DNP 815 Week 1 Reflective Analysis

Compare and contrast a minimum of two middle range theories and discuss potential applications in your specific area of nursing practice.

Conduct a literature search in the Cumulative Index of Nursing and Allied Health Literature (CINAHL) using the terms middle range theory, mid-range theory, and nursing. Select one of the articles where the development of the middle range theory is the major focus of the paper. Share the article citation and describe how the theory was developed.

Reflective Analysis Case Report Paper

In the realm of healthcare, individuals enter the nursing profession driven by diverse motivations. Typically, there exists a desire to engage in a stimulating and challenging career that positively impacts both individuals and societies. Those in nursing leadership also relish the freedom and additional benefits that come with their career choice. Regardless of the nurses’ educational background, skills, or specialization, their worldviews play a pivotal role in shaping their approach to daily practice. Essential aspects of care, such as the nurse-patient relationship, attitude towards health and illness, and openness to change, are contingent upon personal philosophies. This paper aims to delve into my philosophy of care, which fundamentally influences how I interpret nursing care and its core components.

Central Belief about the Individual Person

A prevalent approach among nurses is the adoption of individualized care. As outlined by Yildiz et al. (2018), individualized care places emphasis on viewing the patient as a unique individual possessing rights, values, and thoughts that must be taken into account in decision-making. I hold the belief that the individual person inherently possesses values simply by virtue of being human. Individuality extends beyond the physical realm; each person possesses a soul that impacts feelings, emotions, and other critical facets of holistic care. Given that patients come from diverse backgrounds, nurses should anticipate varying needs and perspectives. Delivering satisfactory care necessitates prioritizing individuality in decision-making.

Influence of Personal Worldview on Approach to Patients

Respecting patients as unique individuals is a cornerstone of my approach. Despite nurses possessing a deeper understanding of health and illnesses compared to patients, it is imperative to promote autonomous decision-making. This implies that nurses should guide patients on the best care options and alternatives, allowing patients to make independent decisions. This approach embodies evidence-based practice, which mandates healthcare providers to integrate clinical expertise, patient values and preferences, and scientific evidence to enhance patient care (Li et al., 2019). Nurses who advocate for individuality, recognizing the distinctiveness of each patient, also embrace the multi-dimensional nature of nursing care. Additionally, I acknowledge the significance of spirituality and other behaviors that foster healing.

The Environment and Its Constituents

The environment stands out as a critical factor influencing health and well-being. It encompasses physical, social, and cultural components, each exerting unique influences on health outcomes. The physical environment comprises elements within the patient’s immediate surroundings. Florence Nightingale’s environmental theory elucidates that physical components include air, light, nutrition, and ventilation (Gilbert, 2020). The physical environment plays a crucial role in influencing wellness, as patients need to be situated in optimal conditions for nature to act on them. The social component involves family, friends, and other sources of support and resources, guiding patients on best practices and necessary interventions for maintaining health. Family and friends also wield influence over patients’ decisions through their opinions. Broadly, the cultural environment encompasses belief systems, norms, languages, and other shared elements among communities. This necessitates nursing professionals to personalize care as much as possible.

Individual-Environment Interaction

The relationship between individuals and the environment is characterized by a symbiotic connection, signifying a close and mutually influential association. In this context, both entities exert a profound impact on each other. For example, individuals residing in clean environments experience greater safety from environmental contamination compared to those in industrial centers. Environments abundant in nutritious food contribute to the likelihood of individuals leading healthy lives. Conversely, the condition of the environment is contingent upon human activities within it, exemplified by environmental pollution adversely affecting air, water, and soil quality. Therefore, it is imperative for individuals to uphold environmental care to reap its benefits. Another dimension involves the influence of values and norms on dietary choices and attitudes toward health, with areas normalizing substance abuse often facing a higher prevalence of mental health problems.

Personal View of Health

In my perspective, every individual deserves access to quality health. Health, in this context, signifies protection from diseases and injuries, coupled with optimal functioning across physical, mental, and social dimensions. Aligning with the definition provided by the World Health Organization, health goes beyond the mere absence of diseases; a truly healthy individual must operate at full capacity to lead a fulfilling life (Larsen, 2022). Within a state of health, individuals can effectively express their emotions, make sound decisions, experience happiness, and actively participate in health promotion activities, such as maintaining active lifestyles. Consequently, the primary goal of healthcare practitioners should be health promotion, aiming to enhance people’s overall productivity and well-being.

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