NSG 3007 Week 4 Project-Personal Philosophy of Nursing

NSG 3007 Week 4 Project-Personal Philosophy of Nursing

A nursing career is highly guided by philosophy, conceptual framework, theory, and or middle-range theory that forms the foundation for thoughts for critical thinking and decision-making in the course of duty. The philosophy is the basis on which actions are anchored. Nursing theories, conceptual frameworks, and personal philosophy in various undertakings greatly guide my Gastroenterology Nurse career. Notably, the System Theory is the foundation of my nursing philosophy. It defines major nursing meta paradigms: nursing, person, health, and environment. This paper will discuss how I utilize Betty Neuman’s System Theory to organize my thoughts for critical thinking and decision-making as a Gastroenterology nurse. It will also provide a personal definition of the four nursing meta-paradigms guided by the theory. Also, I will provide beliefs and values about nursing that guide my Gastroenterology practice and discuss the strengths and weaknesses of my communication style as a Gastroenterology nurse.

The Application of Neuman’s Nursing System theory in Gastroenterology practice

The nursing profession holistically examines patients’ responses to stressors using social-cultural, psychological, physiological, spiritual, and developmental variables. It helps to understand patients as an open system is extensively influenced by these variables. The Neuman’s system approach balances against stressors and helps caregivers understand the patient’s needs and attain, retain, and maintain a holistic approach to patients’ well-being. The model is client-focused regarding patient management (Fawcett and Giangrande, 2001).

The Nursing System theory provides flexibility and adaptiveness in the nursing profession. It is highly applicable in groups, situations, and patients, making it widely used in gastroenterologists’ practices globally. The theory is essential in research, nursing education, and practice. Also, the model is widely used in teaching nursing at various universities. Its contribution to developing curriculum framework in nursing is undisputed (Meleis and Afaf, 1997). The theory aligns with my philosophy of empowering each patient to self-care while delivering holistic nursing care. Also, the theory is consistent with my beliefs and personal definitions of concepts of humans, environment, health, and nursing.

Relating it to my practice, it empowers gastroenterology nurses and caregivers to address patients’ needs holistically. Neuman’s system theory is dynamic and adaptive to health care and, therefore, best applicable in a gastroenterologist’s career. The model is used in various gastroenterology nurse practice settings to guide patient interaction. I widely apply the model to meet the families and patients requiring critical care. It also guides in supporting mothers with children with terminal illnesses. Gastroenterologists apply the model to patients with terminal illnesses such as gastrointestinal cancer, inflammatory bowel disease, and gastrointestinal bleeding (Neuman and Reed, 2007).

Personal Definition of Nursing Concepts

 There are four concepts of the nursing meta paradigm: person (patient), environment, health, and the nurse. Metaparadigms in nursing define a nurse’s role and demarcate nursing and what is not nursing. Also, “For nursing, the four most frequently cited domains of nursing’s metaparadigm are patient, health, environment, and nursing” (Elo et al., 2013).

Human (patient)

 According to Neuman, a human is a total client system, layered and multidimensional. A layer has five-person subsystems: physiological, the patient’s physicochemical function, and structure. Psychological layer: the emotional and mental processes. Socio-cultural layer: the social-cultural activities exp,ectations, and relationships. The Spiritual layer is the influence of spiritual beliefs on a patient.

The developmental aspect is the lifespan development process. (Neuman and Reed, 2007). Health is considered a primary factor in providing patient care. As demonstrated by Nightingale’s hypothesis, preparedness, caring, cleanliness, and other medicinal requirements significantly enhance a patient’s well-being. The degree of health care and wellness access a patient gets is alluded to by the health part of the four meta paradigms (Elo et al., 2013). Wellness and health cover an individual’s life expectancy, genetic makeup, and how social, emotional, physical, and spiritual well-being is incorporated into medical services for maximum health benefit.

Health 

It is a wellness and illness state. According to the theory, a healthy state is when the system is in a stable equilibrium and the parts of the system are functioning properly. When the energy demand to restore the system exceeds what is available, a client becomes ill and even dies. (Neuman and Reed, 2007). According to Watson, the environment is more prominent in the nursing procedure. The environment influence nurse and also patients’ capacity to recuperate. The environmental element refers to the surroundings that influence the patient. The environmental aspect comprises external and internal impacts and how an individual’s interaction with the surroundings affects their health and wellness. Family, friends, and other people’s interactions are part of the environment and social and physical factors, such as cultural, geographic areas, economic conditions, social connections, and technology (Elo et al., 2013).

