Nursing
Letter of Introduction

As an advance practice nurse, I intend to apply my education and professional experience to improving patient outcomes. A holistic nursing philosophy and commitment to caring are the crucial components of my professional character. I also recognize the importance of nurse education and leadership in providing the organizational culture that promotes healing, supports nurses, and advocates for the well being of all patients. My personal nursing philosophy also recognizes the value of diversity.

I believe that health and wellness have personal and cultural dimensions and that it is important for all nurse practitioners to acknowledge the diversity of their patients and resist assuming that all patients have the same emotional and spiritual needs. Advance practice nurses have an ethical obligation to learning about their patients' backgrounds, as well as learning their specific responses to pain and illness. Nursing is a career of lifelong learning, too meaning that advance practice…...

As such, "nursing is caring for people and their environment in ordered to maintain well-being in individual, family, and/or community using therapeutic techniques" (Long, 2012). Caring is at the very center of the nursing paradigm, and helps set a foundation for the other elements. Next comes the concept of health. This "concerns nurses as medical professionals (rather than mere adjuncts to doctors)" (Johnson, 2013). Nurses care because they want to promote health and ease suffering. Yet, "health is not an absolute concept, but exists in the context of the health problems of the individual" (Johnson, 2013). Once again, it must be fluid and flexible enough to be able to adapt to a wide plethora of different types of situations. Both of these first two elements must maintain a certain level of flexibility in order to cater to the third element, the unique individual person that is in need of…...

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References. Web. http://www.ehow.com/list_6106429_four-basic-metaparadigm-concepts-nursing.html#page=0

Long, Angela. (2012). Program outcomes. Nursing Metaparadigm. Pacific Lutheran University. Web.  http://www.plu.edu/~longad/nursing-metaparadigm/home.html

There are clear philosophical connections between the core ideas of hermeneutics and those of historicism, because each posits a potentially radical degree of relativism. odgers & Knafl (2005) explore this, arguing not for a return to any radical empiricism but rather to acknowledge that while knowledge and certainly medical praxis is socially constructed (and constructed along lines of socially sanctioned power hierarchies), there are fundamental empirical elements to nursing that cannot be trivialized.

Moreover, odgers & Knafl (2005, p. 118) argue that such a trend towards a radical sort of relativism (or, perhaps more accurately, a fully realized postmodernism) is not in keeping with the philosophical tenets and requirements of the hermeneutic writers that nurses have embraced: While knowledge is certainly socially constructed, the key to a hermeneutic reading is a focus on the social nature of the way in which knowledge is created and transmitted.

It is important to note that…...

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References

Chinn, P. & Kramer, M. (2010). Integrated theory & knowledge development in nursing. Boston: Mosby.

Meleis, a.I. (2006). Theoretical nursing. . New York: Lippincott Williams & Wilkins.

Reed, P. & Shearer, N. (2007). Perspectives on nursing theory. New York: Lippincott Williams & Wilkins.

Rodgers, B. & Knafl, K. (2005). Nursing: Foundations, techniques, and applications. London: Saunders.

Critics of holistic nursing have occasionally insinuated that holism is somehow incompatible with evidence-based practice such as that which underlies the Magnet standards. That is truly unfortunate. Holistic concerns in nursing are more than merely "compatible" with an evidence-based perspective; in fact, the holistic emphasis is an expansion of available treatment modalities that has been demonstrated empirically to bolster clinical success rather than competing with it or contradicting it (Stetler, 2001).

Holistic nursing is fundamentally, inclusive and a valuable adjunctive modality that does not shift focus away from the hard science components of modern nursing; holistic nursing complements clinical modalities.

Multiculturalism in Holistic Nursing:

Multiculturalism and the increasing age of the American population present two other fundamental components of the holistic approach to nursing that emphasizes treating the whole person in conjunction with clinical therapeutics. Patient outcomes have been clearly demonstrated to improve, both in studies of higher rates of symptom resolution attributed…...

