Personal Philosophy of Nursing Essay

My philosophy in nursing is the devotion to deliver the utmost personal patient care I am capable of delivering to the ill, may it be physically, mentally, or emotional, as well as to the challenged in time of need. In order to define my philosophy of nursing, I had to take time out and re-examine my value system, and my beliefs. As I think about it I know I am a caring and compassionate nurse. I reminisced back to the late 70’s, my upbringing in foreign countries and having been exposed to diverse cultures, I quickly learned to revert back to the customs instilled in me by my parents and family. My mores and values of caring with my dedication indeed make a difference.

With this valued exposure in my young life, these core values of nursing the beliefs instilled in me were defined by family and friends and peers and my personal as well as professional growth which made me the person I am today. Chitty defines philosophy as “philosophy is the study of principles underlying conduct, thought, and the nature of the universe” (p. 31), and Merriam-Webster more clearly defines states “pursuit of wisdom, the search for a general understanding of values and reality by chiefly speculative rather the observational needs” (online dictionary). That’s me.

I strongly belief in modern medicine and the advancements in technology, therefore it is crucial for me to keep up on current trends, translate procedures, the use of new equipment and what to expect for my patients. I respect the patient’s autonomy and their ethical behaviors. With empathy and care, I am their advocate; I am their voice when he/she is unable to speak, it is my therapeutic touch they feel and I am part of their treatment team. It is my commitment to my patient, to the organization, and my value system.

I believe in the mandatory continuing education process for nurses. In order to deliver proficient patient care it is of utmost importance to me in order to remain educated on current research and trends. Keeping up with federal regulations on HIPAA gives me the power to educate my patient and to assure them that their privacy is protected and secured. The updates from the Center of Disease Control allow me to deliver the appropriate care patient specific and as well as protect my self from exposures. I am able to explain to my patient why I am wearing a mask, a gown, or why I am red-bagging all his linens. The patient does indeed ask “silent questions” being observant by their facial expressions I can be honest and educated with my rationales.

I also belief in holistic nursing; encompassing, and “nourishing the whole person, that is the body, mind and spirit” (Chitty, 2007, p 312) as well as in holistic medicine “nontraditional forms of medicine that consider the whole person rather the disease or groups of diseased organs, it also considers the body, mind, emotion, spirit connection” (Powell, p 504). It is my responsibility in incorporate gained knowledge, skills, and resources to improve my patient’s quality of life.

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I strongly feel and believe that every person should be covered under universal Health Care. However, Governmental constraints along with guidelines and monetary reimbursements do not allow for additional hospital stays. I am the advocate for my patient, and as a Case Manager, I will assure that to find assistance for the patient to have someone caring for him/her at home due to early discharge. We, society, neglect to accept the reality that our patient population is getting older and their healthcare needs are more serious and demanding.

I realize that professional nursing draws upon the related disciplines of natural and social sciences and humanities, and it is my contribution as a nurse to the best of my abilities to facilitate maximum functional health status for my patient by collaborating with the treatment team, families, groups and the community. It is my duty and commitment as a nurse to uphold my philosophy of nursing. I continue to evaluate my mores and values and seek to continue my education, I will advocate for my patient. I will continue to care for myself, to adhere to healthy lifestyle practices and to maintain my physical, mental and emotional health in order to continue to provide care to my patients with dignity and respect.

References

Chitty, K.K. (2007). Professional Nursing Concepts & Challenges (5th ed.). St. Louis: ElsevierInc. Retrieved October 3, 2008 from University of Phoenix Library.

Philosophy: (2008). In Merriam-Webster online Dictionary.

Retrieved October 2, 2008, from http:///www.merriam-webster.com/dictionary/philosophyPowell, S.K. (2000) Nursing Case Management: A practical guide to success in managed care(2nd ed.), Philadelphia: Lippincott Williams & Wilkins

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Personal Philosophy of Nursing Essay

Belief is the reflection of values that guides one to plan and set goals in their personal and professional Life. With this in mind, and that caring is the essence of nursing practice, my career path goals were outlined and focused on concept of education , health and care. My perspectives and beliefs about nursing as a profession have been gradually developed throughout the years by the influence of many, mentorship, education and by long years of clinical experience.

