Actions that nurses perform everyday have been ingrained in them based on underlying principles or concepts. These concepts have become the framework that defines what a nurse is or does. Through nursing inquiry, nurses have been able to question and explore concepts that have helped them articulate what it means to be a nurse. The purpose of this paper is to explore these key concepts through a limited analysis-synthesis that have helped shape the profession of nursing.
Nursing was not always seen as a profession, therefore it is important to explore what a profession is and its historical context related to nursing. Turkoski (1995) states that profession is a social construct that was determined by a male worldview; only men were
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Worldviews (paradigms) “frame global assumptions for vocabulary, theories and principles to direct the development of ideas for a domain” (Duff, 2011 p. 3). Scholars believed that paradigms have helped propagate beliefs which has allowed nurses to better understand common world views that belong to the nursing profession (Jacob, 1989, Hinshaw, 1996, Weaver and Olsen, 2005). When nurses share these beliefs, the profession begins to create it’s own identity by agreed upon concepts and theories. Scholars agree that these key concepts are found in the metaparadigm of nursing (person, environment, health/illness and nursing) (Chinn and Kramer, 2008, Mitchell, 2003, Nyatanga, 2005, Pesut & Johnson, 2007). Meleis (2007) explains that the metaparadigm helps define what nursing culture is, which influences the way nurses view the world. Once nurses understand the paradigms that shaped their beliefs, the profession can begin to distinguish itself from other professions (Chinn and Kramer, 2008). Nursing science has also helped to legitimize nursing as a profession because it creates specialized knowledge that defines nursing principles and practice. The concept of science is “knowledge or a system of knowledge covering general truths or the operation of general laws especially as obtained and tested through scientific method” (Mirriam-Websters Dictionary. It is the testing of truths that help create evidence that can justify how nurses practice. Evidence is important to
Many things influence one’s personal perceptions of the great profession called nursing. According to the American Nurses Association, nursing is defined as “protection, promotion, and abilities, prevention of illness and injury,
In order to explore my philosophy it is important that I be aware of how I would define nursing. “Definitions of nursing, like nursing itself, are dynamic; nursing is constantly evolving to meet new needs and take account of new knowledge.”(Clark, 2003, add p. # for direct quote)
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,
designed to guide the practice of nursing” (Medical Dictionary for the Health Professions and Nursing, 2012). Nursing theories can help patients, managers and other healthcare professionals to recognize what and how much that nurses do contribute to the healthcare field. I never did realize how important theories in nursing practice could be until I became a nursing student myself. Nurses use theories in their everyday practice, but never think about them as being
Nursing as a profession has faced many barriers over the centuries. One of the most defining barriers discussed in regard to the historical experience of nurses is the effects of its being considered, and for the most part being, work done by women. In evaluating nursing history it is necessary therefore to evaluate the ways in which society has evolved over time in terms of its views on the roles of nurses of women within the society and its institutions. In the U.S., the inception of nursing both as an occupation and later as a profession, has strong ties to the challenge of women's perceived role as a wife and mother whose sphere was solely domestic. In many ways, significant progress has been made from that time in what women and
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.
Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own.
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.
Each professional discipline has a responsibility to identify concepts that provide a general description of the discipline. It is these concepts that comprise the profession’s metaparadigm (Fawcett, 1984). Much of the philosophy and theory of nursing stems from the work of Florence Nightingale. The diaries, letters, and books that she left behind containing her statements and beliefs have been fundamental to the development of the concepts comprising the nursing metaparadigm (Selanders, 2010). Fawcett’s (1984) stated there was a general consensus among scholars that the concepts of nursing were person, environment, health, and nursing.
Florence Nightingale’s vision of nursing in the mid-1800s began an evolution of nursing philosophies and theories that encouraged the progression and development of nursing knowledge, quality of care, and the advancement of nursing from a vocation to an academic discipline and profession (Alligood, 2013, pp. 3-7). As nursing knowledge and theory flourished, it became necessary to structure nursing theories into an integrated system. Jacqueline Fawcett’s proposal of four global nursing concepts “as a nursing metaparadigm served as an organizing structure for existing nursing frame-works and introduced a way of organizing individual theoretical works in a meaningful structure” (Alligood, 2013, p. 4). The four concepts of the metaparadigm of nursing include: person, environment, health, and nursing. By understanding the history of nursing development and the metaparadigm of nursing, one can explore this author’s personal philosophy of nursing in respect to the four concepts of the metaparadigm of nursing.
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.
Any nurse would admit that preparation to becoming a nurse is a difficult task. Mostly because the practice of nursing consists of many things to follow in order be a great nurse for the patient. To make the preparation less difficult for nurses or nurse to be, Ida Jean Orlando contributed to the Discipline of the Nursing Process to further prepare those in nursing. The Discipline of Nursing Process is a theoretical approach to nursing that follows a nurse-to-patient relationship that would improve the patient’s behavior to seek beneficence and autonomy of the patient (Orlando, 1972). This provides nurses or upcoming nurse the strategies to deal with real life circumstances in nursing and improves the skills of the nurse to improve a patient care. This piece will focus on the theorist, Ida Jean Orlando, the meaning of the nursing process and the reason for the nursing process, any discrepancies that may be associated with nursing such as medical procedures and professional nurses, studies associated with the use of the nursing process and how the nursing process influence personally.
The profession of nursing has matured from the time of Florence Nightingale. Nursing has gone from just treating dying soldiers on the battlefield to helping guide people through their entire lives from birth to death. The maturation of nursing has led to changes in nursing philosophy and allowed for practitioners of Nursing to meld these philosophies together to form their own philosophy. In this paper I will explain my philosophy of nursing and compare it to Virginia Henderson 's definition of nursing along with discussing some of the changes to Nurse philosophy I will also discuss some of the difficulties to being a patient advocate.
Historically, the nursing discipline has borrowed its basis for knowledge and practice from other disciplines (Weaver & Olson, 2006). Today, inquiry specific to nursing is continually changing and growing, as nurses are increasingly interested in developing their own unique body of knowledge. This interest results partially from the emergence of nursing paradigms in recent years. According to Weaver & Olson (2006), paradigms are practices and beliefs that manage our knowledge by proving a framework with which to utilize within our profession, and to guide nursing research. A paradigm shapes our quest for epistemological awareness (Weaver & Olson, 2006). Examples of paradigms common within nursing are empirical, interpretive, and critical paradigms. While each paradigm is unique with sometimes competing focuses, each contributes greatly to nursing knowledge, practice, and research.
Like any scientific discipline, the nursing profession has evolved over time. Nurses, once regarded as housemaids and lower class citizens, now hold positions of authority and stature in our modern society. These changes in the profession are attributed to the many nurse theorists who devoted their lives to the improvement of patient care. Through their theoretical advancements, the public perception of nursing has gone from dismissive to reverential. Today, our culture considers the nursing profession to be one of the most rewarding and respected career paths an individual can pursue. Through a review of one such patient theorist, Dorothea Orem, one can witness this change in the perception of the nursing profession. As a first semester student in a professional nursing course of study, Orem has already influenced my personal nursing philosophy.