Feb 23, 2024 NURS 8114 Philosophy of Nursing Practice
NURS 8114 Philosophy of Nursing Practice Question Post an explanation of your philosophy of nursing practice that briefly describes your nursing experience and area(s) of expertise. Be sure to explain your beliefs that inform your philosophy of nursing practice and your goals for expanding your experience and practice as a Doctor of Nursing Practice (DNP) (e.g., embrace of diversity, global health issues, collaboration). Then, explain the DNP role as a social change agent and recommend at least one way you will advocate for positive social change as a Walden DNP. Be specific and provide examples, with all citations in APA 7 style. My Philosophy and Beliefs that Inform My Philosophy of Nursing Practice The philosophy of nursing, according to McEwen and Wills (2019), refers to the belief system or the world view of the nursing profession. Accordingly, the nursing philosophy provides perspectives for practice, scholarship, and research (McEwen & Wills, 2019). I derive my philosophy of nursing from the provision of care based on ethical principles of the nursing profession. These include the principles of beneficence, respect for autonomy, nonmaleficence, accountability, veracity, and fidelity (Buppert, 2018). The principle of nonmaleficence, for instance, which is the obligation to do no harm, directly ties to the duty of a committed nurse to protect patients’ safety (Buppert, 2018). Through the years of my bedside patient care experience, ethical principles in nursing have been reiterated many times and I have come to the belief that one duty for me as a nurse professional, is to not cause injury or harm to patients. I have learned and practiced open and effective communication with all disciplinary care team to ensure patient safety. Additional principles that guide my nursing practice and experience include ethical values of professional competency, commitment, privacy, human dignity, honesty, precision, and accuracy in caring (Buppert, 2018). I ensure that I attended the necessary training and in-services to remain competent at my professional level and stay up to date on current clinical guidelines. I stive to protect my patient’s privacy during care and communicate effectively to staff and patients, and document patient care in honesty, with precision and accuracy. I always accept and provide accountability for work done and undone. Throughout my nursing experience and practice, the nursing standards of care has also been a general guideline that has provided a solid foundation for me. These guidelines have enabled me to always remember how important it is to know how I should act as a nurse, and what I should not do in my professional capacity. According to the nursing standards of practice, certain legal actions may be meted out to me in the event that I deviate from this standard (Buppert, 2018). Keeping this standard in mind at all times during my patient care experience has enabled me to provide safe and competent patient care in all settings. Struggling to Meet Your Deadline? Get your assignment on NURS 8114 Philosophy of Nursing Practice done on time by medical experts. Don’t wait – ORDER NOW! Meet my deadline Guided by the ethical principles of nursing, I have practiced as a professional nurse for about 16 years. After obtaining nursing licensure in 2005, I provided patient care in an orthopedic/neuro/trauma unit for 2 years. In 2006, I began working as a float pool nurse working on different nursing units including general med/surg, oncology, orthopedics/neuro/trauma, telemetry, and stepdown critical care. I also had some experience with diabetic patient education when I enrolled in a mentorship program for diabetes education in one of the hospitals I worked. This afforded me in-depth knowledge in the provision of bedside diabetes education to my patients and their families. I succeeded in practicing as a diabetes education champion for the float pool nurses, and an excellent resource for the hospital staff. With the knowledge that the nurse professional is encouraged to strive for the highest level of competency in practice (Buppert, 2018), I decided I would not stop at the bedside or with a bachelor’s degree in Nursing. I pushed to further my education to the highest level in nursing practice in order to acquire the requisite knowledge and support towards achieving my career goals. I realized that Walden is the best community that would help me reach this goal as I read from the Walden’s mission statement, that Walden “provides a diverse community of career professionals with the opportunity to transform themselves as scholar-practitioners so that they can effect positive social change” (Walden University, 2018a). I believe that the decision to further my education at Walden University has been one in the right direction. I am glad that the successful completion of the MSN program has won me another ticket to proceed unto the DNP program of study. At the end of the day, I will be a distinguished agent of positive social change from Walden University. I will be ready to serve with passion and provide a safe and culturally sensitive and compassionate care to my patient population. As a nursing student at the doctoral level, I am faced with a challenge at a higher level than the MSN