Philosophy of Nursing
Nursing is both a science and an art. Through nursing, individuals are provided with health care and their societal needs are met. In the health care industry, nurses are at the forefront of patient care, interacting with individuals, families, and communities to promote good health, provide medical education, encourage disease prevention, care for the ill, and rehabilitate those in need (Potter, Patricia, et al., 2000, pp. 24-25). Nurses must multitask, acting in collaboration with other health care disciplines to promote a healthy environment.
Perhaps the greatest philosophy of nursing is that health is the right of every individual and that health care is the responsibility of society. The philosophy of nursing goes a step beyond defining the role of nursing in society. The philosophy of nursing is concerned with how nursing activities are done, and what elements guide the practice of nursing.
Most people that enter the…… [Read More]
She was almost radical in her approach to healthcare and healing.
By radical, I mean that she was the type of individual who aimed to solve matters by getting to the root of the problem. She was more interested in solving the problem and not the symptoms of an underlying issue. She used a systems thinking methodology that made her overall approach to healthcare a faith-based philosophy. Although she used God as a foundation, she was willing to make the effort to conduct scientific research to confirm a basic belief. Consider the fact that nursing focuses on the patient as an adaptive system while medicine on the other hand sees the patient from the perspective of a biological system or more importantly, the patient's disease.
Like Florence Nightingale understood, it is our objective as nurse practitioners to utilize the metaparadigms of nursing to help the patient move along a continuum…… [Read More]
Philosophy of Nursing
Personal nursing philosophy
Personal definition of nursing
Being a training nurse who has a vision for the less privileged families both locally and across the world, I have a perspective of nursing that is more focused on the poor society rather than an individual. I look forward to once in my lifetime work with the poor of the African countries or the very poor Asian countries and this urge is what shapes my nursing philosophy. My philosophy is that Nursing is a key to not only the physical health of the individual, but the social and to a greater extent the financial wellness of the patient at the long run. I believe that in order for a person to profess to have nursed an individual, it is not just about that headache going away, or the perpetual ulcers getting healed for that moment, or even the infectious…… [Read More]
The point of nursing and medicine is to prolong life and improve the quality of life; it is not to lose lives because of excessive second guessing and insecurity.
Medical ethics, in a narrow historical or political sense, refers to a group of guidelines, such as the Oath of Hippocrates, generally written by physicians, about the physician's ideal relationship to his peers and to his/her patients. Medical ethics in the 21st century world has expanded and additionally refers to the application of general and fundamental ethical principles to clinical practice situations, including medical research, and in the increasingly expanding field of nursing.
Nursing has come to the forefront as a popular and vibrant professional around the world, continuing to gain attention and increasing numbers of undergraduates and graduates studying nursing. An additional change or occurrence in recent years is that the term "medical ethics" has been modified to biomedical ethics,…… [Read More]
Caring nurses must also be non-judgmental. They cannot allow their personal beliefs or biases influence the quality of care that they give to their patients. They should not treat a mob boss any differently than they would treat a nun. Everyone should be seen as an individual that has needs that the nurse has to meet. People of different religions, cultural backgrounds or lifestyles all deserve to be given the best possible care.
Nurses must also be ethical and self-aware in order to be competent, caring professionals. I believe that the more self-aware a nurse is, the more likely she is to follow her conscience and make ethical, caring choices. A nurse who knows who she is and why she became a nurse is also more likely to behave in a professional manner and not let her emotions rule her work. This does not mean that she should be cold…… [Read More]
Philosophy of nursing leadership
Nursing leadership: Philosophy
When nursing was first conceptualized of as a profession, it was often defined in terms of its 'helping' capacity for doctors as well as patients. Today, however, nurses have been increasingly called upon to fulfill leadership roles as managers, and also to assume many of the tasks once performed by physicians. "Leadership does not rest merely with administrators and high-level managers, but also can be developed and implemented at the bedside. Nursing has a responsibility to encourage and support new members of the profession, as they become competent clinicians. Nursing must also make them competent leaders" (Valentine 2002). Mentorship of younger nurses, leading by example at all levels of the organization, and creating a culture of accountability and responsibility are the cornerstones of fostering an environment that promotes leadership amongst nurses, regardless of the practice setting.
Mentoring: The cornerstone of the…… [Read More]
Each has its own set of strengths and limitations. These new theories help to shape the nursing profession of today and will have an impact on the nursing profession of the future. Many new nursing theories focus on the relationships between the nurse and the patient. New theories focus on four major components of the nursing field: the person, the environment, health, and nursing.
Globalization and the innovation that it brings will have the greatest impact on the nursing profession in the future. Nurses of the future will find themselves participating in an increasingly diverse and technologically advanced environment. These trends are affecting the entire field of medicine and will eventually have an impact on the nursing profession as well. Nurses of the future will have the advantage of a global network of peer consultants at their disposal.
