Personal Narrative: My Responsibility As A Nursing Student

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,

My journey to nursing began with my personal healthcare experience, and has continued to evolve since entering the nursing program at State University. My personal philosophy of nursing is related my life experience and my personal philosophy of life. Using reflection-on-action, I have begun to understand the influences that have lead me to nursing. I discovered client and family centered care to be an important quality when I look at the influential nurses in my life. To develop a positive therapeutic nurse-client relationship, nurses must integrate all 5 dimensions of the therapeutic nurse-client relationship into their practice (CNO, 2006). When it comes to providing client-centered care, the dimensions of trust, empathy

The purpose of this paper is to explore the personal nursing philosophy I intend to use in my career as a nurse and to explore my values and beliefs about the four metaparadigms – the patient, the nursing practice, their health and the environment, and the discipline of nursing in addition to discussing the nursing concepts relevant to my practice as a nurse practitioner. This paper also discusses the nurse of the future and the Synergy model definitions of the four metaparadigms and how they fit into my personal philosophy.

Accountability and Responsibility are two of the most important skills that a clinical nurse can display. These skills are taught beginning in nursing school, when learning about the ethical framework behind the nursing profession. Nursing is a skillful combination of science and art that places patient preferences above everything else. Not everyone has the unique ability to be caring and medically savvy. The American Nurses Association defines accountability as the ability to be answerable to oneself and others for one’s own actions (Battie & Steelman, 2015). Accountability plays a huge role in patient care and the process of learning the skills of nursing. Student nurses learn that nurses should be accountable for all actions, delineation of tasks to supportive staff, as well as nursing interventions. Responsibility is also intertwined with this idea of being accountable for one’s own actions. Responsibility refers to the specific accountability or liability associated with the performance of duties of a particular role. Nurses can either accept or reject specific role demands based upon their education, knowledge, competence, and extent of experience (Code of Ethics, 2015). This paper will discuss accountability and responsibility of nurses delving into assessing one’s own competence, techniques of learning responsibility, and the future of nursing accountability.

The profession of nursing is often looked at as taking care of sick people or treating physical well-being. Many do not realize that nursing encompasses so much more than that. It is very important to me to have a positive attitude that transfers to my coworkers and patients. I want to be committed to helping those in need and desire to be able to be a confident health educator. I think it is very important to use the knowledge I have in my area of expertise to instruct others where it is needed. I would like to be able to say I gave the highest quality of care that I could at the end of each day. I realize that not everything will always be perfect or smooth, and there is only so much I can do. However, many of the rough patches can be eased with hard work and a good outlook. I want to be able to form great relationships with my colleagues as well as the client and facilitate everyone working together. Nursing is a respectable profession and I hope to contribute my own compassion to the entire community.

Community beliefs and values change based on varying locations. Different communities find different beliefs to base their values off of. One community may not find it important to have their women

The greatest aspect about nursing is that it is never going to be just a job and is even more than a merely profession. Instead, it is a belief system or way of life and not a discipline that can simply be practiced then abandoned to the dictates of a time clock. To simply say that “I love people” or want to “help people get better” does not demonstrate the drive behind this feeling. Articulating my philosophy is not an easy task, to better explain my philosophy of nursing, I am going to use some values that I have learned. These tools truly explain how I feel and what has motivated me to pursue nursing as a career.

When in the early stages of planning my life, I knew exactly what it was I inspired to do. I wanted to save lives. I did not know how I was going to complete that task at hand, but I knew that I was going to be saving someone’s life. So, starting nursing school was one of the jubilant moments of my life. I am ecstatic to be on my journey on becoming a well-rounded and educated nurse. Nursing is a profession that requires a great deal of care and knowledge of the human body and as a nurse I plan to be cultivated and discerning.

