Philosophy of Nursing

For centuries the development of nursing knowledge has been influenced by numerous theorists and their respective theories. These theories have influenced, and continue to influence, nursing education, practice and research. (Johnson & Webber, 2005)

“If a patient is cold, if a patient is feverish, if a patient is faint, if he is sick after taking food, if he has a bed-sore, it is generally the fault of not of the disease, but of the nursing. I use the word nursing for want of a better” (Nightingale, 1860, p. 8). While Nightingale stressed the impact of one’s environment to promote healing, Virginia Henderson aimed to establish on the fundamental needs as a knowledge base to guide Professional nursing practice. Henderson emphasized on fourteen components required for effective nursing care which includes: breathing normally, eating and drinking adequately, elimination of body wastes, movement and posturing, sleep and rest, select suitable clothes-dress and undress, maintaining body temperature, keeping body clean and well groomed, avoiding dangers in the environment, communication, worship according to one’s faith, work accomplishments, play or participate in various forms of recreation, and learn, discover, or satisfy the curiosity (Fernandes et al., 2015). Her division of the fourteen components acknowledged patient needs with a holistic approach that is applied through the nursing process in a clinical setting.

Florence Nightingale, considered the founder of modern nursing, first began to establish nursing as a profession during the Crimean War. Since then, nursing theorists have continued to expand on the thought that patients are made up of more than just the symptoms they present with, Abraham Maslow, Carl Jung, Dr. Larry Dossey and Dorothy Johnson, but none more so than Jean Watson. She developed a theory of human caring that contained several core concepts, these concepts lay forth the ground work for how we, as nurses, should care for a patient. These concepts included transpersonal caring relationships (going beyond ego to higher “spiritual” caring

person as someone with psychological, intellectual, and spiritual components. This is evidenced by her acknowledgment of the importance of variety. For example, she wrote of “the degree . . . to which the nerves of the sick suffer from seeing the same walls, the same ceiling, the same surroundings” (Nightingale, 1860). A nurse was defined as any woman who had “charge of the personal health of somebody” whether well, as in caring for babies and children, or sick, as an “invalid” (Nightingale, 1860). Above all, nursing was “service to God in relief of man”; it was a “calling” and “God’s work” (Bostridge, 2008). All nursing actions were guided by the nurses’ caring, which was guided by underlying ideas about God. Nightingale placed spiritual needs of the patient right at the top along with caring for the patient. She taught about obedience in relation to nursing and this revealed that she was creating a profession that was based on the role of wife and mother. In her teaching, she tried to concentrate more on the lifestyle and moral conduct of the nurses, rather than their professional skills. The measurement of the art of nursing could not be accomplished

Nursing is based on caring in nursing. Compassion and concern for protecting and enhancing the

A nursing philosophy is the thoughts and beliefs about the job of a nurse based on one’s values. My values that have formed over the years have influenced me to purse a forever career as a nurse. I grew up in a small town Smithfield, Pennsylvania with my parents and younger brother. My community consisted of close relationships between the residents. Every one helped and cared for one another when needed. The practices of my community guided me to want to become a nurse. I want to continue to care for my community and give back to them by treating their illnesses and providing them with better health care. I am particularly interested in caring for pediatric patients. My goal is to try to provide every infant a chance to live their beautiful life created for them by God. While doing this, the primary focus of being a nurse will be to accommodate my patients and allow them to become a healthy person again.

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.

Florence Nightingale, or as soldiers on the battlefield would call her the “Lady with the Lamp”, was an inspirational women of the nineteenth century that had many aspirations and dreams concerning the care of others. Achieving these dreams by “facilitating the reparative processes of the body by manipulating the patient’s environment” (Potter & Perry 2009, p. 45); Nightingale laid the foundations of modern nursing and gave the country and many others a system that has stood the test and remains timeless. In this, Florence has become one of the most widely known nursing theorist to this day.