In order to be prepared for future advances in the field of…… [Read More]
Vincent's Hospital in Erie, Pennsylvania. In American history, many of the first nurse anesthetists were nuns. (Evans, 2004)
This connection between spirituality and the profession shows that a patient undergoing anesthesia must be physically safe, and feel safe -- in the body and soul, before undergoing the physical and psychological shock of an operation under anesthesia. And even if the anesthesia is only a locally or partially administered drug, the nurse must be equally as sensitive to the patient's fears, needs, and reactions. Flexibility of reaction is key to the profession -- and indeed, flexibility in terms of one's projected working environment and patients. One of the exciting things about the profession is that a nurse anesthetist can work for a hospital, in the service of outpatient surgery center at a local surgery, dental, or a specialist's facility, for a group practice, or even practice independently. The choices seem limitless.…… [Read More]
Personal Philosophy of Nursing
My personal philosophy of nursing
One nursing theory which resonates with me and has influenced my personal philosophy of nursing is that of Nola Pender's Health Promotion Model. Pender's concept of nursing is linked to patient self-empowerment and the need for the nurse to work closely with the patient to optimize the patient's state of health. The model defines health as "a positive dynamic state not merely the absence of disease" (Health promotion model, 2012, Current Nursing). It is specifically designed to overcome perceived obstacles in the patient's eyes that can inhibit the ability of the patient to promote his or her own health.
For example, some patients believe that they are incapable of changing their diet and exercise habits because they are too poor/old / don't have enough willpower, and think that the ill health caused by obesity and inactivity is an inevitability.…… [Read More]
During a meeting with hospital staff of a variety of managerial levels, the same RN might use participative leadership styles, as the nurse consults with subordinates and considers other suggestions. Lastly, more and more nurses today may need to employ achievement-oriented leadership where the nurse sets high goals for the staff at large and expects other nurses to exhibit the same high levels of performance, even in the face of evident obstacles, such as in a bogged-down hospital bureaucracy or an understaffed ER. (u, 2005)
The Path-Goal Theory also stresses that a true leader's behavior is only motivating to patients, fellow nurses, and superiors and subordinates to the degree that the behavior increases the follower's goal attainment and clarifies the paths to these goals. (House, Mitchell, cited in Blanchard, 2005) The Path-Goal Theory holds a leader can change the expected reaction or behavior of a subordinate from a negative to…… [Read More]
Personal Philosophy of Nursing
As a nurse, the words that have always resonated with me the most as a description of the nursing process can be found in the writings of Patricia Benner. Benner, the author of the 'novice to expert model' writes: " One way to separate the instrumental and expressive aspects of nursing is to regulate caring as the art of nursing (Benner, 1984, 170) Without caring the nurse cannot connect with the patient. If the nurse cannot connect, trust will not develop. Without this trusting relationship, therapeutic nursing will not take place" (Benner 1984). Benner stresses that a truly 'expert' nurse has integrated caring into her vocabulary of expertise. Benner's model is not anti-science -- far from it. Technical understanding of nursing is required for a nurse even to have a novice status in the model. But expertise comes with integrating lived, personal knowledge and practical learning…… [Read More]
Personal Philosophy of Nursing
You cannot really understand the magnitude of which the medical field affects each and every one of our lives until you become a part of it, which is something I have experienced firsthand throughout my training to become a nurse. From being placed into a nurse's arms in the delivery room to holding the hand of a nurse on the way out of our lives, the truth remains that nearly every individual in the western world has had and will continue to have multiple encounters with nurses who we trust to respect and care for us and are as important to our health and well-being as any of our medical relationships. I am lucky to have had nurses in my childhood and adolescence that made me want to become a nurse myself, who have demonstrated to me what being a nurse is all about: caring for…… [Read More]
In some cases, cultural sensitivity may pertain to clinical instructions or nutritional advice that poses potential conflicts with religious dietary laws that nurses cannot necessarily rely on patents to mention. By recognizing the cultural or religious significance of dietary issues, nurses can make the necessary inquiries to create work-around solutions to situations that might otherwise become barriers to achieving the most successful clinical outcome of medical interventions. In other cases, cultural sensitivity may mean understanding relationships, hierarchies, gender-specific, and generation-specific rules or expectations that are implicit in some families as well as particular communications dynamics within families. In many instances, failing to appreciate the significance of these types of culture-dependent dynamics can seriously undermine the clinical effectiveness of even the best medical information and instruction.
The commitment to being aware of culturally-determined interpersonal and intrafamily relationships and expected channels of communication, the practicing nurse can provide patients and their families…… [Read More]
Personal Philosophy: My Personal Philosophy of Nursing
My Personal Philosophy of Nursing
I adore the nursing profession because it is one of the very few professions that demonstrate dedication to public service and present professionals with unique opportunities to fulfill that inner desire to help others when they are in no position to help themselves. As such, it is an honorable profession that extends far beyond just earning a paycheck - it is about safeguarding others' rights to human dignity; tending to them and responding to their needs in a compassionate, non-paternalistic, and emphatic fashion just so they too can have an opportunity to live another day and enjoy the prospects of human life. I reckon that everyone has an equal right to life; everyone has a right to dignity, and as such, I make it my personal philosophy to provide ethical and compassionate care to all patients regardless of…… [Read More]
Personal Philosophy of Nursing Education
Malcolm Knowles' theory of adult education, termed Andragogy undergirds my personal philosophy of nursing education. The term Andragogy is used to highlight the unique needs of adult learning from traditional learning, which is usually aimed at children, as evidenced by the term pedagogy, the "leading of children." Knowles idea's recognizes that our fundamental ideas regarding education are influenced by its application to children. This situation makes many principles of education inapplicable or unsuited to the education of adults.