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Bibliography

Clark, C., Robinson, T. (2000). Multiculturalism as a Concept in Nursing.

Journal of the Black Nurses Association, 11(2), 39-43

Miller, a. Chandler, P. (2002). Acculturation, Resilience, and Depression in Midlife

Women from the Former Soviet Union. Nursing Research, 51(1), 26-32.

I also feel that nurses should maintain impartiality through the build up of procedures, supervising benefits and the sustenance of source distribution to guarantee the fulfillment of the client requests (Cooper, 1991).
Confidentiality also believe that a nurse should be able to handle situations where the data of a client conflicts with the greater good that could be achieved with the publication of that particular info and when it is best to give out or retain that information. Confidentiality is an important factor in every organization, and nurses have to especially be careful about the private disposition of client data that they get and should protect it from leaking out to any unnecessary sources and that the organizational setup is free from the danger of a secrecy violation (Cooper, 1991).

Veracity (truthfulness) nurse is always expected to fulfill her duties keeping in mind that an honest and open environment is in…...

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Bibliography

Burgess, M. (1993). A Guide to the Law for Nurses and Midwives. Auckland: Longman Paul.

Christiansen, J. (1990). Nursing Partnership: A Model for Nursing Practice. Daphne Brasell Associates Press.

Cooper, M.C. (1991). Principle Orientated Ethics and The Ethic of Care: A creative tension. Advanced Nursing Science 1991. 14(2): 22-31.

Noddings, N. (1984). Caring: a feminine approach to ethics and moral education. Berkley: University of California Press.

Nursing Philosophy
The author of this report is asked to offer three main points of discussion within this report. These three sections all related to nursing theory and they will be compared and contrasted to the personal philosophy of the author of this paper. The three points of discussion are the four meta-paradigms of nursing theory, two practice-specific concepts and a list of propositions that the author of this paper would offer relative to nursing and the author's personal philosophy.

Four Meta-Paradigms

As intimated in the introduction, there are four meta-paradigms of nursing and they will each be described and analyzed in detail. The first of those four is person. A main point of this meta-paradigm is to use the word "subject" rather than "patient" to refer to the patient in the fullest and truest sense. The idea behind this is that the person is a fully singular and autonomous being and should…...

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References

Basford, Lynn. Theory and practice of nursing: an integrated approach to caring practice. 2nd ed. Cheltenham: Nelson Thornes, 2003. Print.

Butts, J.B. & Rich, K.L. (2010). Philosophies and Theories for Advanced Nursing

Practice. South University. Web. 16 October 2013

Lovett, K. (2013, October 22). Obama acknowledges problems with Obamacare website

However, from the anti-realist point-of-view, such manifestations are not enough for an individual to consider the patient alive. One can posit that the absence of the patient's ability to communicate or interact is a manifestation of death, or the state of not being alive. That is, despite the biological signs of life shown in the apparatuses, anti-realists view the patient as dead because s/he is no longer able to perform one function that humans are distinctly known to be able to accomplish excellently: the ability to communicate and/or interact with others.
The phenomenologists, meanwhile, "centered their attention on the lived experience of those persons being smiled at and touched. Since human consciousness is the only object which may be studied, it was the essential experience of patients that mattered" (130). In this philosophy of nursing, experiential relations between the nurse and the patient is considered the most important learning that…...

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The four identified metaparadigms of nursing -- nurse, person, environment, and health -- reflect the current understanding of nursing practice as an integrated part of medical treatment and health enhancement. Though each concept is highly related to the others, each represents a different way of approaching and understanding issues in nursing. The nurse is understood as a medical practitioner, using verified empirical data in providing treatment options to the patient. The person metaparadigm takes the subjectivity and personal judgment that is equally essential to the practice of nursing into account (Chin & Kramer 2004). Environment can be understood as the physical, emotional, and social surroundings of the treatment, and health is best understood as the overall well-being of those involved in treatment. Each concept refers to a distinct way of studying issues in nursing, yet each is also completely essential for a comprehensive understanding of modern nursing practice and scholarship.