Increased accountability and responsibility is my main fear as I enter the health care workforce as a registered nurse. Over the last three years as a student nurse on clinical placement, every shift I was supervised and overlooked by a registered nurse at all times. As well as being provided a diverse range of advice and techniques to use when applying my nursing practice. As a nursing student it gave me room for minor errors, as I always had someone to correct it and demonstrate efficient practice. Yet knowing next year I will have to carry the responsibilities of a nurse independently puts a different perspective on my year ahead. A registered nurse is accountable and responsible for their own actions and distribution of care to enrolled nurses and a number of other health care workers (Nursing Midwifery Board of Australia, 2006). According to a Nursing Times paper, accountability and responsibility is a key stressor in transitioning from a graduate nurse to a fully qualified nurse (Whitehead and Holmes 2011).

I was recently fortunate enough to speak with Carri Montgomery, who lists her title as the Director of the Women’s and Newborn Center for Platte Valley SCL Health. Platte valley use to be community owed and they recently joined Sister’s of Charity which includes; Good Samaritan, Lutheran, and Saint Joseph Hospital. The purpose of this interview was to interview someone where I could see myself working in what they are doing later in my career. With this interview I hoped to learn what it took for Ms. Montgomery to be in the position she is today. Also, get advice from her to see what where the things she recommended I could do when I graduate from Metropolitan State University (MSU) in 2019. It was beneficial to interview her

I interviewed Beverly Stark. She works for Health Partners Hospice and Palliative Care as a hospice registered nurse (RN). The setting of her work varies. It is wherever her patient lives, which can range from a hospital, long term care, or in the patient’s home. She emphasized the importance of her team. She works with nurses, social workers, home health aids, chaplains, doctors, and hospice volunteers on a daily basis. She is part of what they call a core group. Each core group is made up of two RNs, one social worker, and a home health aid (HHA). The core group meets once a week to talk and update each other on their caseload. Additionally, they meet with the chaplain and a doctor weekly (B. Stark, personal communication, Sept 9, 2016).

A metaparadigm is a concept that is extremely general, one that serves to define an entire world of thought. The metaparadigm of nursing is comprised of four parts: person, health, nursing and environment. This concept is important to nursing theory, because those are the key areas of focus when it comes to patient care. In this metaparadigm, the ‘person’ can refer to the patient, the patient’s family members, friends, communities, and groups. The nurse’s goal when dealing with the ‘person’ is to nurture the patient and empower him or her to manage their own health to the best of their abilities. The next part of the metaparadigm is ‘health’. It generally addresses the person’s state of well-being and their availability to healthcare. The other metaparadigm ‘environment’ includes factors that affect individuals internally and externally. A positive therapeutic interaction creates an environment that is essential for patient recovery. The final concept in the metaparadigm of nursing is ‘nursing’. In general, this refers to any hands-on medical treatment from nurse to patient.

I sat at the kitchen counter, staring at the green cabinets and bowls of fruit. I wanted to play in tonight’s soccer game, but my mind was still foggy from the drugs I received in the hospital the day before. I didn’t want my teammates to see me like this. My hair was matted from where my head rubbed against the blue hospital pillow, and a wrinkled piece of clear tape secured a nasal feeding tube onto my cheek. I hated what the tube meant: that I was inadequate and that I couldn’t drink by myself. I was someone who insisted on doing everything on my own, and the thin, flexible tube was a physical reminder that I could not. My mom and dad lauded my bravery, but I dismissed them. I didn’t believe bravery was dictated by necessity.

“Ring” did you hear that.That was the bell. Second semester started, The first semester went by fast. The first semester was hard I got bad grades.My Goals for this semeser are to do better in my classes.

My role models have always been nurses. When in hospital wards visiting family members or even on hospital placement, where I have completed over 500 hours, my attention has always been on the nurses, admiring their amazing work ethic and their ability to change someone’s life for the better, this is when I decided that I belonged in this profession. I am passionate about mental health as I have personal experience of witnessing and overcoming these issues. To this day, many still feel too uncomfortable to talk about it and I want to change that. For a long time, I was often in denial about my own struggles with mental health problems and have refused help because I could not accept my diagnosis. I convinced myself that ‘others had it worse’; this mind-set eventually made my condition deteriorate without me realising. As a result, I now advocate that my friends discuss it just like a physical ailment so that their struggles feel as valid as a broken leg or an infected wound; it is a wound in their mind.