Knowles theory of adult education can be expressed in six principles. 1) Adults need to know why they are learning something; 2) Experience provides the basis for learning activities; 3) Adults should develop a sense of ownership over their education through involvement in the planning of their coursework and evaluation; 4) Adults seek knowledge which bears directly on their professional lives; 5) Adult learning is problem-centered…… [Read More]
Patricia Benner: Nursing Philosophy
Patricia Benner Nursing Philosophy
Theoretical Aspects of Benner in Nursing
Importance of Benner's Theory
Patricia Banner born in Hampton, Virginia received her early and professional education in California. She majored in nursing and obtained a Bachelors of Arts in 1964 from Pasadena College. After which, she earned a masters degree in nursing with her emphasis in medical surgical nursing from the University of California. She has worked as a research assistant to ichard Lazarus at the University of California and worked on her PhD in the areas of stress, and health conferred in 1982 (Benner, Tanner, & Chesla, 2009; Sitzman & Eichelberger, 2010).
Benner possess a wide range of clinical experience including acute medical surgical, critical care, and home healthcare. She possessed a sufficient background in research and initiated her career in this area as a postgraduate nurse researcher in the School of Nursing at the…… [Read More]
The nurse is often expected to act and react only with empirical information, however personal knowledge is considered equally as important by many nurse educators and researchers (Chinn & Kramer 2004). This also helps to explain why "health" and "environment" are considered distinct major components in the metastudy of nursing; both can be understood on highly subjective terms, with the concept of "good health" changing from patient to patient, or "person" to "person." Environment, too, has a major effect on the practice of nursing and the growth of the nursing body of knowledge.
My personal philosophy of nursing centers on the belief that each individual person under my care deserves full attention and the unique application of my knowledge in addressing their immediate and long-term needs and concerns. That is, each person should benefit as much as possible from the full extent of my nursing knowledge, while still being…… [Read More]
According to the South Carolina Nurse Practice Act, the practice of nursing includes "the provision of services for compensation," and the use of "nursing judgment." Nursing judgment is clearly defined as "the logical and systematic cognitive process of identifying pertinent information and evaluating data in the clinical context in order to produce informed decisions." The South Carolina Nurse Practice Act is lengthier than either of the other two definitions provided here. It deals directly with practical and mundane matters related to the profession such as monetary reward for the practice of nursing; the different classes of nurses, "commensurate with the educational preparation," and other official areas of interest: "Nursing practice occurs in the state in which the recipient of nursing services is located." While this definition lacks the inclusion of terms like "compassion," nurses must be firmly grounded in the practical matters of the profession as outlined by the Nurse…… [Read More]
Ethical Compassion in Nursing
hat personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice?
The role played by the nurse professional is highly consequential to the health outcomes experiences by patients. This means that the nursing profession must be highly regulated by clearly defined and positively reinforced ethical provisions. These provisions are given by the ANA Nursing Code of Ethics and, in my personal experiences, are imperative as a way of dictating how we, as professionals, are expected to engage patients, required to relate to colleagues and trained to respect human dignity. This connection between ethicality and treatment quality contributes both to my personal worldview and to the broader field of nursing. ith specific reference to my experiences in the NICU and maternity wards, this connection takes on particular importance. Here, quality outcomes mean sound,…… [Read More]
Nightingale's philosophy demanded a completely clean and sterile environment in order to best provide for a healthy recovery of patients in need. This is also seen in Martinsen's philosophy and the way it approaches nursing care and practice as a meticulous science.
However, Nightingale's philosophies presented a passive patient, who did not really engage in their own health care strategies. These patients were not involved in the manipulation of the environment around them in order to best facilitate successful care strategies. Rather, the nurses and physicians seemed to work autonomously and outside of the patient's involvement. This isolated the very people who were receiving care and created a situation where the patient could not contribute to the strategy of care of the process of recovery. On the other hand, Martinsen's philosophy is very much influenced by phenomenology. Thus, Martinsen's philosophy of care is centered more around treating the patients and…… [Read More]
That nurse must go deeper than the superficiality of "nursing helps people maintain health (Nursing Philosophy it Matters, 2012).
"The fight against post-operative wound infections has long been undertaken by practitioners. We appreciate that surgical site infections (SSIs) are frequently caused by bacteria commonly found on the skin. Therefore, reducing the number of bacteria on the skin has been a common preoperative practice. Standards and recommended practices from the Association of periOperative egistered Nurses (AON) state preoperative skin preparation of surgical patients should include little or no hair removal, cleansing of the area around the surgical site, and use of an antiseptic agent immediately before the surgical incision" (amsey, 2012).
The clinical implications of this practice might be to shave or clip the hair before surgery but there is no evidence that it does or does not reduce infections. It is done to make sure there are no possible infections…… [Read More]
Either style may be beneficial in some situations but detrimental to organizational objectives (i.e. patient health and welfare) in others. A typical example of an appropriate use of authoritarian leadership would be in a working group consisting of individuals who have varying degrees of expertise and professional experience, particularly if they also have little experience working together as a group. On the other hand, the democratic style might be more appropriate in working groups consisting of very similarly skilled individuals with similar degrees of experience, especially where they have also worked together extensively and have demonstrated good self-management, decision-making, and collaboration within the group.
