The Whole of Holism

We often hear that nursing is an art and a science, and I firmly believe that. The way a nurse blends those aspects of care defines the nurse. As nurses, our roles in our patients’ lives vary depending on their needs. We are teachers as well as technical experts, and our ultimate goal is to ensure our patients and families are ready to take over when the

“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.

Regrettably, the existence of nursing depends on the medical inadequacy of others. Unfortunately, nursing exists because people get hurt, cannot care for themselves, or need assistance with daily activities. Carol Taylor (2011), author of Fundamentals of Nursing: The Art and Science of Nursing Care, writes, “Nursing care involves any number of activities, from carrying out complicated technical procedures to something as seemingly as holding a hand” (p. 5). Taylor explains it is the duty of a nurse not only to learn the pertinent skills but also to bond with and comfort others. Nurses have to do and become many things: They must be stern when necessary, compassionate when needed, open minded

Nursing is more than a profession taught by science. It is an art that the nurse refines through the creative use of oneself based on the skills and expertise, to transmit emotions and meaning to the patient. Nursing is a process that is subjective and requires interpretation, sensitivity, imagination and active participation. A core skill utilized by a nurse is advocacy, both for our patients and our profession. Our profession requires participation of advocacy at all levels of nursing, starting at the bedside and continuing all the way to nurses in legislation. To be a proficient patient advocate, the nurse must be able to assess the patient’s constant change in physical, psychological, spiritual, and social needs. I apply my knowledge

Nursing is as much science as it is a study in the human condition. Combining caring and the notion of human flourishing allows the nurse sharpen her understanding of patients’ needs by observing and understanding herself (Husted & Husted, 2008). A nurse is able to better anticipate the needs of her patients by noting similarities and differences between the two of them. With caring in the nursing corner, even under less-than-ideal conditions, one can still create havens of hope, nourishment, and the possibility for flourishing (MacCulloh, 2011).

Human caring is what sets nursing apart from other professions. As Watson (1998) stated, “care and love are the most universal, the most tremendous and the most mysterious of cosmic forces: they comprise the primal universal psychic energy. Caring is the essence of nursing and the most central and unifying focus for nursing practice” (p. 32-33). It is important to establish a good nurse-patient relationship in order to create a healing environment that would meet patient’s needs on all levels including physical, mental/emotional and spiritual, promote recovery, maintain health, and create positive outcomes. Jean Watson emphasized the importance of human

My personal definition of nursing is taking care of my patient as a whole; using my knowledge, being compassionate and caring, respectful and honest. Taking care of the; spiritual, physical and emotional aspect of the patient, and taking into consideration their family and environment. Learning about the different theorists I associate myself the most with Hildegard Peplau. Peplau believed that the relationship between the patient and the nurse was focus of attention, rather than the patient only as the unit of attention. (Chitty & Black p.314-315). Using Peplau’s theory my relationship begins with my patients as strangers and I try to

Developing my holistic nursing practice or looking at who I have become as a nurse today has been a journey that has helped defined who I am today. When I look back at when I originally became a nurse over 16 years ago, I am proud of who I have become. When I finished nursing school and began my job as a new nurse I thought I had all the tools to be the best nurse I could be. I understood the nursing process, I recognized the skills needed at the bedside to be a nurse, and I felt I had great nursing documentation skills. Soon I learned that wasn’t all of what I needed.

With the postmodern turn of nursing a focus on science as a process instead of a product has emerged (Rodgers, B.L., 2015). Postmodernism rejects the idea of a single truth and instead interprets knowledge as more contextual and relative. The discipline of nursing includes components other than just a knowledge base. Emerging within the 21st century, nurses especially involve the human component. Judgments are made about what is acceptable science and current priorities (Rogers, 2015). Previously in nursing, procedures such as medications and dressing changes were priorities. Today, medication and health care is expensive. Consideration must be taken to follow the whole patient, spiritually, emotionally, physically, and

Nursing care incorporates not only a compassionate attitude but passion for care of patients. The caring component of nursing cannot be measured, rather dissected through theory within the clarification of what nurses do. Systemically this is all supported through abundant theories and theorist. The nursing profession emphasizes on holistic care which is defined as treatment of the whole person. Within this skill is the admittance of problems that are biomedical but also opportune clarification of the well-being and health of a human that introduces added indicators of disease that are non-visualized (Powers, 2011).

Almost all employers will want holistic nurses to have a two- or four-year degree in nursing. These degree programs focus on developing the professional skills needed provide high-quality, evidence-based and patient-centered care. Students learn about the complex health care system and associated health care regulations. These programs integrate critical thinking, quality improvement, safety procedures and leadership skills together to foster

The integration of nursing theories with a philosophical perspective lays the framework for nursing practice (McCurry, Revell & Roy, 2008). My philosophy of nursing is to provide holistic care meeting the physical, social, economic, cognitive, and spiritual health of a person. This philosophy embraces the four elements of the nursing metaparadigm, which is person, environment, health, and nursing. While theorists have differing concepts and definitions of nursing, the American Nurses Association (ANA), defines it as follows; “Nursing is the protection, promotion, and optimization of health and

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.

So I bring up this controversial topic again, about both mental and physical health and how important it is to take some time out of our crazy busy lives as nurses just to sit with our patients for a few minutes to discuss their pain. By pain, I mean both mental and physical pain. The purpose of this paper is to discuss a situation I was involved in as a nursing student in the clinical setting and how I can critically analyze this situation using Carper’s Fundamental Patterns of Knowing in Nursing (1978). This model has helped many practitioners to consider what they learn throughout reflection on their experience within a holistic way.

My own health comes first; it is an example to others and must be reflected and tended to daily. Awareness is the first step in healing or change. My health includes striving for awareness of others and myself. It is important to remember that everyone is doing the best they can at any given moment. People can only do so much with the understanding, awareness, and knowledge they possess. Pattern reorganization can be uncomfortable and healing can be painful. We are all in a state of continual learning. Frustrations may be outwardly projected when disequilibrium is present. It is a nurse’s job to be mindful of this and continue providing supportive, quality