Nurses play a critical role in the provision of healthcare to their diverse populations. They provide their care with a consideration of the philosophies that inform their practice. Philosophy in nursing entails the beliefs, values, and practices that influence the decisions that nurses make. It influences the rationality of the care that is given. It also affects the worldview of the nurses and their approach to addressing the health needs of the diverse populations that they serve. Therefore, this essay provides my reflection of nursing and my nursing roles. It explores aspects that include my beliefs about individual person, influence of my worldview on approach to patients, constituents of environment, view on health, relationship between health and illness, central reason for the existence of nursing, and ways in which nurse leaders might serve others in approaches that promote human flourishing.
Beliefs about Individual Person
My belief about individual person is that individuals are unique being. Individuals have unique needs and experiences that must be considered in the provision of nursing care. Nurses should first explore the individual needs, experiences, and ways of incorporating them into the plan of care. Nurses should prioritize the realization of the individual needs in the provision of nursing care. The need for this focus is attributed to the fact that individuals can meet their perceived needs if assisted in addressing their prioritized needs. I also belief that individual persons should be treated as a whole being. The focus of nursing and medical care should not be on the treatment of a part of an individual. In this case, the focus of treatment should not only be on the actual cause of the disease but also the factors that influence one’s perception of health and recovery process (Masters, 2018). For example, besides the use of medical interventions to treat the disease, the patient should be empowered to adopt healthy lifestyle and behavioral interventions that minimize disease occurrence.
Influence of Personal Worldview on Approach to Patients
My worldview as a nurse is that it is my God’s purpose to serve the needy in the society. I believe that I serve God’s purpose by assisting the vulnerable meet their diverse health related needs. My worldview has an influence on my approach to patients. I treat patients with dignity. I ensure that patients and their significant others receive care that demonstrates dignity. I respect their diverse needs, values, and practices. I also ensure that the treatment that the patients receive is safe. This entails ensuring that the care is associated with optimal benefits that promote recovery. Patient safety also entails being patients’ advocate. I ensure that the rights, needs, values, and practices of the patients are considered in the provision of care. My worldview also influences my approach to patients, as seen in my promotion of holism in care. I ensure that the care that the patients receive is multidimensional. It addresses the disease, psychological, social, and emotional aspects of the disease. Therefore, it is evident that worldview has a critical impact on the worldview of the nurses towards their patients, practice, and others.
What Constitutes Environment
I believe that one’s environment in relation to nursing can be classified into internal or external environment. Internal environment refers to that within the body of the patient. It includes physiological aspects that influence health such as temperature, blood pressure, pulse, weight, immunity level, and respiratory rate. The internal environment also comprises of the psychological, social, and emotional wellbeing of an individual. An imbalance in these internal environmental components results in a disease state or ill health. The other classification of the environment is external environment. The external environment is outside the patient’s body. The factors in the external environment that affect one’s health include pollution, environmental irritants, hazards, accidents, weather changes, pathogens, and stressors. The external environmental factors influence health in a similar way as that seen in the internal environment. It is therefore important that a balance be achieved between the internal and external environmental demands. The balance is needed for the optimum functioning of an individual. For example, the body’s physiological response should aim at ensuring that one adapts to the demands of the external environment such as changes in temperature.
View on Health
My view on health shares close relationship with the definition of health by the World Health Organization. Accordingly, the World Health Organization defines health as the complete state of mental, social, and physical wellbeing and not just the absence of a disease. According to this definition, an individual’s health should not just be based on the presence or absence of a disease. Instead, a focus should be placed on other aspects of health such as the mental, social, and emotional wellbeing of an individual (Sassen, 2018). For example, ill health is reported in case a person is experiencing some stress due to the life challenges. Based on this view of health, I believe that individuals should function in environments that minimize exposure to factors that threaten health and wellbeing. However, achieving this is difficult due to the variation in the factors causing ill health in individuals. Consequently, a focus should be placed on ensuring that conditions that promote optimum functioning be provided in societies to minimize health-related issues (Stanhope & Lancaster, 2019).
Assignment: Reflective Analysis Case Report Component Paper
Relationship between Illness and Health
I believe that a relationship between health and illness exist. As shown above, health is a state of complete mental, physical, and social wellbeing and not the absence of the disease. Internal and external environmental factors can influence the mental, social, and physical health of an individual. Illness is part of these factors that influence one’s health. It influences health by affecting the normal functioning of organs, cells, or tissues. It therefore implies from this assertion that health is dependent on illness. The presence of illness results in ill health and vice versa. Consequently, optimal health and wellbeing can be achieved by engaging in activities that minimize the occurrence of illness. An example would be the adoption of lifestyle and behavioral interventions that minimize disease and illnesses in an individual, family, and the society as a whole.