Leadership vs. Management
The principal difference between leadership and management is that leadership pertains more to people whereas management pertains more to operations (Marquis & Huston, 2008). Generally, organizational leadership involves improving the organization by addressing motivational issues and other factors that contribute to the morale…… [Read More]
Nursing Mission and Philosophy Statements
Finding the mission and philosophy statements of nursing programs is not complicated. They are generally listed on their websites so that students who are considering them can find what they are looking for. It is important to have a nursing school that matches well with a student's personal philosophy of nursing, so learning about several schools is a good idea. That helps the student make the right choice. Where LSU nursing school and UAB nursing schools are concerned, there are many differences in how the information is presented. Addressing these differences - as well as the similarities - is vital to form a clear understanding of the missions and philosophies of both schools.
One of the largest differences between the two schools is the length of their mission statements. The mission statement of LSU is much longer than the statement provided by UAB. The main…… [Read More]
Cody uses a lot of fancy words and makes mention of philosophy and nursing as a study and a science but it gets a little too sweet and sugary to the point of almost being self-serving or sycophantic, with the only real question whether Cody is trying to make himself look good, nursing as an industry/career/educational pursuit look good or a combination of the two. First, he makes mention of nursing possibly dying off as a science and that is simply specious. The form and function of nursing shall certainly change as the years change but it's NEVE going to go away. It may be called something else someday just like PTSD used to be called shell shock. However, the root nature of the job and the role is not going to change in its basic function, to ease pain and treat the sick.
Another dimension of the treatise mentioned…… [Read More]
227), and as such, the values of nursing practices were degrading. Nowadays we can pride on a much appreciative recognition of nursing theory with "models" being implemented regularly and indeed I can think of the Magis model of care carried out in Chicago in the first decade of the 2000's. This initiative was possible because of "several nursing theories along with information from the Institute of Family Centered Care" (Jasovsky et al., 2010, "Abstract") and led to such results as the change of nursing practice habits that, although proved sometimes uncomfortable for nurses, it meant proficient practicality (Jasovsky et al., 2010, p. 32); the results were deemed even more satisfactory when related to patients feedback, 90% of these having willed to further recommend the services of the hospital (Jasovsky et al., 2010, p. 35-36).
Moreover, Cody believed that nurses found it difficult to adopt or even try to understand nursing…… [Read More]
ecause this is true, it is critically clear that the nursing leadership manager's role is one of a vital nature and that support for nurses in their role is the primary component that must necessarily be integral to leadership in nursing in dialysis units if the turnover of nurses is reduced to the lowest possible level. The nursing leadership manager's role is one that must proactively deal with burnout of these dialysis unit nurses instead of attempting to address these as they occur. Prevention is 'key' toward this end. As the demands grow for quality and competent nursing staff so does the need grow for competency in leadership nursing manager roles. ecause the dialysis unit nurse is very closely involved in their patient's care and because these patients are required to report for treatment several days a week for several hours a day the nurse's mental, physical and emotional state…… [Read More]
Effective Approaches in Leadership and Management
Nursing turnover is one of the most important issues facing the health care industry today. Turnover rates increase costs for health care facilities and decrease the quality of care for patients, as new nurses constantly need to be trained and a lack of experience throughout the department can mean that patients suffer ultimately from a continuous rotation of novices (Twibell, 2012). Han, Trinkoff and Geiger-Brown (2014) have shown that various factors can impact turnover rates: nurses can be burned out by working too many shifts or consecutive hours; they can feel overburdened and unsupported; they can feel that they are not empowered to actually care for the patients they way they were taught they should. All of this can contribute to high turnover rates in nursing. This paper will discuss the ways leaders/managers can address the problem, the approach that I would personally prefer,…… [Read More]
Personal Nursing Philosophy
My Nursing Autobiography
I have dreamt of being a nurse all my life. My mother and older cousins tell me stories of how I loved to line up my dolls and animals, place bandages over them to nurse their 'injuries' and stick branches in their armpits to have a feel of their temperature. Well, I believe these stories because to this day, these are the very things that keep my life going; I derive so much satisfaction from just being able to help people when they are in no position to help themselves. I took an elective nursing course in high school, where I was supposed to report at the local facility at least once every week to assist in the administration of basic care to patients. This marked the beginning of my career in nursing, and since then, I have logged almost 15 years of experience…… [Read More]
Nursing Leadership and Management
Approaches of Nursing Leaders and Managers to Issues in Practice
Providing quality healthcare to individuals in need is imperative for all the stakeholders involved in the provision of healthcare. Among the stakeholders that play a key responsibility in ensuring the provision of quality, healthcare is the nurses who act as the advocates for individuals seeking healthcare. Providing healthcare to the population depends largely on the use of different strategies such as teamwork, continuous monitoring, and provision of opportunities that contribute to the personal and professional development of the healthcare providers. The success of the interventions adopted within the healthcare organizations also depends on the active roles played by the nurse managers and leaders in facilitating the adoption of the change agents. Therefore, the following essay focuses on the analysis of a comparison of the ways in which the nurse manager and a leader would approach the…… [Read More]
The profession of nursing offers many different things to many different people. For me, caring and helping people heal has always interested me and has made me feel like I am on the right path I life. The purpose of this essay is to explain my perspectives on nursing and why I feel that this profession is not only of great importance to me and my family, but also positively affecting my community and environment as well. This essay will first show the need for nurses in today's society and how well trained nurses can make a significant impact in the overall quality of life for everyone involved. Also this essay will address Jane Watson's theory of caring as a main academic influence on my nursing approach.
I was born in a relatively poor part of the world in Jamaica where many of the things that are…… [Read More]
During this era, however, nurses continued to gain a foothold within the field of care as important elements to patient recovery and success.