degree. When my mind was made up for an MSN degree, I made the decision for primary care of the adult population based on my belief in autonomy, accountability, professional competency, nonmaleficence and leadership. I considered that becoming a practitioner as a DNP requires that I possess certain qualities of good leadership while also providing safe and compassionate care. One leadership style I uphold and strive to adapt in the execution of my duties is the transformational leadership style. According to White, Dudley-Brown and Terhaar (2021), the transformational leader exemplifies inspirational motivation, idealized influence, individualized consideration, and intellectual stimulation. As a DNP, I envision that my role as a transformational leader should portray a sense of confidence and shared purpose among my colleagues and other healthcare professionals and have the desire to emulate their professional approach (White, Dudley-Brown & Terhaar, 2021). Additionally, I would need to adhere to my goals and aspirations while still maintaining a healthy connection to my organization’s mission and purpose. I should also uphold my belief in the principle of autonomy and innovation among individual team members (White, Dudley & Terhaar, 2021). My education at Walden will help to build on the knowledge and expertise I have acquired over 16 years of patient care and assist me in functioning effectively and efficiently as a DNP. As a leader, I would be empowered to contribute knowledge and skill in strengthening advanced nursing practice, augmenting healthcare delivery, and improving patient care outcomes (Walden University, n.d.). My Goals for Expanding My Experience and Practice as a DNP My goal as a nursing professional after I earned a Bachelor of Science in Nursing (BSN) Degree from University of Maryland School of Nursing, Baltimore, was to practice in a hospital setting and acquire the clinical experience, knowledge, and critical thinking skills while providing patient care. After working for 10 years in a National Research Center and various hospital centers, this goal was fulfilled, and the decision to climb higher on the nursing career ladder was made. Walden University was the next choice that I made, for the Master of Science in Nursing (MSN) Degree, which helped me fulfil my academic and professional goal. It has been my vision to provide compassionate care to patients and their families through my nursing experience, and Walden has fostered this innate potential and helped me to see this vision as a reality. While pursuing the MSN Degree, I learned about Walden’s vision and mission of producing graduates who will transform nursing to meet the needs of the community they serve (Walden University, 2018a). At that point, I was glad I made the choice for Walden. I successfully completed the MSN Degree in the year 2020 and was ready to serve. The DNP Role as a Social Change Agent and Advocacy for Positive Change My DNP role as a social change agent is to present myself as a distinguished transformational leader who provides nursing care in an organized healthcare setting based on nursing ethical principles and nursing standards of care. While providing care, I would also ensure that the services provided are within my scope of practice. The National Organization of Nurse Practitioner Faculties (NONPF) (2019) encourages NPs to perform their duties as competent professionals guided by domains with core competencies. My role as a DNP would be to adhere to these guidelines in my practice as I strive to achieve clinical excellence. The core competency domains I desire to employ are in the area of management of patient health; maintaining a healthy nurse practitioner-patient relationship; functioning in patient/family teaching and coaching; managing and negotiating health care delivery systems; monitoring and ensuring quality of health care practices and providing culturally sensitive care (NONPF, 2019). During one of my practicum experiences while pursuing the MSN Degree, I was introduced to Women’s Health and Reproductive Health. I have loved the experience so far and from that moment, I began searching for opportunities that would enable me to expand my experience and practice in this area in the future. I discussed this interest with my Preceptor who was very supportive. My desire to stand out as a distinguished scholar-practitioner from Walden and become certified in a chosen area of interest guided me in making the choice for a specialization in the Adult Gerontology Nurse Practitioner Program. This specialty allows me to provide care for patients ages 13 and above as a Nurse Practitioner (NP). I stamped this as the right choice for me. I am confident that I have been empowered as a positive social agent for health care from Walden University (Walden University, 2018), and equipped with the requisite knowledge and skill to deliver a culturally sensitive and compassionate patient care that would yield positive patient outcomes. I currently work part time as a Clinical Research Nurse with the National Institutes of Health (NIH) Clinical Center, Bethesda, Maryland. This Institute is devoted to Biomedical Cancer Research and helping families worldwide. I realize how privileged I am to be part of the team at NIH, having worked for over ten years now. NIH