Environment 

This refers to all factors that affect the system. The internal environment exists within the patient, and the external environment refers to the interactive forces influencing the client. These forces are interpersonal, intrapersonal, and extra-personal stressors an individual interacts with at any given time (Neuman and Reed, 2007). The patient is the focus of the healthcare system. Every patient ought to be looked after as an exceptional person. An individual association also comprises relatives and different groups critical to the patient. Structuring of the care depends on an individual’s spiritual, social, and well-being needs. The well-being results depend on an individual’s cooperation with these physical and social associations. The individual starts to deal with his health and well-being with dignity and self-safeguarding with individual associations (Bredow & Peterson, 2013).

Nursing

 Nursing is unique according to the system theory. All variables that affect clients’ responses to stressors are a concern. A nurse must address the complete system as a client is viewed as a whole. Through nursing intervention, nursing is the action that assists the patient to regain their wholeness. The role of nursing is measured by the degree of response to the stressors is the measure of nursing (Neuman and Reed, 2007). Based on Orem’s Theory of Self-Care, the backbone of the health sector is the nurses. Nurses are crucial in recuperating, but patients are central to self-care regarding diseases and therapies. In the recuperating process, nurses’ role is to inform patients about the process and help them to heal. Information, attitudes, technology, coordinated efforts, professional verdicts, and correspondence to undertake their obligations and responsibilities in accomplishing the ideal condition in patient well-being are the standards applied in nursing (Bredow & Peterson, 2013).

NSG 3007 Week 4 Project-Personal Philosophy of Nursing

My communication style and its impact on my ability to collaborate as part of an interdisciplinary team

 In the healthcare setup, communication is a key element in any relationship. It helps to improve patients’ outcomes and retention of medical staff. Communication should be collaborative rather than competitive. My communication style is assertive; it is one of the most effective communication styles. It enables me to state my feelings and opinions and advocate for my rights without violating the rights of others. I can demonstrate my value for time and physical, emotional, and spiritual needs while respecting other people’s rights. The style empowers me to state my wants and needs appropriately, and I respectfully use the “I” statement to express my feelings clearly, appropriately, and respectfully. Also, can use appropriate non-verbal cues, listen to others without interrupting, take control of myself, maintain good eye contact, speak in a clear tone of voice and calmly, takes control of myself, and feel competent, in control, and well connected to others (Peate, 2010).

The importance of assertive communication is that it enhances my connection with other team members, creates a respectful environment, and enhances maturity and the ability to handle issues as they arise. It helps me to feel good about myself and others. Moreover, it helps me achieve my goals and lets me express myself verbally and non-verbally with negative and positive thoughts. However, this style of communication may face disproval of what I express. With this style of communication, I may not always get what I want as I must regard other people’s rights (Kourkouta and Papathanasiou, 2014).

Beliefs and Values about Nursing that Guide My Practise

Empathy

Every nurse should learn the true value of empathy and compassionate care in nursing school or interacting with other professionals. It should be an inherent character. As a gastroenterology nurse, I believe empathy gives the ability to understand, be sensitive to, be aware of, and experience the feelings, experiences, and thoughts of the patient and their caregivers. My ability and willingness to “tune in” to and pay attention to patient’s experiences are critical to the methods I use to manage care.

Empathy is based on respect for the dignity of the patient and an acknowledgment of the independence of the patient (Šaňáková and Čáp, 2018).

Caring 

Caring is the basis of nursing care. As a gastroenterology nurse, I believe caring entails knowing and trusting the patient, having an interest in their well-being, growth, honesty, and courage. As a caring nurse, I know that there is much more to the patient that I need to know. This helps me to give the patient the necessary confidence and patience to provide all the necessary information for diagnosis and treatment. Consequently, the patients maintain hope and a continued possibility of well-being and change. Caring includes planning and providing individualized, sensitive, and appropriate care (Matiti, 2007).

Respect for human dignity

Careful nursing requires understanding and respecting human dignity. Inherent human dignity originates in an individual’s inward life of mind and spirit. As inherent human dignity is also displayed naturally in every aspect of the outward life of the body and senses. In practice, my philosophy recognizes individual distinctiveness and embraces the many acquired human dignities integral to patients’ well-being, health, and flourishing. Human dignity develops primarily in the outward life of the body and senses as I engage in relationships with the patient (Parandeh et al., 2016).