This was further echoed in the era directly following such a tumultuous times as the 1960s. During the 1970s, the idea of a much more solid and accredited education began to pick up further speed (Burns 2004:19). Schools were now responsible to the State and national standards, such as the ones put forth by the National League for Nursing. Another major improvement seen in nursing education was the creation of specified nursing programs which offered advanced degrees within specialized fields of nursing. It opened up the opportunity for many nursing students to gain an unprecedented expertise on various specialties not seen before in earlier generations. In the professional field, the implementation of "participatory nursing" which allowed for nurses to embody greater roles within the context of care…… [Read More]
The main focus of this essay is going to concern the nurse-patient relationship idea, and why it is important. This was chosen because the researcher desired to achieve a better accepting of how a helpful nurse-patient relationship can be advanced and even from different theorists who have discovered this idea. In this essay, the researcher sets out to demonstrate what they have learnt regarding the nurse-patient relation concept and how this connection can utilized in the clinical practice setting. T The nurse patient connection, according to a study done by Press Gamey Associates Inc., creates the quality of the care experience and generates an influential influence on patient gratification. Nurses will a lot of their time with patients. Patients see nurses' relations with people among the care team and make their own conclusions about the hospital founded on what they are observing. Furthermore, nurses' approaches toward their vocation,…… [Read More]
Nurse Eduactor Strategic Plan
Nurse educator strategic plan
A strategic plan for a nurse educator
At present, I would say that my greatest strength as a nurse educator is my willingness to challenge myself in the pursuit of excellence. Within the next year, I will obtain my MSN with a specific concentration in education. Previously, I obtained certification as a Basic Life Support instructor (BLS). Also within the next year I intend to seek out certification in Advance Cardiac Live Support (ACLS) and Pediatric Life Support Instructor (PAL) with the intention of becoming both an ACLS and PALS instructor. These will enhance my capabilities as a nurse educator and provide greater specificity in the range and types of teaching I will be able to convey.
My second great strength as a nurse educator is the compassion I have for my patients and my genuine love of teaching. A nurse is…… [Read More]
A person's health is an ever-changing state of being resulting from the interaction with the environment. Optimum health is the actualization of both innate and obtained human potential gained through rewarding relationships with others, obtaining goals and maintaining expert personal care. Adaptations can be made as required to maintain stability and structural integrity. A person's state of health can vary from wellness to illness, disease, or dysfunction. Professional nursing is founded on the need to promote wellness practices, the attentive treatment of persons who are acutely or chronically ill or dying, and restorative care of patients during convalescence and rehabilitation. It also includes the education and measurement of those who perform or are learning to perform nursing responsibilities, the support and communication of research to enhance knowledge and practice, and the management of nursing in healthcare delivery systems. Nursing practice centers on the application of a body of knowledge in…… [Read More]
It is critical that NHAs are first qualified nurses, as their ability to relate to other nurses is essential to the organizational success of the nursing home ("Nursing home administrator jobs," 2011). Career paths for an NHA are rooted with education background and nursing experience. Although experience is necessary for being a successful NHA, a career path at minimum requires clinical licensing (Decker, & Castle, 2009).
The NHA is the management body over the facility, and their positions are in high demand. In the U.S. In 2008, approximately 17,000 nursing home administrators were responsible for the oversight of care for 1 million elderly adults and 1.3 million employees (Leister, 2009). Overseeing a large nursing staff, as well as vulnerable residents, are the daily demands of the NHA. The future of NHA field is concerning to researchers and professionals, as the number of licensed NHAs is on the decline. In Maryland,…… [Read More]
Nurse Critical Thinking
Critical Thinking and Other Intellectual Skills: Documented Benefits and Skill Application in Nursing
There are many academic skills that are necessary for nursing students that also serve nurses well in professional practice. This paper will examine three such academic skills both in their general benefits to learners and professionals in all sectors and personally to my own advances in nursing knowledge and practice. Active reading, effective writing, and critical thinking skills are essential tools for helping one to properly take in, analyze, and communicate information in efficient and effective manners, and each of these individual thinking areas benefits the other two, as well. There are certain challenges that one might be face with in acquiring these skills, and I will detail my own personal challenges below following a general investigation of benefits and prior to a discussion of my application of these skills.
Psychologist Benjamin Bloom…… [Read More]
The National Association of Clinical Nurse Specialists - The NACNS was founded in 1995, specifically to enhance and promote the unique and high-value contributions that clinical nurses make to the health and well-being of individuals, families, groups, and communities in their particular branch of healthcare. They also have a foundation, scholarship programs, a journal and discussion portal, various levels of conferences, scholarship programs, honors and awards, and the ability for advanced certification. A Clinical Nurse Specialist is a licensed N who has graduate preparation (MA or PhD) in nursing specifically as a Clinical Nurse Specialist. This field of healthcare goes beyond the duties of an LPN or N, or even charge nurse, and deals with either advanced levels of clinical specialization, or broader, community and national health concerns. The field requires a rather significant academic bent, and the association is designed to support and enhance that paradigm focus (CNS -…… [Read More]
"From an historical standpoint, her concept of nursing enhanced nursing science this has been particularly important in the area of nursing education." ("Virginia Henderson's Need...," 2008) Principles of Henderson's theory, published in numerous primary nursing textbooks utilized from the 1930s through the 1960s, along with principles embodied by the 14 activities continue to prove vital in evaluating nursing care in thee21st century, not only in cases such as Keri's, but in a myriad of others benefiting from nursing.