3)

I…...

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References

Chinn, P. & Kramer, M. (2004). Integrated knowledge development in nursing. St. Louis: Mosby.

Dobson, R.; Stevenson, K.; Bushc, a.; Scott, D.; Henry, C. & Wall, P. (2009). "A quality improvement activity to promote interprofessional collaboration among health professions students." American journal of pharmaceutical education 73(4), pp. 1-7.

nursing profession has debated the relevance of nursing models to nursing practice and it is clear that most nurses, particularly practicing nurses, continue to judge them to be not relevant" (Meehan, 2012, p. 2906). I disagree and believe firmly in implementation of sound nursing models in nursing practice. My philosophy nursing centers around holistic care and knowledge of care to drive practice. This means that in order to heal and assist patients and clients, one must be willing approach a situation from a multi-level perspective. Nutrition, activity level, supplementation, and stress management are just some of the levels one as a nurse should discuss and monitor in patients. "Traditionally, nurses have sought to care for the whole person and as formal nursing knowledge was developed, this intention was conceptualized as holistic nursing" (Meehan, 2012, p. 992). Furthermore, keeping up-to-date with research and innovative practices will keep me informed on…...

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References

Meehan, T.C. (2012). Spirituality and spiritual care from a Careful Nursing perspective. Journal of Nursing Management, 20, 992.

Meehan, T.C. (2012). The Careful Nursing philosophy and professional practice model. Journal of Clinical Nursing, 21, 2905-2907.

Nyatanga, B. (2010). Managing competing philosophies with palliative care. British Journal of Community Nursing V, 18(8), 413.

Rudge, T. (2011). The 'well-run' system and its antinomies. Nursing Philosophy, 12, 167-176.

Nursing Philosophy
We all have a philosophy -- whether related to our professional engagements or otherwise. Indeed, it is on the basis of our individual philosophies that we form the conduct of life. A nursing philosophy in the words of eed (as cited in Masters 2014, p. 100) is essentially "a statement of foundational and universal assumptions, beliefs, and principles about the nature of truth and knowledge (epistemology) and about the nature of the entities -- nursing practice and human being healing process-represented in the metaparadigm (ontology)."

Although I may not yet be a nurse, I do have a personal philosophy that I intend to practice and apply on entering the nursing field. In addition to representing my belief about this noble profession, my personal philosophy also allocates meaning to my future roles as a nurse and responsibility to patients. In seeking to highlight my personal philosophy, I will be focusing…...

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References

Brannon, L., Feist, J.S. And Updegraff, J. (2013). Health Psychology: An Introduction to Behavior and Health (8th ed.). Mason, OH: Cengage Learning

Masters, K. (Ed.). (2014). Role Development in Professional Nursing Practice (3rd ed.). Burlington, MA: Jones and Bartlett Publishers

nursing philosophy influenced "Management Care Professional Issues" [capstone nursing] (2) How I live nursing philosophy I enter workforce? Each question answered 2-3 sentences.
My philosophy of nursing: Putting it into practice

When reflecting upon how my philosophy of nursing has been influenced by this Capstone course, my immediate response is that it is the first time that I really have had the opportunity to construct a true philosophy of nursing. Before, I tended to react to events without putting them in a larger context, and approached medical issues in a largely technical manner. Now, I am more inclined to think about how my decisions will interact with a patient's social, psychological, and environmental conditions. My philosophy of nursing is contingent upon the idea that the nurse must treat the whole patient in a spirit of caritas, and take into consideration the 'big picture.' A patient's personal definitions of health and well-being…...

They not only delivered the medical care that she needed, but they held her hand, hugged her, put lotion on her, made her feel that each day was another gift. She became very attached to two of the nurses and I believe they were the people who helped her accept her fate and enjoy the little time she still had left.
As I grew up and encountered nurses at various places I saw their ability to deliver care at the same time they delivered caring.

