This article discusses the definition of nursing, primary goal of nursing, key values embedded in nursing philosophy, nursing as an art and science, and how nursing philosophy guides nursing practice.
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Running head: NURSING AND KNOWLEDGE1 Nursing and Knowledge Name Institution
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NURSING AND KNOWLEDGE2 Nursing and Knowledge Definition of Nursing Nursing is a highly specialized and constantly evolving profession that addresses the needs of the society beyond compassion. Across the entire patient experience, nursing is an indispensable practice in safeguarding public health from ensuring the most accurate diagnoses to public education on the critical issues they are facing or are likely to face. Nurses not only care for the physical aspects of the public health but also spiritual and emotional needs. According to Scott (2017), nursing as a practice has ethical qualities at its core that help touch people’s lives at its peaks and troughs of human existence. Nursing incorporatesself-sufficient and collective care of people, families, and societies in all settings by preventing illnesses, promoting health and a safe environment, shaping the health policies, conducting research to come up with better ways of practice as well as advocacy. Nursing is of international importance since it provides safe and kind healthcare and services to all population (Scott, Matthews, & Kirwan, 2014). In my opinion, nursing is a service in which competent provision emotional, physical, spiritual, mental and behavioral care which are necessary for maintaining and restoring health of people from all populations is offered. In essence, nurses combine the work of other healthcare professionals when caring for their patients. Primary Goal of Nursing Nursing is an integral part of the healthcare system which consists of personal, interpersonal and social interacting systems. From keeping records and taking vital signs to assist during diagnostic testing and educating patients, nurses work in different medical settings so as to help restore the health of a given population. In my own opinion, the primary goal of nursing
NURSING AND KNOWLEDGE3 is therefore to care for human beings. By utilizing the nursing theories that guide their own beliefs as well as the nursing standards stated by the accreditation nursing organizations, nurses ensure optimal care of patients through objective, systematic monitoring, and criteria-based evaluations. Johnson and Webber (2015) argue that nurses incorporate the components of knowledge, skills, values, implications and encounters in their nursing practice so as to ensure they provide comprehensive care that puts into consideration the patient’s beliefs, cultural and emotional needs. All these components is for the purpose of providing hands-on care so as to ensure they meet their main objective and mission. It is also important to note that Florence Nightingale’s mission statement for nursing clearly defines the primary goal of nursing (Nightingale Initiative for Global Health, 2016). Key Values Embedded in My Nursing Philosophy To provide safe and competent nursing care, nurses should have the ability to think, feel, perceive, choose, set goals and select the means to achieve the goals. This involves different values embedded which commits to being professional, competent and compassionate so as to provide the best care to every individual. One of the key values embedded in my nursing philosophy is caring. The caring culture is an important part of the nursing practice as it describes the concern and consideration for the individual, obligation to common goal as well as the outreach to those who are vulnerable. Caring is key value in nursing because it ensures that all healthcare organization’s exercises are overseen in a participative and individual focused way subsequently showing a capacity to comprehend the necessities of various individuals and focusing on dependably act to the greatest advantage of the considerable number of partners (Burkhardt, Nathaniel, & Walton, 2014). Integrity is another key value embedded in my nursing philosophy. This is because integrity enables nurses to embrace and demonstrate the principles of
NURSING AND KNOWLEDGE4 open communication, ethical decision-making, and humility. While doing the right thing is noble, committing to telling the truth and being empathetic always is essential in ensuring positive patient experiences. A culture of comprehensive greatness involves numerous characters affected by crossing points of race, age, sex, sexual introduction, financial status, physical capacities, religious and political convictions as well as ethnicity (Chulay, & Burns, 2010). It likewise addresses the practices crosswise over educational and health ventures. This makes diversity one of the key values in my nursing philosophy. Diversity ensures nurses understand themselves and other people by acknowledging legitimacy and celebrating the differences. Excellence is also a key value in nursing because it reflects obligation to constant growth, development and understanding. It also embraces transformation through continuous research, learning and balance of