NURS 8114 Walden: Philosophy of Nursing Practice
For this first course Discussion, you will present a philosophy of nursing practice that draws on your experience, area(s) of expertise, and beliefs. Looking ahead to your role as a DNP, also consider how to expand your awareness of issues beyond your own current practice—such as regarding diversity, global health, collaboration—and how to fulfill the Walden requirement to advocate for social change.
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In short, begin now to commit to a higher level of contribution and practice as a DNP and to reflect that commitment in your philosophy of nursing practice for today and the future. As you continue through the course, note this image will appear with each Discussion and indicates an opportunity to connect your thinking with that of colleagues, for learning with and from one another.
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To prepare:
- Review the Week 1 Learning Resources. Pay particular attention to the Chapter 1 reading from McEwen and Wills, “Philosophy, Science, and Nursing.”
- Reflect on your nursing experience, expertise you have developed, and beliefs about nursing and nursing practice you have formed as a result.
- NURS 8114 Philosophy of Nursing Practice
- Consider goals for expanding your professional awareness through the DNP program and the requirement as a Walden student to be an advocate for social change. How can your philosophy of nursing practice support you in these areas? How can these goals and Walden social change requirement enrich your philosophy of nursing practice?
With these thoughts in mind …
By Day 3 of Week 1
Post an explanation of your philosophy of nursing practice that briefly describes your nursing experience and area(s) of expertise. Be sure to explain your beliefs that inform your philosophy of nursing practice and your goals for expanding your experience and practice as a DNP (e.g., embrace of diversity, global health issues, collaboration). Then, explain the DNP role as a social change agent and recommend at least one way you will advocate for positive social change as a Walden DNP. Be specific and provide examples, with all citations in APA 7 style.
Read a selection of your colleagues’ posts.
A Nursing Philosophy and its Impact on Critical Care
A nursing philosophy serves as a compass that guides a nurse, outlining their core values, ethics, beliefs, and the driving force behind their choice of profession (Jasemi et al., 2017). With a wealth of experience in Critical Care nursing, I am eager to leverage the knowledge I gain from Walden University’s DNP program to enhance the way I care for patients in the Intensive Care Unit (ICU). This educational journey is poised to equip me with a more comprehensive and holistic perspective, offering diverse approaches to delivering high-quality care to critically ill patients in the ICU.
Traditionally, nursing care in the ICU has been described as task-oriented, primarily centered on addressing the patient’s medical needs (Crilly et al., 2019). The primary objective of intensive care is to prevent further medical deterioration and organ failure, while administering medical treatments to stabilize the patient and facilitate their transfer to a medical unit for ongoing care. This approach often places a strong emphasis on addressing injuries based solely on medical literature, potentially overlooking the holistic needs of the patient. My nursing philosophy, however, is rooted in the provision of holistic, individualized care tailored to the unique needs of each patient. For the critically ill, it is imperative to acknowledge their wholeness, integrity, family relationships, environmental context (Hakansson Eklund et al., 2019), as well as their beliefs and desires regarding their health and their autonomy in decision-making.
Holistic care extends a deep understanding of patients and their multifaceted care requirements, making it the cornerstone of the nursing profession (Jasemi et al., 2017). This approach not only leads to a more profound comprehension of the impact of illnesses on patients’ well-being and their true needs but also fosters an environment that addresses patients’ physical, emotional, social, and spiritual needs. By restoring balance and empowering patients to confront their illnesses, holistic care ultimately enhances their overall quality of life (Vincent and Creteur, 2019).
Individualized healthcare takes into account the preferences and values of patients and their families. It places them in control of their care needs and cultivates a collaborative provider-patient-family centered care relationship. My dedication is unwavering; I commit to further expanding my healthcare education through evidence-based practices, continuous learning, and Walden’s DNP program. I intend to apply the knowledge and skills acquired through these endeavors to serve the best interests of patients and their families within the challenging context of the ICU.
References
Crilly G, Dowling M, Delaunois I, et al. Critical care nurses’ experiences of providing care for adults in a highly technological environment: a qualitative evidence synthesis. J Clin Nurs 2019; 28(23–24): 4250–4263.
Hakansson Eklund J, Holmström IK, Kumlin T, et al. ‘Same same or different?’ A review of reviews of person-centered and patient-centered care. Patient Educ Counse 2019; 102(1): 3–11.
Jasemi M, Valizadeh L, Zamanzadeh V, Keogh B. A Concept Analysis of Holistic Care by Hybrid Model. Indian J Palliat Care. 2017 Jan-Mar;23(1):71-80. doi: 10.4103/0973-1075.197960. PMID: 28216867; PMCID: PMC5294442.
Vincent JL, Creteur J. Critical care medicine in 2050: less invasive, more connected, and personalized. J Thorac Dis 2019;11(1):335-338. doi: 10.21037/jtd.2018.11.66
By Day 6 of Week 1
Respond to at least two colleagues on 2 different days. Choose colleagues with different life experiences and beliefs from your own, and contrast how these factors have shaped their philosophies compared with yours. Also comment on their goals for expanding their experience, practice, and social change advocacy with suggestions or guidance based on your experience. Be specific and provide examples.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 1 Discussion Rubric
Post by Day 3 of Week 1 and Respond by Day 6 of Week 1
To Participate in this Discussion:
Week 1 Discussion
Week 1: Philosophy of Nursing Practice
Imagine the illustrated “cloud” in this image could represent your thoughts as you consider your nursing practice, your nursing experiences, and the influences that shape your attitudes and beliefs about nursing and health care. Then imagine other clouds within view that represent perspectives on nursing practice held by others—and that if this image were enlarged, the clouds would multiply, to signify the full complement of professionals with whom you interact in a health care setting. How would it benefit you, the success of those health care teams—and, most importantly, patient care—to have clarity on the foundational beliefs that guide your practice, and that of others?
For this first week, you will work toward achieving that clarity as you frame—or review, revise, expand on—your philosophy of nursing practice and engage with peers who have joined you in pursuing their Doctor of Nursing Practice degree. Through the Discussion this week, and the Assignment you will begin, you will articulate your philosophy of nursing practice as you look for insight into what shapes your philosophy and contrasting philosophies of others. That understanding can be invaluable in your future work as a DNP leader advocating for change—often difficult for individuals and organizations—that promotes positive outcomes for patients and the larger society.
Learning Objectives
Students will:
- Explain philosophy of nursing practice
- Analyze factors that influence philosophy of nursing practice
- Recommend strategies for social change advocacy for the role of the DNP
- Contrast philosophies of nursing practice
- Analyze middle range nursing theories in relation to philosophies of nursing practice
- Analyze interdisciplinary theories in relation to philosophies of nursing practice
Learning Resources
Required Readings (click to expand/reduce)
McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.
McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.
Document: Handout: Writing a Philosophy of Nursing Practice (Word document)
Required Media (click to expand/reduce)
Optional Resources (click to expand/reduce)
Note: Access the following Walden resources to support locating resources in the Walden Library and completing course Discussions and Assignments.
Note: Walden University Writing Center resources before May 2020 use examples in APA 6. Check APA 7 guides to ensure accuracy.
Rubric Detail
Select Grid View or List View to change the rubric’s layout.
Name: NURS_8114_Week1_Discussion_Rubric
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