My purpose for becoming a nurse is to be able to provide comfort and assurance and medical care to those who need it. Whether it is relieving a patient's pain, handling their post surgery care, or helping them recover from a heart attack, it is important to me that they had someone they could count on medically to provide a consistent level of confidence, comfort and…...

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References

Dukes, Carol A.(1989) Toward some principles of school nursing.

Journal of School Health

Mullane, Mary K (2000) Proposals for the Future of Nursing.

Nursing Forum.

Nurses today are authorities on a variety of health problems and care. Family members and friends even seek them out for advice and support, when they are off duty. In office, they have become more and more important in the American healthcare system. This paper briefly discusses the present and future of nursing.
The Present and Future of Nursing

Nurses today are authorities on a variety of health problems and care. Family members and friends even seek them out for advice and support, when they are off duty. In office, they have become more and more important in the American healthcare system.

Nurses are critical to a patient's satisfaction. A positive evaluation of a nurse usually leads to a patient being satisfied with their hospital environment (Gotlieb, 2002).

Not so long ago, nurses were seen as simply assistants to the doctors that they worked for. Today, because of managed care and capitation, nurses have…...

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References

Duffield, C., Aitken, L., O'Brien-Pallas, L., & Wise, W. (May 2004). Nursing: A stepping stone to future careers. Journal of Nursing Administration, 34(5). Retrieved July 6, 2005, from Ovid database.

Gotlieb, J. (Oct. 2002). Understanding the effects of nurses on the process by which patients develop hospital satisfaction. Holistic Nursing Practice, 17(1). Retrieved July 6, 2005, from Ovid database.

Lyon, B. (Jan/Feb 2005). Reflecting on 'Getting back on track': Nursing's autonomous scope of practice. Clinical Nurse Specialist, 19(1). Retrieved July 6, 2005, from Ovid database.

Perla, L. (Jul/Aug 2002). The future roles of nurses. Journal for Nurses in Staff Development, 18(4). Retrieved July 6, 2005, from Ovid database.

Stressors in the environment encompass the health condition necessitating the dialysis but also the stressors of the procedure itself, which can be profoundly disruptive to the patient's sense of dignity and control (Hagopian, 2009, Slide 51). Responding to and adapting to the environment might encompass improving the comfort level of the patient, distracting the patient with positive talk, providing emotional counsel, and noting alternations in the patient's overall state of mental or physical wellness that might require additional treatment.
Health

Health may be defined by the patient's state of relative physical, emotional, and sociological well-being (Hagopian, 2009, Slide 7). Questions that might arise when assessing the patient's health are: How functional is the patient? How positive is his or her mindset? hat sort of social and financial resources does he or she have to improve his or her treatment? All of these factors affect one another. For example, someone without adequate…...

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Works Cited

Hagopian, Gloria. (2009, May 30). Nursing theorists: Week 11 & 12.

Retrieved May 30, 2009 at www.nipissingu.ca/faculty/arohap/aphome/NURS3006/Resources/theorists.ppt

Personal Philosophy of Nursing
Nursing is, according to the U.S. Department of Labor, one of the 'hottest' or most desirable to enter of all professions today because of the increasing cost of health care, because of the managed health care system's extraction of doctor's time and personal resources, and the aging of the American population as a whole. More individuals will need personal care, advice on taking prescriptions and managing health and illness, and greater attention than physicians can provide. But despite this supposed national health care trend, the definition of nursing remains the same. It is not a definition that every personality can accommodate. To be a nurse, one must put an individual and human face upon medicine for the individual patient, tailoring the doctor's instructions and requests for the individual in a flexible fashion that is still perfectly consistent with an accurate and high standard of care. It…...

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Works Cited

George, J.B. (1998). Nursing Theories. 4th Edition. Norfolk, CTL: Appleton & Lange.

Nursing." (2004). U.S. Department of Labor. Retrieved on May 4, 2004 at  http://www.bls.gov/oco/ocos165.htm 

World Health Organization. (1986). Ottawa Charter for Health Promotion. WHO Regional Office for Europe. Copenhagen Author.

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