professional and personal well-being. Nursing as An Art and Science My philosophy of nursing is that it is a collaboration of science and art. Nursing takes the art of compassion and character as well as the science of technology and education. Although art and science have different meaning and defining characteristics, they are all significant in the practice of nursing. According to Doan, Fick, Hill, andKitko, (2018), the art of nursing includes fostering an understanding of patient and family and family experience to inform care while nursing as a science involves systemization of knowledge.The art of nursing is caring, compassion, cultural sensitivity and nonjudgmental. This is evident in the fact that while caring for an individual, nurses also care for the whole family or even society by being respectful and showing dignity to all populations (Doorenbos, Levy, Curtis& Dougherty, 2016). Since not all patients have the same needs, nurses have to use creative approaches which can only be achieved through arts. Through arts, nurses learn to analyze problems and think critically through them so
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NURSING AND KNOWLEDGE5 as to come up with the best available solutions. It is also through arts that nurses learn to effectively communicate. The science portion of nursing includes assessment, diagnosis, planning, implementation, evaluation and referrals. It involves the application of theory into practice.Through science, nurses offer knowledge of different aspects of science like physiology, anatomy, chemistry, microbiology, psychology and sociology so as to care for the patients. To achieve this, nurses base their practice on evidence and act as patient advocates (Thomas, 2011). They also serve the society by providing direct care, offering education, conducting research and acting as administrators. Professional nursing requires natural characteristics like mindfulness and empathy as well as scientific characteristics like expansive educational establishment hence the art and science of nursing. How Nursing Philosophy Guide My Practice Nurses should take seriously their role as it reflects on patients (Sitzman, 2017). Giving patients a sense of caring makes them comfortable and easily open up when talking to nurses. My belief that nurses should be caring and compassionate is essential in facilitating patient safety and care. Nurses should also be competent and educate patients on their conditions.My philosophy that nurses advocate and care for individuals of all populations have guided my nursing practice all through my experience. I remember one instance when I was handling a patient who tore her anterior cruciate ligament and had to go through surgery even though her family members were rebellious due to their beliefs. I explained to her family why she needed the surgery and the impact of the surgery while taking into consideration their values. I educated the parents on the effects of not performing a surgery as well as took them through the whole process so that they may understand what will really be done. By being compassionate and empathetic, I did everything in my capacity to convince the parents on the importance of the
NURSING AND KNOWLEDGE6 surgery including information on the girl’s recovery. I also answered their questions and concerns effectively, making them feel comfortable. After discharge, I called the family to check on my patients until she fully recovered. This made the family trust the healthcare facility and made it their number one priority in any case they needed medical care. To ensure positive patient experience, nurses should be able to do anything in their capacity to provide quality care (De Chesnay, & Anderson, 2019). Relationship Between My Philosophy and Canadian Nursing Standards The Canadian nursing standards are concerned with the length in which the societal issues affect the people’s health and well-being. They describe the expectations from nursing practice. These standards have a relationship with my philosophy because they both promote a common understanding of nursing practice. To effectively achieve the primary goal of caring for the health of the society, my philosophy as well as the nursing standards must be put into practice as they go hand in hand. According toCanadian Nurses Association (CAN) (2017), nurses have ethical responsibilities and values which describes the professional relationships that nurses should have to ensure quality care. The code also defines the ethical endeavors which defines the broad societal issues. For instance,my philosophy that the nature of nursing practice is rooted in commitment to public service has been derived from this ethical practices and nursing standards.Being able to articulate your philosophies is important so that you may have a clear picture of the professional nursing expectations from the society at large.Nightingale Initiative for Global Health (2016) argue that the role of nursing has remained unchanged, but the models for caring keep changing in accordance to the expectation. In such manner, the nursing models have been created by leading exploration and considering individual methods of insight that can help improve the conveyance of value care.
