Family Nurse Practioner Essay

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,

The nurse also has to be aware of the nature of the nurse-patient relationship, the environment in which it takes place in, as well as an understanding of the context and the moment of the interactions in order to share a meaningful experience. Finally, nurses have to be passionate about his or her career. Nurse’s care and tend to the patients’ needs because nurses are passionate about the career. Even though the fundamental pattern of personal knowing, it provides a holistic nature of knowing. Many humanistic theories and models of nursing have been derived from personal knowing such as Peplau’s interpersonal relation theory, Kolcaba’s comfort theory, and Jean Watson’s theory of caring.

In this essay we are going to explore the connection between professional nursing practice and professional caring. I will outline the terms of professional nursing practice and what makes nursing a profession? I will describe the term of professional caring and the connection to the nursing practice and discuss the dilemma of care and cure. And also determine the importance of both in professional nursing practice.

The role of a family nurse practitioner is a fundamental portion of the future of healthcare. The role is clearly not as understood by other healthcare professionals as needed which results in the disagreement if the role of a family nurse practitioner is even required for primary care. As people are getting older, the need for medical professionals that can provide patient care to our ever growing population increases. The need for the role of family nurse practitioners will grow too. The role of the family nurse practitioner, the ability of the FNP to be able to transition into their role.

Carper (1978) defined personal knowing as the candid personal relation between a nurse and his/her patient. She encourages nurses to place themselves in their patients’ shoes so they will have the sensitivity and awareness to address not only physical needs. This author believes that this is very important because nurses need to empathize with patients and their family members as they go through difficult illnesses. It is important to remember that each patient, their illnesses and their situations are different and thereby we should approach them differently. This author also believes that this pattern of knowledge helps build a relationship and trust with the patient. This confidence and trust ultimately lead to patient being more comfortable and

As of 2008, there were about 753,600 Licensed Practical Nurses and 2,618,700 Registered Nurses in the United States (U.S. Department of Labor, 2010-11). In the year 2018, the LPN employment percentage is expected to rise 21% while the RN rate should be approximately 22% (U.S. Department of Labor, 2010-11). This may not seem that high, but it is, when one considers that the expected employment rate for a Dentist is only expected to be 16% (U.S Department of Labor, 2010-11). Nursing is a highly respected and sought after career because every person that enters this profession is able to make a difference and is needed by the general population for his/her skills and contributions to the medical field. When a person is contemplating entering

Carper’s ways of knowing provide a fundamental source of information regarding nursing knowledge and practice. Any professional field is built around a variety of knowledge tenets, which help to organize ideas, test those ideas, and then apply them. Carper’s ways of knowing outline fundamental patterns of deriving knowledge and building experience as far as teaching and the practice of nursing are concerned (Zander, 2007). These patterns are used to explain or develop theory in the teaching of nursing, besides helping practitioners to build more knowledge and to enhance their practice. Carper’s ways of knowing identifies four different patterns of knowledge, which are analyzed in this case within their syntactical and conceptual frameworks. They include empirical, personal, ethical, and aesthetic.

Personal knowledge is the most ambiguous of the five patterns of knowing. Much of this is due to the fact that there is no way to neither verbalize nor teach personal knowledge, yet it is deemed, “the most essential to understanding the meaning of health in terms of individual well-being” (Carper, 1978, p. 18). Personal knowledge describes the awareness of not only one’s self but also the patient as an individual with worth, and the meaning of the moment (Chinn & Kramer, 2008). While it cannot be articulated, personal knowledge is expressed as a “genuine self” and can be partially conveyed through written works such as autobiographies and stories of meaningful interactions (Chinn & Kramer, 2008, p. 7). Being a form of knowledge that is incapable of being

Personal theory and philosophies are important for Advanced Practice Registered Nurses (APRN) to help care for patients and their career. According to the American Nurses Association (ANA, 2010) an “APRNs are registered nurses (RN) who have acquired advanced specialized clinical knowledge and skills to provide health care” (p. 112). APRN is a general term used to describe certified registered nurse anesthetist, certified nurse midwife, clinical nurse specialist, and nurse practitioners (NP) (ANA, 2010). For the purpose of this paper and my personal theory and philosophy, I will focus on the NP as the APRN. NPs are able to perform comprehensive assessments and promote health and prevention of illness and injuries (ANA, 2010). The ANA’s concepts of health promotion and disease prevention have helped shape my personal theory and aided in identifying a theory for my future practice as a Family Nurse Practitioner (FNP). The best theory to guide my practice will be Nola J. Pender’s health promotion model (HPM). By using Pender’s HPM, it will allow me to identify each patient as an individual with different needs for health promotion and disease management.

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.

The gap in the demand and supply for healthcare services in the US and around the world are believed to facilitate the development of advance practice nursing (APN) (Kilpatrick, 2008) and this is the motivation for my pursuance of an APN (i.e. NP) degree. The factors contributing to this gap and facilitating the development of APN include physicians’ shortage, cost containment, etc.

Throughout this course, this writer has explored multiple nursing theories, several of the theories the writer intends on implement in her nursing practice. This author believes that the most vital theory that was explored is Hildegard Peplau’s theory of the importance of a good nurse to patient relationship. No matter where the nurse is working in order for the patient to receive the finest quality care and holistic care it is crucial to have a good nurse to patient relationship. A good nurse to patient relationship “increase[s] patient-provider communication [which] can change the patients’ view of their role” (Moore, Holaday, Meehan, & Watt, 2015, p.47). This specific nursing theory as well as many other theories the author intends to use

There are two main types of nurse practitioners (NPs). One type is a family nurse practitioner (FNP), who is a nurse practitioner who possesses a master’s degree level of education. The second type is a doctor of nursing practice (DNP), who is a nurse practitioner who possesses a doctorate degree level of education. Even though these are two different degrees, titles, and differ in education required, the duties and responsibilities of both types are essentially the same in the clinical setting. The type of nurse practitioner that will be discussed in this paper will be the FNP. The scope of practice of a nurse practitioner is dependent on the legislation of each state but the primary responsibilities are to assess, diagnose, and treat patients in the health care setting (Nurse Journal, 2017b).

Since I was in high school, my dream was to become an Advanced Practical Nurse because I want to make an influence in patients’ lives. I want the flexibility that the occupation permits in changing of specialties. I love that it follows the medical model. In fact, Florence Nightingale was one person from history I have been the most influential portion for me to choose that career. Despite her parents’ objections, after she refused a marriage proposal from a suitable nobleman, and decided to pursue her true calling to become the first female nurse. However, during the Crimean war, she saw the need for the soldiers on the battlefield and participated herself along with another nurse that were considered by the doctor to tend their wounds. Afterward,

Throughout the history of nursing knowledge development, the discipline has struggled to attain an understanding of the “complexities of the nature of nursing while strengthening the philosophical grounding for inquiry and further development” (Rodgers, 2005, p. 173). Rodgers believes that the question asked and the method used defines the applicability of research to nursing knowledge development. While Rodgers’ problem-solving method supports research that applies to clinical practice, it also emphasizes the need for research that contributes to the body of knowledge of the discipline separate from activities (p. 175).