Nursing Theorist

You have spent six weeks exploring theories of nursing. These represent the “how” of what we do as nurses. This week we enter a higher level of thought and explore the “why” of what we do. Present a personal nursing philosophy. Apply what you have read throughout the course and explore the literature on nursing philosophy. While Fawcett was not a nursing theorist, she is a nursing philosopher and her Metaparadigm of Nursing approaches philosophy over theory. Once you have discussed your philosophy, identify a theoretical framework (not the middle-range theories but the underlying assumptions in that framework) that fits your philosophy. Compare and contrast your philosophy and the chosen framework.  Describe a possible situation in which the framework may conflict or not fit your philosophy. While it is an important skill to be able to match a theory with a situation, it is also critical to understand when a theory or framework does not fit a situation.  Any questions please let me know.

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Nursing Philosophy and Theoretical Framework

Nursing as art requires exclusive devotion equaled to painters’ or sculptors’ hard preparation. Nurses have an earnest opportunity to heal their patients’ bodies, hearts, minds, and souls, their families, and theirs. Although the patients may not remember the provider’s name, they can never forget how they made them feel. Nursing philosophy refers to individualized statements outlining a nurse’s ethics, beliefs, and values. According to Marchuk (2014), personal nursing philosophy describes the motivation behind pursuing a particular profession and theories shaping the choices preferred in daily job activities. The uptake of philosophy in nursing helps in thinking more critically and reflecting on how personal values influence practice and way of being.

Additionally, it enhances the nurse’s ability to solve problems, communicate effectively, and ultimately develop various significant skills. Conversely, Hoeck & Delmar (2018) explain that understanding the agreement and conflict between nursing philosophy and theoretical framework helps identify the limitation of a particular generation. Further, it specifies critical variables that influence a phenomenon of interest and highlights the need to examine their differences. This paper aims to discuss a personal nursing philosophy and identify a theoretical framework.

Personal Nursing Philosophy

Nurses have a fundamental role because they ride along with the patient throughout the continuum of life. The nursing profession is more of a calling to me, as is the desire to help others. Being the most trusted healthcare professionals, nurses are critical thinkers, advocates, innovators, advocates, caregivers, and teachers, according to Kim (2015). Therefore, nursing practice is an honorable profession, hence the heart and soul of the healthcare system. My mission as a nurse is to provide open-minded care regardless of social and financial status, religious affiliation, race, ethnicity, or disability.

I remember when I was in elementary school, my grandfather was diagnosed with Alzheimer’s disease. The home nurse tasked with providing care and treatment manifested an admirable dedication and devotion towards relieving the symptoms. Since that incident, I was inspired to pursue the nursing profession because, in the long run, healthcare professionals are actively involved in promoting and improving community and national health (Durepos et al., 2018). Based on my philosophy, nurses should provide safe, patient-centered, respectful, and empathetic care. I am responsible for connecting and understanding patients, exercising the highest level of integrity and compassion, being consistent in my practices, and courageously advocating for patients’ and nurses’ rights.

Accordingly, nursing is crucial to me because it helps to practice the values and beliefs that I believe embody life. Through the acquired nursing education, skills, and expertise, I can use clinical judgment to help meet patient’s needs. According to Kim (2015), I believe it is the nurse’s responsibility to provide safe healthcare (patient safety), which significantly prevents and reduces risks, errors and builds confidentiality between the provider and the patient. Patient-centered healthcare is also an essential ethical practice influencing my philosophy because it helps to make care more specified to meet patient needs. Similarly, it allows me to provide respectful and responsive care based on individual patient preferences, needs, beliefs, and values.

Arguably, illness and misery attract sympathy, and therefore as a nurse, I must incorporate empathy into my daily practices. This value is crucial because it helps me build trusting connections with patients while strengthening communication by gaining a broad comprehension of patients’ experiences. Exercising the highest level of integrity and consistency in practice are inevitable beliefs and values that guide nurses. Integrity and consistency are an easy way for me to win my patients’ confidence, at the same time, make the patient prefer your service due to consistency in transparency. The advocate role in nursing is an indispensable responsibility that empowers patients by encouraging them to participate in an active partnership for their care and engage in a mutual-goal setting between myself and the patient.

On balance, every personal philosophy affiliated with nursing cannot exhaust every value, belief, and ethic. However, each nurse chooses values and beliefs aligned with various factors and nursing education. Be that as it may, I believe that nurses should educate patients and their families on disease, treatment, and healthy behaviors to improve the overall patient outcome. Perpetual learning should be a committed quest by all nurses to help them evolve professionally, change their beliefs to suit current healthcare needs, and catch up with the latest technological advancement. Philosophy of nursing is vital for every nurse to understand their role in healthcare, alongside their relationship with patients. Ultimately, personal nursing philosophy acts as a guide to daily nursing practice. Associating nursing theories with personal nursing philosophy since the two principles directly affect each other. 

