am aware of the issues that must be resolved for nurses to provide quality care and meet patients’ needs adequately. For nurses to provide safe, patient-centered care, for instance, staffing ratios and workplace safety must be improved. The philosophy enables me to influence conversations about staffing, promotion of safe working environments, ethical care for patients, budgetary decisions in health care, and organizational policies and procedures. In addition, the philosophy can equip me with the skills necessary to act as a moral agent in the nursing practice setting and to develop the ability to recognize, reflect on, and act upon moral responsibilities.

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How My Philosophy Supports or Reflects Social Change Advocacy as a DNP

One of the essential components of a Doctor of Nursing Practice is advocating for social justice and the nursing profession by analyzing health policy to effect social change. A DNP identifies gaps in the health care delivery system and leads legislation through negotiation and consensus-building in order to participate actively in health care policy (Edwards et al., 2018). My philosophy reflects advocacy for social change because it emphasizes providing individualized, high-quality patient care that promotes better population health outcomes. It is governed by the ethical principle of justice, which emphasizes fair treatment of individuals and equitable resource distribution.

I can become an agent of social change as a DNP-prepared nurse by bridging the gap between theory and clinical practice. Facilitating EBP to improve patient care and outcomes within the healthcare setting and the community at large is the responsibility of a social change agent (Edwards et al., 2018). One way to engage in health-promoting activities is through community service, which can empower community members to modify their health behaviors to promote better health outcomes.

Middle-Range Nursing Theories and How They Support My Nursing Practice Philosophy

Middle-range nursing theories are limited in scope, focus on a particular phenomenon, and reflect nursing practice. The Behavioral System theory by Dorothy Johnson and the Theory of Unpleasant Symptoms by Elizabeth Lenz and Linda Pugh are examples of middle-range nursing theories. The Behavioral System theory posits that each individual has patterned, purposeful, and repetitive ways of acting that are unique to that individual. To prevent illness, the theory advocates fostering efficient and effective behavioral functioning in the patient (Alligood, 2017). The model identifies four nursing objectives: To assist the patient whose behavior is consistent with social expectations. To assist the patient in modifying his behavior in accordance with biological imperatives. To assist the patient in receiving the maximum benefit from the physician’s knowledge and skill during illness. To support the patient whose behavior is not indicative of unnecessary illness-related trauma (Alligood, 2017). The theory supports my philosophy by demonstrating that a nurse has a unique role in assisting patients in need of assistance to be independent. Similar to the theory, which advocates for fostering efficient and effective behavioral functioning in the patient to prevent illness, my philosophy focuses on preventing illness from contributing to health.

The Health Promotion Model describes variables that influence the likelihood that an individual will engage in health-promoting behavior. The model identifies seven cognitive-perceptual factors and five moderating factors that influence an individual’s propensity to engage in health-promoting behavior (Aqtam & Darawwad, 2018). Cognitive-perceptual factors consist of an individual’s perceptions of the significance of health, health status, control over health, and meaning of health, as well as perceived self-efficacy and the benefits/barriers to health-promoting behavior (Aqtam & Darawwad, 2018). The theory confirms that a nurse positively influences health-promoting behavior in patients to promote healthy states, thus supporting my philosophy. My philosophy emphasizes health promotion, which can significantly affect the health-promoting behaviors of individuals.

How Interdisciplinary Theories Influence My Nursing Practice Philosophy

An interdisciplinary theory describes a systematic perspective on a phenomenon that is specific to the field of study. The Complex Adaptive Systems (CAS) theory focuses more on the interaction between team members than on their individual characteristics (Pype et al., 2018). CAS influences my nursing philosophy by providing a framework for communicating patient care needs and processes to other members of the healthcare team. The theory enables me, as a DNP, to engage in conversation and reflection with other health team members. It has been useful when working within an organization facing challenges such as uncertainty, the need to act, the absence of a predictable outcome, and a high degree of complexity (Pype et al., 2018). In addition, I’ve learned that when an organization faces uncertainty, a leader can operate most effectively by delegating authority and assisting those who are attempting to identify solutions.