Kearney, Kathleen M., the Nurse's Duty to eport Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma Journal of Nursing Law. Social Science Electronic Publishing, Inc.; January 25, 2007. etrieved September 25, 2007, at http://ssrn.com/abstract=1256366.
esuggan, ay N;PN;MN. (Last Modified: August 17, 2008). "Virginia Avernal Henderson." Nurses.info. etrieved September 25, 2007, from: http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Singleton, Joanne K. "Nurses' perspectives of encouraging clients' care-of-self in a short-term rehabilitation unit within…… [Read More]
" (1) What does the phrase "concept inventing" mean to you?
2) Does the process of concept inventing add clarity to a unique lived experience that aides in individualizing patient care? - or - Does the process of concept inventing add unnecessary jargon to the profession of nursing which creates barriers in collaboration with other disciplines? (3) State your stance on this issue and create a logical argument to defend your thoughts.
C. (1). "Concept inventing" can be thought of as a way to analyze situations in such a way as to contemplate their meaning to create understanding. Using both the aspects of science, including logic, rationality, and empirical analysis, and art, including intuition, emotion, integrity, honor, and compassion, nurses can process information in such a way as to create a complete conceptual picture of both the abstract aspects and concrete facts of a situation. In doing so, nurses can…… [Read More]
eport on Conditions at Brighton and Sussex University Hospitals NHS Trust
The following report is based on extensive observation of the conditions for patients living at the Brighton and Sussex University Hospitals NHS Trust. While some patients received moderate care, overall, the quality of care in this facility was appalling. All patients -- all people -- deserve to be treated with dignity, and this was far from the case. The conditions were especially distressing given that in general they could be fixed or at least ameliorated relatively easily. Not all of the ills of old age or disability can be remedied, of course. Pain and fear will be present even with the best possible care. Given that this is true, all possible efforts must be made to reduce fear, anxiety, and pain to the greatest degree possible.
The facts that this report is based on were documented by…… [Read More]
Grayce Sills and Nursing Leadership
Grayce Sills dedicated her life's work to improving conditions for psychiatric health patients, both through reforms in the area of psychiatric nursing and through education of future generations of nurses. During the era succeeding orld ar II, the psychiatric nursing profession was making its first forays into mainstream treatment orientation. Grayce Sills would emerge into the profession during this time and, in the late 1950s and 1960s, would observe that the conditions to which psychiatric patients were often treated at this juncture were abhorrent, inhumane and inconsistent with the standards otherwise sought in general patient treatment. As a student of Hildegard Peplau, whom she refers to as the mother of psychiatric nursing, Sills would come to appreciate the need for greater demonstration of caring and compassion in this subsection of the nursing profession. (Barker, p. 79) Earning a Bachelor's Degree from…… [Read More]
One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a three-part template for nursing: respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine. In many ways, too, modern technology has advanced further than societal wisdom, especially when confronting the issue of death. The modern nurse's role is to create a nurse-patient culture that encourages the individual to take responsibility for their healthcare and, in partnership with the nurse, to be involved in their recovery. The modern complexities of…… [Read More]
Concept Synthesis on Personal Nursing Philosophy
My interest in nursing peaked at an early age when I attended Clara Barton High School for health professions in Brooklyn NY and graduated in 1991. I first worked as a nurse's aide and home health aide for about two years and found this position to be quite rewarding. I subsequently moved to North Carolina where I took the CNA course in 1995 and began working as a CNA at various nursing homes and hospitals in the regional area. My experience as a CNA certainly helped me in my journey and provided the foundation for the later developments in my career.
Later I moved to Las Vegas in 1997 where I got married in 1998. After forming this union I went back to school for my BSN in 2002 while working as a CNA. I finished my BSN from Nevada…… [Read More]
In the emergency room, this distinction can have a determinant impact on the ability of the staff to preserve life and diminish pain and suffering.
The introduction of a bioethical perspective into this dialogue invokes a question as to the primacy of an interest in pursuing to the utmost the well-being of the patient. This speaks to one of the core values associating the principles of the ANA with the treatment outcomes desired in patiences. An examination of the ANA's Code of Ethics reveals that a theoretical basis exists to contend a direct correlation between the nurse's self-interest and that which is best for any given patient. There exists an essential obligation for such healthcare practitioners to "examine the conflicts arising between their own personal and professional values, the values and interests of others who are responsible for patient care and health care decisions, as well as those of the…… [Read More]
Nursing Theory Framework
ecognizing Addiction through Attachment Theory
Affect egulation and Addiction
Handling Addiction as an Attachment Disorder
The First Phase of Therapy
Nursing Theory Framework
The misappropriation of prescription drugs by teens in the United States is a growing public health issue. Using a nursing theory framework, the scope of the problem of prescription drug use among teens is reviewed. Equal in variety to manifestations of addiction are sundry psychological theories that attempt to explain and treat the problem. Hardy (2011) was able to look into four traditional models for recognizing alcoholism (social learning theory, tension reduction theory, personality theory, and interactional theory,) in addition to five theoretical models that were developing at the time of their writing.
