Personal Theoretical Framework for Advanced Practice Nursing

Personal Theoretical Framework for Advanced Practice Nursing

Nursing care remains integral to modern healthcare delivery. Nurses’ roles in healthcare make them invaluable in patient handling and management. While the pursuit of sound and effective care remains a collective responsibility of all nurses, their effectiveness in executing their roles is dependent on their nursing philosophies. Cheraghi et al. (2019) note that nursing philosophy is an embodiment of what nurses represent in their capacities and encompasses their beliefs, values, ethics, and motivations toward providing the best care for their patients. This paper explores nursing philosophy and how it ties into nursing theory.

Personal Nursing Philosophy

Nursing philosophy is a representation of an individual’s commitment and duty toward upholding the principles and values of the profession. It is a statement that details an individual nurse’s values, ethics, beliefs, and motivation toward embracing nursing professional values and principles. Integral to nursing philosophical statements is their recognition of the meta-paradigms of person, environment, nursing, and health. This provides an all-around approach to nursing care and fosters greater accountability in nursing care. My nursing philosophy is that nurses maintain the responsibility to their patients and the public to provide holistic, safe, effective, and patient-centered care. Notably, this philosophical statement represents various aspects of modern nursing and recognizes the metapardigms of nursing, person, environment, and health.

This philosophy statement outlines several concepts that are valuable in nursing care. These include nurses’ responsibilities to their patients and the public, as well as holistic, safe, and sound care. Nurses’ responsibilities to their patients are part of the nursing professional standards. It stems from the recognition of the patient’s right to quality and effective care and nursing ethics that require nurses to promote the welfare of their patients (Poorchangizi et al., 2019). Nurses, in this regard, are expected to utilize best practices that are consistent with what other nurses would do and ensure better clinical outcomes as part of their professional mandate. Holistic, safe, and effective care are the best nursing practices that guarantee better clinical outcomes. Optimal nursing care can be achieved by utilizing these practices in care delivery processes.

The modern nursing landscape is slowly tending towards value-based and patient-centered approaches. Nurses, being the cornerstone of healthcare operationalizations, are implored to utilize patient-centered approaches in care delivery. Patient-centered approaches in healthcare recognize the roles of the patients in their disease management and grant them greater responsibilities in their clinical decision-making (Kuipers et al., 2019). This approach also tailors healthcare services delivered to the patient to meet their demands. This approach has been lauded for its superiority in improving clinical outcomes, enhancing patient experiences, and satisfaction with the care delivered to them. The philosophical statement outlined recognizes the superiority of a patient-centered approach in modern healthcare delivery. It implores nurses to maintain responsibility in providing patient-centered care to their patients. This may enhance their clinical outcomes and improve their wellness and satisfaction with the care provided to them.

The nursing metaparadigms detail aspects of nursing care valuable in improving patient wellness and outcomes. The philosophical statement outlined postulates the overall nurses’ responsibility to provide safe, holistic, and effective care. As such, my nursing philosophy statement concurs with the metaparadigm of nursing. Nursing professional standards require nurses to maintain greater accountability in providing quality and effective care. This philosophical statement makes it the responsibility of nurses to provide safe and effective care. Thus, it is aligned with the metaparadigm of nursing. The statement also concurs with the metaparadigm of health. The pursuit of healthy communities requires that nurses provide safe and effective care. In this regard, nurses have a greater responsibility to provide care that guarantees the preservation of individuals’ health, as affirmed by the philosophical statement. Holistic care, as outlined in the philosophy statement, recognizes the metaparadigms of the human and human environment. Kuipers et al. (2019) report that holistic care goes beyond addressing the physical needs of the patients but also their cultural, spiritual, and emotional needs. By addressing the cultural needs of the patients, this statement addresses aspects of the patient’s environment that influence their health. Additionally, addressing spiritual and emotional needs is an acknowledgment of aspects of an individual other than their physical health that may influence their well-being.

Theoretical Framework that Fits Personal Philosophy

The personal philosophy outlined details the concept of caring through the lens of holistic, safe, and effective care. It made it a responsibility of nurses to utilize this approach to better the clinical outcomes of their patients. These provisions are consistent with the provisions of transpersonal caring postulated by Jean Watson. In this theoretical framework, nursing caring is viewed as an elaborate concept that encompasses caring for the sick, illness prevention, and health restoration and promotion (Wei & Watson, 2019). This theory is grounded in several theoretical frameworks. The ten Caritas that form the basis of this theory are critical to human experiences during care provision and need to be addressed by nurses. The provision of an environment that fosters healing to the patient, as described in the eighth Caritas, and the gratification of human needs, as detailed by the ninth Caritas, implores nurses to utilize best practices in their caring roles that address spiritual, emotional, and physical needs of the patients (Wei & Watson, 2019). These provisions particularly align with the philosophy provision that requires nurses to be responsible to their patients and provide holistic and effective care.

The transpersonal caring theory is also grounded in the belief that the science of caring complements curing. Sounds and effective caring will, in this respect, ensure better clinical outcomes and contribute to overall patient wellness. These provisions work in tandem with the philosophical statement’s provisions requiring nurses to maintain accountability to their patients and the public. As per these provisions, responsibility to the patients means that nurses provide optimal care to their patients and abide by their professional and ethical standards during care delivery. Therefore, nurses are implored by these provisions to provide sound and effective care to their patients as a measure of promoting their healing.