Conclusion

My nursing practice philosophy is centered on providing quality, individualized care for each patient’s specific needs. Caring, self-worth, honesty, fairness, empathy, compassion, commitment to service, autonomy, dignity, and commitment to education guide my nursing practice. I can analyze, critique, challenge, and debate clinical situations that endanger patient safety, nurse safety, and ethical nursing care using nursing philosophy. My philosophy statement can inspire me to be creative and generate ideas to advance health equity in the community.

References

Alligood, M. R. (2017). Nursing theorists and their work-e-book. Elsevier Health Sciences.

Aqtam, I., & Darawwad, M. (2018). Health promotion model: An integrative literature review. Open Journal of Nursing, 8(07), 485-503. doi: 10.4236/ojn.2018.87037

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 Archives, 6(4). https://doi.org/10.18103/mra.v6i4.1734

McEwen, M., & Wills, E. M. (2017). Theoretical basis for nursing. Philadelphia, PA: Lippincott Williams & Wilkins.

Pype, P., Mertens, F., Helewaut, F., & Krystallidou, D. (2018). Healthcare teams as complex adaptive systems: Understanding team behavior through team members’ perception of interpersonal interaction. BMC Health Services Research, 18(1), 1-13. https://doi.org/10.1186/s12913-018-3392-3

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A philosophy statement is a self-reflective statement that outlines what one believes and what one does in the practice classroom to support these beliefs. In the previous weeks, I explained my philosophy of nursing practice and identified theories that can be applied to address a practice issue. In this assignment, I will expound on my philosophy and describe how it is supported by advocacy of social change and middle-range and interdisciplinary theories.

Philosophy Statement

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. My 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. 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 improve my nursing knowledge and skills continuously.

How My Philosophy Can Accommodate My Expanded Awareness of Practice Issues

The nursing profession encounters a wide range of practice issues related to the delivery of patient care and healthcare conditions linked with poor outcomes. One of the practice issues I identified in week two is hypertension. Hypertension is a chronic lifestyle disease that has been on the rise globally in the past decades. Uncontrolled hypertension is associated with complications such as cardiovascular diseases, chronic kidney disease, nephropathy, and retinopathy. My philosophy is committed to enabling individuals and communities to maintain and promote health, prevent diseases, and rehabilitate the sick and disabled (Edwards et al., 2018). Thus, I can apply my philosophy to address the issue by providing health education on the prevention of hypertension and measures individuals can take to promote a healthy life.

How My Philosophy Reflects or Supports Advocacy of Social Change as A DNP

The DNP, as a social change agent, has the role of advocating for social justice. This can be achieved by engaging in advocacy and policy initiatives. My philosophy of nursing practice reflects the advocacy of social change since I believe that the nurse has a role in advocating 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). Nurses should be at the forefront of healthcare policymaking and should propose policy amendments or new policies to improve the quality of healthcare in the community they serve.

Middle-Range Nursing Theories and How They Support My Philosophy of Nursing Practice

Middle-range nursing theories that support my philosophy are Orem’s theory of Self-Care and the uncertainty in illness theory. The self-care theory asserts that each person has self-care needs and the right and ability to meet these needs themselves, except when their ability is compromised in some way. Self-care requisites are universal. This means that they are common to all human beings and associated with human functioning and life processes (Yip, 2021). According to Riegel et al. (2019), the self-care theory is meant to maintain health through health-promotion practices and managing illnesses. The self-care theory supports my philosophy of practice, which emphasizes helping individuals meet their needs either by helping them directly or educating them to meet these needs appropriately. Furthermore, my philosophy focuses on promoting health, preventing diseases, and rehabilitating the sick and disabled, which is vital in helping individuals meet their self-care needs.

The uncertainty in illness theory (UIT) explains how patients and caregivers facing acute and chronic diseases perceive and cope with uncertainty. UIT aims to provide a comprehensive framework that helps view the experience of patients with acute and chronic illnesses (Taş Bora & Buldukoğlu, 2020). The framework also helps to coordinate nursing interventions to promote optimal adjustment in patients. UIT supports my philosophy of practice since I advocate for healthcare professionals to provide adequate and clear information to patients and their families about their health conditions. This supports them in understanding and managing uncertainty.