Beliefs

Nursing. Nurses help and care for the sick or well, and promote health with skills, expertise and knowledge. The American Nurses Association (ANA) defines nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.” We nurses are focused and educated to provide the most holistic care to individuals and family with actual and/or potential health problem. (ANA, 2009). Our commitment is to assist individuals/clients efforts to reach their optimal health potential. Client. Client can be the individual, family, group, organization or communities that have innate abilities, resources, experiences and values that guide decision-making regarding health issues.” (University of Kansas School of Nursing, 2001). Kings’ theory emphasizes the importance of client participation in the decision-making and deal with choices, alternatives and outcomes of care (cited by Parker, 2006).

Nurses need to understand how individual/clients choose and accept responsibility when they are their health decision-maker. Health. Health is the client optimal state of wellness. The World Health Organization defines health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” Leininger defined health as “state of well-being that is culturally defined, valued, and practiced and reflects the ability of individuals or groups to perform their daily role activities in culturally expressed, beneficial and patterned ways (cited by Parker, 2006). The individual/ client health is intrinsic interacted with his/her environment.

Environment. Newman defines environment as “all internal and external factors or influences surrounding the identified client or client system (cited by Parker, 2006).” Martha Rogers’ Science of Unitary Human Beings proposed that the client and their environment are integral with one another in a continuous process (Blais et al, 2002). When nurses apply Rogers’ theory in their practice, they holistic focus on the person as a whole and promote and integrate care between the client and his/her environment. It is my belief that environment greatly influences a client’s health and her/his perception of health and it is in continuous and creative changes. My career goals were outlined in the perspective of changes and advancement of my profession and a more competent professional nurse.

Goals

Short-term. My immediate short- term goals as soon as school is over, is to be oriented as day House Supervisor in the facility where I work. It will be a cross-training position, since I am not planning to leave the clinical area anytime soon. This new position will be parallel to my actual position as telemetry charge nurse. My second goal is to finish St David HCA academy leadership classes by the end of this year. I believe that these short-term goals will pave my career path and give me the foundation to accomplish my long-term goals Long-term.

I have two long-term goals that I am planning to accomplish by 2012. First, I am planning to be Austin Community College Nurse School’s clinical instructor assistant to start in January of 2010. Also, next year, I would like to apply and be accepted in a “Developmental Teaching Program” that the University Of Texas (UT), with the collaboration of St David HCA and Seton Hospital, organized to help and assist employees who are interested in advancing their education into a master’s program and be involved with teaching. Each hospital accepts fifteen qualified employees per semester and the program consists of three teaching classes at master level. Planning my career and setting up goals beyond being a bedside nurse was not an easy step. It was finalized/ concreted by the influence and support of friends and my family

Critical Analysis

Beliefs. My beliefs about nursing were influenced especially by my husband and by one of my lifetime friends. Both taught me that nursing is a profession that one never stops learning and learning is the only way to acquire knowledge to improve and excel as a professional. I also have an enthusiastic mentor that instructs and encourages me to expand my knowledge in other areas of nursing rather than just being a bedside nurse. My beliefs in my career, also, have been greatly influenced by my mother who continuously reminds me to always put myself in the patient’s place before any decision or judgment is done. Through it, she taught me what compassion and true care means. Besides the people mentioned above, there are many others that in one way or another influenced and shaped my beliefs about nursing.

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Career Choice. Nursing has been my only profession. I got my ADN diploma through Florence Nightingale Nursing School, the only England Nurse School in my country. So, once in the U.S, I went back to nursing school and got my ADN. My career choice happened long before I even finished high school. My father was very sick for a long time and very often I would go with him to the hospital for doctors’ appointments or just to the emergency room. During those times my heart would go to those sick people lying down on the ground outside the hospital waiting for an available doctor or a nurse to see them, and, most of the time it would not happen so soon.

Some of these people would stay for a day or two in the heat, hungry, thirsty, dirty and in pain. Against my mother orders, (because we did not have much), I started to bring food, and water to those people and I would apply butter to their wounds to keep them wet ( I had seen the old women in the farm doing it). When I really decided to go the nurse school, I was not sure about it. I told my mother that would try it because I did not want to be anything back then. Once I started nursing school, I was totally in love with it. Indirectly, my father led me to my current career path that I feel fulfilled me as a professional. Current Career Path. I have been a nurse for six years. Since my graduation, I have been working as a telemetry nurse/charge nurse.

