The Nursing Knowledge, Philosophies, Reflective Practice

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)

“Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (American Nurses Association, n.d.). The purpose of this paper is to expand my nursing philosophy as I transition into an Advanced Practice Nurse.

Nursing theories have been a fundamental tool used to explain, guide and improve the practice of nursing. Theorists have contributed enormously to the growth of nursing as a profession. The four grand theorists I chose are Virginia Henderson, Peplau, Myra Levine and Jean Watson. These theorists have contributed tremendously in the field of nursing through their theories, and research. One thing the theorists have in common is that they are patient centered. They are all concerned on ways we can improve our responsibility to the patients, their families and the environment. They have different ideas but they are all aiming towards achieving the same goal, which is patient satisfaction and safety. Their differences are in their areas of

The development of a philosophy related to the profession of nursing is important in that it provides a framework for the nurse to base his/her work on. Philosophy is defined by Merriam-Webster as “a search for a general understanding of values and reality by chiefly speculative rather than observational means”. In other words, philosophies are based on beliefs and assumptions with an overall goal of obtaining an objective which states the nurse’s purpose in the profession. In my undergraduate nursing program I was exposed to multiple nursing concepts that guided my practice. Coupled with my ten years of experience in the nursing field, I was enabled to formulate my own framework or guide to nursing. The paradigm which resonates with me the most is the interactive-integrative perspective as it views practice “as having multiple, interrelated parts in relation to a specific context.” (Newman, Sime, & Corcoran-Perry, 1991, p.38). My framework includes three main components: the client, the professional nurse, and the nurse-client relationship.

A nursing philosophy coincides with self-awareness. Nursing philosophies are developed by each individual nurse regarding the nursing practice and are important in understanding what is fundamentally important to each nurse, along with their values and beliefs. Self-awareness, in short, is knowledge of one 's self, feelings, motives, and desires. In order for nurses to develop their own nursing philosophy they must first have a good sense of self-awareness. As a future nurse it is important that I recognize my own self-awareness so I can continue to build onto my beliefs and values of the nursing profession and gain a better understanding of what is fundamentally important to me as a nurse. In this paper I will discuss why I chose the nursing profession, my beliefs and values, and what I feel is fundamentally important in the nursing profession.

A definition of a Philosophy is “when someone contemplates, or wonders, about something that serves as the blueprints or guides that incorporates each individual’s value and belief system.” (Chitty & Black, 2007, p. 318) Personal Philosophy of Nursing is the core values and beliefs that a nurse upholds when taking care of another human being. It is the belief that each individual no matter what disease, race, or economic status they have will get treated with the highest regards to compassion, integrity, and respect that they deserve.

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.

Nursing is more than treating the disease process; it also considers the many, sometimes hidden facets of the patients we treat. The patient is more than one-sided sets of vitals or diagnoses to fix; they are a whole person with different histories and circumstances that impact the therapeutic nurse-patient relationship. My philosophy of nursing is the building of trust between nurse and patient provides a framework for an authentic relationship resulting in more tailored plans of care and ultimately better outcomes. My Nursing Philosophy

Developing a nursing philosophy is important to a nurse as it serves as a guide and is the foundation for personal nursing practice. Following a personal nursing philosophy can enhance your nursing career, make you a better nurse and improve patient outcomes. However, it is difficult to choose one nursing theorist, as there are viewpoints from several theorists that align with my personal theories. Choosing one theory is not only difficult, it is possible to change a theory during your nursing career or draw from various theories while working with patients and their families depending on the situation. Consequently, nurses are taught the foundation of multiple theorist and there does not seem to be one correct model. It is a matter of finding one that fits your

Philosophy of nursing can be explained as the heart of nursing care practice associated with one’s relational care, healing principles, and professional management of care.

The emphasis on developing nursing theories started in the late 1960’s. The nursing profession integrated theories from other disciplines but it was apparent that these borrowed theories lacked the metaparadigm of interest: person, environment, health and nursing. These paradigms are often overlapping and influenced one another. To be a nursing theory it must isolate, explain, and predict a phenomena and take action. Unfortunately, nurses continue to use borrowed theories from other disciplines before proving the empirically adequate descriptions, explanations or predictions of nursing phenomena (Villarruel, Bishop, Simpson, Jemmott, & Fawcett, 2001).

Philosophy has influenced the development of nursing. Philosophy of Nursing promotes the application of nursing knowledge and helps develop nursing theory and knowledge. Nursing theories and philosophies of nursing influence each other. Nurses designed Philosophy of nursing to explain the beliefs, role, and interaction with patients. Philosophy is the application of one 's knowledge to different situations that occurs when practicing as a nurse. It changes the identities, belief systems, and practices of nurses. Philosophies and experiences guide nurses in their professional decision making. (Marchuk, 2014). To be able to articulate a personal philosophy of nursing and identify the philosophical influences, nurses must have basic understanding past contribution to the theories and philosophies that have helped shaped nursing today. Knowledge development and different methods have played a huge part in nursing 's history.

Using each of the paradigms interchangeably ensures the nurse is practicing in a holistic manner. Thus, the truly holistic nurse would practice from a pragmatic perspective. In order to provide optimal care, the nurse must develop an awareness of the fluidity of patient care, and test each theory within their practice to determine its usability. This article discusses the various paradigms, providing examples of each ones contributions to practice, and presents the implications of practicing in a pragmatic paradigm from an oncology

A philosophy is created to find truth and meaning. It requires evaluation and use of critical thinking as to why one’s nursing practice matters. The history of philosophy and theories allows me to evaluate my personal nursing philosophy. I believe that each person is their own individual. My way of practicing nursing is by using compassion, listening to my patients and trying to understand them. It is not just the body or the disease but rather the holistic nature of the patient. I believe that nursing deals with promotion of health and prevention of disease. Lifelong education, research and evidence based practice are all utilized in my profession of nursing and are all concepts important to my nursing care.

Nursing theories, concepts or models are adapted from the theoretical frameworks of other discipline in healthcare. However, as nursing advances, new frameworks may arise, the nursing theories, concepts or models from the past or present may fuse, extinct or change donaldson (year). Hence, nursing is a discipline which is consistently reviewing and upgrading its theoretical frame works to provide the best quality of care to patients. (https://www.jacksonvilleu.com/blog/nursing/the-importance-of-nursing-research/)