You have spent six weeks exploring theories of nursing. These represent the “how” of what we do as nurses. This week we enter a higher level of thought and explore the “why” of what we do. Present a personal nursing philosophy. Apply what you have read throughout the course and explore the literature on nursing philosophy. While Fawcett was not a nursing theorist, she is a nursing philosopher and her Metaparadigm of Nursing approaches philosophy over theory. Once you have discussed your philosophy, identify a theoretical framework (not the middle-range theories but the underlying assumptions in that framework) that fits your philosophy. Compare and contrast your philosophy and the chosen framework. Describe a possible situation in which the framework may conflict or not fit your philosophy. While it is an important skill to be able to match a theory with a situation, it is also critical to understand when a theory or framework does not fit a situation.
My philosophy idea:
Being a nurse is serving those in the community that are in need while building relationships. You must be authentic, empathetic, and kind.
You can use mine or build on this to create the philosophy for the paper.
Personal Nursing Philosophy
Personal Nursing Philosophy
Course Code and Name
Personal Nursing Philosophy
A personal nursing philosophy is a guideline for many nurses as they practice in various settings. It is the essence of why nurses do what they do and helps answer questions like the beliefs that guide an individual, what motivates them to do what they do, and their perspective regarding their practice and ethical considerations when dealing with diverse patients. A personal nursing philosophy thus helps many nurses work within the threshold of their principles and capabilities. My nursing principle will enable me to provide the best possible care to patients, and I will dissect it using a theoretical framework that is my philosophy.
My nursing philosophy idea is that being a nurse serves those in the community in need while building relationships. It is essential to be authentic, empathetic, kind, and selfless as I provide care to patients and their relatives. Additionally, building relationships strengthens the community, and I would strive to deliver the highest quality of nursing service to achieve the best possible patient outcome. To me, nursing is about compassion as I deliver care and understand each patient as a human being that feels all emotions, can physically express themselves and has mental wellbeing that needs attention. As a professional, I am committed to continuous learning through formal education and practical experiences, which will enable me to become better each day.
Meta-paradigm concepts in the philosophy
My nursing philosophy uses the four meta-paradigm concepts: the person, environment, nursing, and health (Bender, 2018). Nursing is a service that cannot exist without people. A person in this theory is considered an independent entity that I, as a nurse, should care for, respect, and understand. I should also show kindness and empathize with the patient while delivering care. Patients in need do not only include those suffering from a single illness but also all aspects of a patient’s life, be it mental, physical, or emotional. The philosophy thus ensures that the person receives authentic care specific to the needs. An environment in this theory is the community that the patient lives in. Many patients come from diverse communities that influence specific characteristics, and it is thus essential to look beyond what a patient presents. Treating patients with kindness and empathy builds relationships and strengthens the community they come from.
At the same time, nursing in this theory involves nurses’ involvement in the patient’s holistic care (Bender, 2018). I need to empathize with patients’ concerns, offer authentic and pragmatic solutions, and exercise kindness while serving them. Different patients have different problems, and approaching each problem with an open mind will ensure I offer authentic, empathetic, and appropriate service. I will also show kindness when I respond to patients’ and relatives’ questions and concerns. Health in this philosophy is a state that exists on a continuum, and each person is at an individual level of the health-illness continuum. It is not about the absence of illness but rather the quality of life as experienced by the patient. As a nurse, I have to provide the best quality of service to address any available issues and ensure my patient will always be healthy when assessed using the health-illness continuum. Each nursing encounter is diverse because patients have different needs (NCCIH, 2021). Having a definition of approaching each patient results in holistic care provided. The philosophy would thus enable me to provide the best quality care to my patients.
Nursing is a service that centers on the wellbeing of a patient and the community. The process follows the progress of individual patients to achieve patient-centered holistic care (Toney-Butler & Thayer, 2022). Each patient is unique in the desired needs, and thus each nursing intervention follows a specific plan of care to achieve the desired goal. The role of nursing is to work with individuals to achieve the desired goal and include families and the whole community in doing so. Providing direct care to patients provides indirect care to the family and community. Nursing practice thus serves the needs of patients, families, and communities. For nurses to serve any patient, they must first follow the steps in the nursing process.
