When posed with the task of giving personal definitions of terms such as human being, environment, health, and nursing, one is forced to evaluate and recall on past experiences and exposures in their life and profession that have helped define who they are. These experiences are the building blocks to which a person makes decisions, behaves, and forms opinions. As experience grows and develops, so do the personal definitions an individual uses to apply to these terms.
One memorable moment stands out more than any other, and it has been a vital contribution to how the personal definition of human being, environment, health, and nursing developed. A patient was presented that had coded at home after chopping wood
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It was important to remember this while caring for the patient whose heart had stopped. Too easily one can become too emotionally involved to think clearly and make life saving decisions. The patient that was presented was a living human being, and the job was to ensure that he take another breath and his heart continue to beat. There are, however, different perspective on the definition of human being. The college of New Jersey approached this definition with a holistic component, only briefly addressing the biological appreciation of the term. They state that "Humans, as holistic beings, are unique, dynamic, sentient, and multidimensional, capable of abstract reasoning, creativity, aesthetic appreciation, and self-responsibility" (The College of New Jersey, 2016). In critical care areas, it is important to adapt to the changes and needs of the patient as they are presented. This is true for many variables that contribute to patient’s status, including their environment. An environment is the components of the surroundings of a human being, as well as internal forces, which may or may not have an influence on the human being 's physical, emotional, social, or spiritual qualities. By changing these elements within this definition, nurses can adapt and provide for
This paper explores the personal nursing philosophy I plan to convey in my personal career. This philosophy is going to be described in my own terms to explain what being a nurse means to me. I believe that there are a number of factors that are important to be successful in the nursing field. I believe that being a nurse it takes commitment to accountability, professionalism, and compassion for the ill. I will explain each one of these in my paper and what they mean to me.
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 concept of person refers to the recipient of nursing, including individuals, families, communities and other groups, regardless of their physical,
Those two theories are Florence Nightingale’s theory of the important of the environment and Katharine Kolcaba’s theory of comfort. Both of these theories are lacking in the emergency room because of the lack a therapeutic environment for these patients. The goal for most emergency room physician is to keep the patient safe until the patient can be moved to an inpatient pscyharitic unit (Nicks & Manthey, 2012, p. 2). By the physicians having this mentality, it does not allow the patient to start his or her healing process in the emergency room while the patient is boarding waiting for an inpatient bed to become available. With the implementation of both of the nursing theories mentioned above this writer believes that it will change the environment that the patient is in and will teach the physicians to start to treat these patients and in turn, it will provide the patients with the quality care that he or she
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
“Patients are biological, psychological, social, and spiritual entities who present at a particular developmental stage. The whole patient (body, mind, and spirit)
Roy believes nursing as a key player to help patients to develop coping mechanism and positive outcome from the constant stimuli exposure. Roy’s goal is for the patient to achieve adaptation leading to optimum health, well-being, quality of life, death with dignity, and finding in life by participating in their own care (Roy & Andrews, 1999.)
Florence Nightingale’s nursing theory is probably the most well known in the nursing profession. “Patients are to be put in the best condition for Nature to act on them. It is the responsibility of nurses to reduce noise, to relieve patients’ anxiety, and to help them sleep” (Theories of Florence Nightingale, 2012). This theory emphasizes that environmental factors and adaptation is the basis of holistic nursing care. This theory is important in my opinion because it ensures that the center of focus is on the patient. When patients are hospitalized making them comfortable in a new and strange environment is important to me. Eliminating noise at the nursing station and turning down the lighting in the hallways at night are just a few ways that nurses can improve the environmental factors surrounding patients. During hospitalizations I strive to eliminate any anxiety that my patient may be experiencing. Upcoming procedures and treatments can cause tremendous stress. Simply by providing sufficient information regarding treatments or procedures can be beneficial in reducing anxiety or
The purpose of this paper is to discuss my personal beliefs pertaining to the profession of nursing. As well I will discuss the (4) metaparadigms in nursing which are known as; human beings, environment, health, and nursing, and my personal beliefs on these concepts and how they have similarities to the nursing philosophy of a nursing theorist.
Each person is only one of a kind. According to Alligood (2010), The person is the patient with the unmet needs, and the nurse will use the deliberate nursing process to meet the needs of the patient. This process will be done by the nurse’s observation verbal and nonverbal cues (p. 340). The patient will be the center of care and will be a part of the care delivery and input.
The environment part could affect the health of the person, the process of adjustment results complicated when ecological, real physical environment, cultural and monetary parts surrounding the patient cannot be change. This component is related to everything that impacts the patient’s wellbeing. The adaptation model, it has three levels which are compensatory, integrated, and the comprised life forms. The three adaptation models don’t stay consistent as change is unavoidable every once in a while (Marchuk, 2014). When the practitioner notify the patient of the diagnoses and provide a plan of care, assuring patient’s environment is not only supportive, but accepting is key for compliance. Understanding the surroundings around the patient’s and make the pertinent changes will avoid a futile impact on outcomes and recuperation will be accomplished.
* A patient’s world can become brighter or darker, secure or threatening through nurses attitude. Watson accepts Nightingale’s concept of environment and states the healing environment expands the persons awareness and consciousness, thus promoting mind-body-spirit wholeness and healing (1999,p.254.) This reminds us to keep the patient’s room tidy and comfortable, and provide spiritual support necessary for total healing.
Throughout the history of nursing, there have been many nursing theorists who have each made significant contributions towards the shaping of nursing knowledge. Each of these theorists have differing perspectives and interpretations of how each domain of the nursing metaparadigm fit into their respective theories. The four domains of the nursing metaparadigm are: person, environment, health and illness, and nursing. The purpose of this reflection is to provide an overview of the domains related to the metaparadigm of nursing as well as to introduce this author’s perspective on their developing personal philosophy of nursing. In this paper, the author will take a closer look at each of these areas, how they are individually defined, and how they each fit into the nursing metaparadigm as a whole. At the conclusion of this overview, readers will be introduced to how these theorists and their perspectives have enabled this author to begin to create their own philosophy of nursing.
Theory is a cluster of concept or ideas that propose a view concerning a phenomenon to guide nursing practice (Chitty, 2005). The four concepts basic to nursing that are incorporated in this paper are nursing, person, health, and environment (Cherry & Jacob, 2005). The goal of this paper is to describe the core concept of nursing shared amongst Dorothea Orem and Virginia Henderson’s theories. The comparison and analysis of concept definitions between these two theories will also examined. Finally Henderson’s theory of concept statement, metaparadigm and her philosophy will be explored.
The purpose of this paper is to explore the theories of Sister Callista Roy and Virginia Henderson. Sister Callista Roy’s Adaptation Theory and Virginia Henderson’s Need Theory both play an important role in nursing today. Both theorists have written theories that can be used in a critical setting as well as multiple other practice areas. I will compare the similarities of each theory as well as contrast the differences. Both theories will be looked at and a plan will be developed to put them into my practice as an ICU nurse.