NURS 8114 Written Philosophy of Nursing Practice
In the world of nursing, there is a diverse range of motivations that lead individuals to join the profession. Some are drawn by the potential for financial rewards, while others are motivated by the desire to ensure that patients receive the care they require. Additionally, nurses bring with them a wide spectrum of beliefs, values, and levels of exposure, which become the cornerstones of their nursing philosophies, shaping how they perceive and deliver care. DNP-prepared nurses embark on a journey to enhance their knowledge and skills, striving to provide exceptional, patient-centered, and comprehensive care. With advanced knowledge and skills, they become effective leaders and policymakers in the field of nursing. The aim of this paper is to articulate my personal philosophy of nursing practice and the theories that underpin it.
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Creating a Philosophy Statement in Nursing requires the consideration of diverse worldviews that encompass an individual’s values, ethics, beliefs, and motivations to be part of the nursing profession (Butts & Rich, 2021). In my personal philosophy, I firmly believe that nursing is a profession deeply rooted in compassion, trust, humility, and accountability. Compassionate care, as an integral part of nursing, involves patient-provider interactions characterized by empathy, caring, and the preservation of a patient’s dignity. Nurses who embrace compassion not only recognize and understand patients’ concerns and distress but also resonate with them emotionally. In addition to fostering patient-centered care, compassionate nurses are attentive to the needs and concerns of patients’ families.
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Trustworthiness is another fundamental element in my nursing philosophy, serving as the bedrock of integrity in nursing practice. Patients rely on nurses during critical moments and trust healthcare professionals for their health and well-being, regardless of factors such as race, gender, or culture. Prioritizing trustworthiness paves the way for open communication and enables nurses to provide holistic, patient-centered care. Accountability is a principle I hold dear, and I believe that nurses should take responsibility for their actions, whether they involve errors in judgment, mistakes, or communication breakdowns. As professionals, nurses should continuously seek to enhance their competence, given that nursing is evolving towards evidence-based and innovative practices.
The attainment of a DNP degree signifies that a nurse has reached the pinnacle of knowledge and expertise as a practitioner. According to Gaines (2019), DNP graduates play a leading role in advanced nursing practice and bring evidence-based knowledge into clinical settings to enhance health outcomes. The clinical and scientific knowledge gained through a DNP degree empowers nurses to respond effectively to changes in healthcare delivery and emerging patient needs. As emphasized in my nursing philosophy, every patient deserves compassionate care, and it is essential for nurses to be attuned to patient needs. To deliver such care, nurses must advance their education to gain a deeper understanding of practice issues and patient requirements. This expanded knowledge equips DNP-prepared nurses to incorporate evidence-based practices into their decision-making process, particularly when dealing with complex challenges in the rapidly evolving healthcare landscape.
Providing compassionate care marked by qualities such as humility, accountability, and trustworthiness requires a collaborative and multidisciplinary approach. Attaining a DNP degree equips me with the skills to effectively collaborate with diverse team members and promote team-based care, fostering innovation and evidence-based practices. As noted by Neal-Boylan (2020), DNP-prepared nurses are dedicated to innovative and evidence-based practices, which involve the ongoing application of credible research findings. A practice that embraces a multidisciplinary approach is open to innovation, and DNP-prepared nurses play a pivotal role in driving transformation by supporting practices based on current scholarly research.
Advocacy for positive social change necessitates advanced knowledge and skills among nurses. As the healthcare landscape shifts towards evidence-based and innovative practices, DNP-prepared nurses must embrace change and adapt to innovations that enable them to deliver competent care. Through a DNP degree, nurses acquire expertise in leadership, health policy, and quality improvement practices (Neal-Boylan, 2020). Recognizing the importance of policies in healthcare evolution and the need for continuous quality improvement to address current and emerging patient needs, DNP-prepared nurses use their knowledge to initiate and lead change in healthcare settings and communities. Their goal is to ensure that patients, communities, and vulnerable populations can lead healthy lives. Moreover, the DNP degree provides me with the capacity to pioneer new healthcare models, lead change where necessary, and advocate for patients and my community. I will actively engage in networking events, mentorship programs, and partnerships, among other initiatives, to promote social change and ensure that individuals and communities can lead healthy lives.