always encourages clinicians to aim for the highest in the clinical ladder. I am encouraged that I can attain the DNP potential and be able to give back as a Walden DNP to the community of researchers, patients, and their families, as well as leaders at NIH and the world at large. On December 25, 2019, my family lost a dear one to Non-Hodgkin’s Lymphoma. Losing a family member to cancer and on Christmas day, has left a special memory for my family on each Christmas. My kids lost their father on the said date, and during Christmas 2020, a year after this awful event, I tried to help my three boys celebrate the occasion with “some” joy in their hearts, but still the memory of losing their father on Christmas was difficult to let go amidst the Christmas celebration. It was a mixture of joy and sadness. As I pondered over the events that preceded the death of our loved one and the short time frame within which it happened, a thought came to mind, and the decision for me as a mother, was to make a difference in other people’s lives, by giving back to those in need on each Christmas day as long as the Giver of life lends me breath. As an agent of social change from Walden, I decided I would usurp this opportunity from my family’s experience for a positive social change, and a make a difference in others’ lives. Being a social change agent with a passion for caring for the needy, one way I will advocate for positive social change and also recommend as a Walden DNP, is to set up and begin a Foundation with the aim of supplying clothing, shoes and school supplies to children who have lost their loved ones in my Country of Origin, Ghana (West Africa). After I emerge as a scholar-practitioner with the DNP degree in flying colors, I plan to begin this Foundation with funding from self initially and purchase the supplies/items and begin to ship to Ghana, and travel in person after the shipment have arrived safely. I have begun saving towards this Project. It is my passion, and I am so excited to get started after I graduate with the DNP title. I discussed this with my little boys, and they are very happy about this idea. A Foundation in memory of their Father, that helps support the needy and young children like them, who have lost mothers or fathers in one way or the other. I have the conviction that earning the DNP degree will not only help me to begin this foundation of supplying goods, but also help render health services as a community health volunteer whenever I visit such communities at least twice a year (during summer and Christmas). During the visits to Ghana, I plan to also volunteer in providing education in various communities in the area of healthy lifestyle development and health maintenance. In collaboration with the Centers for Disease Control and Prevention (CDC) in the Greater Accra Region in Ghana, I will seek to promote good health strategies for disease prevention, and educate teenagers and the youth on reproductive health, and sexually transmitted diseases. I will review current CDC guidelines with Health Authorities in the communities to encourage the use of up-to-date evidence-based practice guidelines. I believe that as a Walden DNP, my role as a social change agent can be fulfilled in this way by being an advocate for the young population. I will be an advocate for positive change for this age group by encouraging disease prevention and lifestyle modifications. Thanks to Walden for the opportunity to learn and acquire the requisite knowledge and skill to enable me to become a distinguished scholar-practitioner. Conclusion The thought of being able make a difference in other people’s lives as a social change agent gives me great satisfaction. Having walked milestones through the nursing career thus far, I have finally made the choice to pursue the DNP degree to enhance my role as an advanced healthcare practitioner. My goal for expanding my career experience to the DNP level stems from my belief in the use of the nursing standards of practice and the ethical principles that govern nursing practice. I also have the belief that as an advanced practice nursing professional, I should practice as an effective leader, and at a professionally competent level while also ensuring patient safety, privacy, and dignity. I should also show accountability and commitment to my patients and their families as well as the interdisciplinary care team. References Buppert, C. (2018). Nurse practitioner’s business practice and legal guide (6th ed.). Jones & Bartlett. McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer. The National Organization of Nurse Practitioner Faculties (NONPF). (2019). Nurse Practitioner Core Competencies. https://www.nonpf.org/page/14 Walden University. (2018). Master of science in nursing (MSN). https://catalog.waldenu.edu/preview_program.php?catoid=65&poid=13824 Walden University. (2018a). Vision, mission, and goals. https://catalog.waldenu.edu/content.php?catoid=57&navoid=7946 Walden University. (n.d.). Doctor of nursing practice. https://academicguides.waldenu.edu/catalog/doctor-nursing-practice White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2021). Translation of evidence into nursing and healthcare (3rd ed.). Springer. NURS 8114 Philosophy of Nursing Practice For this first course Discussion, you will present a