Theoretical Framework

A theoretical or conceptual framework refers to any tool used to acquire a comprehensive understanding of a specific phenomenon. More often, these frameworks are used in various disciplines to explain critical variables and their relationship visually. Conferring to Hoeck & Delmar (2018), while a nurse’s nursing philosophy helps determine types of models or theories to use, assumptions underlying theoretical frameworks help develop a personal philosophy. Both components are similar because they identify a path of approach that guides a nurse in their daily practice and interaction with patients to provide the best quality care.

Notably, theoretical frameworks provide fundamental knowledge of care concepts used in the nursing profession to explain providers’ and patients’ course of action. Agreeably, this is essential for nurses to articulate evidence that justifies the methodologies behind their practice.

Based on Domingo‐Osle & Domingo’s (2020)’s arguments, theoretical frameworks help clarify implicit theories while considering other possible frameworks to reduce biases. Although numerous theoretical frameworks can be used to match or conflict situations, in most cases, the environmental theoretical framework by Florence Nightingale is my best choice.

As the first nursing theorist, Nightingale formulated the framework inspired by underlying assumptions that most environmental factors affect health. For instance, sufficient food and appropriate nutrition, direct sunlight, fresh air, cleanliness, and pure water are significant factors that influence individual and community health (Domingo‐Osle & Domingo, 2020). The environment paradigm embodied in Nightingale’s model indicates that unsanitary environments contribute significantly to illness. When the setting is adjusted to meet the patient’s canon, the overall health outcome is improved.

Necessary to note, this framework upholds particular concepts that inform the underlying assumptions. They include the person (patient), environment, health, and nursing. Up to date, Nightingale’s framework has been utilized by healthcare providers to promote health by providing holistic, safe, and patient-centered care.

Compare and Contrast

When comparing and contrasting personal nursing philosophy and theoretical frameworks, it is crucial to recognize possible situations where the framework may not fit the philosophy, in as much as most cases match with the theory. For instance, the patient/person concept influences my skills by helping to exercise patient-centered care and provide safety in practice, according to Durepos et al. (2018). Diagnosis and treatment are provided based on the patient’s preferences, taste, and environmental effects change in their health, reiterating the patient-centered value assimilated into my nursing philosophy. Accordingly, I must address environmental factors on a case-by-case ground to ensure alteration for the best care fit for individual patient needs.

Under the concept of environment, the assumption that utilizing the patient’s environment to assist them to recover is aligned with my philosophy of respect and empathetic care. As Florence Nightingale identified five environmental factors, namely sunlight, pure water, fresh air, efficient drainage, and sanitation, it is inevitable for me to ignore these factors (Hoeck & Delmar, 2018). For the patient’s condition, I can inquire from the patient about their surroundings to improve where necessary and empathize with patients living in unfavorable conditions by providing the needed resources and patient education.

On the other hand, in an extreme situation, nurses should be cautious not to change the environment to suit patient’s pleasure in a bid to remain honest, consistent, and endeavoring to provide patient-centered care. As a nurse, I should remember that I must give the best care while maintaining integrity and confidentiality. The framework does not provide insight on how to handle dependent or extremely needy patients. Such situations cause psychological drainage, which can affect provider-patient relationships and advocacy. The patient traces their background from an unsanitary environment. It is not absolute based on Pasteur’s study of bacterial that all ill-health conditions originate from a deficiency of the five environmental factors, mainly dirt.  

Conclusion

Conclusively, the formulation of a personal nursing philosophy combined with a theoretical framework significantly improves nursing practice. Amenably, understanding the conflict and match between nursing philosophy and theoretical frameworks enables individual nurses to recognize generational limitations and compare variables. In light of the above, my nursing philosophy guides me to provide safe, patient-centered, respectful, and empathetic care, not to mention, emphasize patient relationships, integrity, advocacy, and consistency in practice. The environmental theoretical framework by Florence Nightingale combined with my nursing philosophy significantly influence my daily routine and interaction with patients to provide the best quality care. The theories’ underlying concepts inform my practice of my philosophical principles for improved overall health outcomes.

 References

Domingo‐Osle, M., & Domingo, R. (2020). Nursing and spirituality: A discussion paper on intertwining metaparadigms. Journal of Nursing Management28(6), 1268-1274.

Durepos, P., Orr, E., Ploeg, J., & Kaasalainen, S. (2018). The value of measurement for development of nursing knowledge: Underlying philosophy, contributions and critiques. Journal of advanced nursing74(10), 2290-2300.

Hoeck, B., & Delmar, C. (2018). Theoretical development in the context of nursing—the hidden epistemology of nursing theory. Nursing Philosophy19(1), e12196.

Kim, H. S. (2015). The essence of nursing practice: Philosophy and perspective. Springer Publishing Company.

Marchuk, A. (2014). A personal nursing philosophy in practice. Journal of neonatal nursing20(6), 266-273.