Adult-Gerontology Clinical Nurse: A Case Study

We often hear that nursing is an art and a science, and I firmly believe that. The way a nurse blends those aspects of care defines the nurse. As nurses, our roles in our patients’ lives vary depending on their needs. We are teachers as well as technical experts, and our ultimate goal is to ensure our patients and families are ready to take over when the

Virginia Henderson is famous for her definition of nursing, “The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge, and to do this in such a way as to help him gain independence as rapidly as possible" (Blais, 2012). Her philosophy supports that caring is the foundation, the center of all patient healing.

I also believe that nursing is about empowering patients through teaching and positive reinforcement, giving them the autonomy to direct their own recovery or health maintenance. In doing so I believe that we are respecting their individuality and dignity.

“Nursing is 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” (American Nurses Association, n.d.). The purpose of this paper is to expand my nursing philosophy as I transition into an Advanced Practice Nurse.

I define my philosophy of nursing within the three nursing domains of person, health, and environment. My goal is to communicate the importance of nursing as a knowledge-based career, depending not only on the nurse fulfilling her role but also on the patient’s compliance. A patient must learn to provide self-care at home in the same capacity as the nurse would provide care in the clinical setting. I discuss various subjects within nursing. I explain why I want to be a nurse, what I believe a nurse’s role is, the different domains of nursing, and where I believe nursing will be in the future. My philosophy demonstrates the interdependence of the nursing domains. You cannot fully evaluate a person without evaluating their health,

Virginia Henderson’s contribution to the nursing profession has been very influential. One of her contributions is her well known definition of nursing which request the nurse to be an expert independent practitioner equipped with the right knowledge in basic nursing care to achieve the goals of proper patient care (McCrae, 2012). Her definition along with the fourteen basic needs brought huge changes in nursing practice. The fourteen fundamental needs gives support and assistance to provide proper nursing care. In addition, Henderson also understood the importance of using the nursing process, she stated as part of the nursing process, it was vital for the nurse to collect, analyze and develop an optimal plan of care to ensure the best quality of care and patient outcomes (McCrae, 2012). Henderson defined nursing as a concept. Henderson regarded person, health, environment and nursing as follows, Person: The patient is a person who needs support attaining independence and well-being or sometimes peaceful passing. The body and mind are one entity, not to be separated in care. Patient and

This paper brings up my personal nursing philosophy that I am planning to deliver in my nursing career. I believe that nursing is more than merely as a profession, it also involves my medical knowledge combined it with a commitment to quality nursing care with compassion, respect, dignity, and advocacy for each patient. I believe that the interdisciplinary care and collaboration in the medical field are crucial elements that lead to a healthy relationship among healthcare professionals in promoting quality patient care that is individualized to each patient’s needs.

“Nurses are more than caregivers in today’s healthcare settings. They are teachers, advocates and pioneers in improving healthcare. They are stepping out of the old model and taking ownership for changes in healthcare. Nurses are developing their own scientific research programs to improve patient care. They are playing a pivotal role in healthcare reform. Nurses are becoming leaders, not followers in healthcare reform.”

“Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles” (ICN 2010)

Health care is a fundamental element to sustaining the welfare of our society. The ability to become a student in the Grand Canyon University (GCU), Master of Science in Family Nurse Practitioner (FNP) program, takes me one step closer to being able to achieve my dream of playing a vital role in helping our society towards disease prevention. My experience in the acute care setting has reinforced my passion in disease prevention and health preservation. My short term goal is to be able to successfully complete the required course work. Secondly, I want to be able to acquire the necessary certifications to be able to practice as a FNP. The program at GCU will provide me with the knowledge, and skills I will need to effectively develop my role. The long term goal I have set for myself is to reach the Doctorate level degree at some point in my career. I would like to practice at an independent level and have my own practice in

Nursing is a health care service mandated by society; the practice of nursing stems from the beliefs and ideals of the department of nursing (Nursing Management Faculty, 2013). My healthcare organization’s mission statement: A commitment to creating caring healing environments with authenticity and intentionality for all we reach and touch through practice excellence,

The healthcare industry has intensely advanced throughout the world, in turn changing the principles that incorporate the practice and culture of nursing practice. Altering the model of care to a patient-centered mode signifies an organizational culture shift and requires the participation of executives at the senior level (Cliff, 2012). To practice this care to provide the best care possible, it goes beyond the nurse to all healthcare professionals and senior leadership. The days of patients and nurses following a physician’s order without favor to care has now loaned themselves to more of an interdisciplinary approach to practice. Though, it is encouraged that the patient makes decisions for themselves, after receiving the proper education and information on their condition. Part of the patient-centered care is to be the patients’ advocate, by letting them know you are there for them when they are unable to speak and advocate for themselves and what is in their best interest. That goes in hand with educating them on “self-management of care, health literacy, patient, and family education through nurse-patient communication and interaction (Finkelman & Kenner, 2016, p. 271).”

This paper seeks to expand upon the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to

The nursing profession has lost that idea of independence are often viewed as an extension of medicine rather than nursing (William, 2015). Although the theories from Nightingale are still applicable, healthcare has changed vastly from that time and we need to have theories that reflect the current nurse practices.

American Nurses Association 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 population”( Potter,P.,& Perry, A. 2005,1-5). Thus making nursing dynamic and ever changing. However, when nursing