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.
When you are writing the BAVs, it might help if you start with the metaparadigm concept you are writing about — Nurses, Persons, Health, the Environment …. You might want to group the BAVs for each nursing metaparadigm concept together. This big picture should give you insight into your personal philosophy — what you really believe and value about nursing practice.
These general BAVs will form the underlying framework of your personal philosophy of nursing. You can identify your assumptions about nurses, persons, health, and environment first.
What do you take for granted? What do you assume to be true without any hard evidence? 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. I feel the value I admire most in myself is integrity. Integrity to me, in its simplest terms, means doing what is right when no one is looking.
The task of handling and administering powerful medications is just one role the nurse must perform that demonstrates the importance of integrity.
Incorporating empathy into the nursing practice enables you to understand what the client is going through providing the ability to help them in a therapeutic way. In my own experience in healthcare, I find that many healthcare providers lose sight of the value of empathy over their careers. They stop viewing the patient in the holistic manner of person, health, environment, pain, family and start seeing them as work. It is my opinion, that once you stop seeing the client as a person and start seeing them as work it is time to find a new profession.
Considering how these values articulate with the morals of society is an important factor when providing care for clients. For example, empathy is extremely important when dealing with the elderly because throughout generations, as people grow older, some believe that morals of society have degraded in comparison with the morals of their generation.
Your mannerism when dealing with elderly clients may have a direct effect on their respect for you as their healthcare provider which, in turn, has an effect on their environment and health. The ability to use empathy to accept the difference in others increases your ability to provide clients with a higher standard of care in the practice of nursing. I believe that nurses have the power and responsibility to challenge the status quo both for the advancement of those in nursing and for the pursuit of public health for all.
Within my practice I have experienced the ability to exercise power for the purpose of advocating for clients suffering from addictions to be included in health programs that exclude based on stigma attached to their health situations. I have developed the belief that it is my moral responsibility to advocate for this marginalized group. This is in line with Schim et. This enables nurses to see the community and global aspects of health care beyond the immediate situation. This perception of nursing requires critical analysis of the status quo in health care and the larger society, exposing oneself to the larger societal issues that form the upstream precursors to urban health disparities Butterfield, ; Schim et.
As nursing progresses into the 21 st century there is some suggestion that survival and advancement of the discipline requires increase engagement of practicing nurses in utilizing and developing specifically nursing knowledge Cody, ; Fawcett, ; Silva, 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.
I believe that nursing is a discipline that encompasses four integral attributes 1 the person, 2 society, 3 health and 4 nursing which I have discussed in relation to current literature on nursing, using examples from my own nursing experience, including explanation of how some have allowed me to contribute to the development of nursing knowledge.
Critical thinking and theory-based practice. Jones and Bartlett Publishers. The nurse scholar of the 21st century. Nurturing a conceptual understanding of the societal context of health behavior. Fundamental patterns of knowing in nursing. Lippincott Williams and Wilkins.
Nursing science frameworks for practice and research as means of knowing. Nursing Science Quarterly, 13 , Retrieved November 26 th , from. Nursing theory as a guide to practice. Scientific inquiry in nursing: A model for a new age. Kluwer Lippincott Williams and Wilkins. Wolters Kluwer Lippincott Williams and Wilkins.
A dialectical examination of nursing art. Nursing questions that science cannot answer. Critique and alternative view. Whose discipline is it anyway? What constitutes nursing science? Public Health Nursing, 24 1 , Retrieved from Wylie InterScience database November 12 th , A priority for creating nursing's future.
The state of nursing science: Reconceptualizing for the 21st century. Bridging the gulf between science and action: The "new fuzzies" of neopragmatism. Professionalism and the evolution of nursing as a discipline: I suggest you visiting my blog with the writing tips. You'll find a lot of interesting and useful information there.
You discuss about Personal Nursing Philosophy developing. Thanks, Michelle D for this kind post. I have read this post because you talk very details this post. I again told it is a helpful link for the nurse. The Person Nursing is first and foremost about people.
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.