Middle-range nursing theories are valuable in shaping my nursing practice philosophy. One of these theories is Katharine Kolcaba’s theory of comfort. According to Kolcaba, healing is a process marked by relief, ease, and transcendence (Oliveira et al., 2020). In essence, nurses must understand and resonate with patients’ needs to provide relief, create a sense of calm, and develop interventions to help patients overcome sources of pain. In nursing practice, the most appropriate interventions are those that are evidence-based and patient-centered, aligning with my philosophy that underscores the significance of innovative and evidence-based practices to ensure the delivery of the best possible care to patients and communities.
Another middle-range nursing theory that aligns with my philosophy of practice is Merie Mishel’s theory of uncertainty in illness. This theory emphasizes the importance of reducing patient uncertainty about illness outcomes and their ability to cope, ultimately minimizing worry and anxiety (Fernandez-Araque et al., 2020). To achieve this, nurses should provide patients with patient-centered support and strategies for managing their illnesses, helping them cope and reduce uncertainty.
Furthermore, interdisciplinary theories play a crucial role in informing my nursing philosophy. A pertinent interdisciplinary theory is the transformational leadership theory, which underscores the idea that leaders should inspire their followers to work together towards shared objectives (Collins et al., 2021). DNP-prepared nurses, being natural leaders, can leverage their skills and knowledge to foster innovation and positive change. They should inspire fellow healthcare practitioners to implement practice interventions that enhance health outcomes, ensuring that patients and communities are free from diseases. Transformational leaders also recognize the significance of innovative initiatives, such as remote care and data-driven care, to enhance patient satisfaction.
In conclusion, nurses bring a diverse array of beliefs, values, and skills that shape their care philosophies. My personal philosophy emphasizes that nursing care should be rooted in compassion, trustworthiness, and accountability. Nurses must also continue to advance their knowledge and skills to promote innovation and be better equipped to address both current and emerging needs. Middle-range theories like Katharine Kolcaba’s theory of comfort and Merie Mishel’s theory of uncertainty in illness support my nursing philosophy, focusing on the importance of innovative and evidence-based practices. The interdisciplinary theory of transformational leadership informs my nursing philosophy by emphasizing innovation in practice and aligning with my goal of ensuring patients and communities are free from diseases.
References
Butts, J. B., & Rich, K. L. (2021). Philosophies and theories for advanced nursing practice. Jones & Bartlett Learning.
Collins, E., Owen, P., Digan, J., & Dunn, F. (2019). Applying transformational leadership in nursing practice. Nursing Standard, 35(5), 59-65. doi: 10.7748/ns.2019.e11408
Fernandez-Araque, A., Gomez-Castro, J., Giaquinta-Aranda, A., Verde, Z., & Torres-Ortega, C. (2020). Mishel’s Model of uncertainty describing categories and subcategories in fibromyalgia patients, a scoping review. International Journal of Environmental Research and Public Health, 17(11), 3756. doi:10.3390/ijerph17113756
Gaines, K. (2019). DNP vs Ph.D in nursing- what is the difference? nurse.org. https://nurse.org/education/dnp-or-phd-in-nursing-difference/
Neal-Boylan, L. (2020). PhD or DNP? That is the question. The Journal for Nurse Practitioners, 16(2), A5-A6. https://doi.org/10.1016/j.nurpra.2019.11.015
Oliveira, S. M. D., Costa, K. N. D. F. M., Santos, K. F. O. D., Oliveira, J. D. S., Pereira, M. A., & Fernandes, M. D. G. M. (2020). Comfort needs as perceived by hospitalized elders: An analysis under the light of Kolcaba’s theory. Revista Brasileira de Enfermagem, 73. https://doi.org/10.1590/0034-7167-2019-0501
Vo, T. (2020). A practical guide for frontline workers during COVID-19: Kolcaba’s Comfort Theory. Journal of Patient Experience, 7(5), 635–639. https://doi.org/10.1177/2374373520968392
A philosophy of nursing practice is like a roadmap for nurses. It helps them understand what nursing means to them, their role in healthcare, and how they should interact with patients. It also involves thinking about their ethics in relation to nursing (Cheraghi et al., 2019).
