My Nursing Philosophy

As a registered nurse practicing in the state of California I am responsible for practicing within my states legal regulations and nursing scope of practice. My concern for the welfare of the sick and injured allows me to practice ethical provisions of nursing. These are required if I am to carry out competent and effective nursing care. Nursing encompasses the prevention of illness, the alleviation of suffering, and the protection, promotion, and restoration of health in the care of individuals. Therefore, as health care professionals we must be familiar with the different philosophical forces, ethical principles, theories and values that influence nursing. At the same time, we must be respectful to our patient’s

The two theories that have helped to form my personal perspective on nursing are Erickson; and Rogers. Helen Erickson’s model is based on caring for an individual patient based on their own unique needs and perspective (Nursing Theories and Models, 2017). Erickson’s model took concepts from several other theorists such as Maslow, Padget, Seyle, and Lazarus and combined them to create a nursing model that takes care of each individual patient based on their needs ( Reed, 2017). This theory helps me to be more cognizant of the individual needs of my patient, not all patients regardless of disease process are the same. Each patient may have different underlying factors or circumstances that affect their health and current situation. Rogers’ theory is broader, viewing nursing as both an art and science, promoting health and wellbeing to patients regardless of where they are (Nursing Theories and Models, 2017). The science of nursing involves the knowledge and research of nursing, and the art is applying that science for the betterment of the patient. This theory views an individual as part

When referencing both the nursing theory definitions of person, nursing, environment, and health while also referencing my own personal philosophy towards the nursing metaparadigms, the similarities and differences will clearly be displayed. When referring to the definition of person, my own beliefs reference myself or others' own autonomy to themselves and what the individual’s purpose of being at the hospital is. This is very specific because each individual is very specific in their wants and needs as a person, as well as where their values align with certain treatment options. These values can be derived from cultural beliefs or references to past experiences. My philosophy of the person definition also encompasses the need for not only

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 nursing process does not merely treat the patient as a physical body, but rather treats the patient holistically. The central philosophy of Dorothea Orem's self-care deficit nursing theory "is that all patients want to care for themselves, and they are able to recover more quickly and holistically by performing their own self-care as much as they're able" (Dorothea Orem, 2012, Nursing Theory). However, although self-care may be the core of Orem's theory, the decision to engage in self-care must be facilitated by the patient's social and physical environment, of which the family can play a critical role in shaping.

Nursing theorist Virginia Henderson (1897-1996), often referred to as the “First Lady of Nursing”, developed a nursing model based on the 14 components of activities of daily living. The paper discusses the importance of applying these components to the nursing practice. She emphasized the importance of increasing the patient’s independence so that progress after hospitalization would not be delayed (Henderson 1991). Henderson’s Theory and the main concepts are discussed using a case study approach on a specific client to better explore the theory and how it influenced the nursing practice. Henderson’s principles and practices of Nursing laid a ground work for

Person centred care can be viewed in many different aspects. The eight key principles of nursing practice found by the Royal College of Nursing (2011) include, dignity, responsibility, safety, choice, communication, skills, teamwork and being able to influence in a positive way. Although Nolan (2001) argued that concepts of successful ageing, health-related quality of life and person centred care overvalue autonomy and independence, which are values which

The purpose of this paper will be to explain the components of Dorothea Orem’s self-care deficit theory, the current significance of the theory, and the application of this particular nursing theory. A nursing theory is an explanation of a division of nursing that “describes, explains, predicts, or prescribes” that particular division. (Perry, Potter, Stockert, & Hall, 2013, p. 41). Orem developed her personal theory, the self-care deficit theory, to assess a patient’s ability to perform vital daily tasks and how it affected the patient’s. (Hartweg & Pickens, 2016). This theory is a grand theory, which means it can be used in almost all areas of nursing. There are five components or methods that compose this theory that nurses will practice when working with a patient who needs to reach the self-care deficit. (Edney, Jaime, & Young, 2016). It is used today and has been included in several studies that have proven it to be effective in shortening hospital visits when used on critically ill patients. (Hohdorf, 2010). This particular theory has helped advance nursing practice since Orem’s first publication.

Nurses demonstrate the value of autonomy by acting on their own intuition daily to improve the quality of all aspects of human life. This is evident when a patient arrives into an urgent care center with an asthma attack. A prudent nurse will act autonomously by giving the patient a nebulizer treatment, place him on oxygen, or take the time to find out if there are standing orders and carry them out without a doctor’s order.

