Knowledge for Nursing Practice- a Narrative

The nursing practise has continually evolved and can be described as autonomous due to the significant involvement of nurses in patient care. This then necessitates critical reflection as a way to continually develop and improve the nursing practise. The Gibbs' model, one of the reflection models, assists nurses in complying to the codes and guidelines of nursing practice. For example, developing action plans, evaluating patient outcomes, and thinking critically. This essay will describe an event involving nurses and explain the feelings it evoked. It will also provide an evaluation of the positives and negatives, analysis and enhancement of learning, and an action plan.

Giving myself time to read up on nursing experiences, attending more clinical practice labs, participating and watching these duties in the health care setting will allow me to develop a secure level of confidence the next time that this type of situation may occur. Staying in the room allowed me to experience the feeling of support while looking past social norms and how they are challenged. I met my personal values, and I believe that one should respect another person`s privacy. This understanding allowed me to be there to support the resident during her time of need. In the article `starting out` by Jane Schulz, a nursing student shares her experience of helping her colleague assist an elderly patient with daily care. Observing the compassion and care between nurse and patient from fundamental tasks, she took away a valued lesson of how our support and caring methods affect an individual. My relation to this story allowed me to reflect on the effects my care and supporting actions had on our patient.

Patient’s stay in the hospital can become a pleasant experience when nurses let them create their healing environment. Billadeau (2013) writes about her experience during her recovery at a skilled-care facility following a surgery to remove a malignant melanoma in her foot. She realized that, “the staff were all kind and wanted her to recover”…and “they commented on the uplifting music, and the nice lavender/lemon smell in our room””. This was a challenging but pleasant experience for her because “I focused on my own healing environment” (Billadeau, 2013).

anything thrown your way, yet sympathetic enough to be understanding of it. There is so much

The term environment, as it relates to the metaparadigm perspective, is a multilayered view that can explain the understanding of an individual’s perspective (McEwen & Willis, 2011). More specifically, some may believe the environment related to the nursing profession encompasses any setting in which a therapeutic interaction can occur; that is, a hospital, clinic, nursing home, school, corporation, or home (Tourville & Ingalls, 2003). According to McEwen and Willis (2011), however, this perceived way of identifying the environment only limits its domain by making it fixed, uncompromising, and natural. Although the specific setting in which care disperses is vital to understand the nursing discipline, it is not the only factor influencing the phenomena. Internal and external circumstances are a part of one’s environment, and both play a vital role in identifying and altering one’s perspective and philosophy related to the nursing discipline (McEwen & Willis, 2011). Individuals, such as family members, significant others, and lifelong friends that one interacts with also influence

In order to develop nursing knowledge and establish evidence-based practice (EBP) in nursing, there needs to be a "concept model, one or more theories and one or more empirical indicators" (Fawcett & DeSanto-Madeya, 2013, p. 26). The theoretical framework can be advantageous in guiding and supporting the design and execution of an EBP change. Using a conceptual model (C) theory (T) and empirical research (E) provides the foundation for an intervention to an identified clinical problem. Known as C-T-E structure, the application of this system in nursing practice involves an elevated level of critical reasoning, which assists in knowing what data is important and how it relates to practice change (Chinn & Kramer, 2011; Fawcett & DeSanto-Madeya, 2013; Mazurek Melnyk & Fineout-Overholt, 2015). The doctoral level of nursing necessitates the need to combine the understanding and knowledge gained from using the C-T-E structure, and then integrate the concepts and theories into daily practice.

Lecturer in Nursing, School of Nursing and Midwifery, University College Dublin, National University of Ireland, Dublin, Republic of Ireland

Philosophy is a set of ideas, values, and beliefs behind what a person does (Merriam- Webster Dictionary, 2015). All nurses have beliefs about what nursing is and is not. It is important to stay true to one’s personal, moral, and ethical values at all times. Nurses are morally and ethically responsible for their patients, decisions, and actions (Lindh, Barbosa, Berg, & Severinsson, 2010). Every nurse brings something different to healthcare because they have different philosophies and/or believe in different nursing theories that guide their practice.

The Fundamental Patterns of Knowing and Applications to Nursing Practice The field of nursing consists of treatment, prevention, and education of illnesses to promote better and optimized health. A nurse operates in a dynamic environment where culture, social, and economic arrangements must be considered and calculated into the health care plan implemented. The values of the nursing organization serve as the foundation for the philosophy of nursing in which drive the behaviors practiced as practicing nurses.

For this assignment, I was tasked with reading the article: Fundamental Patterns of Knowing in Nursing by Barbara A. Carper, R.N., Ed. D. The article was about how knowledge, and its patterns, can shape the way we act and care as nurses. It also goes in to detail about how there are four distinct patterns of knowing in nursing. They are: empirics, esthetics, personal knowledge and ethics. By using the structure of the aforementioned four patterns and applying them to the first statement on how they can shape how we act as nurses, Dr. Carper explores how understanding these patterns and their meaning can lead to better nurses and ultimately, better care.

contemplates his/ her views, beliefs, values ideologies and opinions as well as those of others in healthcare.

This essay is a discussion about my experience during the first two weeks of my clinical placement in an older adult ward. My experiences will be demonstrated using the various nursing skills acquired thus far. The reflective account used is adopted from the work of Driscoll (2007) which splits the essay into three segments namely a) what happened, b) so what, (what were my feelings, what was good and what was wrong about the experience, c) now what, (if I find myself in that same situation what would I do differently).

The purpose of this essay is to reflect on a challenging situation I experienced during clinical practice as a student nurse. The essay will discuss my thoughts and feelings surrounding the situation and analyse the coping strategies I used in managing the situation, linking to relevant theory throughout in order to provide evidence for practice. The essay will also consider person-centred care and whether this was delivered to the patient. To conclude, the essay will discuss what I have learnt from the experience and how this experience will improve my future

Theoretical knowledge is the knowledge that nurse researchers established by gathering valuable ideas from books or other resources. These ideas applied through theoretical only.

The aim of this paper is to explore the nursing knowledge, philosophies, reflective practice, theories, and how they have shaped the nursing practice and nursing today. Nursing is dynamic and evolving, and nurses need to acquire new knowledge to provide optimal care for patients. Nurses need to use practical knowledge, reflective practice, and experience they have acquired throughout their nursing profession together with the knowledge of theories when providing nursing care for positive outcomes. Theories rely on philosophical thinking, which allows the nurses to think critically and apply in practice to promote safe quality nursing care. Nurses need to learn and have a better understanding of nursing philosophies and theories. Nursing knowledge, right judgement, ability, and devotion are vital to sustaining the health all around the globe.