NURS 8114 Philosophy of Nursing Practice
In nursing, philosophy refers to the beliefs and values that guide a nurse’s actions and decisions in their professional role. This philosophy can vary from person to person and may change over time based on their experiences. In this essay, I will discuss my philosophy of nursing practice, exploring how it has evolved and how it relates to expanded awareness, advocacy for social change, and the theories that inform it.
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Philosophy of Nursing Practice
My philosophy of nursing practice has evolved over time as I’ve grown both personally and professionally. Interactions with patients, families, and other healthcare providers have played a significant role in shaping my understanding of nursing. Initially, my philosophy focused on meeting the actual and potential needs of the patients I cared for. It was about being present for patients, implementing care strategies aligned with their needs, and providing a high standard of care. However, over time, my philosophy has expanded to include concepts like evidence-based practice, patient-centeredness, holism, and advocacy (Rasheed et al., 2019). I’ve come to understand that providing holistic care, addressing not just the disease but also factors affecting the patient’s experience, is essential. Advocacy has become a vital part of my philosophy, believing that nurses should champion strategies and policies prioritizing patient needs (Abbasinia et al., 2020).
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As a DNP nurse, my awareness of practice issues has expanded. Nursing and healthcare are continually evolving, demanding flexibility and innovative interventions. I’ve become more adaptable to emerging issues in nursing practice, especially when working with diverse patient populations. I engage in self-awareness and reflective practice, identifying opportunities for personal and professional growth. Self-awareness is crucial in improving the nurse-patient relationship and patient care quality (Rasheed et al., 2019; Tower et al., 2019).
The Newman’s theory of health as expanding consciousness informs my awareness. This theory suggests that everyone is part of an expanding consciousness in the universe, and individuals should engage in processes that help them become more of themselves, find greater meaning in their lives, and connect more with others and the world (Racine & Vandenberg, 2021). This understanding encourages me to be open, adaptable, flexible, and ready to embrace new approaches and practices in my role as a DNP nurse.
Advocacy for Social Change
My philosophy supports advocacy for social change. Nurses play a crucial role in implementing evidence-based practices, holism, and patient-centeredness. They use their experiences to propose and implement evidence-based strategies that promote change. For example, my interest in employee management has led me to advocate for policies addressing employees’ actual needs. Additionally, my experience with challenges faced by elderly hospitalized patients living alone has increased my interest in identifying effective strategies to address their needs. Holism, as a part of my philosophy, promotes change in nursing practice and healthcare, encouraging culturally competent care for patients from diverse backgrounds (Abbasinia et al., 2020; Turale & Kunaviktikul, 2019).
Middle-Range Nursing Theories
Several middle-range nursing theories support my philosophy. Banner’s model of skill acquisition in nursing, for instance, describes skill development as an evolutionary process, which aligns with my belief that nursing knowledge and skills develop through practice (Murray et al., 2019). Leininger’s cultural care diversity and universality theory stress the importance of considering culture in health and healing, supporting my belief in providing holistic care (McFarland & Wehbe-Alamah, 2019). The transitions theory, developed by Melei, emphasizes changes in people’s lives and the need for interventions that support successful patient transitions from the hospital to their communities, a practice I value (Eyimaya & Tezel, 2021).
Interdisciplinary Theories
Interdisciplinary theories also align with my philosophy. The Health Belief Model (HBM) explains the factors that influence behavioral change, such as perceived severity, benefits, cues to action, perceived barriers, susceptibility, and self-efficacy. This theory supports my belief in using interventions like health education to promote better health outcomes by influencing behavioral change in the population (Rusli et al., 2020).
In summary, my philosophy of nursing has evolved over time, reflecting my personal and professional growth. It has expanded to include concepts like evidence-based practice, holism, and advocacy. Middle-range and interdisciplinary theories further support my philosophy, which is adaptable and open to change, reflecting the evolving nature of healthcare and nursing practice.