How Interdisciplinary Theories Inform My Philosophy of Nursing Practice

The Disease causation theory is an interdisciplinary theory that informs my philosophy of nursing practice. One of the theories that make up the Disease causation theory is the theory of general susceptibility, which aims to identify why some social groups are more susceptible to a disease and its mortality than others (Dharmashree et al., 2020). This informs my philosophy’s element of disease prevention and health maintenance since there is a need to identify factors that influence disease in a certain population and identify preventive or mitigation measures.

Conclusion

My philosophy of nursing practice centers on providing compassionate and patient-centered care. I can apply the philosophy to help persons diagnosed with hypertension control BP and prevent complications. The philosophy is supported by the theory of Self-Care and the uncertainty in illness theory, as well as interdisciplinary theories like Disease causation theory.

References

Dharmashree, S., Manish, K., Radha, D., Sharmistha, M., & Karishma, R. (2020). Theories of disease causation: an overview. Indian J Forensic Med Toxicol, 14(1).

Riegel, B., Jaarsma, T., Lee, C. S., & Strömberg, A. (2019). Integrating Symptoms Into the Middle-Range Theory of Self-Care of Chronic Illness. ANS. Advances in nursing science, 42(3), 206–215. https://doi.org/10.1097/ANS.0000000000000237

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 Education, 21(1), 328. https://doi.org/10.1186/s12909-021-02758-w

Taş Bora, S., & Buldukoğlu, K. (2020). Using the Uncertainty in Illness Theory to provide care for the caregiver: A case report. Journal of Psychiatric Nursing, 11(1), 70–77. DOI: 10.14744/phd.2019.44365

Yip, J. (2021). Theory-Based Advanced Nursing Practice: A Practice Update on the Application of Orem’s Self-Care Deficit Nursing Theory. SAGE open nursing, p. 7, 23779608211011993. https://doi.org/10.1177/23779608211011993

Thank you for your detailed post on Nursing philosophy. I enjoyed reading your post, especially where you narrated how your grandmother inspired you to become a caring nurse. I indeed agree with you that all patients need to be treated with respect and as an individual to avoid generalization and bias.

I became a nurse more than ten years ago. I started as a caregiver for adults with mental challenges. After seeing their challenges in meeting their daily function, I decided to go back to school to provide a higher level of care. After completing my school, I was more compassionate with my patients and could communicate their needs to other staff members and the management. I was also able to build good relationships with family members when explaining conditioning changes about their clients, whether getting better or worse. Nurses need to have the knowledge and use evidence-based practice to offer the best care to their patients. (Hirani et al., 2018)

With the knowledge from my education and experience with clients from diverse communities, I am involved in community health activities where we offer screening for hypertension and diabetes every year. Now that I am in the DNP program, I look forward to going the extra mile and getting involved in state- and country-wide community health events.

Now, as a psychiatric mental health nurse practitioner, I feel happy when I serve others. My nursing philosophy is centered on the desire to serve and be compassionate toward others. I hope to reach and serve a significant population with mental illness who are not able to access care.

I also encourage you to use interdisciplinary team collaboration to offer better holistic care to our patients. Nurses should have strong self-confidence and intelligent collaboration to make changes in the quality of life of others while caring for their health at the same time. (Suandika et al. 2021).

References

Hirani SAA, Richter S, Salami BO. Realism and relativism in the development of nursing as a discipline. ANS Adv Nurs Sci. 2018;41(2):137-44. [PubMed ID: 29595527Links to an external site.]. https://doi.org/10.1097/ANS.0000000000000207Links to an external site..

Suandika, M., Tang, W.-R., Ulfah, M., & Cahyaningrum, E. D. (2021). Self-confidence of Nurses Philosophy: A Concept Analysis. Open Access Macedonian Journal of Medical Sciences, 9(T4), 206–211. https://doi.org/10.3889/oamjms.2021.5788