An approach to treating and understanding addiction that has created a huge amount of research in current decades, and which displays big promise for effective…… [Read More]
Nurse Patient atios and Quality of Care
This study reviews the broad level of issues that surround the nurse/patient ratio: a critical shortage of trained and experienced nurses; increased political and fiscal demands from all sectors of society; rising costs internally and externally combined with a rising number of under-insured; and the conundrum of nursing ethics and the ability to foster excellence in care and patient advocacy. We note that there remains an issue about hiring more nurses -- where will these nurses come from if the nursing schools do not increase their recruitment efforts and broaden their curriculum. In addition, we note that the large majority of patients and stakeholders primarily want two things when admitted to a healthcare facility: better paid nurses and more highly-trained professionals who are satisfied with their vocation.
Modern nursing is, by necessity, a mixture of complex balance: patient care vs. staffing; procedures…… [Read More]
Nursing and Erickson Psychosocial Developmental Theory
The objective of this study is to examine Erikson's psychosocial Developmental theory and to discuss how one might apply the theory to their selected nursing practice including a brief description of the theory, framework or philosophy.
The stages of psychosocial development proposed in the work of Erikson include personality stages, psychosexual modes, psychosocial modality and accompanying virtue. These are shown in the following chart labeled Figure 1 in this study.
Erikson's Psychosocial Development Theory Stages, Modes, Modality and Virtues
Trust vs. Mistrust
Autonomy vs. Shame, Doubt
retentive eliminative holding on letting go
Inititative vs. Guilt intrusive making
Industry vs. Inferiority
Identity vs. ole Confusion
Intimacy vs. Isolation
Generativity vs. Stagnation
Source: Davis (1995, p. 1)
I. Use of This Theory in the Nursing…… [Read More]
Nursing Problem: Shortage of Nurses in Healthcare
The researcher works at Phoebe Memorial Hospital, where there is an extreme nursing shortage. Without an adequate amount of nurses, patient care and safety may turn out to be compromised, while nurses themselves may be stunned, upset, and dissatisfied. At the researcher's workplace, high patient-to-nurse ratios has been displaying that there is a lot of frustration and job burnout, which is linked to higher yield. At Phoebe, there is an inadequately staffed nursing force which has been discovered to play a negative part in patient results. In difference, studies have confirmed that hospitals like Phoebe Memorial Hospital with low nurse turnover are the ones that have the lowest rates of risk-adjusted death and severity-adjusted span of stay.
There is no very exact way of describing the concept of nursing shortage at the Phoebe Memorial Hospital Phoebe, but a report of this…… [Read More]
Nursing and Ethics
The emotional debate over abortion had been mischaracterized in the media, and hence disrupted any positive attempt to make progress in resolving the ethical and medical problems which have been created by the practice. A majority of Americans recognize and desire that abortion should be available when the life of the mother is at risk, or in the cases of rape or incest. However, liberal proponets like to expand this definition under the ubiquitous definition of the 'mothers health' which has been used to justify abortion on demand, for any reason. This latter expanded definition is significantly opposed by a majority of the ameircan population. In the midst of this struggle, comes the person needing medical care, who has neither been properly informed as to the dangers of the paractive, nor adequately counseled as to the options which exist regarding the future of her unborn child. The…… [Read More]
Modern nursing has become a multi-disciplinary career that encompasses a number of roles and requires more expertise than ever before. In modern nursing, there are a number of stakeholders: patients, families, the community, insurance companies, governmental agencies, administrators, colleagues, staff and physicians. Healthcare solutions in the 21st century require a collaborate effort that remains focused on continual progress towards customer service satisfaction. The key is to understand the overall paradigm of healthcare and nursing management -- even through the terms "manager" and "leader" are often used interchangeably, they are not. In general, management organizes affairs, projects, and people -- therefore subordinates are involved. The manager is in charge, but not necessarily leaders in that they do as directed and then direct tasks. Leaders do not have subordinates, rather they have followers. Leaders motivate, challenge, coach and inspire vision, enable others to act and encourage (Carrroll, 2005; Kouzes and…… [Read More]
This is a theoretical approach which assumes that the nurse will base all treatment decisions on an interest in achieving the patient's best overall health outcome. In light of this, there may be great value in approaching treatment with a cultural sensitivity to the diversity of needs which accompany the inherent diversity of individuals to be treated. Here, the healthcare practitioner must be particular immune to prejudices of an ethnic, racial, sexual or personal nature, with equal treatment quality and personal attention expected for all patrons of the medical system. This is why it is important for members of the healthcare community to be acquainted not just with the idea of a multitude of groups in its public, but with some level of understanding as to how different ethnic groups endure different health scenarios. The way that the nursing professional approaches healing -- with respect to the balance of personal…… [Read More]
Moreover, I feel that patients must empower themselves to become healthier. New technologies and access to a wealth of information on the Internet is helping patients learn more about their bodies so that health care becomes accessible to everyone. As nurses, we need to listen to what the patient's priorities are. If the patient prefers alternative medicine to what the doctor recommends then we should be willing to let the patient choose as long as we inform them of all possible outcomes. Instead of expecting the health care system to rescue them from destructive lifestyle choices, patients need their nurses to counsel them on improving their eating and exercise habits and reducing stress. To reduce stress in our own lives, we nurses need to learn how to remain positive and life-affirming. At the same time, we need to learn how to address sensitive issues related to death and dying, grief…… [Read More]
This is one of the most common forms of research and, for some research questions is clearly a strong design (Ethics in Critical Care Nursing Research, 2005).