philosophy of nursing practice that draws on your experience, area(s) of expertise, and beliefs. Looking ahead to your role as a DNP, also consider how to expand your awareness of issues beyond your own current practice—such as regarding diversity, global health, collaboration—and how to fulfill the Walden requirement to advocate for social change. Photo Credit: steheap / Adobe Stock In short, begin now to commit to a higher level of contribution and practice as a DNP and to reflect that commitment in your philosophy of nursing practice for today and the future. As you continue through the course, note this image will appear with each Discussion and indicates an opportunity to connect your thinking with that of colleagues, for learning with and from one another. To prepare: Review the Week 1 Learning Resources. Pay particular attention to the Chapter 1 reading from McEwen and Wills, “Philosophy, Science, and Nursing.” Reflect on your nursing experience, expertise you have developed, and beliefs about nursing and nursing practice you have formed as a result. NURS 8114 Philosophy of Nursing Practice Consider goals for expanding your professional awareness through the DNP program and the requirement as a Walden student to be an advocate for social change. How can your philosophy of nursing practice support you in these areas? How can these goals and Walden social change requirement enrich your philosophy of nursing practice? With these thoughts in mind … By Day 3 of Week 1 Post an explanation of your philosophy of nursing practice that briefly describes your nursing experience and area(s) of expertise. Be sure to explain your beliefs that inform your philosophy of nursing practice and your goals for expanding your experience and practice as a DNP (e.g., embrace of diversity, global health issues, collaboration). Then, explain the DNP role as a social change agent and recommend at least one way you will advocate for positive social change as a Walden DNP. Be specific and provide examples, with all citations in APA 7 style. Read a selection of your colleagues’ posts. A philosophy of nursing is a statement that outlines a nurse’s values, ethics, and beliefs, as well as their motivation for being part of the profession (Jasemi et al., 2017). I have many years of experience in the Critical Care nursing field and plan to utilize the education that is received from Walden University’s DNP program to enable me to care for patient on a more unique and holistic perspective, as well as to learn different pathways to deliver quality of care to patients on the Intensive care unit. Nursing care for critically ill patients on the ICU is described as task-oriented and mainly based on the patient’s medical needs (Crilly et al., 2019). The primary goal of intensive care is to prevent further medical deterioration and organ failure while providing medical treatment in the attempt to stabile and move the patient to medical unit for continued care. This goal causes a focus on care of injuries solely based from medical literature, and not on how to care for patients holistically. My philosophy of nursing is to provide holistic, unique quality of care based on the patient’s individual needs. The critically ill patient must be cared for with an appreciation of their wholeness, integrity, relation to family and environment (Hakansson Eklund et al., 2019), and beliefs and desires for their health and their freedom of choice. Holistic care provides an in-depth understanding of patients and their various needs for care and has important consequences in health-care systems and has been referred to as the heart of the science of nursing (Jasemi et al., 2017). It will also result in a better understanding of the effects of illnesses on patients’ responses and their true needs. By addressing patients’ physical, emotional, social and spiritual needs, restores their balances and enables them to deal with their illnesses, consequently improving their lives (Vincent and Creteur, 2019) Individualized healthcare considers the preference and values of patients and family members. It gives them control over needs of care and help build a provider/patient/family centered care relationship. My commitment is to continue to amplify my healthcare education via evidence based practices, continuing educations, and Walden’s DNP program and apply the learned material to service patients and families in the setting of the ICU. References Crilly G, Dowling M, Delaunois I, et al. Critical care nurses’ experiences of providing care for adults in a highly technological environment: a qualitative evidence synthesis. J Clin Nurs 2019; 28(23–24): 4250–4263. Hakansson Eklund J, Holmström IK, Kumlin T, et al. ‘Same same or different?’ A review of reviews of person-centered and patient-centered care. Patient Educ Counse 2019; 102(1): 3–11. Jasemi M, Valizadeh L, Zamanzadeh V, Keogh B. A Concept Analysis of Holistic Care by Hybrid Model. Indian J Palliat Care. 2017 Jan-Mar;23(1):71-80. doi: 10.4103/0973-1075.197960. PMID: 28216867; PMCID: PMC5294442. Vincent JL, Creteur J. Critical care medicine in 2050: less invasive, more connected, and personalized. J Thorac Dis 2019;11(1):335-338. doi: 10.21037/jtd.2018.11.66 By Day 6 of Week 1 Respond to at least two colleagues on 2 different days. Choose colleagues with different life experiences and beliefs from your own, and contrast how these factors have shaped their philosophies compared with yours. Also comment on their goals for expanding their experience, practice, and social change advocacy with suggestions or guidance based on your experience. Be specific and provide examples. Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NURS 8114 Philosophy of Nursing Practice What is philosophy of nursing? For me, it is what I believe nursing should be and what I want to strive for in my career. I have been a nurse for over 32 years and over the years, it has changed. My philosophy has changed slightly to change with the times and standards of nursing care. I have never let it change in the area of direct care. My philosophy of nursing is that each person is to be treated with compassion and care in the safest manner possible. Providing high quality care is patient-focused to reflect a caring, loving and empathetic nature. I want my attitude and personality to reflect a person of strong character that is compassionate and always has time for my patients. My grandmother was a nurses aide for many, many years. As a child, I can remember going to the nursing home where my grandmother worked and sit in the lobby and wait for her to get off. Back then, there was no privacy act or HIPPA. I would go room to room with her cleaning and changing the elderly patients. I loved her compassion and patience with the patients and she set such a big example for me. This is the type of care I have always strived to provide for my patients each and every day. Each patient is an individual and deserves to be treated as an individual. I believe no person reacts or responses to a situation in the same way. Each person should be looked at from a holistic position being mind, body and spirit and we have to address and treat all sides of the person. In caring for the patient, we can’t forget about the family. We are not just caring for the patient but we have to think about the family. When one person is sick, the whole family is affected. When it comes to being an advocate for social change, I think this is something all seasoned nurses should be involved in our profession. One avenue of social change that is needed is where new graduates are concerned. Seasoned nurses have always been accused of “eating the young nurses”. This must stop because the younger generation of nurses are our future. We need to be able to step up and help them. I remember as a new nurse when this happened to me. I was fresh out of school and needed to do a procedure I had never done before and I asked an older nurse to help me. I will never forget her comment, she said “You’re the RN, you should know how to do it” and walked off. I knew the procedure steps in my head, I just needed an oversight. I swore that day that I would never be that kind of nurse. Today, I welcome new grads and student nurses because it gives me a chance to share my experience and my knowledge. As a DNP, I want to use that compassion and caring philosophy to help shape and mold future generation of nurses. I believe my experiences throughout my career could help and benefit a future nurse’s growth and career. Nursing is an ever changing and revolving career with new technology and pharmacology appearing every day. We have to be able and willing to adapt and change with the times. I want to help future nurses adapt and prepare. I believe if I could impact one person, it would be worth everything. NURS 8114 Philosophy of Nursing Practice Submission and Grading Information Grading Criteria To access your rubric: Week 1 Discussion Rubric Post by Day 3 of Week 1 and Respond by Day 6 of Week 1 To Participate in this Discussion: Week 1 Discussion Week 1: Philosophy of Nursing Practice Imagine the illustrated “cloud” in this image could represent your thoughts as you consider your nursing practice, your nursing experiences, and the influences that shape your attitudes and beliefs about nursing and health care. Then imagine other clouds within view that represent perspectives on nursing practice held by others—and that if this image were enlarged, the clouds would multiply, to signify the full complement of professionals with whom you interact in a health care setting. How would it benefit you, the success of those health care teams—and, most importantly, patient care—to have clarity on the foundational beliefs that guide your practice, and that of others? For this first week, you will work toward achieving that clarity as you frame—or review, revise, expand on—your philosophy of nursing practice and engage with peers who have joined you in pursuing their Doctor of Nursing Practice degree. Through the Discussion this week, and the Assignment you will begin, you will articulate your philosophy of nursing practice as you look for insight into what shapes your philosophy and contrasting philosophies of others. That understanding can be invaluable in your future work as a DNP leader advocating for change—often difficult for individuals and organizations—that promotes positive outcomes for patients and the larger society. Learning Objectives Students will: Explain philosophy of nursing practice Analyze factors that influence philosophy of nursing practice <
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