The first step before providing care is to assess the patient (Toney-Butler & Thayer, 2022). During an assessment, a nurse collects and analyzes relevant patient data. At this stage, I would show empathy and kindness when delivering care. What follows is an appropriate nursing diagnosis based on the characteristics. I would show kindness and compassion by giving them all my attention when delivering the message (Duquesne, 2020). The diagnosis expresses what the problem has done to the patient and is the basis for the nurse developing an appropriate care plan. A nurse also has to keep in mind what other factors might have caused the patient to have pain and thus looks into other areas for reference (NCCIH, 2021). I would demonstrate assertive qualities by delivering clear information with confidence. I would also be keen with what the reference implies and follow through to completion. In addition, the nurse also strives to find where on the health-illness continuum the patient falls to address any underlying issues. For instance, if the patient complains of lack of sleep, the nursing diagnosis would be disturbed sleep pattern, and the nurse has to find out other conditions that might have led to it. When delivering this service, I would show authenticity
The plan of care follows the nursing diagnosis, and the nurse has to help the patient set pragmatic short-term and long-term goals to achieve health status. Short-term goals are usually activities that lead to long-term benefits, and the nurse has to make sure the patient is within the parameters of achieving each. Implementation follows the plan of care, where the nurse then makes sure the patient puts the resolutions into practice. A nurse can only know the plan of action worked during evaluation, the last phase of the nursing process. Evaluation goes through the goals earlier set by the patient and nurse, and each goal is analyzed. A review of the plan ensures the patient achieves the desired effect at the appropriate time. A care plan is never set into stone, and the nurse and patient adjust it according to the progress.
My philosophy follows the framework according to Jean Watson’s theory of human caring. It is similar in that a patient is considered the center of attraction, without which the philosophy would not be the same (Gonzalo, 2021). The assumptions that guide the philosophy are similar to those that guide the theory in that; nurses can only practice caring when patients meet with them; practical caring promotes the health of individuals and communities; the environment influences individual characteristics, and thus nurses should assess and allow the patient to choose the best action plan for them, and nurses offer care based on personal experiences and that nursing is a service that all healthcare worker should thrive in to ensure patients receive the best care. The philosophy is also similar to the theory of human caring in that the nurse shows empathy, kindness and care toward the patient (Gonzalo, 2021). In contrast, the theory of human caring does not have a defined definition of environment and, in its place, has ten creative factors that are critical to the caring needs.
In contrast to the theory of human caring, the caring environment in this philosophy considers where the patient lives and that the action of any nursing intervention impacts the community the patient lives in, which builds relationships (Gonzalo, 2021). The philosophy recognizes that people and the environment are interrelated and that for one to have the desired change, the environmental accounts have to be considered. Additionally, any nursing intervention can change the environment for the better or worse, and each nurse strives to work with care, kindness, empathy, and originality in all aspects of care. At the same time, this philosophy also fails to fit into the theory of human caring because the theory does not define what one has to do to achieve care; it only gives the outcome; hence a nurse that would want it into practice has to incorporate other sources of information to achieve the desired outcome.
A possible situation when the theory does not fit my philosophy would be when I need to address the physical needs of my patient. Instead, I would apply Nightingale’s environmental theory to ensure my patient is in a clean environment, is well fed, has clean clothes, has proper ventilation, is in a relatively quiet place, and has proper lighting. In so doing, my patient would be in a better place to recover (Gonzalo, 2021). However, the environmental theory will not work independently and would thus need my philosophy to provide holistic care to my patient. However, the philosophy is limited by human nature and would thus need individual strengths to become fruitful.
My nursing philosophy incorporates the meta-paradigm concepts of nursing and borrows from the theory of human caring. It elaborates how each nurse offers holistic care to each specific patient while exuding care, empathy, kindness and authenticity in emotions. The philosophy also has shortcomings that other theories address. Ultimately, personal principles of empathy, kindness, selflessness, compassion, and authenticity in service dominate the entire care process.
Bender, M. (2018). Re-conceptualizing the nursing metaparadigm: Articulating the philosophical ontology of the nursing discipline that orients inquiry and practice. Nursing Inquiry, 25(3), e12243. https://doi.org/10.1111/nin.12243
Gonzalo, A. (2021, March 5). Florence Nightingale’s biography and environmental theory: Study guide. Nurseslabs. https://nurseslabs.com/florence-nightingales-environmental-theory/
Gonzalo, A. (2021, March 5). Jean Watson: Theory of human caring. Nurseslabs. https://nurseslabs.com/jean-watsons-philosophy-theory-transpersonal-caring/
NCCIH. (2021, May 14). Whole person health: What you need to know. National Center for Complementary and Informative Health. https://www.nccih.nih.gov/health/whole-person-health-what-you-need-to-know
Toney-Butler, T. J., & Thayer, J. M. (2022, April 14). Nursing process – StatPearls – NCBI bookshelf. National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK499937/