The research that was done in this article would be considered a non-experimental type. There were two types of observation that were conducted. The first type was that of focus groups and the second being the file audit, both of which are observational in nature. In this case this was the most appropriate type of research design to use. Since they were simply trying to see what was actually going on in this area and how that was affecting patients the only real way to tot this was by observation. From this article a nursing care issue that can be raised is that of how palliative care nurses manage family involvement with end of life issues. Are there any standard procedures that are…… [Read More]
, 2010). It is perfectly conceivable that this nurse leader would welcome more collaborative or shared leadership responsibilities, particularly since the setting for empirical clinical research on this very issue was, in fact, an ICU (osengren, Bondas, Nordholm, et al., 2010).
Finally, it appears from this interview subject's input into this project that she is a competent and effective nursing leader, largely by virtue of her description of her supervisory and administrative style and inclination. However, her input lacked any substantial data on the basis of which a reviewer could evaluate her effectiveness as a clinical leader more specifically. Those particular skill sets may occur in combination but they undoubtedly also occur individually within different leaders (Stanley & Sherratt, 2010). A review of historical literature (such as in connection with Florence Nightingale) clearly demonstrates that good nursing leaders may or may not necessarily also be equally good clinical leaders (Stanley…… [Read More]
Philosophy: Moll Flanders
Moll Flanders: Money, Sexuality and Philosophical Views of Issues aised
What are the lessons to be learned from the novel Moll Flanders -- the lessons in terms of historical relevance, social values, personal values and goals, and of the need for a survivable, solid income for each individual? How is philosophy tied into those lessons? And what do philosophers Immanuel Kant and Carole Pateman contribute to the overall understanding of what is presented in the novel? What
This paper proposes to offer insights on -- and germane examples of -- human behavior patterns and the philosophical view of how to interpret those behaviors. This paper will not moralize, or take strong positions on one side or another; on the contrary, the materials presented will attempt to first digest and then represent what the novel and the philosophers' views have to offer the reader.
After all, a novel…… [Read More]
Even the much despised soccer is popular amongst American youths. Yet Americans cheer on their favorite individual stars in all of these sports, especially if the starts engage in charity efforts to justify their bloated salaries. The tension remains about what good sports do for both the individual or society, and Americans today are clearly using sports as a means of practical self-improvement like the Greeks as well as a means of collective identification like the English: "in the 1950's or 1960's, few people exercised; baseline fitness-consciousness was just above zero. Today, 20% of the U.S. population works out on a regular basis, while an additional 60%+ can be classified as...'Consciousness III' -- those persuaded of physical fitness, but who by their own admission, don't get enough exercise. As behavior lags enlightened attitudes, 4 out of 5 adult Americans are true believers in exercise and fitness." But the protests remain…… [Read More]
The pathways scheme aims to offer opportunities for every grade of practitioner. This is part of a national process that anticipates quality improvement as a continuously evolving process.
Achieving fair and equal access to professional development for nurses and healthcare providers in the private sector has been difficult in the past. Education has sometimes been viewed as expensive and time-consuming, with staff release for learning difficult to achieve especially acute staff shortages are a definable obstacle already to effective treatment provision. However, it is vital to the principle of performance improvement and the pursuit of standardizing quality outcomes that healthcare provision be based on the active pursuit of staff excellence. This is to be seen as a far more desirable approach to personnel orientation than the imposition of sanctions for poor performance. Central to this is the need for improvement of the local facility's knowledge economy. To this extent, knowledge…… [Read More]
The modern nurse must then be willing to move beyond a simple catch-all of medical jargon and bureaucracy and become someone who is both supportive and critical of the system. This may seem dichotomous, but in reality is not. The system is designed with beneficence in mind -- to help the patient at all costs. It is thus up to the nurse advocate to ensure that that actually happens (Sheldon, 2009).
Undertake assessments which are sensitive to the needs of the patient- Assessment is one of the key factors in management of clinical medicine. The nurse is often at the forefront of that process simply due to the logistical nature of the situation -- taking vitals, preparing the patient for blood work, etc. However, it is in two particular areas that the nurse can be most effective when assessing the actual needs of the patient; culturally and when questions are…… [Read More]
Of course, as Medicare beneficiaries increase because of the number of baby boomers, the Medicare program may adjust. However, current hospice figures demonstrate that only about twenty percent of all elderly individuals that die are enrolled in hospice programs.
Implementation and Monitoring
The needs of this new program will require thorough training and once implemented, precise monitoring. "When you approach a problem in the way your work group functions, you're implementing an organizational change. By taking a critical look at your process, and using some theories from organizational design, you can fix the problem -- and change your organization to make quality more likely." (Derby, 1999) The training will be a key because of the potential requirements associated with the Hospice program that may require completely new skill sets for the majority of our staff. The fact is that many of our nurses may not have acquired the necessary skills…… [Read More]
Consider the case of Mr. a, the irrational quadriplegic who has little movement from the neck down, and lives in a nursing home. He is irrational in his behavior, and often demands very explicit forms of treatment, and then rejects or refuses these treatments or other treatments. He has become violent on occasion, and has created problems between patients and staff. He has been expelled from one nursing home, and may be from another. The home is bound to treat him, as he desires care and chose the nursing home. However, if he harms staff or other patients in any way, the nursing home is bound to provide a safe environment, and Mr. A is a detriment to the health and safety of others. In that case, the facility can refuse treatment for the good of the many, rather than the good of one patient. The author of the article…… [Read More]