Another assumption that the transpersonal theory of caring is based on is that caring is central to nursing. Nurses are mandated to care for their patients. Their primary role and professional and ethical obligation is to provide the best care to their patients. The personal philosophy outlined fits this theoretical framework. It recognizes the significance of nurses in patient care and calls for greater responsibility for nurses to provide the best care to their patients.

My Personal Philosophy Versus the Theoretical Framework

The personal philosophy outlined compares to the theoretical framework of the transpersonal caring theory on several fronts. Both provisions hold nurses accountable for providing care to their patients. As per these provisions, nurses play a central role in providing care to their patients. Both provisions translate nursing care to the effective curing of the patients. As per these provisions, optimal nursing care helps in the realization of better clinical outcomes. Both my philosophy and the theoretical framework also recognize the significance of creating an environment that fosters faster healing and gratifies the patients’ needs.

The philosophy, however, differs from the theoretical frameworks in some aspects. Firstly, Watson’s theoretical framework provides detailed information on caring science and emphasizes aspects of human caring that are valuable to nursing practice. On the other hand, my personal philosophy focuses on nursing responsibilities in caring. Therefore, the theory is more of a guide to nursing practice than a definition of what nurses should do in their contemporary practices. The theoretical framework of the transpersonal caring theory also provides a double-pronged approach that details the impact of caring on nurses and their patients. As per the theoretical provision, caring realizes better satisfaction for both the patients and the nurses. My philosophy, on the other hand, focuses on the patients. It advocates for patient-centeredness and does not give due consideration to its impact on the nurses themselves.

A Scenario Where the Framework May Not Fit

The theory maintains relevance to the personal philosophy outlined. However, it may not fit in some clinical contexts. The theory emphasizes the psychosocial aspects of human caring while giving little attention to the biophysical needs of the patients (Wei & Watson, 2019). This theory stresses humanistic approaches to caring and details their significance in enhancing patients’ and nurses’ satisfaction with the caring processes. While this may apply to mental health settings and in end-of-life care where conventional therapeutic modalities are no longer effective, the theory serves little benefit in the management of physiological conditions. The personal philosophy outlined advocates for greater accountability in providing patient-centered care that addresses all care needs, including biophysical presentations. In this respect, the theory may not adequately cover the care approach advocated for by the philosophy.

Conclusion

Nursing care remains integral to all care processes. The personal philosophy outlined promotes nursing caring and calls for greater responsibility from nurses in providing holistic, safe, and effective care. These provisions concur, in part, with the transpersonal caring theory postulated by Jean Watson. Both my personal philosophy and the transpersonal caring theory are targeted toward ensuring patients’ wellness. The theoretical framework may, however, not fit with the patient-centered approach advocated for by the philosophy statement as it emphasizes the psychological rather than the biophysical component of care.

References

Cheraghi, F., Yousefzadeh, M. R., & Goodarzi, A. (2019). The role and status of philosophy in nursing knowledge, insight, and competence. Journal of Clinical Research in Paramedical Sciences, 8(2). https://doi.org/10.5812/jcrps.90762

Kuipers, S. J., Cramm, J. M., & Nieboer, A. P. (2019). The importance of patient-centered care and co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-018-3818-y 

Poorchangizi, B., Borhani, F., Abbaszadeh, A., Mirzaee, M., & Farokhzadian, J. (2019). The importance of professional values from nursing students’ perspective. BMC Nursing, 18(1). https://doi.org/10.1186/s12912-019-0351-1

Wei, H., & Watson, J. (2019). Healthcare Interprofessional Team Members’ perspectives on human caring: A directed content analysis study. International Journal of Nursing Sciences, 6(1), 17–23. https://doi.org/10.1016/j.ijnss.2018.12.001 

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Assignment Prompt
Discuss a personal nursing philosophy. Apply what you have learned about nursing theory in this course. Identify a nursing philosophy that best matches your philosophy. Discuss a nursing framework or theory that fits that philosophy, including how it fits your personal philosophy. Identify a possible situation in which that framework or theory would be a poor fit and discuss why it is a poor fit for that situation. While it is an important skill to match a theory with a situation, it is also critical to understand when a theory or framework does not fit a situation.

Personal Theoretical Framework

Assignment Prompt
You have spent six weeks exploring theories of nursing. These represent the “how” of what we do as nurses. This week, we enter a higher level of thought and explore the “why” of our actions. Present a personal nursing philosophy. Apply what you have read throughout the course and explore the literature on nursing philosophy. While Fawcett was not a nursing theorist, she was a nursing philosopher, and her Metaparadigm of Nursing approaches philosophy over theory. Once you have discussed your philosophy, identify a theoretical framework (not the middle-range theories but the underlying assumptions in that framework) that fits your philosophy. Compare and contrast your philosophy and the chosen framework. Describe a situation where the framework may conflict or not fit your philosophy. While it is an important skill to be able to match a theory with a situation, it is also critical to understand when a theory or framework does not fit a situation.