References
Abbasinia, M., Ahmadi, F., & Kazemnejad, A. (2020). Patient advocacy in nursing: A concept analysis. Nursing Ethics, 27(1), 141–151. https://doi.org/10.1177/0969733019832950
Eyimaya, A. Ö., & Tezel, A. (2021). The effect of nursing approaches applied according to Meleis’ Transition Theory on menopause-specific quality of life. Health Care for Women International, 42(1), 107–126. https://doi.org/10.1080/07399332.2020.1825440
McFarland, M. R., & Wehbe-Alamah, H. B. (2019). Leininger’s Theory of Culture Care Diversity and Universality: An Overview With a Historical Retrospective and a View Toward the Future. Journal of Transcultural Nursing, 30(6), 540–557. https://doi.org/10.1177/1043659619867134
Murray, M., Sundin, D., & Cope, V. (2019). Benner’s model and Duchscher’s theory: Providing the framework for understanding new graduate nurses’ transition to practice. Nurse Education in Practice, 34, 199–203. https://doi.org/10.1016/j.nepr.2018.12.003
Racine, L., & Vandenberg, H. (2021). A philosophical analysis of anti-intellectualism in nursing: Newman’s view of a university education. Nursing Philosophy, 22(3), e12361. https://doi.org/10.1111/nup.12361
Rasheed, S. P., Younas, A., & Sundus, A. (2019). Self-awareness in nursing: A scoping review. Journal of Clinical Nursing, 28(5–6), 762–774. https://doi.org/10.1111/jocn.14708
Rusli, N. T., Mansyur, M., Kekalih, A., Sulistomo, A., & Werdhani, R. A. (2020). Assessment of compliance to standard precautions among nurses using the Health Belief Model. Universa Medicina, 39(3), Article 3. https://doi.org/10.18051/UnivMed.2020.v39.199-206
Tower, M., Watson, B., Bourke, A., Tyers, E., & Tin, A. (2019). Situation awareness and the decision-making processes of final-year nursing students. Journal of Clinical Nursing, 28(21–22), 3923–3934. https://doi.org/10.1111/jocn.14988
Turale, S., & Kunaviktikul, W. (2019). The contribution of nurses to health policy and advocacy requires leaders to provide training and mentorship. International Nursing Review, 66(3), 302–304. https://doi.org/10.1111/inr.12550
Younas, A., Rasheed, S. P., Sundus, A., & Inayat, S. (2020). Nurses’ perspectives of self-awareness in nursing practice: A descriptive qualitative study. Nursing & Health Sciences, 22(2), 398–405. https://doi.org/10.1111/nhs.12671
Nursing Beliefs and Patient Care
Nurses see their job differently based on what they believe, their experience, and what they specialize in. What a nurse thinks and believes affects the health of the patients and how they interact with them. Nursing beliefs include things like values, ethics, and motivations that inspire nurses to be healthcare professionals, according to Cheraghi et al. (2019).
I’m committed to using my experience and skills to promote good health based on kindness, empathy, compassion, and focusing on the patient. As a mental health nurse, I apply these values in my daily work to provide patient-centered mental health care. I believe that nursing should be guided by care, integrity, and sacrifice. It’s a profession dedicated to making people’s lives better.
I believe that nurses should always empathize with patients. Patients need to feel understood and cared for, and they should have confidence that they will get better. I also think that nursing should be a lifelong learning process, where we keep working to address global health issues. Mental illness is a global problem, and I agree with Roberts (2018) that it requires a global response. As a DNP, I’m inspired to expand my experience and practice to address global health issues like mental health disorders in a culturally and linguistically appropriate way.
Advocating for Positive Social Change
As a DNP, I have a responsibility to make positive social changes. I see my role as an agent of social change, using my skills and experience to improve people’s lives and society. My view lines up with Walden University’s definition of social change, which means using strategies and ideas to help individuals, communities, and societies grow (Walden University, 2021). As a Walden DNP, I will advocate for positive social change by using my skills and position to improve mental health services. I will also take part in policymaking to enhance important aspects of care like quality, access, and fairness. People with mental health issues are often misunderstood and stigmatized, making their conditions worse. I will fight for better treatment for these vulnerable individuals to create a fair society for everyone.
In general, I’m a dedicated nurse who wants to see people enjoying life. I see nursing as a personal responsibility to help people fairly. I will keep learning the skills needed to provide the best care and use ideas, skills, and processes to transform the world by reducing the burden of illness.
References
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 Sciences, 8(2). doi: https://dx.doi.org/10.5812/jcrps.90762
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 Psychiatry, 11, 573. https://doi.org/10.3389/fpsyt.2020.00573
Roberts, S. (2018, Jul 10). Mental illness is a global problem: We need a global response. Health Poverty Action. https://www.healthpovertyaction.org/news-events/mental-health-world-health-day-2017/
Walden University. (2021). Vision, mission, and goals. https://catalog.waldenu.edu/content.php?catoid=179&navoid=65155
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