What determines if one is considered to be a “good” nurse? Perhaps if tested, what is the criteria to which one would be graded? According to the founder of modern nursing, Florence Nightingale, “The very elements of what constitutes good nursing are as little understood for the well as for the sick.” (BrainyQuote.com, n.d.). Since the beginning, the nursing process has been continually evolving in the pursuit of better accommodating the needs of its patients and their families. “Nursing is a dynamic profession and therefore needs continual exploration of the various concepts linked to its educational and evaluative processes.” (Zander, 2007, p.7). In 1978, a woman named Barbara A. Carper wrote an article titled “Fundamental Patterns of Knowing in Nursing” that has since been used as one of the many “backbones” of modern nursing (Carper, 1978). “In 1978, Carper wrote that nursing sought to develop a holistic, individualistic, and therapeutic model of practice that took the profession away from the autocratic, reductionist, and behaviorist characteristics of the medical model.” (Zander, 2007. p.7). Carper simplified this approach to ways of knowing in nursing into four categories: Empirics, Ethics, Esthetics, and Personal (Carper, 1978). During the following, these attributes will be discussed in further detail and examples will be provided of each. First, an understanding of each of these attributes is needed in the interest of gaining further insight on how they
Many things influence one’s personal perceptions of the great profession called nursing. According to the American Nurses Association, nursing is defined as “protection, promotion, and abilities, prevention of illness and injury,
Nursing knowledge is the result of incorporating what is known and understood through learning, research, experience, and theory. Knowledge depends on research and theory to provide a collective, structured, and current information. This information can be used to explore phenomena, answer questions, generate new theory, and solve problems. DNPs need to be familiar with the components and levels of abstraction in nursing knowledge. The way to comprehend this information is by using the structural holarchy established by Jacqueline Fawcett. It distinguishes the various components of nursing knowledge based on the level of abstraction. Fawcett (2005) develops nursing knowledge into a structural holarchy with five components: metaparadigm, philosophy, conceptual model, theory, empirical indicator. The larger whole is nursing knowledge and each component is a complete whole as well as part of a larger whole. The most concrete component in the holarchy of nursing knowledge is the empirical indicator and the most abstract component is the metaparadigm (Butts & Rich, 2015).
The role of a nurse is viewed as stressful, so nurses need to be emotionally ready and be physically fit to participate in delivering care. Acts of kindness, trustworthiness, promoting privacy, ensuring dignity, being engrossed into the artistry of caring and engaging in anti-discriminatory practice (Baughan & Smith 2008) by respecting everyone, irrespective of age, culture, gender, socio-economic class, sexual orientation, religious beliefs and the condition from which they are afflicted, are caring indicators of a nurse.
Barbara Carper’s Fundamental Patterns of Knowing in Nursing explains the several patterns of knowing as they impact nursing theory development. Carper identified four types of knowing in nursing. These four types of patterns of knowing are: empirical knowing, aesthetics, ethical knowing and personal knowing. This author will analyze these four patterns of knowing and how they relate to nursing today.
“Watson describes nursing as a human science, with the major focus being the process of human care for individuals, families and groups. Her theory is based on a form of humanism and has its origins in metaphysics (philosophy of being and knowing)” (McCance et al., 1999, pg. 2). Knowing and understanding the nursing metaparadigm is the first step in defining the art of human caring. Nursing is defined as promotion of health, prevention of illness, and collaborative care (Taylor, 2011). However, there are a lot more vital aspects to becoming a good nurse. It all relates back to the care you will be providing for the patient. “The goal of
Using research and using already gained knowledge I will go though each of these topics individually.
This paper explores Carper’s four fundamental ways of knowing, including its relationship and application to nursing theory. Carper (1978) identifies four ways of knowing as empirical, personal, ethical, and aesthetic. Each is individually important to nursing, but cannot adequately address the fundamental principles of nursing alone. This paper examines each pattern as expressed herein and ensures that all the relevant areas of nursing are attended to in the most professional, competent, and ethical manner.
Being a nurse is not just a profession, it is a privilege and an honor. With it being a profession where there is an opportunity to touch many patients’ lives, there must be regulations, laws, and codes that nurses must abide by. There are certain professional traits that a nurse must possess to make them not only a good nurse but a great nurse. There are various nursing theories that a nurse can base their practice upon and many historical figures of the past that guide the nurses of today and of the future.
Nurses develop professional skills through a process called “Professionalization.” Ghadirian uses four factors to describe this; cognitive dimension, attitudinal dimension and psychomotor dimension. They then further describe the cognitive dimension as the “professional knowledge” a nurse must have (2014). Without knowledge of illness or the human body, a nurse can not practice professionally. Ghadirian then suggests that even with extensive professional knowledge, a nurse can not be professional without the ideals and ethics of a nurse, or the ability to provide care (2014). A nurse can not be professional without all the dimensions. A nurse must have the values of a nurse, knowledge of a nurse and the ability to provide care.
The article “Dance of the call bells, using ethnography to evaluate patient satisfaction with quality of care” suggest the Key phenomenon and group under the study, by stating dance of the call bells, referring to the amount of times in a shift the call bells would ring and the group that it affects most are the patients. The title states how the call bells interfere with a patient opinion on whether quality care was received.
When someone thinks of a nurse they think of some of these characteristics: leader, courage, honesty, hard-working, smart, flexible, and educator.
Background - The modern nurse has a rewarding, but extra challenging, career. The role of the 21st century nurse is not limited to assisting physicians, but to be more of a partner with both the doctor and patient as an advocate, teacher, researcher, counselor, case manager, and of course, caregiver. Because of the complexities of the marketplace, HMOs, governmental structure, rising costs, lack of adequate staff and support, the nurse must rely on a number of tools in order to be effective and successful. The nurse must have the ability to analyze materials from other nurses and scholars, and must remain current with both scholarship and practice. It is therefore advantageous for the nurse to have access to understanding many of the theoretical templates that nursing scholarship has to offer. While unlikely that a nurse will utilize only one theoretical view, the more robust the toolbox, the better the nurse will be able to handle difficult situations (Kozier, Erb and Blais, 1997).
So I bring up this controversial topic again, about both mental and physical health and how important it is to take some time out of our crazy busy lives as nurses just to sit with our patients for a few minutes to discuss their pain. By pain, I mean both mental and physical pain. The purpose of this paper is to discuss a situation I was involved in as a nursing student in the clinical setting and how I can critically analyze this situation using Carper’s Fundamental Patterns of Knowing in Nursing (1978). This model has helped many practitioners to consider what they learn throughout reflection on their experience within a holistic way.
Hello! Today I’m going to talk about my personal definition of nursing and my personal philosophy of nursing. My personal definition of nursing is a care giver who uses evidence based practice, their nursing experience and nursing skills to the best of their ability to promote wellness, patient center care and empowerment to patients to make positive health care decisions. Important nursing traits are: compassion, the ability to adapt with change and being a humble nurse. As nurses we have the unique privilege to be educators, heal through our actions and words of encouragement. Nurses are often on the front lines as we are leaders in educating on health care disease, prevention and cures. We heal through our actions by using critical thinking
General Qualifications for becoming a nurse, according to Regina Ranburn, include: “Compassion, caring for others, selflessness, love for humanity, and desire to help others” (1). These qualities are vital to a career in nursing because most fields require direct patient care. Dealing with patients one-on-one every day