How Nursing Leaders Might Serve Others in Ways that Promote Human Flourishing
Nurse leaders have a critical role in transforming those they lead by adopting interventions that promote human flourishing. One of the ways in which they can serve others to promote human flourishing is promoting respect and dignity in others. They should demonstrate respect and dignity in the manner in which they treat others. Nurse leaders should also encourage those they lead to emulate these values as they provide their services to those in need. The other way in which nurse leaders may serve others in ways that promote human flourishing is empowering them. They can provide significant level of autonomy and responsibility to those they lead. Through it, those being led are empowered to play an active role in the identification of the ways in which their needs can be achieved further. The last way in which the nurse leaders might lead others in ways that promote human flourishing is leading by example. They should demonstrate excellent leadership behaviors to others. They should also lead in the implementation of strategies that aid in the realization of the set mission and vision (Solomon, Simon & Kincaid, 2016). They should assist those they lead in having a long-term mindset that promotes personal and professional development. Through these interventions, nurse leaders promote human flourishing in those they lead.
Central Reason for the Existence of Nursing
I believe that the central reason for the existence of nursing is to assist others overcome their health problems and achieve their life goals. I believe that nurses have a critical role in promoting adaptation and recovery in those they serve. They assist the patients achieve independence in meeting their health needs. Nurses assist the vulnerable in meeting the needs they would have achieved if they had the will, power, or energy. In this case, nurses act as source of social support to the patients. They explore the resources that can be utilized to promote recovery and wellbeing of the patients. The central of nurses in assisting others also extend to promoting peaceful death. They ensure that patients die in a dignified manner as demonstrated by minimal pain and promotion of comfort for the deceased and their significant others.
Overall, this essay has explored my philosophy in nursing. It has revealed the ways in which my philosophy influences my approach to patients. It has also explored my perception towards aspects such as health, illness, reason for the existence of nursing, and ways in which nurse leaders might promote human flourishing. It is therefore important that nurses understand the philosophies that inform their care. They should also understand the manner in which other factors such environmental influences affect one’s philosophy.
Masters, K. (2018). Role development in professional nursing practice. Jones & Bartlett Learning.
Solomon, M., Simon, J. R., & Kincaid, H. (Eds.). (2016). The Routledge companion to philosophy of medicine. Taylor & Francis.
Sassen, B. (2018). Nursing: Health education and improving patient self-management. Springer International Publishing.
Stanhope, M., & Lancaster, J. (2019). Public health nursing e-book: Population-centered health care in the community. Elsevier Health Sciences.
Topic 2 DQ 2: Nursing Models/Theories
Nurses engage in many projects to address different health issues. Some identify patient issues and propose evidence-based interventions, while others focus on workplace problems and other areas. DNP projects should transform patient care. They should show direct association with patient outcomes and lead to visible results. Nursing theories provide generalized and specific concepts and procedures for implementing knowledge (Smith, 2019). DNP projects apply different nursing theories and models.
An effective theory for the DNP project is Imogene King’s Goal Attainment theory. The theory was derived from the goal attainment conceptual framework that focuses on holism and depicts nursing as a process of interactions. The interactions are the basis of transactions that lead to goal attainment (Adib-Hajbaghery & Tahmouresi, 2018). Among the fundamental concepts, King emphasized interpersonal systems, processes, and goals. In this case, goals assessment is the criteria for measuring nursing care effectiveness (Butts & Rich, 2021). Interpersonal systems include roles, interactions, stress, and communication. They shape how providers set goals and the strategies used to achieve these goals to maintain health. Generally, the ultimate goal of the interactions and transactions is to improve patient care outcomes.
Imogene King’s Goal Attainment theory can be applied in many areas of the DNP project. However, the interaction-goal link is the most relevant area. Completing a DNP project requires the project leader to set achievable goals and engage various stakeholders for assistance. In some instances, patients can be engaged to assess their experiences with care and other essential elements. Regardless of the approach, it is crucial for the project leader to interact with patients, leaders, and stakeholders to set goals collaboratively. The DNP process will lead to goals that will be evaluated to determine whether the project achieved the expected outcomes.
Adib-Hajbaghery, M., & Tahmouresi, M. (2018). Nurse–patient relationship based on the Imogene king’s theory of goal attainment. Nursing and Midwifery Studies, 7(3), 141-144. doi: 10.4103/2322-1488.235636
Butts, J. B., & Rich, K. L. (2021). Philosophies and theories for advanced nursing practice. Jones & Bartlett Learning.
Smith, M. C. (2019). Nursing theories and nursing practice. FA Davis.