In nursing, many theories have emerged that highlight the role of nurses in health care. Of these, Henderson’s Definition of Nursing became influential as Virginia Henderson brought it to the forefront in her 1955 Textbook of the Principles and Practice of Nursing (Abrams, 2007, p. 382). Per Renece Waller-Wise (2013), Henderson’s Definition of Nursing is “primarily helping people (sick or well) in the performance of those activities contributing to health, or its recovery (or peaceful death) that they would perform unaided if they had the necessary strength, will, or knowledge” (p. 31). Waller-Wise (2013) also pinpointed that the aforesaid would be carried out in a manner that would promote gaining independence (p. 31). Therefore, this nursing process is geared towards “helping patients attain, retain, or regain optimum health” (Schmieding, 1990, p. 464). In order to make improved health possible, it requires understanding what the patient’s needs are (Abrams, 2007, p. 383). Once identified, the nurse can respond to the patient’s self-care deficit and work towards patient autonomy (Risjord, 2014, p. 36).

To summarize this theory in my own words I would say that as nurses we need to acknowledge that patients are shaped from their experiences and that they are more than just an illness. We need to accept people for whom they choose to be from what they were given. Sometimes a person’s image of wellness is not the

I believe that heath is based on emotional, spiritual and physical well-being. I believe that it is the absence of illness and abnormal conditions. I believe health constantly changes across one’s life span. I believe that it is important for a nurse to ensure that the relationship is not only with the client but with their families, friends, other health care providers and caregivers. It is the nurse’s responsibility to provide individualized care for each client. A nurse should educate them and their family to ensure health promotion and health maintenance

My nursing philosophy is for every patient to be as independent as they were before they came to me or at least to where they can function closely to what they were doing before. I like teaching patients independence because if the patient does not remain active or able to bathe themselves or feed themselves, the muscles lose memory and becomes more and more difficult for the patient to care for themselves. My philosophy is closely related to Virginia Henderson and Dorothea Orem because they promote self-care and patient independence. The most important roles for providing care are person, environment, nursing, and health. I define person as someone who is seeking care or family seeking care of a health care provider. Environment affects the person by determining how they will recover, what they do on a daily basis, and how the past, present, and future have and will affect their health. Their environment includes their family and friends because they will most likely be influenced by the opinions of family or friends. The nurse is the one working with the person to determine the best way to provide care based on the person and their environment. The nurse is a support for the patient to become independent as they grow healthier. Health ties everything together; it is determined by the person and their environment and how the nurse will improve it. Health should be the goal for everyone in the care team and the family and friends of the patient to encourage independence. My

Dorothea Orem developed The Self-Care Deficient Nursing between 1959-2001. It has also been known as the Orem Model of Nursing. This theory is considered a grand nursing theory. This means the theory covers a broad scope with concepts that can be applied to all areas of nursing. A benefit of this theory is that it can be applied to a variety of patients and nursing practices. Orem proposed that the purpose of nursing is to help people meet their self-care needs. Nurses do for others what they cannot do for themselves. Individual well-being affects health. Central philosophy of Orem’s theory is that all patients want to care for themselves and they can recover holistically and quicker when preforming their own care. Orem identified three self-care requisites. The first is universal self-care requisites. These include needs that all people have such as air, water, food, activity, rest, and hazard prevention. Developmental

According to Petiprin (2015), Dorothea Orem’s theory is used to encourage a person to become more independent. Petiprin (2015) further states that it is true of rehabilitation settings, (Such as,)for example HealthSouth Sunrise Rehabilitation Hospital in which patients are transitioning out of being cared for by physicians and nurses and to exclusive self-care at home. According to George (2011), Dorothea Orem has developed three connecting theories: the theory of self-care, the theory of self-care deficit and the theory of the nurse system. George defines the term metaparadigm as the core content of a discipline (2011). George further states that the metaparadigm of the discipline of nursing comprises of four major concepts: person, health, environment and nursing (2011). At HealthSouth Sunrise Rehabilitation Hospital, the mission of our operations is the delivery of quality healthcare in the most appropriate, safe, patient-centered environment (HealthSouth, 2015). The purpose of this paper is to discuss Dorothea Orem theory, metaparadigm and how it relates to nursing practice at HealthSouth Sunrise Rehabilitation Hospital.