Writing your personal philosophy of nursing is all about critical reflection. Critical reflection of your own nursing practice will help you understand theory and conceptual model development from a personal perspective.
By reflecting on your own personal clinical practice experiences you will participate in an internal dialogue and examination of your behaviors that should stimulate your philosophical ideas about the four nursing metaparadigm concepts Hernandez, Your actions are based on your view of the world and your worldview is your philosophy!
To find out what is important to you at this time, follow these suggestions. The steps are an amalgamation of ideas from Denehy , Hernandez , Masters , and Thompson , Take time to think about your personal philosophy of nursing practice. Photo by Riciardus on Unsplash. The first step is to take some time for yourself to reflect upon your professional nursing practice. It will be more helpful to you to write down more than one experience to reflect upon.
Just write down as much detail as you can remember, including what you did, asked or said, how you felt about your work, patients, the situation, etc. Critically examine each clinical narrative. Focus on just one sentence at a time Hernadez, Picking apart the narrative in that way enables you to really understand what is going on in terms of the philosophical beliefs, values, and assumptions about the nursing metaparadigm concepts that are represented in each sentence.
Identify which nursing metaparadigm concept is represented in each sentence. The four phenomena of central interest that define nursing i. Identify whether the sentence reflects an assumption, belief, or value. Reread the BAV definitions in your textbook or my free Theory guide to help you differentiate assumptions from beliefs from values and the metaparadigms from each other. I would use symbols to mark up my narrative or highlight in different colors.
Use what works for you. The point is to be able to look at your work and get an overall view or gestalt of your BAVs about the nursing metaparadigm concepts. Smith; Upon assessment …. Her skin was cool and clammy; his vital signs were …. I would mark that sentence as the Nursing metaparadigm because it was something I DID for the patient.
I encounter clients that suffer from multiple chronic and acute physical and mental health conditions. In my experience nursing care of addiction requires both concrete, empirically based knowledge about managing acute withdrawal symptoms while also utilizing critical thinking skills and being in the moment with the complex clients.
Optimal care in these situations requires both scientific and artful practice of nursing. Conceptualizing Care as both an Art and a Science. Nursing is a science in the sense that it is an organized body of knowledge that draws on the strengths abstract thinking in order to develop an empirically based body of knowledge specific to the discipline Carper, ; Kikuchi, ; Phillips, However, it is also essential to acknowledge that nursing is an art because it requires embodying the creation of holistic health plans that involve caring, establishing meaningful relationships, competence, morality, advocacy and empowerment Johnson, Nursing as a Science.
The science of nursing is multifaceted, based on nursing knowledge, but also drawing on the theory of behavioural and natural sciences, to embody skills and professional values that are applied in a caring manner Newman, ; Phillips, I believe that the science of nursing successfully incorporates empirically based means and methods of pursuing knowledge in cases where it is appropriate.
For example, in addictions and mental health nursing the role of pharmacotherapy is often essential to providing good patient care. The efficacy and therapeutic value of medication is obtained through empirically means. The scientific method is in isolation insufficient for addressing all nursing questions because nursing is a human science that involves intangible components of the external and internal environment, for example love Kikuchi, Nursing as an Art.
I agree with Johnson that science alone is not able to solve all of the problems presented in nursing. The process of nursing is not black and white, artful aspects of nursing help to address the various shades of gray Kikuchi, Conceptualizing nursing as an art is a longstanding idea that many nursing scholars have written about Johnson, ; Kikuchi, ; Phillips, When examining current literature of nursing as an art Johnson identified five distinct descriptions.
Engaging in Meaningful Relationships. Nursing involves being with individual clients or communities and also being engaged in the moment, making meaning as a component of providing care. The task of making meaning involves subjective interaction with clients, attaching significance to those things that can be felt, observed, heard, touched, tasted, smelled, or imagined, including emotions, objects, gestures, and sounds Johnson, The concept of being engaged in meaningful relationships requires that the nurse be actively involved.
In this sense there is a creative aspect of nursing which places emphasis on the unique situation of clients and communities. These are artful aspects of nursing practice that involve using personal experience and expertise to focus on a particular patient situation.
My belief is that artful practice can be learned and further developed over time; nurses can learn to listen to and trust their inner experiences p.
This occurs in a holistic capacity taking into account the complete situation of a client rather than focusing on a piece, such as a particular illness.
Meaningful relationships also occur between members of the professional nursing community. Bunker highlights the importance of community for nurses, because no nurses work in isolation. It is important to recognize that the purpose of nursing is to establish relationships with others, meaning work happens with clients as well as with other nurses and members of other health care disciplines.