My Nursing Philosophy
I believe in providing high-quality, compassionate, holistic, patient-centered care following best practices. In my view, nursing is not just about tending to physical needs but also addressing emotional, spiritual, and social aspects of a patient. I think it’s crucial to respect patients and their preferences, cultural beliefs, and backgrounds. Every patient is unique, and I aim to provide unbiased care. Nursing, for me, is a privilege, and I’m committed to delivering care with integrity and using evidence-based practices for the best patient and family outcomes. I see my role as a nurse as threefold: educating, advocating for patients, and promoting healthy practices to improve health outcomes.
How My Philosophy Adapts to DNP Training
During my DNP training, I’ve become aware of various nursing practice issues. These include the adoption of healthcare technology, a shortage of nurses, complex patient conditions, and the ever-changing healthcare landscape. These issues require evidence-based practice (EBP) found through research (Edwards et al., 2018). My nursing philosophy can accommodate these issues by embracing research and EBP. I must adapt my practice approach to address these concerns and continuously enhance my clinical knowledge and skills to align with the evolving healthcare landscape and patient needs. Embracing innovation through research is also essential to develop strategies for tackling these healthcare challenges.
Advocating for Social Change
My nursing philosophy supports advocating for social change as a DNP by emphasizing the empowerment of individuals through health promotion. This empowers them to change their environment into a safe and healthy one. I believe that nurses play a role in achieving community health goals and promoting change. It drives me to understand the nature of change, how individuals respond to it, and how to bring about positive change in community health.
Middle Range Nursing Theories
There are two nursing theories that support my nursing philosophy. The Behavioral System Model by Dorothy Johnson and Katarine Kolcaba’s Theory of Comfort. Johnson’s model focuses on promoting regularity in a patient’s behavior to maintain balance in each subsystem, which aligns with my philosophy (Peterson & Bredow, 2019). As a DNP, my goal is to ensure stability in the patient’s behavioral system and adapt to changing situations, ultimately promoting the patient’s well-being.
Kolcaba’s Theory of Comfort asserts that patients experience comfort through relief, ease, and transcendence. It also describes comfort in four contexts: physical, environmental, psychospiritual, and socio-cultural. This theory supports my philosophy by emphasizing the need to prioritize patients’ comfort and alleviate their pain and suffering.
Interdisciplinary Theories
An interdisciplinary theory that informs my philosophy is the Complex Adaptive Systems (CAS) theory. It helps in communicating patient care needs and clinical processes to healthcare team members (Pype et al., 2018). CAS emphasizes holistic care, which aligns with my nursing philosophy, focusing on the person, their health, and the environment.
In conclusion, my nursing philosophy centers around providing high-quality, compassionate, holistic, patient-centered care. The Behavioral System Model, Theory of Comfort, and CAS theory all support this philosophy in various ways, emphasizing the importance of holistic care, evidence-based practice, and adapting to change in healthcare.
References
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
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). https://doi.org/10.5812/jcrps.90762
Oliveira, S. M. D., Costa, K. N. D. F. M., Santos, K. F. O. D., Oliveira, J. D. S., Pereira, M. A., & Fernandes, M. D. G. M. (2020). Comfort needs as perceived by hospitalized elders: an analysis under the light of Kolcaba’s theory. Revista Brasileira de Enfermagem, 73. https://doi.org/10.1590/0034-7167-2019-0501
Peterson, S., & Bredow, T. S. (2019). Middle range theories: Application to nursing research and practice. 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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