But through these years I have been working in all med/surg floors, step-down ICU and ER. I like cardiology the most. It is a fast pace unit and can be very challenging. In this unit I am able to advise and encourage patients on health maintenance and disease prevention, and that I work with a team that together provides optimal care to those with cardiac diseases. All these years as an ADN I was comfortable as it was until two years ago, when my husband and my mentor encouraged me to advance my education at least to the BSN level. And, I am glad that I did it. The RN-BSN bridge program was essential in expanding my knowledge and therefore improved my nurse practice.

Impact of RN-BSN Program on Nursing and Career

The Texas Tech University health Sciences Center School of Nursing program has had a great impact in my profession and career path. Through this program I have been learning more about evidence-based practice, theories and nursing practice than I did in all those years in the ADN schools. Now, for example, when I look at a medication(s), read or do a procedure on a patient , I am more aware of the importance of research and evidence-based practice and why I (we) do things in certain order or way.

“By exploring concepts such as: evidence-based practice, professional development, life-long learning, community health, nursing theories, research, mentorship, current issues facing nursing and many more I now see nursing form a larger perspective (Harmon, 2009).” This program expanded my knowledge, enhanced my practice and thus, effectively improves my patient’s outcomes. Through this program I became a stronger and more complete nurse. It taught me the discipline of nursing practice is guided by theories and models that can be applied to my daily practice.

Nurse Model

Jean Watsons theory of caring has profound impact in the practice of nursing. Caring is central to nursing; it is the central focus of practice. Foster, 2008 states that …”caring is to preserve human dignity, is to preserve humanity in systems and in society, increasingly awakening in nurses and nursing to realize they have a critical role in sustaining human caring and humanity itself, especially in instances where it is threatened.” Caring in my daily nurse practice underlies human values and beliefs that are essential in an individual/client or/and family basic needs.

“The nursing response is a specific expression of caring nurturance to sustain and enhance the ‘other’ as he or she lives caring and grows in caring in the situation of concern (Buldin, 2005).” Through the theory of caring, I am more sensitive to express feeling of care and allow my clients, family and/or coworkers to express their own feeling of care. “Nursing can expand its existing role, continuing to make contributions to health care within the modern model by developing its foundational caring healing and health strengths that have always been present on the margin (Cara, 2003).” Caring is not a momentum, but a personal response.

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Conclusion

My beliefs regarding the nursing profession and my goals were paved by people that continue and will continue to greatly and positively influence my personal and professional values. Through this career patch, caring is my daily vision and my response to those that come to my care.

References

American Nurses Association, 2009. Considering Nursing? Retrieved March 28, 2009 from http://www.nursingworld.org/EspeciallyForYou/StudentNurses.aspx

American Nurses Association, 2009. What is Nursing? Retrieved March 28, 2009 from http://www.nursingworld.org/EspeciallyForYou/StudentNurses/WhatisNursing.aspx

Blais, K.K., Hayes, S.J., Kozier,B. & Erb,G., 2002. Professional Nursing Practice: Concepts and Perspectives. Prentice Hall, Upper Saddle River, NJ.

Cara, C., 2003.A pragmatic View of jean Watsons’s Caring Theory. International Journal for Human Caring Vol 7(3). Retrieved March 30, 2009 from http://web.ebscohost.com.ezproxy- ttuhsc.edu/ehost/pdf?vid=9&hid=5&sid=91639aaf-72f3-4082-a574‘6e5a3d0caaaa%40

Buldin, S., 2005. Nursing as Caring Theory: Living Caring in Practice. Retrieved march 30, 2009 From http://ovidsp.tx.ovid.com.ezproxy.ttuhsc.edu/spb/ovidweb.cgi?&S=GOPEFPHIG

GD DPCDNNCGLPHPLGBLCAA00&Link+Set=S.sh.15.16.46%7c12%7csl_10

Foster, L. R., 2007. Tribute to the Theorist. Retrieved March 30, 2009 from http://ovidsp.tx.ovid.com.ezproxy.ttuhsc.edu/spb/ovidweb.cgi?&S=GOPEFPHIG GDDPCDNNCGLPHPLGBLCAA00&Link+Set=S.sh.15.16.18%7c3%7csl_10

University of Kansas School of Nursing, 2001. Mission, Philosophy, Organizing Framework, and Curricular Threads. Retrieved March 28, 2009 from

http://www2.kumc.edu/son/vorientation/concept.html

Harmon, V., (2009, Spring). Baccalaureate Nursing practice Course Syllabus: Texas Tech University Health Sciences Center School of Nursing Undergraduate Program Philosophy. Retrieved March 18, 2009 from http:webtc6.ttuhsc.edu

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