For example, I believe that engaging in a mentorship relationships, as discussed by Cody , is a good way in which I can immediately impact the development of nursing knowledge. Creation of a knowledge community may be regularly utilized to teach those new students and professionals Cody, Intellectual ability is critical to performing any nursing activity.
This connects to conceptions of nursing as a science, involving the ability to be reflective in decision making and utilizing critical thinking skills to put nursing knowledge into action appropriately Birx, I believe that nursing epitomizes the ability to rationally design and implement care plans Johnson, The key to successfully engaging in this process is recognition that nursing is practice focused, meaning there is a purpose which ideally optimizes health situations Johnson, ; Northup et.
I believe nurses develop problem solving abilities, guided by intellect in which knowledge and other types of information are selected based on the expertise and intended outcome p.
Ability to Morally Conduct Nursing Practice. Lastly, I believe that artful practice involves developing the ability to practice nursing morally; the nurse is obligated to practice in a way that seeks to avoid doing harm, benefitting clients and communities p. There is deep interconnection between skill competence and moral action Johnson, Nurses demonstrate skill competence and knowledgeable but without moral decision making it is not artful practice. I believe that nursing provides a voice against unjust and unmoral actions.
Advocacy is an important component of moral nursing practice. The discipline of nursing has faced many challenges being with the health care system building roots as a hierarchical system where nurses were traditionally at the bottom Wuest, A handful of women nurses worked hard to progress the status of women and challenge the dominant social order Wuest, It acknowledges the physical, mental, intellectual, and chemical components as a system within a system on a global scale.
As nurses we must view our clients in a holistic manner and understand that a person is more than just a physical human being. The basic needs are food, water, and shelter. Are they in pain? Do they look anxious? Psychological needs are also important. Clients should feel that they have a say in their healthcare plan and should feel satisfied with their care.
Health is a state of wellbeing, in which, one has the ability to function and take care of themselves independently while free from stress and illness. As nurses we must keep in mind that there are varying degrees of health and we must always be good advocates of health to our clients, our communities, and ourselves. Nurses can keep healthy people healthy by sharing their knowledge with the community instructing various groups about health issues, disease prevention, nutrition, and child care.
They can help implement prevention programs, arrange immunization clinics, blood pressure checks, and health screenings. Environment is a multilayered concept that involves all elements that affect a person physically, mentally, and socially. As nurses we must be aware of cultural differences when providing care for clients understanding that our perception of what is culturally acceptable may not be acceptable for our client.
Nursing, as I mentioned earlier, in my opinion is defined as a healthcare profession which focuses on the care of people, their families, and communities to achieve an overall goal of relative health and quality of life throughout life.
There is science and art in nursing both concepts are equally important to the profession of nursing. The art portion involves caring for the best interests of the client. With the knowledge and understanding that each client has different needs. My personal values are what attracted me to nursing as a profession. Knowing what I value provides me with a way to approach nursing.
Metaparadigm concepts included in philosophy. My Own Personal Nursing Philosophy. Paper details: This assignment requires you to use the processes of critical thinking and reflective writing to develop a beginning personal nursing philosophy which includes the four nursing metaparadigm concepts of person, nursing, health, and environment.
Nursing science is a body of knowledge arrived at through theory development, research, and logical analysis. Nursing and other supporting theories are essential to guide and advance nursing practice. The art of nursing practice, actualized through therapeutic nursing interventions, is the creative use of this knowledge in human care.
My personal philosophy of nursing incorporates components of the traditional nursing metaparadigm (Monti & Tingen, ) while also incorporating the concept of social justice proposed by Schim, Benkert, Bell, Walker and Danford (). Philosophy of Nursing: The Art and Science of Caring Stephanie Gray Jacksonville University Philosophy of Nursing: The Art and Science of Caring According to Chitty (), “Philosophies of nursing are statements of beliefs about nursing and expressions of values in nursing that are used as bases for thinking and activity” (p. ).
The goal of this paper was to discuss each component of my personal nursing philosophy in relation, how I arrived at my belief, how I encountered each in my practice and how each may facilitate my personal contribution to the current body of nursing knowledge. My personal philosophy of nursing incorporates components of the traditional nursing . Nursing Philosophy and Nursing Theory: A Comparison of the Metaparadigm Concepts of Nursing of Nursing with Personal Philosophy and the Theory of Madeleine M. Leininger Developing a personal philosophy of nursing and patient care is essential to the development of every nurse.