NURSING AND KNOWLEDGE7 My Nursing Philosophy and Theory of Nursing There are several nursing theories that are related to my nursing philosophy (Burr, (2010). However, the most appropriate one that underpins the nursing practice and helps to generate further knowledge is Virginia Henderson’s need theory which creates emphasis on the priority of patient self-determination so that the patient’s health may improve even after being discharged from the hospital. This theory characterizes the role of nursing as substitutive, supplementary, and complementary. Virginia’s theory insists that the mind and body are one inseparable entity thus making nurses responsible to the patient. This theory believes that nursing is helping individuals gain independence towards the activities and performances contributing to the health or recovery of the patient. This theory is related to my philosophy that addressing the needs of patients is crucial in ensuring quality outcome. The fact that it is based on four major concepts namely environmental, individual, health and nursing emphasize on comprehensive way to deal with nursing which covers the physiological, mental, otherworldly and social needs of a patient. These are very important aspects to consider so as to ensure that the nurse’s ability to function independently is effective in delivering quality of care.Ahtisham and Jacoline (2015) argue that Henderson’s need theory is applicable and is capable of enabling the nurses to improve the standard of caring by assessing the needs of the patient and developing pragmatic plan for care.By giving nurses a sense of identity, this theory enables nurses to recognize their unique contribution in the nursing practice. For instance,just like my own philosophy that nursing practice is based on undeniable desire need to help others, the nurse has the responsibility to asses the needs of the patients, help them meet their health needs as well as provide a conducive environment where the patient can perform activities unaided with out being bias.
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NURSING AND KNOWLEDGE8 References Ahtisham, Y., & Jacoline, S. (2015). Integrating Nursing Theory and Process into Practice; Virginia's Henderson Need Theory.International Journal of Caring Sciences,8(2). Burr, A. (2010). Nursing theories: Love 'em or leave 'em. [Blog post]. Retrieved from http://scrubsmag.com/nursing-theories-love-em-or-leave-em/ Chulay, M., & Burns, S. (2010).AACN essentials of critical care nursing pocket handbook. McGraw-Hill Professional. Burkhardt, M. A., Nathaniel, A. K., & Walton, N. A. (2014).Ethics & issues in contemporary nursing. Toronto: Nelson Education. Canadian Nurses Association (2017).Code of ethics for registered nursesCanadian Nurses Association, Ottawa, ON. Retrieved from CNA website:https://www.cna-aiic.ca/enf De Chesnay, M., & Anderson, B. A. (2019).Caring for the vulnerable: Perspectives in nursing theory, practice, and research. Place of publication not identified: Jones & Bartlett Publishers.ISBN-10:1284066274 Doan, W. J., Fick, D. M., Hill, N. L., &Kitko, L. (2018). The Art and Science of Nursing.Journal of gerontological nursing,44(12), 3-5. Doorenbos, A. Z., Levy, W. C., Curtis, J. R., & Dougherty, C. M. (2016). An intervention to enhance goals-of-care communication between heart failure patients and heart failure providers.Journal of pain and symptom management,52(3), 353-360. Johnson, B.M., & Webber, P.B. (2015).An introduction to theory and reasoning in nursing(4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott, Williams & Wilkins.
NURSING AND KNOWLEDGE9 Nightingale Initiative for Global Health. (2016). [Web site]. Retrieved from http://www.nighvision.net/ Sitzman, K. (2017). Understanding the work of nurse theorists: A creative beginning. Retrieved on 25thmarch 2019 fromhttps://connect.springerpub.com/content/sgrrtnp/31/4/402 Scott, P. A., Matthews, A., & Kirwan, M. (2014). What is nursing in the 21st century and what does the 21st century health system require of nursing?.Nursing Philosophy,15(1), 23- 34. Scott, P. A. (2017). Nursing and the Ethical Dimension of Practice. InKey Concepts and Issues in Nursing Ethics(pp. 1-13). Springer, Cham. Thomas, D. (2011). Reflections on nursing and the art of caring.Kai Tiaki Nursing New Zealand, 17(5), 12-14. Retrieved from http://0-search.ebscohost.com.aupac.lib.athabascau.ca/login.aspx? direct=true&AuthType=url,ip,uid&db=rzh&AN=2011176778&site=ehost-live