Conclusion

This philosophy paper explored what nursing is to me and what guides me in my nursing career. I have become more informed of theories and principles I value for my

gastroenterology practice. I value holistic patient care, made of care, empathy, and respect for human dignity. I value each patient based on individual needs; Respect is essential in preserving a patient’s dignity. My primary objective is to promote self-care in patients and provide a conduce level for patients to recover. My assertive communication style is key to collaborating with an interdisciplinary team. I hope to fully implement Interprofessional collaboration in my nursing practice to give more to my patients. My desire to work in a healthy environment guided by open communication and preserving human dignity is intact. I plan to advance my nursing career beyond the undergraduate level to Nursing Practitioners who will improve the well-being of my patients. The theory, personal values, and communication style will serve as a personal guide to nursing practice.

References

Dossey, B. (2010). Holistic nursing: from Florence Nightingale’s historical legacy to 21st-century global nursing. Alternative Therapies 16(5), 14-15.

Elo, S., Kääriäinen, M., Isola, A., & Kyngäs, H. (2013). Developing and Testing a Middle-Range Theory of the Well-Being Supportive Physical Environment of Home-Dwelling Elderly. The Scientific World Journal, 2013, 945635. http://doi.org/10.1155/2013/945635

Fawcett J and Giangrande SK (2001) Neuman systems model-based research: An integrative review project. Nurs Sci Q 14: 231-238.

Kourkouta, L., & Papathanasiou, I. V. (2014). Communication in Nursing Practice. Materia Socio-Medica, 26(1), 65–67. http://doi.org/10.5455/msm.2014.26.65-67

Malinowski, A., & Stamler, L.L. (2002). Comfort: An exploration of the concept in nursing. Journal of Advanced Nursing 39(6), 599–606.

Matiti, M., Cotrel-Gibbons, E., & Teasdale, K. (2007). Promoting patient dignity in healthcare settings. Nursing Standard, 21(45), 46-52. doi: 10.7748/ns2007.07.21.45.46.c4584

McCurry, M. K., Revell, S.H., Roy, C. (2009). Knowledge for the good of the individual and society: linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy 11, 42-52.

Meleis I. and Afaf (1997), Theoretical Nursing: Development & Progress 3rd ed. Philadelphia, Lippincott.

Neuman, B., & Reed, K. S. (2007). A Neuman systems model perspective on nursing in 2050. Nursing Science Quarterly, 20(2), 111-113.

Parandeh, A., Khaghanizade, M., Mohammadi, E., & Mokhtari-Nouri, J. (2016).Nurses’’ human dignity in education and practice: An integrated literature review. Iranian Journal of Nursing and Midwifery Research, 21(1), 1–8. http://doi.org/10.4103/1735-9066.174750

Peate, I. (2010). Communication & interpersonal skills for nurses Shirley Bach Communication & interpersonal skills for nurses and AlecGrant Learning Matters£17192pp97818444516231844451623. Nursing Management, 16(10), 9-9. doi: 10.7748/nm.16.10.9.s15

Šaňáková, Š., & Čáp, J. (2018). Dignity from nurses’’ and older patients’’ perspective: A qualitative literature review. Nursing Ethics, 096973301774796. doi: 10.1177/0969733017747960

Wood, V., Flavell, A., Vanstolk, D., Bainbridge, L., & Nasmith, L. (2009). The road to collaboration: developing an interprofessional competency framework. Journal of Interprofessional Care 23(6), 621-629. doi: 10.3109/13561820903051477

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NSG 3007 Week 4 Project-Personal Philosophy of Nursing

Describe your approach to professional nursing practice in a Microsoft Word document of 5-6 pages formatted in APA style. Be sure to address each one of the following criteria:

• Which philosophy/conceptual framework/theory/middle-range theory
  Describe nursing in the way you think about it.
• Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision-making in nursing practice.
• Formulate and discuss your definition of nursing, person, health, and environment.
• Discuss at least two beliefs and values about nursing that guide
  your practice.
• Analyze your communication style using one of the tools presented in the
  course.
• Discuss the strengths and weaknesses associated with your style of
  communication.
• The impact of your communication style on your ability to collaborate as
  part of an interdisciplinary team.