A journey of 1000 miles begins with a single step, a Chinese proverb that I have come to live by through my journey of nursing. I never thought in a millions years that I would have become a nurse. When I was younger nursing was the only profession my mother pushed. It was as if everyone in our family had to be a nurse. Honestly, I think I rebelled from the thought of being a nurse simply because it was my mothers desire for my life. I went from wanting to become a lawyer, to a therapist, to a pharmacist, to even a radiology tech. Ultimately; nursing became the clear path that God wanted for me. Interestingly enough I have come to realize my personal

To understand nursing philosophy, you must first understand what nursing means to you as an individual. To me nursing as well as nursing philosophy involves providing individualized holistic care to a patient, family, community, or even one’s own self. Holistic care is providing care involving the mind, body, spirit, and environment.

I will be summarizing Notes on Nursing: What It Is and What It Is Not by Florence Nightingale. Notes on Nursing: What It Is and What It Is Not was first published in 1860 with the last edition being published in 1969 (Adams-Wending, 2010). Nightingale’s theory addresses the importance of providing an environment that is conducive to the healing process for patients (Nightingale, 1860). Nightingale’s theory of the environment was based off the idea that disease was caused by smell of decomposing matter (Adams-Wending, 2010). The theory is broken down into thirteen “canons” of nursing (Nightingale, 1860). The thirteen topics within this theory are: ventilation and warming, health of houses, petty management, noise, variety, taking food, what food?, bed and bedding, cleanliness of rooms and walls, personal cleanliness, chattering of hope and advices, and observations of the sick. Nightingale (1860) states that ventilation is to make the air the patient breaths as fresh as the air outside. This also goes into detail of removing chamber pots

Florence Nightingale is a woman with endless wisdom and timeless insight, which she has shared with the world. Born in 1820 in Florence, Italy, to a wealthy family, Nightingale was blessed with the privilege of education and money. She worked as a nurse, an educator, statistician, environmental activist and healer. Nightingale had great passion for all of her work and was honored with the title of the first recognized nursing theorist. Much of modern day nursing has been influenced and defined by those theories of Florence Nightingale. A nursing theory is defined as a concept that provides a framework for nursing. There are four main components associated with nursing theory; person, environment, health and nursing. Person refers to the patient that the nurse is interacting with and can include more than one person including families and small groups. Environment defines the space in which the nurse-patient interaction is occurring. This can include hospitals, clinics, nursing homes and schools. Health refers to the continuum of optimal health, which as humans we each hold a specific level of optimal health. Lastly, nursing refers to the nursing plan that is adapted to each patient. The nurse must use assessment and diagnosis to create a care plan that will effectively help the patient reach their optimal level of health. Each nurse should develop a nursing theory, which they base their practice off of. Nightingale has defined the profession of nursing, written profound

Nightingale has been a portion of my personal email address for over twenty years. As a nursing student Florence Nightingale’s foresight into patient needs and quality of care was a motivating factor in my own delivery of respect and quality to those and continues to be for those that I have had the honor to care for. Florence Nightingale’s impact on care provided in her time was significant then, but remains true today, having survived from the mid-1800’s to present day care. That is an impressive contribution. The specific “cannon” or standards of practice theories of Nightingale which include ventilation and warming, noise, variety, diet, light, chattering hopes and advise, and cleanliness impact all of us daily. The two standards that I hold close in my personal nursing practice are cleanliness for obvious reasons and chattering hopes.

Nightingale’s theory supports the development of cultural competency in terms of her recognizing there was more to nursing than pushing medications.

Theory and practice are said to go hand in hand. Theory is shaped based on practice and insight, while it also gives shape and foundation to practice. Florence Nightingale is acknowledged as the founder of modern nursing and a theorist. She believed in the patient’s capacity for self-healing which is reinforced by the nurse’s ability to create an environment conducive to health (Smith &Parker, 2015, p. 50). Her philosophy of nursing is that one should put the patient in the best position for nature to act on him or her. This paper will identify the five essential components of her theory to draw out an appropriate plan of care for Mrs. Adams in the case study. In addition, discuss the applicability of Nightingale’s